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Home My WebLink AboutPermit Mechanical 2014-4-24 SPRINGFIELD 225 Fifth St • ' L . OF SPRINGFIELD Springfield,OR97477 ea Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00902 www.springfield-or.gov permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 04/24/2014 EXPIRES: 10/21/2014 • STATUS DATE: 04/24/2014 APPLIED: 04/24/2014 SITE ADDRESS: 110 INTERNATIONAL WAY,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703154000100 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: M-Minor office area alterations-interior OWNER: PACIFICSOURCE Phone Number: ADDRESS: 110 INTERNATIONAL WAY SPRINGFIELD OR 97477 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No • Lic Exp Phone Mechanical Contractor COMFORT FLOW HEATING CO COB 460 06/27/2015 541-726-0100 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. 1 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. _ 4 2LI j4- Owner or Contractor Signature Date NOTICE: - THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ANY 180 DAY PERIOD. Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- • 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/24/2014 2:00:41PM Page 1 of 1 SPRINGFIELD - - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 O EGON 811-SPR2014-00902 www.springfield-or.gav 110 INTERNATIONAL WAY permitcenler @springfield-or.gov RECEIPT NO: 2014000915 RECORD NO: 811-SPR2014-00902 DATE:04/24/2014 iDESCRIPTION _ ACCOUNT;CODE/TRANS CODE_ ' : _ AMOUNT DUE Permit fee(based on value of work) 224-00000-425604 1006 121.30 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 14.56 Technology fee(5%of permit total) 100-00000-425605 2099 6.07 TOTAL DUE: 141.93 LEAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS -° _ - AMOUNT PAID Credit Card Randall Nishimura 141.93 02470c TOTAL PAID: 141.93 • • Mechanical Permit Application DEPARTMENT USE ONLY T" '� SPRINGFIELD CITE' O SP GF�IFLD, UREGON, 1 t^ Permit no.: 9(`-/ — l02- 225 Filth Street • Springfield.OR 97477 ♦ PH(541)726 3753 • FAX(541)726-3689 OREGON Date: 72.L/ / ( -/ _ This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 clays of issuance or if work is suspended for ISO days. CATEGORY OF CONSTRUCTION FEE SCHEDULE El Residential El Government MCommercial Residential Qt!''. Cost Total ca. cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: I/0 It-Slez—Nn1t1 a,�/41- Wn Furnace/burner including ducts and vents City: 5614(46 r—IQ-w State: Oa- ZIP: "7471 tip to I00k HTU/hr. $18.50 $ Over Zook t3TU/hr. $22.00 $ Reference: j 7 _p3 - / Y-40-ocieo Taxiol.:I.*t 4* Heaters/stoves/vents DESCRIPTION OF WORK / Unit heater $18.50 S (:N�yhjr OF (2) Or-(-1Ct7' wt:ptfi`d (t) Wood/pellet/gas stove/tlue $42.00 $ C rfMJ OFi tCr , HVFlC "1OD(F' AS o NY Repair/alter/add to heating appliance/ refrigeration unit or cooling stem/ $80.00 $ PROPERTY OWNER absorption system . Name: riac Icl C.a.)ttCc W 414, roof Evaporated cooler $14.50 $ Address: j 1 o /r/Zyt.N4d1�/� WA1 Vent l:m with one duct/appliance vent $10.00 $ Hood with exhaust and duct $14.50 $ City: 1 r w6 P,aD State: OR ZIP: T]47 7 Floor furnace including vent $80.00 S PhoneSitI is 37°4 Fax: - _- _Gas piping __ E-mail frcd. mar 1Psr'en 0 ract f:csti'-2 cam One to four outlets $7.50 S This installation is being made on property owned by me or a Additional outlets(each) S4.50 $ member of my immediate family, and is exempt from licensing Air_handling units, including ducts requirements under ORS 701.010. Up to 10.000 CFM $12.00 $ Signature: Over 10,000 CFM $22.00 $ CONTRACTOR INSTALLATION __Compressor/absorption system/heat pump Business name: COhir,-.4( E w Hc'/3nrt C.0- Up to rip/I00k Ri ll $19.50 ---- up to 15 hp/500k 137(I $32.00 $ Address: I ,.S-1 wa S fit ><-r --Si)rV p - Up to 30 hp/1.000 13711 $47.50 .$ OR ZIP:9147 Up to 50 hp/1.750 BTU $62.50 $ City: $PP N�FIELJ State: ZIP: l47 Phone:S4-t-7U 0100 Fax:CS}I -9$%- `1ejcc- Over 50hp/1.750 BTU $104.50 $ E-mail: - Incinerators A J 0 Domestic incinerator $22.50 I $ CCB license no.: To Commercial Print name: Enter total valuation of mechanical system and installation costs$ �2c/0 Signature: --Enter fee based on valuation of mechanical system.etc. S ..--- Miscellaneous fees items Cost Total ca. cost Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) 514.50 $ Each additional inspection: (I) $80.00 $ APPLICANT USE (A)Enter subtotal of above lees(or enter set 29 minimum lee of $ 80.00) $ /2(__ (B)Investigative fee(equal to(A]) $ (C) Enter 12%surcharge(.12 x [A+131) $ /y (I))Seismic fee. 1%(.01 x (AI) .$ (E)Technology Fee(5%of[AI) $662-- 440-2545-1(4/1/2013/('ONI) TOTAL fees and surcharges(A through E): • $/V/ ��