HomeMy WebLinkAboutPermit Mechanical 2014-6-5 .� SPRINGFIELD 225 Fifth St
• An a CITY OF SPRINGFIELD spiingfield,oR 97477
�t Phone: 541-726-3753
• OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
• Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01212
www.springfield-cr.gov permitcenteraspdngfield-or.gov
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PROJECT STATUS: Issued ISSUED: 06/05/2014 EXPIRES: 12/01/2014
STATUS DATE: 06/05/2014 APPLIED: 06/04/2014
SITE ADDRESS: 610 S 2ND ST,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703353300500 TYPE OF STRUCTURE: Industrial
PROJECT DESCRIPTION: Replace make-up air unit
• OWNER: MOMENTIVE SPECIALTY CHEMICALS INC Phone Number:
ADDRESS: 180 E BROAD ST
COLUMBUS OH 43215
CONTRACTOR INFORMATION b
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor HARVEY&PRICE CO, CCB . 77 10/31/2014 541-746-1621
INSPECTIONS REQUIRED
Inspections
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2999 Final Mechanical Final Mechanical: Wien 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.
e(c4146* - -5'-zj/V
Owner or Contractor Signature Date
•
•
ATTENTION: Oregon law requires you to
•
follow rules adopted by the Oregon Utility
• Notification Center. Those rules are set forth NOTICE:
In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
• 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone • COMMENCED OR IS ABANDONED FOR •
•
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
.Springfield Building Permit 6/5/2014 10:16:36AM - Page 1 of 1
. SPRINGFIELD - CITY OF SPRINGFIELD
225 Fiflh St
' hr a: TRANSACTION RECEIPT Spnngfield,OR 97477
r' 541-7263753
OREGON 811-SPR2014-01212
www.springfleldor.gav 610 S 2ND ST permitcenter@springfield-ar.gov
RECEIPT NO: 2014001229 RECORD NO: 811-SPR2014-01212 . DATE:06/05/2014
j 4�i Ib tgli AN, x 'F,__' -iV r srall''E 52: 5±-ACCOUNT.CODE/TRANS CODE -' 5 WkAMOUNTnDUEZ; ,
Continuing Education Fee 224-00000-425606 2.50
Mechanical Permit fee(based on value of work) 224-00000-425604 1006 508.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 60.96
Technology fee(5%of permit total) 100-00000-425605 2099 25.40
TOTAL DUE: 596.86
g+p YAYMENTPT,YP-E _ P.AYORa ciarli uuasoN COMMENTS. - OUNTPA i ff .
Check Harvey Price 596.86
035288
TOTAL PAID: 596.86
•
•
•
Mechanical Permit Application DEPARTMENT USE ONLY
5PRINGFIELD Pt( --77
rra eye v'w± ' §*'ji -r " ' /t(�1G/Z ii CITY OF SPRINGFaIELD ' tazii ' " Permit no.: J
x�w a w1a� s a .�+, `,
225 Fifth Street • Springfield,OR 97477 • P11(541)726 3753 • FAX(54U726-3689 Y-`REGON Date:�p/y///
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 180 days.
CATEGORY OF CONSTRUCT! FEE SCHEDULE
❑Residential ❑Government Commercial Residential Qty. Cost Total
ea. cost
JOB SITE INFORMATION ppAND 2—OCATION First Appliance $80.00 $
Job site ad_dr�essr: I( Ltf C-n�., tom--,,/�i_e. . Furnace/burner including ducts and vents
City: e. peck I StatelJt I Zll°t> !4rn Up to Zook BTU/hr. $18.50 $
Over IOOk BTU/hr. $22.00 $
Reference: 720 3 ,3 3 I Taxlot.:02730
Unit Heaters/stoves/vents
DESCRIPTION OF WORK
Unit heater $18.50 $
'',,N�``
?OA A r r 11Wv`A ., , — .i . C Wood/pellet/gas stove/flue $42.00 $
y7 Repair/alter/add to heating appliance/
7/�L` 1 refrigeration unit or cooling system/ $80.00 $
("T' PROPERTY OWNER absorption system
Name: pilon/p4A-Fitfe, Evaporated cooler - $14.50 $
5.-a, Vent fan with one duct/appliance vent $10.00 $
I Hood with exhaust and duct $14.50 $
City: GrD( Sta 1 LI
�` d , Floor furnace including vent $80.00 $
Phone: - - Fax: - - Gas piping
E-mail: One to four outlets $7.50 $
$4.50 $
This installation is being made on property owned by me or a Additional outlets(each) •
member of my immediate family, and is exempt from licensing Air-handling units,including ducts
requirements under ORS 701.010. Up to 10,000 CFht $12.00 $
Signature: Over 10,000 CPM $22.00 $
CONTRACTOR INSTALLATION Compressor/absorption system/heat pump
t , _� 1 �L �r Up to hp/IOOk BTU $18.50 $ f
Business name: -1-1-1-(S t Ca
4�-� �� Up to 15 hp/500k BTU $32.00 $
Address: ( Up to 30 hp/1,000 BTU $47.50 $
City: &_l.cet.. e Stater 1214?-74-e5 Up to 50 hp/1,750 BTU $62.50 $ 1
Phone:?'#e- (b Fax: - - Over 50hp/1.750BTU $104.50 $
�`
E-maili iQta �-i - . f ! a s 'L to .can
Domesrc incu
Domestic incinerator I $22.50 I $
CCB license no.: 1 `7 Commercial '
Print name:Cr-O J':2ra Ot12-CO2� Enter total valuation of mec real sy<lem tJ �-7
17 11 /�_ [— I and installation costs$ 7 •3111•y t ! `��
Signature: }T�/_i (G Enter fee based on valuation of mechan i;l system.etc. $
Miscellaneous fees Items Cost Total
ea. cost
Reinspectinn $80.00 $
Specially requested inspections(per hr.) $80.00 $ 1
Regulated equipment(unclassed) $14.50 $ j
Each additional inspection:(I) $80.00 $ If
APPLICANT USE
(A)Enter subtotal of above fees(or enter set OJ
minimum fee of $80.00) $
(B) Investigative fee(equal to[A]) $
(C)Enter 12%surcharge(.12 x[A+B]) $ 5
(B)Seismic fee. 1%(.01 x[A]) $ 40
(E)Technology Fee(5%of[A]) $27/ 1
440-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ 5-16/