HomeMy WebLinkAboutPermit Mechanical 2019-06-28SPRINGFIELD— , City of Springfield
Development and Public Works
225 Fifth Street
I. Springfield, OR 97477
' Building Permit 541-726-3753
�.- OREGON
Commercial Mechanical
Permit Number: 811-19-001399-MECH
IVR Number: 811010919126
Web Address: www.springfield-or.gov Email Address: permitcenter@springfield-or.gov
Permit Issued: June 28, 2019
Various inspections are minimally required on each project 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
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811010919126
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
PERMIT FEES
Fee Description Quantity Fee Amount
Technology Fee $5.25
Commercial mechanical permit (based on mechanical job value) $105.00
State of Oregon Surcharge - Mech (12% of applicable fees) $12.60
Total Fees: $122.85
Permits expire If work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on
the issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the perrormance of 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 at (503)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 6/28/19 Page 1 of 1 C:\myReports/reports//production/01 STANDARD
TYPE OF WORK
Category of Construction: Commercial
Type of Work: Alteration
Submitted Job Value: $2,200.00
Description of Work: Updraft roof exhauster, 120lbs & 20x20x48" ductwork and blower
]OB SITE INFORMATION
Worksite Address
Parcel Owner:
DAN M LLC
156 S 20TH ST
1703364205200 Address:
2051 WHY WORRY LN
EUGENE, OR 97405
Springfield, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
License License Number Phone
OREGON WOODS INC - Primary
CCB 99032
541-334-6634
PENDING INSPECTIONS
Inspection
Inspection Group
Inspection Status
2999 Final Mechanical
Mech Com
Pending
2300 Rough Mechanical
Mech Com
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project 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
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811010919126
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
PERMIT FEES
Fee Description Quantity Fee Amount
Technology Fee $5.25
Commercial mechanical permit (based on mechanical job value) $105.00
State of Oregon Surcharge - Mech (12% of applicable fees) $12.60
Total Fees: $122.85
Permits expire If work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on
the issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the perrormance of 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 at (503)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 6/28/19 Page 1 of 1 C:\myReports/reports//production/01 STANDARD
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Mechanical Permit Application DEPARTMENT USE ONLY
SPRINGFIELD,"i�CITY OF OREGON i Permit no.: 1396
225 Fifth Street ♦Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 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
❑ Government `Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 5 S D'U-c l* T t -t
City: `j Qt t l G>~
State:
ZIP:
Reference: • v 3 • 42.
Taxlot.: bszoo
DESCRIPTION OF WORK
UPTMAT--r r aOI�x %4nvsTF_f2Q20
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PROPERTY OWNER
Name:
Address:
City:
State:
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: C3 iZ E G 1
Address:
City: State: ZIP:
Phone: 154
Fax: - -
E-mail:
CCB license no.:
Print name: t L /k o21Jf
Signature: �.
Reases ca t I � I ssu n cue
--r • 57q • 107 7
7>avi6'.
Last edited 7/1/2018 bjones
FEE SCHEDULE
Residential Qty. Cost Total
Furnace/burner including ducts and vents
Up to 100k BTU/hr. $22.00 $
Over 100k BTU/hr. $25.00 $
Unit heater $22.00 1 $ j
Wood/pellet/gas stove/flue $52.00 $
Evaporated cooler $18.00 $
Vent fan with one duct/appliance $13.00 $
Hood with exhaust and duct $18.00 $
[ One to four outlets I I $8.481 $
Additional outlets (each) 1 1 $5.30 $
Up to 10.000 CFM
Over 10,000 CFM 1 1 $25.001 $
Up to 3 hp/100k BTU J $22.00 1 $
Un to 15 hr)/500k BTU $40.00 I
Up to 30 hp/1,000 BTU
$59.00
$
Up to 50 hp/1,750 BTU
$76.00
$
Over 50 hp/1,750 BTU
$128.00
$
Incinerators
Domestic incinerator
$25.00
$
Commercial
Enter total valuation of mechanical system
and installation costs $ 2 00.
Enter fee based on valuation of mechanical system etc. j
$
Miscellaneous fees
Cost
ea
Total
cost
Reinspection
$99.00 I
$
Specially requested inspections (pe
$99.00 1
$
Regulated equipment (unclassed)
$18.00
$
Each additional inspection: (1)
$99.00
$
DEPARTMENT NT USE
(A) Enter subtotal of above fees (or enter set
minimum fee of S 99.00) $
(B) Investigative fee $
(C) Enter 12% surcharge (.12 k [A+B]) $
(D) Seismic fee; 1% (.01 x [A]) $
(E) Technology Fee (5% of [A]) $
TOTAL fees and surcharges (A through E):. $ ,
f0�P,JY L10%
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CITY OF SPRINGFIELD
MECHANICAL INSPECTION
UNDER FLOOR
ROUGH MECHANICAL
ROUGH GAS
GAS SERVICE
WOOD STOVE
PELLET STOVE
OTHER
FINAL GAS
FINAL MECHANICAL
BUILDING INSPECTION LINE #(541)726-3769
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