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HomeMy WebLinkAboutPermit Mechanical 2014-4-24 • SPRINGFIELD 225 Fifth St •.' lIti4A • CITY OF SPRINGFIELD Springfield,OR 97477 .I' t..a Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2014-00893 www.springfield-or.gov permitcenter @springtield-or.gov PROJECT STATUS: Issued ISSUED: 04/24/2014 EXPIRES: 10/21/2014 STATUS DATE: 04/24/2014 APPLIED: 04/24/2014 SITE ADDRESS: 202 S 18TH ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703360000500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: M-New/expanded warehouse and parking areas OWNER: CITY OF SPRINGFIELD Phone Nuniber: ADDRESS: 202 S 18TH ST SPRINGFIELD OR 97477 • • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone • INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further . certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street,that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ,�pp np n� • . . ce KCw.t y-c1 H- 4201 V Owner or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set or AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 4/24/2014 1:02:31 PM Page 1 of 1 i SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-00893 www.springfieldor.gov 202 S 18TH ST _ permitcenter©springfield-or.gov RECEIPT NO: 2014000912 RECORD NO:811-SPR2014-00893 DATE:04/24/2014 • 0141'e1'JI;-0dfoy' �:�..�_'il.I.I a#Ecdri t , .r _in.• , 1 _� s � .: �:.- _ACCOUN.T.COD TRANSCODEFAMOUNT:DUE ] Mechanical Permit fee(based on value of work)- 224-00000-425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 _ 4.00 TOTAL DUE: 93.60 P,AILMENTSTYP,E_. PAY,OR. caswER::IURSOe WeCOMMENTS AMOUNTieV _ Check S.U.B 93.60 200323 TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLY X01 I �' , �. .?a .niir�'"E SPRINGFIELD CIT oKteRINGFIELD ®REGON;K Permit no.: 4.Mel ax•a3':e.3 uthte t nanum�x r 1u3i..:'.-4. -1,.1011,0F,'nm +.,_ 141,dE1� ,t�,� 225 Fifth Street•Springfield,OR 97477 • PH(541)726-3753 •FAX(541)726-3689 • ith ,_.OREGON Date: V/y//y This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. CATEGORY OF CONSTRUCTION FEE SCHEDULE ❑ Residential ❑Government ❑Commercial Residential Qty. Cost Total ea. cost JOB SITE INFORMATION 6" "FORMATIGONN AND LOCATION First Appliance $80.00 _ $ &U Job site address: J. I Ste Furnace/burner including ducts and vents City:SpRll NgFiEL State: Oa 1 ZIP: 9iy11 Up to 100k BTU/hr. $18.50 $ Reference: •1(7.03-34•oo Taxlot.;�� Soo Over ers/ BTU/hr. $22.00 $ DESCRIPTION OF WORK Unit Heaters/stoves/vents Unit heater $18.50 $ . :.... . _ Z . ..• S • flu IC .A La. .A Wood/pellet/2as stove/flue $42.00 $ pod ro Q 4 Smithy._ Repair/alter/add to heating appliance/ iMl. UH,Y11m ... refrigeration unit or cooling system/ $80.00 $ PROPERTY OWNER absorption system Name: .• \ I Evaporated cooler $14.50 $ aSO B. &T Vent fan with one duct/appliance vent $10.00 $ Address: Hood with exhaust and duct $14.50 $ City: , t�( State: oft LIP:R1417 . Phone:,, x-1 3-711, Fax54Ii4f-3(o54 Floor furnace including vent $80.00 $ Gas piping E-mail: KU 4 e 5 Ua 1ICtL. c b PA One to four outlets $7.50 $ This installation is being made on property owned by me or a Additional outlets(each) $4.50 $ member of my immediate family, and is exempt from licensing Air-handling units,including ducts Signature: ._ 701 0 Up to 0,0.000 CM $12.00 $ Signature ]]� Over 10,000 CF■1 $22.00 $ • CONTRACTOR INSTALLATION Compressor/absorption system/heat pump ' Up to 3 hp/100k BTU $18.50 $ Business name:--r-BD Up to 15 hp/500kB'fU $32.00 $ Address: Up to 30 hp/1,000 BTU $47.50 $ City: State: ZIP: Up to 50 hp/1,750 BTU $62.50 $ Phone: - - I Fax: - - Over 50 hp/1.750 BTU $104.50 $ E-mail; Incinerators Domestic incinerator $22.50 $ CCB license no.: Commercial Print name: Enter total valuation of mechanical system and installation costs$fan 00 Signature: Enter fee based on valuation of mechanical system.etc. $ Miscellaneous fees Items Cost Total ea. cost Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50 $ Each additional inspection:(I) $80.00 $ APPLICANT;USE - ,:; _ _.. (A)Enter subtotal of above fees(or enter set minimum fee of $80.00) $ (B)Investigative.fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+111 $�j GO (D)Seismic-fee, 1%(.01 x[A]) $ / (E)Technology Fee(5%of[An $ 9/5�.� 440-2545-1(4/1/2013/COM) TOTAL fees and.surcharges(A through E): $ �/f o/� 4 / Page 1 of I SET ID: 202 S 18 Menu Pay Help Set Members: • 2 Terminal#: All Fees Paid: 0 Cashier ID: CCARFENTER Valuation: $250,000.00 Date: 04/24/2014 Total Fee Assessed: $8,797.96 Total Fee Invoiced: $8,797.96 Payments: $922.22 Balance: $7,875.74 Transactions Date Amount Receipt# Cashier ID Method Status Transaction Code o vucoNisj round. S w` - • • https://ay.prod.oregon.accela.com/portlets/fee/setPaymentList.do?mode=list&module=Bui1,., 4/24/2014