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HomeMy WebLinkAboutPermit Mechanical 2014-07-21ELD ._1- 225 Fifth St - F CITY OF SPRINGFIELD Springfield,OR97477 �yy Phone:541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01564 ww .spdngfield-or.gov permitcanler@spdngfield-orgov PROJECT STATUS: Issued ISSUED: 07/21/2014 EXPIRES: 0111612016 STATUS DATE: 07/21/2014 APPLIED: 07/21/2014 SITE ADDRESS: 1360 MOHAWK BLVD, Springfield, OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703253310000 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: -- Gas -piping-andHVACduct-alterations --- --- --- -- --- --- --- OWNER: PRIME PROPERTY INVESTMENTS LLC Phone Number: ADDRESS: 1360 MOHAWK BLVD SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone Mechanical Contractor SUNSET HEATING &AIR INC CCB 171706 08/18/2014 541-554-2604 INSPECTIONS REQUIRED Inspections 2255 Gas Pressure Test 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2.310 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. 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 locale t the front of the property, and the approved set of plans will remain on the site at all times during construction. z-7 7 2 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 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). `MICE: IIS PERMIT SHALL EXPIRE IF THE WORK U7HORIZED UNDER THIS PERMIT IS NOT '010MENCED OR IS ABANDONED FOR ;NY 180 DAY PERIOD. Springfield Building Permit 7/21/2014 10:27:07AM Page 1 of 1 SPRINGA CITY Oh SPRINGFIELD ( TRANSACTION RECEIPT 225 Fifth St Spnngfield,OR 97477 811-SPR2014.01564 541726-3753 w .spnngfield�r.gov 1360 MOHAWK BLVD permitcenter@spdngfield-ocgov RECEIPT NO: 2014001565 RECORD NO: 811-SPR2014.01564 DATE: 07/21/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Mechanical Permit fee (based on value of work) 224-00000-425604 1006 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 166.17 19.94 Technology fee (5% of permit total) 100-00000-425605 2099 8.31 TOTAL DUE: 196.92 PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID Credit Card SUNSET HEATING & AIR INC 196.92 08368g TOTAL PAID: 196.92 Mechanical Permit Application DEPARTMENT USE ONLY srwiraaFie�o / , . ,. Permit no.: 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689' ,I Date: 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 OF CONSTRUCTION ❑ Residential I ❑ Government I 19 Commercial JOB SITE INFORMATION AND LOCATION Job site address: 13 (oO City: State: ©p, I ZIP:9-79 If Reference: Taxlot.: DESCRIPTION OF WORK ' 1 PROPERTY OWNER Name: mcQ L L C_- Address:�L— City: State(e5, ZIP: Phone: Fax: E-mail: This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Signature: CONTRACTOR INSTALLATION , Business name: U 6 (� 1 r -c Address: =ft'Z City: State: ZIP: ( �o Phone: /( yds — ,3/ 11 Fax: E-mail: 'R gUC /9 7e/ (2)_ AOL, G CCB license no.: f Print name: Signature: F� 440-2545-J (5/212014/COM) FEE SCHEDULE ResidentialQty, cost _., CA. Total - cost - First Appliance 1 1 $82.00 Furnace/burner including ducts and vents Up to IOOk BTU/hr. 1 $19.001 $ Over 100k BTU/hr. 1 $22.00 $ Heaterssto a ts Unit heater $19.00 $ Wood/pellet/gas stove/flue $43.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ absorptions stem $82.00 $ Evaporated cooler $15.00 $ Vent fan with one ductlappliance $10.00 $ Hood with exhaust and duct $15.00 $ Floor furnace including vent —s82.00l $ Gas piping One to four outlets $8.00 $ Additional outlets (each) $5.00 $ Air -handling units including ducts Up to 10,000 CFM 1 1 $12.00 $ Over 10,000 CFM 1 1 $22.00 $ Compressor/absorption sstem/heat um Up to 3 hp/100k BTU $19.00 $ Up to 15 hp/500k BTU $33.00 $ Up to 30 hp/1,000 BTU $49.00 $ Up to 50 hp/1,750 BTU $64.00 $ Over 50 hp/1,750 BTU $107.00 $ Incinerator Domestic incinerator 1 1 $22.50 $ Commercial - Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ Miscellaneous fees Item qCost - Ca. Tbtal cost Reinspection $82.00 $ Specially requested inspections (pe $82.00 $ Regulated equipment (unclassed) $15.00 $ Each additional inspection: (1) $82.00 $ APPLICANT -USE (A) Enter subtotal of above fees (or enter set minimum fee of $ 82.00) $ �7 (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ / (D) Seismic fee, 1%(.01 x [A]) $ (E)Technology Fee (5% of [A]) $ (F) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through F): $