HomeMy WebLinkAboutPermit Mechanical 2014-07-22SPRINGFIELD --
225 Fifth St
'
CITY OF SPRINGFIELD
Springfield,OR 97477
Phone: 541-726-3753
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Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01574
Yw .spnngfield-orgov
permitcenter@springfield-orgov
PROJECT STATUS: Issued ISSUED: 07/22/2014 EXPIRES: 01/17/2015
STATUS DATE: 07/22/2014 APPLIED: 07/22/2014
SITE ADDRESS: 2220 NUGGET WAY, Eugene, OR 97403 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1803031401400 TYPE OF STRUCTURE: Industrial
OWNER: RIDGELINE PIPE MANUFACTURING Phone Number:
ADDRESS: 2220 NUGGET WAY
EUGENE OR 97403
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone
Mechanical Contractor ALPINE HEATING LLC CCB 193586 04/01/2015 541-954-9959
INSPECTIONS REQUIRED
Inspections
2255 Gas Pressure Test
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
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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).
Springfield Building Permit 7/22/2014 1:OB:15PM Page 1 of 1
LSPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR97477
- OREGON 547-726-3753
811-SPR2014-01574
w v.springfield-orgov 2220 NUGGET WAY permitc nter@spnngfield-orgov
RECEIPT NO: 2014001575
RECORD NO: 811-SPR2014.01574
DATE: 07/22/2014
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
155.65
Stale of Oregon Surcharge (12% of applicable fees)
821-00000-215004 1099
18.68
Technology fee (5% of permit total)
100-00000-425605 2099
7.78
Credit Card ALPINE HEATING LLC
030746
TOTAL DUE: 184.61
TOTAL PAID: 184.61
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 CONSTRUCITION
❑ Residential 10 Government
Commercial
JOB SITE INFORMATION AND, LO TION
Job site addressG It
City: Stat . ZI .
Reference: V I Taxlot.:
DESCRIPTION OF <WORK
GtQ�R JAG U dd
I(tt+ Ye
$
-PROP TY OWNER
Name:
]
Address:
City: �(-�, Sta e: -)6— I ZIP:
Phone
Fax:
E-mail:
This installation is being made on propperty owned by me or a
member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Signature:
CONT]RACTOR INST LLATI N
Business name: H,--- 1 4-t,—
Address:t7
City: `I X-1 ) I.Statco V, I ZIP:
Phone: C o ax:
E-mail: )KAhACL ^640Ani (kI f tl6l
CCB license L.:
Print name: �Q
Signature:
440-2545-J U 1/08/COM)
FEE SCHEDULE
ResidentialQty,
cost
tea.
Total
- cost
First Appliance
1
$79.00
$
Furnsce/burner including ducts and vents
Up to 100k BTU/hr.
$17.00
$
- -Over .I00k BTU/Iv. -....
-.$20.00
$ -
Heaters/stoves/vents
Unit healer
$17.00
$
Vood/pellet/gas stovelflue
$38.00
$
Repan/alter/add to heating appliance/
refrigemtionunilorcooling system/
absorption system
$68.00
$
Evaporated cooler
$13.00
$
Vent fau with one ductlappliance vent
$9.00
$
Hood with exhaust and duct
$13.00
$
Floor flimace including vent
$68.00
$
Gas piping
One to four outlets
$7.00
$
Additional outlets (each)
$4.00
$
Air -handling units, including ducts
Up to 10,000 CFM
$11.00
$
Over 10,000 CFM
$20.00
$
Com ressorlabsor tion s stens/heat pump
Up to 3 hp/100k BTU
$17.00
$
Up to IS hp/500k BTU
$20.00
$
Up to 30 hp/I,000 BTU
$43.00
$
Up to 50 hp/1,750 BTU
$67.00
$
Over 50 hp/1,750 BTU
$96.00
$
Incinerators
Domestic incinerator
$20.00
T $
Commercial
Enter total valuation of '
and installation costs $:21216 - �
Enter fee based on valuati n of mechanical system, etc.
$
Miscellaneous fees Iteno
t
ea.
Total
cost
Reinspection
$68.00
$
Specially requested inspections (per hr.)
$68.00
$
Regulated equipment (unclassed)
$13.00
$
Each additional inspection: (1)
$58.00
$
APPLICANT USE
(A) Enter subtotal of above fees (or enter set
minimum fee of $ 79.00)
$1
(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])
$
-7
TOTAL fees and surcharges (A through