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HomeMy WebLinkAboutPermit Mechanical 2014-5-21 SPRINGFIELD 225 Fifth St __Lattaii CITY OF SPRINGFIELD Springfield,OR 97477 iri� Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR201 4-01 1 24 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/21/2014 EXPIRES: 11/16/2014 . STATUS DATE: 05/21/2014 APPLIED: 05/21/2014 SITE ADDRESS: 521 MAIN ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703353110600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: M-Tenant infill-Gas Line Growler Underground OWNER: BREILA LLC Phone Number:- ADDRESS: 3289 WINTERCREEK DR • EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor J LOGUE GAS WORKS INC CCB 147111 03/06/2015 541-345-7599 INSPECTIONS REQUIRED Inspections 2255 Gas Pressure Test 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. . 2995 Final Gas Final Gas: When all gas 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 , Y///// constru tion. • n p4t wner or Contractor Signatur Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility Notification Center. Those rules are set THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-01 0010 h through OAR 952-0 1h AUTHORIZED UNDER.THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR. 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 5/21/2014 9:44:09AM . Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD • rt 225 Fifth St TRANSACTION RECEIPT. Springfield,ORo7477 OREGON 541-726 4753 • 811-SPR2014-01124 www.springfield-or.gov 521 MAIN ST permitcenter @springfield-or.gov RECEIPT NO: 2014001116 RECORD NO 811SPR2014-01124 DATE:05/21/2014 DESCRIPTION t ^ .d i _z� s': cam.�a - `_"4CCOUNTiCODE/iRANSiCODE > i a tines='AMOUN f'o.L1�1 {z¢ Continuing Education Fee 224-00000-425606 2.50 ' Mechanical Permit fee(based on value of work) 224-00000-425604 1006 82.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84 Technology fee(5%of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98A4 .iSPAVMFNT'TVPF PAV[1R1 iasir'6- Ri CCARPENTER."__ _ .,_AMOUNTgPAID Credit Card David Platt 98.44 h24202 TOTAL PAID: . 98.44 • • Mechanical Permit Application DEPARTMENT USE ONLY r : , �.,. Y 9 a Tk i,g G .1`a +i-n ~ ,un 7y 'n` x. t 5'd ` sr ^s SPRINGFIELD .�•� �! �/ ) �/ ` ' '` ^ , ° ?� s Permit no.: ) /'1 - I/ 2 / , t'a CITY4OF:SPRI1�tGFIELD, OREGON Ls. ,��yy s-72,(7 / 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 .�Ay Date: / 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. h,t,t , 'CATEGORY OFCONSTRUCTION i,' `"%r Ci g6A. ;'FEE°SCHEDULE,'%c;' ,r ` ' -' ❑Residential 'Cdst Total a ❑Government �Commercial dResldentlal -,�� s:: QtY .�ea - ,:ICOSf - r JOB rSITE-INFORMATION ;AND'LOCATION'3-, ,x ?; First Appliance $82.00 $ lob site address: Z ktiCt4h ��` Furnace/burner including ducts and vents Up to look BTU/hr. $19.00. $ City ry77-r State: ZIP: 9�� Over 100k BTU/hr. $22.00 $ Reference: \ Taxlot Heaters/stoves/vents _ `." ,,i^;'; a.? 'DESCRIPTIONZOF'WORK." .. ' Z I V- Unit heater $19.00 $ p p Wood/pellet/gas stove/flue $43.00 $ T�s1(( qt cny p/ (nit �pe-- Repair/alter/add to heating appliance/ /� Q� t/ a refrigeration unit or cooling system/ $82.00 $ 14 fr �1 r absomtion system kr4l,., rhG,(2,77;: -, ,PROPERTY=-OWNER.u'. „y'„t 'n'I)'�'hfr Evaporated cooler $15.00 $ C ) I I Vent fan with one duct/appliance $10.00 $ Name: A Z C1 // Hood with exhaust and duct $15.00 $ Address: ""//\\yy//��JJ 4( Floor furnace including vent $82.00 $ City: eatie S&td:GR. ZIP: 77 'y Gas piping Phone: - Fax: - _ One to four outlets $8.00 $ Additional outlets(each) $5.00 $ E-mail: Air-handling units, including ducts This installation is being made on property owned by me or a Up to 10,000 CFM $12.00 $ member of my immediate family, and is exempt from licensing Over 10,000 CFM $22.00 $ requirements under ORS 701.010. Compressor/absorption system/heat pump Signature: Up to 3 hp/100k BTU $19.00 $ # ;y,R'€1� . CONTRACTOR INSTALLATION " ',wv '"lii Ali'' Up to 15 hp/SOOk BTU $33.00 $ / ,,,, //'l� Up to 30 hp/1,000 BTU $49.00 $ Business name: (/.G l t,(2iw-k, LAC Up to 50 hp/1,750 BTU $64.00 $ Address:e ©- Cv .0/ Z/y q Over 50 hp/1,750 BTU $107.00 $ City: cr,tp�,te State: ZIP: ` 'y Incinerators ��-��j"�_- __ Domestic incinerator $22.50 $ PhonMastic 7SY9 Fax: - - 'x.Commeiclal Yt ,f}r .,s= ,;1: , i1, .. r n n . E-mail: Enter total valuation of mechanical syystem CCB license no.: 1 q l-I/ and installation costs$ Z-260 I.--) Enter fee based on valuation of mechanical system,etc. $ Print name: '. �r r Cost ,Total�j ?MISCCIIan0005 fees < ti n_ -Items ,ea+!_ lcosf Signature: Reinspection . $82.00 $ Specially requested inspections (per $82.00 $ Regulated equipment(unclassed) $15.00 $ Each additional inspection:(1) $82.00 $ % rir: %""s=5''APPLICANT USE2;rz."r'1,` ". % �.'. .5. (A)Enter subtotal of above fees(or enter set minimum fee of $82.00) $ F2 (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ 69 eYii (D)Seismic fee, I%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ (.((it (F)Continuing Education Fee$2.50 $2.50 TOTAL fees and surcharges(A through F): $ Wrig 440-2545-1(5/21/2014/C0M)