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)