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HomeMy WebLinkAboutPermit Mechanical 2014-6-4 SPRINGFIELD 225 Fifth St ' A CITY OF SPRINGFIELD Springfield,OR 97477 ( Lad., � Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01210 www.springfield-or.gov permitcenter@fspongfield-or.gov PROJECT STATUS: Issued ISSUED: 06/04/2014 EXPIRES: 11/30/2014 STATUS DATE: 06/04/2014 APPLIED: 06/04/2014 SITE ADDRESS: 188 W B ST,Springfield,OR 97477 SCOPE: Mechanical Only • ASSESOR'S PARCEL NO: 1703352312401 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace heat pump and air handler OWNER: MCCULLOCH ROBERT&JEANETTE Phone Number: ADDRESS: 735 ASPEN ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor WESTSIDE HEATING 8 AIR CONDITIONING INC CCB 192774 02/08/2015 541-3574355 _ 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. Owner or Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth , COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 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 6/4/2014 11:23:02AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD hd ._ 225 Finn St °' `ONEGON TRANSACTION RECEIPT SpringfieldOR 97477 541-726-3753 811—S P R2014-01210 www.Springfield-or.gov 188 W B ST permitcenter @springfield-or.gov RECEIPT NO: 2014001220 RECORD NO:811-5PR2014-01210 DATE:06/04/2014 tDESCRIPTION ___I:_ - _u SI:. __IL_ :_ACCOUNT CODEITRANS CODE ; _ is AMOUNT DUE._) Continuing Education Fee 224-00000-425606 2.50 Mechanical Permit fee(based on value of work) 224-00000-425604 1006 113.56 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.63 Technology fee(5%of permit total) 100-00000-425605 2099 5.68 TOTAL DUE: 135.37 L.PAYMENT TYPEm.__.:y,,PAYOR__CASHIER:CCARPENTER r COMMENTS__--„„,✓__ = •PMOUNT PAID - - _;.'� Credit Card WESTSIDE HEATING 8 AIR 135 37 000985 CONDITIONING INC • TOTAL PAID: 135.37 • Mechanical Permit Application DEPARTMENT USE ONLY-4; 'Y, 4 ..;., f'✓ '° f `f )��ry '{ S v tt' SPRINGFIELD ».w.w+e.� 61TY.OF'SPRINGFFIEtini eCiONT" ' ! Permit no.: 9/6/ - / 2/ '9 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 `':„-, * IC Date: o/-7//7.... 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.CE CONSTRUCTION j. :'i 4`!'' '- .- c,-;: .6,.-„ ,_."tiFEE'"SCHEDULE -„}` " ❑Residential ❑ Government 2rammercial Residential 1 3 , ty Cost , Total , _.. ,� � Q :",ea '� - cost c- 1;jY * JOB SITE1INFORMATION,AND;`LOC'ATION .r-t ;.;', First Appliance $82.00 $ /I /� II Furnace/burner including ducts and vents Job site address: / L1i g - wi�d tN Up to 100k BTU/hr. $19.00 $ City:a/-J/R.rgi4 (4s State: AZ_ ZlErn ?7 Over 100k BTU/hr. $22.00 $ Reference: CJ 75 2-3 Taxlot.:/2 9a9/ Heaters/stoves/vents ;'-), ,Mtt,DESCRIPTION'.1OF WORK 15 , L ;a Unit heater $19.00 $ Wood/pellet/gas stove/flue $43.00 $ / SGe 1e'tr frro t 2 iivCI An/y4gnJ/G � Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $82.00 $ absorption system ;fl0,,+ip?at, '" ;'.; PROPERTY-OWNER: .`;: ,c`, ;ah-- Evaporated cooler $15.00 $ Name: frio /j/lc Lv cif'!/�/_ Vent fan with one duct/appliance $10.00 $ p`L p� ' 1 Hood with exhaust u and duct $15.00 $ Address: L (�.{ 6 �j-(� Cr+i tlt� * Floor furnace including vent $82.00 $ - City:4,1AvstLre.. ki. State: O/L, ZIP: gjx(77 Gas piping Phone cw-9!a c/a di. 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 $ _,K CONTRACTOR ;INSTALLATION ,t; T`s'-nr ,,t! Up to 15 hp/500k BTU $33.00 $ Business name: // Up to 30 hp/1,000 BTU $49.00 $ p p 5 B9-st.1' d.H/tJ lC Up to 50 hp/1,750 BTU $64.00 $ Address: f6. le -Z2. Over 50 hp/1,750 BTU $107.00 $ City: tt<rie Statea{Z ZIP:47eo2 Incinerators Domestic incinerator $22.50 $ Phone$41-53- 7279 Fax: - - ,,.; , a , " -::: 1 Commercial � „ �, y=__r�'=- F ,. _:_ate_ E-mail: (n/e3576. j�heerre-iyi K.Sice, .lch7 Enter total valuation of mechanical sy$te . J /12 77 el and installation costs$ Y CCB license no.: _/ Enter fee based on valuation of mechanical system,etc. . $ Print name: .ti Cpstl Totals" JUbs�i sc /�J / I7-1?- lla`neous feesrr; Y .:Items`` cosi :. Signature: i�%� .� Reinspection $82.00 $ Specially requested inspections (per $82.00 $ Regulated equipment(unclassed) $15.00 $ Each additional inspection:(1) $82.00 $ "`et , ? 2t. .VAPPLICANT"USE t? ; ^;i t; (A)Enter subtotal of above fees(or enter set minimum fee of $82.00) $//7 (B)Investigative fee(equal to[A]) $ r (C)Enter 12%surcharge(.12 x[A+B]) $ (Jb 3 (D)Seismic fee, 1%(.01 x[A]) $ r� (E)Technology Fee(5%of[A]) $ G (F)Continuing Education Fee$2.50 $2.50 TOTAL fees and surcharges(A through F): $ /35-7 i. 440-2545-1(51212014/COM)