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Home My WebLink AboutPermit Mechanical 2019-11-14OREGON Web Address: www.springfield-or.gov Building Permit Commercial Mechanical Permit Number: 81 1-19-002374-MECH-O I IVR Number: 811099355592 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address: permitcenter@springfield-or.9ov SPRINGTIELD t% Permit Issued: November L4, 2Ol9 TYPE OF WORK Category of Construction: None Specified Submitted Job Value: $303,715.00 Description of Work: Pharmacy Renovation- basement level Type of Work: None Specified JOB SITE INFORMATION Worksite Address 1460 G ST Springfield, OR 97477 Parcel 170336220460r Owner: Address MCKENZIE WILLAMETTE REGIONAL MEDICAL CTR 14400 METCALF AVE OVERLAND PARK, KS 66223 LICENSED PROFESSIONAL INFORI{ATION Busaness ilame HARVEY & PRICE CO - Primary DORMAN CONSTRUCTION INC License ccB ccB Lacense Number 77 68801 Phone 54r-746-L62L 541-984-0012 PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical Inspection Group Mech Com Mech Com Inspection Status Pending Pending SCH EDULING 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: 811099355592 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store 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 performance 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-OO1-OO1O through oAR 952-OO1-OO9O, you may obtain copies of the rules by calling the center at (5o3) 232-L947. All persons or entlties performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (structural/Hechanical), oRs 479.54O (Electrical), and oRs 693.o1o-o20 (Plumbing). printed on: LLI$trg page 1 of 2 c:\myReports/reports//production/01 STANDARD [r -r- ( Permit Number: 811-19-OO2374-MECH-O1 Page 2 of 2 Fee Description Technology Fee Commercial mechanical permit (based on mechanical job value) State of Oregon Surcharge - Mech (12o/o of applicable fees) Printed on: 11/14l19 Quantity Total Fees: Fee Amount $104.s1 $2,090.14 $2s0.82 $2,445.47 Page 2 of 2 C: \myReports/reports//production/01 STANDARD PERMIT FEES SPRINGFIELD {& Transaction Receipt 81 I -1 9-002374-MECH-01 Receipt Number: 472993 Receipt Date= 11114119 City of Springfield Development and public Works 225 Fifth StreetSpringfield, OR 97477 541_726_3753 permitcenter@sprin gfield_or. gev ORTGON www.springfi eld-or. gov Worksite address: 1460 G ST, Springfield , OR 97477 Parcel: 1703362204601 Fees Paid Transaction date 11t14t19 11t14119 11t14t19 Units 1.00 Ea 1.00 Ea 1.00 Automatic Technology Fee Description Commercial mechanical permit (based on mechanical job value) State of Oregon Surcharge - Mech (12o/o ol applicable fees) Account code 224-00000-425604- 1 03 1 821 -00000-21 5004-0000 20 4 -00 00 0 -425605 -00 0 0 Fee amount $2,090.14 $250.82 $104.51 Paid amount $2,090.14 $250.82 $104.51 Payment Method Credit card authorization: 314143 Payer: DORMAN CONSTRUCTION INC Payment Amount:$2,445.47 Cashier: Katrina Anderson Receipt Totai:$2,445.47 Printed: 'l'll'14l'19 11:37 ail Page 1 of I Fl N_TG nsaction Receipt_pr Ir Mechanical Permit Application SPBlitotllLo 225 Fifth Street o Springfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689 This permit is issued under OAR 9f 8-440-0050. Permits expire if work is not started within lEO days of issuance or if work is suspended for 180 days. €b n- q*& \^.^r^# \W) -fl >-S*,V),9 DEPARTMENT USE ONLY Permit no Date 4 CATEGORY OF CONSTRUCTIO,.I FEE SCHEDULE E Residential E Governnrent tCommercial Residential Qty Cost ea. Total cost JOB SITE INFORMATION AND (OCETION First Anoliance s102.00 $ Furnace/burner including ducts and vents Job site address Up to l00k BTU/h,$23.00 $city$ff.{.State: &Y ZW Ovcr l00k BTU/hr.$26.00 s Reference Taxlot.Heaters/stoves/vents Unit heater $23.00 $DESCRIPTION OF WORK Wood/pellet/gas stove/fl ue $54.00 $ Evaporated cooler $19.00 $\Vent fan with one duct/appliance $13.00 $ PROPERTY OWNER Hood with exhaust and duct $r 9.00 $ Narle:t lou,yad.One to four outlets s! Aue Additional outlets (each)15.00 $ stlt., K5 nP:ld[rz'L4 Air-handline units. includins ducts Up to 10,000 CFM ll 5.00 $ Phorre:Fax Over 10,000 CFM i26.00 $ E-mail Comnressor/ahsorntion svstem/heat numn $This irrstallation is being made on properry owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Signature: Up to 3 hp/100k BTU $23.00 Up to l5 hp/500k BTU $41.00 $ Up to 30 hp/l.000 BTU $61.00 $ Up to 50 hp/l,750 BTU $78.00 s Over 50 hp/I,750 BTU $I32.00 $CONTRACTOR INSTALLATION Incinerators Domestic incinerator $26.00 $ Address: I tJ.ld{/Commercial City: fg1>1!tr p State: $y'TP,q7+3 Enter total valuation of mechanical svstem q- and installation costs S 3A? .1 l€ '- Fax:Enter t'ee based on valuation of mechanical system, etc.$ E-mail:lMiscellaneous fees Cost ea. Total cost CCB licerfse'no. (1-l ^ r't'j Reinspection il02.00 s Print name Signature: Specially requested inspections (per il02.00 $ Regulated equiprnent (unclassed)t19.00 s Each additional inspection: (l )ll 02.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ 102.00)$ (B) Investigative fee $ (C) Enter l2oZ surcharge (.12 x [A+B])$ (D) Seismic fee, lYo (.01 x [A])$ (E) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through E):s Last edited 7/l /2019 BJones \Q- oo >37^1 T i9.00 Address: A./1/ciw{\tar )nn L Business nurn.' i;ArrUU) I /)A.