The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2014-07-28 (3)SPRINGFIELD t -.. { i "OREGON yr aprhgfield-or.gov CITY OF SPRINGFIELD Building if Commercial Permit PERMIT NO: 811-SPR2014-01559 225 Fifth St Springfiield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-ongov PROJECT STATUS: Issued ISSUED: 07/28/2014 EXPIRES: 01/23/2015 STATUS DATE: 07/28/2014 APPLIED: 07/21/2014 SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703220004102 TYPE OF STRUCTURE: Commercial ------- PROJECT DESCRIPTION:--- -M=HVAC-- Tenant OWNER: PEACEHEALTH ADDRESS: 1115 SE 164TH AVE Phone Number: VANCOUVER WA 98683 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor GREENBERRY CONSTRUCTION LLC CCB 166612 09/26/2015 541-752-0381 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/2712015 541-726-0100 INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. By signature, 1 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 Safely. 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 Cohtrajctor Signature Date o('(10E: 11 HIS PERMIT SHALE EXPIRE IF,THE WORK I\UTljORIZED UNDER fHIS PERMIT IS NOT C0kriMENCED OR IS ABANDONED FOR I\I\IY 180 DAY PERIOD, ATTENTION; Oregon law requires you to follow rules adopted by the Oregon Utility Notificati0n Center. Those rules are set forth in OAR 952-001-obt 0n coli es of the rules by 0090. You may NOP.te, the telephone calling the center. number for the Oregon Utility Notificatien Center is 1-800-332-2344)• Springfield Building Permft 7/28/2014 3:12:01PM Page 1 of 1 SPRINGFIELD--- CITY OF SPRINGFIELD TRANSACTION RECEIPT Fifth Sta"' 6225 Spngfieid,OR97477 OREGON 541-726-3753 811-SPR2014-01559 w .spnngfieldvr.gov 3333 RIVERBEND DR permitcenter@spdngfield-ocgov RECEIPT NO: 2014001619 RECORD NO: 811-SPR2014-01559 i DATE: 07/28/2014 Continuing Education Fee 224-00000-4256Q6 2.50 Mechanical Permit fee (based on value of work) 224-00000-425604 1006 554.60 Special Occupancy Fee 224-00000-425602 1097 5.55 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 66.55 Technology fee (5% of permit total) 100-00000-425605 2099 27.73 TOTAL DUE: 656.93 E E Check GREENBERRY CONSTRUCTION LLC 656.93 22711 TOTAL PAID: 656.93 Mechanical Permit Application DEPARTMENT USE ONLY Wow Permitno.:225 Fifth Street # Springfield, OR 97477 ♦ PH(541)726d753 ♦ FAX(541)726-3689 � w. Dale: 'Phis 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 ❑ Govenunenl I x❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 33 Riverbend Dr City: Springfield Stale: OR ZIP: 97477 Reference:-_-- __- _------____-- __---Taztot-----_-- ___-- DESCRIPTION OF WORK HVAC work for MRI Improvements PROPERTY OWNER Name: Greenberry Construction Address: 2273 NW Professional Dr Suite 200 City: Corvallis State: OR ZIP: 97330 Phone: 541-752-0381 Fax: 541-752.0472 E-mail: This installation is being made on properly owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Signature: kaw, ewtv&ct W I blygtw CONTRACTOR INSTALLATION Business name: Comfort Flow Heating Address: 1951 Don St City: SpringfieldState: OR ZIP: 97477 Phone: 541.726.0100 Fax: 541.726-3929 E-mail: CCB license no.: 460 Print name: Luke Platz Signature: 440-2545.1(52l t2014/CO,%B FEE SCHEDULE ResidentialQtv. Cost Total cost First A liana CA. 582.00 'urnacelburnerincludin ductsand vents Up to I 00 BTU/hr. $19.00 $ Over I 00 BTU/br. $22.00 1 $ --II-AfCI'S1 troves VCIntS Unitheater $19.00 $ Wood/pellet/gas stove/flue $43.00 $ Repairlalter/add to healing appliance/ refrigeration unit or cooling system/ ns do system $82.00 $ Evaporated cooler $15.00 $ Vent fan with one duct/appliance $10.00 $ Hood with exhaust and duet $15.00 $ Fluor furnace including vent $82.00 $ Gas piping One to four outlets $8.00 $ Additional outlets (each) 1 $5.001 S Air -handling milts Including ducts Up to 10,000 CFb1 _ Over 10,000 CFM $22.00 ITS $ Coln ressor/obsor tion s stem/heat uun Up to 3 lip]] 00k BTU $19.00 S Up to IS hp/500k BTU $33.00 S Up to 30 lip/ 1,000 BTU $49.00 $ Up to 50 hp/1,750 BTU $64.00 S Over 50 hp/1,750 BTU $107.00 S Lteineratos Domestic incinerator $22.50 S Commercial Enter total valuation of mechanical system and installation costs $ 55.070.00 Enter fee based on valuation of mechanical system, etc. Miscellaneous fees Reue Cost ca, Total cost Reinspection $82.00 $ Specially requested inspections (pei $82.00 $ Regulated equipment (muclassed) $15.00 $ Each additional Inspection: (1) $82.00 $ APPLICANT USE (A) Enter subtotal of above fees (or enter set minimum fee of S 82.00)$J J (B) Investigative fee (equal to [A]) $ (C) Eruct M. surcharge (.12 x [A+B]) $ (D) Seismic fee, 1%(.01 x [A)) $ 5 (E) Technology Fee (5%of[A)) $ 7 (F) Continuing Education Fee $2.50 S2.50 TOTAL fees and surcharges (A through F): $ Z ,U