HomeMy WebLinkAboutPermit Mechanical 2019-01-07SPRINGFI€LD
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OREGON
Web Address: wl/vr,^/.sprinqfi eld-or.gov
City of Springfield
Development and Public Works
225 Fifth Street
Sptinqfield, OR 97477
541-726-3753Building Permit
Commercial Mechanical
Permit Number: 81 1 -1 9-000030-MECH
IVR Number: 81 102457 1392
Email Addressr permrtcenter@spnngfield-or.9ov
Permit lssued: January 07 ,2019
TYPE OF WORK
Category of Constructlon: Commercial
Submitted Job Valus: $12,851.00
Description of Work: lnstall duct drops and grills - Americas Best
Type of Work: Tenant lmprovement
JOB SITE INFORMATION
Worksite addrsss
2880 GATEWAY ST
springfield, oR 97477
Parcel
1703220002200
BRFI GATEWAY LLC
3OOO GATEWAY ST
SPRINGFIELD. OR 97477
LICENSED PROFESSIONAL INFORMATION
Business name
KENT WITHAN,,I AIR INC - PriMAry
License
ccB
License number
189283
Phone
541 543 6580
PENDING INSPECTIONS
lnspection
2999 Final l\y'echanical
2999 Final Mechanical
2300 Rough l\4echanical
lnspection group
Mech Com
Mech Com
Mech Com
Various inspections are minimally required on each prolect and often dependent on the scope of work. Contact the issuing
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number: 811024571392
Schedule usang the Oregon ePermitting lnspection App, search "epermitting" in the app store
PERMIT FEES
Fee Description
Technology Fee
Commercial mechanical permit (based on mechanical job value)
State of Oregon Surcharge - Mech ( 12olo of applicable fees)
Quantity
Total Fees:
Permits must be posted in cloar viow on the wo*sile. Permils expire it work is not started within 180 Days of issuance or if work is
suspended fol|80 Days or longer doponding on the issuing agsncy's policy,
All provlslons of laws and ordlnances governing this typs of work will be complied with wh6th6r specified herein or not, Granting of
a permit does nol prcsumg to givg authority to violate or cancel the provisions ot any other state or local law regulating construclion
or the performanco of constructlon.
ATTENTION - CALL BEFORE YOU DIG: Oregon law regui.es you to lollow rulos adopted by the Oregon Utility Notification Center.
Those rules are s6l tonh ln OAR 952{01-0010 through OAR 952.001.0090. You may obtain copiss of tho rul6s by calling the Centsr at
(877) 668.4001 or dial 811.
All porsons or ontillos performlng work under this permil are requlred to b6 llconsed unless exempted by ORS 701.010
(Structural/tlechanlcal), ORS 479.t40 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 1,7/19 Page 1 of 1
Fee Amount
$ 11.25
$225.00
$27 .OO
$263.25
std_BuildrngPermil_pr
Owner;
Address:
lnspection status
Pending
Pending
Pending
SCHEOULING INSPECTIONS
SPRINGfIELD
OR€GO N
www.springfield-or. gov
Worksite address; 2880 GATEWAY ST, Springlleld, OR 97477
Parcel: 1703220002200
Transaction Receipt
811-19-000030-MECH
Receipt Number: 469030
Receipt Oate: 1/7/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-7 26-37 53
permitcenter@springf ield-or,9ov
Fees Paid
Transaction date
117 t19
Units
1.00 Ea
Description
Commercial mechanical permit (based on
mechanicaljob value)
State of Oregon Surcharge - Mech (12% of
applicable fees)
Account code
224-00000425604-1031
Fee amount
$225.00
$27.00
$1 1.25
Paid amount
$225.00
1t7t19
1t7 t19
1.00 Ea 821-00000-21 5004-0000
1 00-00000-425605-0000
$27.00
$1 1.25
Payment Method: Check number: 4770 Payer: Kent Witham Payment Amount $263.25
Cashier: Katrina Anderson Receipt Total:s263.25
Prinled 1/7/19 10:36 am Page 1 of 1 FIN_TransactionReceiptl)r
ti
1.00 Automatic Technology Fee
Crry or Srnnvcrulo, OnncoN
\{echanical Permit Application
Name
Adciress
Srate ZIP
lFar
E-mari
This installation is being made on prope.r,!" ouned b1 me or a
member of ml immediate fami)1. and is exempt Aom licensing
requirements under ORS 701.010.
