HomeMy WebLinkAboutPermit Mechanical 2019-10-04NGTIETD
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Web Address: www.springfield-or. gov
Permat Issued: October 04, 2OLg
Building permit
Commercial Mechanical
Permit Number: 8t 1-19-OO2 27 4-MECH
IVR Number: 811025688895
City of Springfield
Development and public Works
22S Fifth Street
Springfietd, OR 97477
547-726_3753
Email Address : permitcenter@springfield-or. gov
Category of Construction: Commercial
Submitted Job Value: 94,2BZ.OO
Description of Work: Install BOft of gas pipe for closed loop system
Type of Workl New
Worksite Address
720 35TH ST
Springfield, OR 97478
Parcel
t7023L2L0260L
Owner:
Address:
BLACK LABEL LLC
79 CENTENNIAL LOOP
EUGENE, OR 97401
Business Name
ALPHA PLUMBING & ROOTER
SERVICE LLC - Primary
License
CCB
License Number
22LL95
Phone
541-225-2266
Inspectaon
2999 Final Mechanical
2999 Final Mechanical
2300 Rough Mechanical
2250 Gas Piping/Pressure Test
Inspection Group
Mech Com
Mech Com
Mech Com
Mech Com
Inspection Status
Pending
Pending
Pending
Pending
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: 811025688895
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work is not started within 18O 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 performance of construction'
ATTENTION: Oregon law reguires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
fotth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O, You may obtain copies of the rules by calling the Center at (503)
232-L947.
All persons or entities performing work under this permit are required to be licensed unless exemPted by ORS 7O1'O1O
(Structural/Mechanical), ORs 479'54o (Electrical), and ORS 693.o10-O20 (Plumbing)'
printed on: 10/4/19 page 1 of 2 c:\myReports/reports//production/01 STANDARD
'W
SCHEDULING INSPECTIONS
Permit Number: 81 1-19-00227 4-MECH Page 2 of 2
Fee Description
Technology Fee
Commercial mechanical permit (based on mechanical job value)
Seismic Review - Essential Facilities
State of Oregon Surcharge - Mech (12olo of applicable fees)
Printed on: 10/4/19
Quantity
Total Fees:
Fee Amount
$7.14
$141.30
$1.41
$16.96
$166.81
Page 2 of 2 C :\myReporLs/reports//production/01 STANDARD
PERMIT FEES
W Transaction Receipt
811-'.t9-002274-MECH
Receipt Number: 472592
Receipt Date: 10/4/19
City of Springfield
Development and Public Works
225 FiFth Street
Springfield, OR 97477
54L-726-3753
perm itcenter@springfield -or. g ovwww. sp ri n g fi eld-or. g ov
Worksite address: 720 35TH ST, Springfield, OR 97478
Parcnl: 1702312102601
Fees Paid
Transaction date
10t4t19
10t4t19
10t4t19
10t4t19
Units
100Ea
1.00 Ea
100 Ea
1.00 Automatic Technology Fee
Description
Commercial mechanical permit (based on
mechanical job value)
Seismic Review - Essential Facilities
State of Oregon Surcharge - Mech (12% of
applicable fees)
Account code
224-00000425604-1 031
224-00000-425604- 1 03 1
821 -00000-21 5004-0000
204-00000-425605-0000
Fee amount
$141 30
$1 41
$16.96
$7.14
Paid amount
$141 30
$1 41
$1 6.96
$7.1 4
Payment Method Cred it card authorization:
09081 3
PayeT ALPHA PLUMBING & ROOTER SE Payment Amount:$166.81
Cashier: Katrina Anderson Receipt Total:$166.81
Printed: 10/4/19 10:09 am Page 1 of 1 Fl N_TmnsactionReceipt_pr
Ctry or SpnINGFIEt u, OREGoN
Mechanical Permit A lication
225 Fifth Street o Springfield,OR97477 . PH(541\726-3753 o FAX(541)726-3689
DEPARTMENT USE ONLY
Permit n .,l\'tOO>V?!
Date: rotq\tq
SPRI NG FI ELD
€n
This permit is issued under OAR 918-440-0050. Permits expire if work is not started within lEO days of issuance or if work is
suspended for 180 days.
CATEGORY OF CON FEE SCHEDULE
E Residential fl Government I Commercial Residential Qty.Cost
ea.
Total
cost
JOB SITE IN AND
Job site address:Zo L I ducts and vents
to l00k BTU/hr.$
State;ZIP:Over l00k BTU,4rr $
Reference Taxlot.
DESCRIPTION OF WORK Unit heater
L*
stove/flue
ct cooler
523.00 $
154.00 $
il9.00 $
t Vent fan with one $13.00 $
PROPERTY OWNER Hood with exhaust and duct $19.00 $
Name:One to four outlets $
Address Additional outlets $
City:State:ZIP:
$tol CFM 5.00
Phone Fax:Over I CFM $
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:
to3 OOK BTU $
to 15 BTU $
to 30 BTU .00 $
to 50 I 750 BTU $
CONTRACTOR INSTALLATION Over 50 1,750 BTU 132.00 $
Business name:Domestic incinerator s26.00 $
Address:o
City:ZIP:7 Enter total valuation of
and installation costs $
Phone: !\{ - d- '>UG Fax Enter fee based on valuation of mechanical etc.$
E-mail t Miscellaneous feestLolA Cost
ea.
Total
cost
CCB license no.'!r.-\\1f Reinspection ;102.00 $
Print name:..\-Specially requested inspections $
lated equipment (9.00 $
Signature Each additional inspection I 02.00 $
(A) Enter subtotal of above fees (or enter set
minimum fee of $$
(B) In fee $
Enter l2o/o 12x $
Seismic 1%0!x $
T Fee of A $
TOTAL fees and surcharges (A through E):$
Last edited 7/ l/20 I 9 BJones
-trk 4k--- 7a/r/rf
110, oo $
t26.00
i5.00
f23.00
04r.00
;78.00
i ^. \-,'t ,,
State: c-(-
i102.00
'l,U.t l