HomeMy WebLinkAboutPermit Mechanical 2014-08-25SPRINGFIELD -
225 Fifth St
1, t
CITY OF SPRINGFIELD
Springfield,OR97477
Phone: 541-726-3753
oaecoN
Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01827
mm.springfield-ocgov
permitcenter@spdngfield-or.gov
PROJECT STATUS:
Issued ISSUED: 08/25/2014
EXPIRES: 02/20/2015
STATUS DATE:
08/25/2014 APPLIED: 08/21/2014
SITE ADDRESS: 3150 Gateway LOOP, Springfield, OR 97477
SCOPE: Mechanical Only
ASSESOR'S PARCEL NO:
1703222003400 TYPE OF STRUCTURE: Commercial
_PROJECT_DESCRIP_TION:
HVAC -System —NW_ College_School_ofBeauty
OWNER: HESCHELES LLC
Phone Number:
ADDRESS: 740 PINE VIEW CRT
EUGENE OR
97405
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lic Type
Lie No Lic Exp Phone
Mechanical Contractor
JET INDUSTRIES INC CCB
3944 05/31/2015 503-363-2334
INSPECTIONS REQUIRED
Inspections
2300 Rough Mechanical
Rough Mechanical: Prior to Cover
2999 Final Mechanical
Final Mechanical: When all mechanical work is complete.
2040 Underslab Mechanical
Underslab Mechanical. Prior to insulation or decking and including required testing.
2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to
an appliance.
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.
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).
11OE:
i HIS PERMIT SHALL EXPIRE IF THE WORK
\tj l I IORIZED UNDER THIS PERMIT IS NOT
f;Of:,ilvIENCED OR IS ABANDONED FOR
Af\lY 180 DAY PERIOD.
Springfield Buiidin9 Permit 6125/2014 11'.37:31AM Page 1 of 1
Owner or Contractor Signature
Dale
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).
11OE:
i HIS PERMIT SHALL EXPIRE IF THE WORK
\tj l I IORIZED UNDER THIS PERMIT IS NOT
f;Of:,ilvIENCED OR IS ABANDONED FOR
Af\lY 180 DAY PERIOD.
Springfield Buiidin9 Permit 6125/2014 11'.37:31AM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
TRANSACTION RECEIPT sp�l�e�eld,OR97477
OREGON
811-SPR2014-01827 541-726-3753
w .spnngfeld-or.gov 3150 Gatewav LOOP permits nter@springfield-ocgov
RECEIPT NO: 2014001869 RECORD NO: 811-SPR2014-01827 DATE: 08/25/2014
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
1,142.54
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
137.10
Technology fee (5% of permit total)
100-00000-425605
2099
57.13
TOTAL DUE: 1,339.27
PAYMENT TYPE PAYOR CASHIER: RNOLInAN COMMENTS AMOUNT PAID
19470
TOTAL PAID: 1,339.27
This permit is issued corder 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
❑ Government
Lw6mmercial
JOB SITE INFORMATION AND LOCATION
Job site address• jr )_
City.',- _ _
Reference:
1703 2420
Taxlot.:Q ;406
DESCRIPTION OF WORK
f -U A ' 6
PROPERTY OWNER
None: �SC4(--ZLr- S7 LL
Address: — C [iC V (E L J C (L i
City: &`-kis=61(C-�
State: 6'a- ZIP:6/
Phone:
Fax:
E-mail:
This installation is being made on property owned by me or a
member of my immediate family, and is exempt Oom licensing
requirements under ORS 701.010.
Signature:
CONTRACTOR INSTALLATION
Business name: e�V T- e
Address: I L13!S S) Ve 129M I=
City: le
State: y' ZIP-qI3DI
Phon .� Fa : - 2
E-mail �i Q.'CD'.i i v �v
CCB license no.: q L L
Print name:
Signatur
440.2545-J (4/l/2013/CO,14)
FEE SCHEDULE
Residential
Qty,
Cost
ea.
Total
cost
First Appliance
I
1 $80.00
Is
Furnace/burner including ducts and vents
Up to 100k BTU/hr.
I
I $18.60
I $
-Over I00k BTU/hr
$22.00j-$
Heaters/stoves/vents
Unit heater
$19.60
$
Wood/pellettgasstove/flue
$42.00
$
Repair/aitedadd to heating appliance/
refrigeration unit or cooling system/
absorption system
$80.00
$
Evaporated cooler
$14.50
$
Vent fan with one duct/appliance vent
$10.00
$
Hood with exhaust and duct
$14.60
$
Floor furnace including vent
$80.00
1 $
Gas piping
One to four outlets
Additional outlets (each)
1
$4.60
$
Air -handling units, including ducts
Up to 10,000 CFM
$12.00
$
Over 10,000 CFM
$22.00
$
Conn ressor/absoi tions s(ein/tic t um
Up to 3 hp/100k BTU 1
$18.601
$
Up to 15 hp/500k BTU
$32.00
$
Up to 30 hp/1,000 BTU
$47.60
$
Up to 50 hp/1,750 BTU
$62.60 1
$
Over 50 lip/1,750 BTU
$104.60
$
Incinerators
Domestic incinerator
2260
$2260F$—
$Commercial
Commercial
Enter total valuation of ineclical system
andinstaliationcosts$_
/j�)
Enter fee based on valuation of mechanical system, etc.
Y
Miscellaneous fees Items
Cost
ea.
Total
cost
Reinspection
$80.00
$
Specially requested inspections (per hr.)
$80.00
$
Regulated equipment (unclosed)
$14.60
$
Each additional inspection: (i)
$80.00
$
APPLICANT USE
(A) Enter subtotal of above fees (or enter set
minimum fee of $ 80_00)
$
.
..
(B) Investigative fee (equal to [A])
$
(C) Enter 12% surcharge(.12 x [A+B])
$
'
(D) Seismic fee, 1%(.01 x [A])
$
(E) Technology Fee (50/o of [A])
$
TOTAL fees and surcharges (A through E): $
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