Signature:
CONTRACTOR INSTALLATION
tr J-ha
Address bx ttrx
State QZ_ZIP: Q 77
OEPARTMENT USE ONLY
h Date
This permit is issued uoder OAR 918-,140-0050. Permits expire if work is trot started n'ithitr 1E0 davs ofissuance or ifrvork is
suspended for 180 days.
CATEGORY OF CONSTRUCTION FEE SCHEDULE
! Residential ! Govemment [(Comoercial Tot{l
cosl
JOB SITE INFORMATION AND LOCATION 99.00
urtrace/burner includiD ducts and r ents.lob site address s22.O0 S
Cirr ne Over I00k BTti.4rr
Reierence Taxlor.
DESCRIPTION OF WORK Unit hearer s22.00
Tr.a$atf Dr"l AoPs * Gr)lts Wood/pellerga^s srove,/fiue s52,00 s
Evaporaled cooler s18.OO S
::5 Fifth Stres. SpringfiejC, OR 97477 . PH(541)726-3753. FAX( 54 I )726-3689
b \ien1 fan with one ductappliance
Hood \liIh exhausl and duc!
Gas
One to four outlers
Addrtional outlers (each )
s13.00 s
s18.00 S
s8.48 s
ss.30 s
n
Phone lE13-as t f ax: 5a(and insrallation cosrs S%'4rtt Enter fee based on valualion ofmechanical svslem. etc
,A.ir-hand u includin ducts
L to I0.000 CFM
Over I0.000 CFM
Com r/abso ons stem,/heat
L to:h 'I00k BTL'
U tc l5 hp,500k B l r--
L to 50 /1,?50 BTLr
Domestic incinemtor
Enler rolal valuation of mec cal s\
;Reinspecrion
! Speciall] requested inspections (per
s25.00 s
s22.00 i!
s40.00 s
s25.00 s
S93.00 s
199.00 !
s18.00 s
E-mail u)ir- oQ
Ciq: 5 t(
CCB Iicense no.: /;f
rSignature
"gz.
ail, Ca,-t
I Reguiared equipme (unclassed)
Each additionrl inspection: ll
DEPARTMENT USE
(A) Enler subroral ofabove fees (or enler set
minimum fee oi S
(B) lnve i ve fee
(C) Enter 129; surcharge (.12 x fA-Bl)
(E) Technolo Fee (5o,; of[A]l
s
S
S
,s
s
Cost
to I00k BTU/hrL
Sratei .)R zrP: 77q77
PERTY OWNER
m
$59.00 sUp to 30 hp1l,000 BTU-
$75.00
Over 50 hp,'1.750 BItr--ss128.00
Commercial
Miscellaneous fees It"*!Cost Total
cost
5(D) Seismic fee. I % (.01 x
Lzqt edired 7rl'201t biones
TOTAL fees aDd surcharges (A through E): $aUj, 1
p", ':"o.. 11-0.-L(.3O
I q
s25.00 s
Hprte.(/(tn\'P(/\'ertr
I Residential lqo.
Cin
Phone
Business name
Incineretors
sl5.00 s
Print name:
Kent Witham Air.Inc
P.O. Box I 75tt
Springfield. OR97477
Estimate
Date Estimate #
t2/21i20t8 2llla
Name / Address
Lakeview Consfuction, Inc
10505 Corporate Drive, Suite #200
Pleansant PEirie. WI 53158
Projecl
Description Qtv Rate Total
JOBSI.IE: The Shoppes at Galeway.3500 Gateway Streel
Springficld. Or 97477. Slore: America's Best Contacts &
Eycglasses. We propose to install 15 Supply Afu Dimrsers
connected to existing ductwork. Install 2 Retum Air Ducts down to
ceiling grid. Vent 2 bath lars through the rool'. lnstall 7 transfer
grills from oflices from ollices to common space. [nstall thermostat
rith 6 zone sensors lbr averaging sense oftemperature.
EXCLLIDtsS: line voltage electrical and roofing repair.
Tcsting. Adjusting & Ilalancing by Air lntroduction and Regulation
an NFll-lB certitied firm subcontracted by KWA
r2.851.00
?.s1!a!-
t2.85 t 00
*)?$1){t-
Total ;f,rfi+l-.,oe.-
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Springfield, OR
e,$.)Tho Shopp6 al Gal€My, S50O Gai.ray SE6€t,
Sp.tngfiald, OF 9742
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