HomeMy WebLinkAboutPermit Mechanical 2019-12-04OREGON
Web Address: www.springfield-or.9ov
Building Permit
Commercial Mechanical
Permit Number: 81 1-19-OOl60l-MECH
IVR Number: 811032518554
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Address: permitcenter@springfield-or.gov
SPRINGTIELD
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Permit Issued: December 04,2Ol9
Category of Construction: Industrial Type of Work: New
Submitted Job Value: $15,000.00
Description of Work: Spray booth- DWP review required, fire suppression deferred
Worksite Address
3990 KATHRYN AVE
Springfield, OR 97478
Parcel
1702304400500
Owner:
Address:
Owner:
Address:
LULU LLC
PO BOX 2266
EUGENE, OR97402
MEADOW OUTDOOR
ADVERTISING
PO BOX 331
THE DALLES, OR 97058
Busaness Name
HARVEY & PRICE CO - Primary
License
ccB
License Number
77
Phone
54L-746-t62r
Inspection
2999 Final Mechanical
2999 Final Mechanical
2300 Rough Mechanical
Inspection Group
Mech Com
Mech Com
Mech Com
Inspection Status
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.
Sched ule or track i nspections at www. build ing permits.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811032518554
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 18O Days or longer dependlng on
the lssulng agency's policy,
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting ofa permit does not presume to give authority to violate or cancel the provisions ofany 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-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3)
232-L987,
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.01O-O2O (Plumbing).
printed on: 1214/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
Ii
TYPE OF WORK
JOB SITE INFORMATION
LICENSED PROFESSIONAL IN FORMATION
PENDING INSPECTIONS
SC}IEDULING INSPECTIONS
Permit Number: 81 1-19-OO160l-ilECH Page 2 of 2
Fee Description
Technology Fee
Commercial mechanical permit (based on mechanical job value)
State of Oregon Surcharge - Mech (l2o/o of applicable fees)
Printed on: 1214/19 Page 2 of 2
Quantity Fee Amount
$13.62
$272.30
$32.68
$318.60Total Fees:
C :\myReporG/reports//production/o1 STANDARD
PERIIIT FEES
SPRINGIIETD
$Transaction Receipt
811-19-001601-MECH
IVR Number: 811032518554
Receipt Number: 473187
Receipt Date:1214119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
perm itcenter@spri ngfield-or. 9ovOREGON
www.springfield-or. gov
Worksite address: 3990 KATHRYN AVE, Springfield, OR 97478
Parcel: 1702304400500
Transaction Units
date
1214119 1.00 Ea
1214t19 1.00 Ea
Description
Commercial mechanical permit (based
on mechanical job value)
State of Oregon Surcharge - Mech
(12o/o ol applicable fees)
224-00000-425604-1 031
821 -00000-21 5004-0000
I 00-00000-425605-000012t4t191.00 Automatic Technology Fee
Fees Paid
Account code Fee amount
$272.30
$32.68
$13.62
Paid amount
$272.30
$32.68
$13.62
Payment Method: Credit card Payer: eric tucker Payment Amount:$318.60
authorization:
Cashier: Katrina Anderson Receipt Total:$318.60
Printed: 12l4/ 19 1 :40 pm Page 1 of 'l F I N_Tra nsaction Receipt_Pr
t,
Cmy or SpRrNGFrELoo ORncoN
Mechanical Permit A lication
225Fifth Street I Springfield,OR97477 . pH(541)726-3753 o FAX(541)726-3689
DEPARTMENT USE ONLY
Permitno.: .< 17 -fi{fi /7,
Date 7/tzl rliffi O /-r't
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.
GATEGORY OF CONSTRUCTIOI FEE SCHEDULE
E Residential E Government XCommercial Residential Qty.Cost
ea.
Total
cost
First Aooliance ir02.00 SJOB SITE INFORMATION AND
Furnace/burner including ducts and ventsJob site address //U/.Up to l00k BTU,4rr.t23.00 $
9iq, ,Sod.State:zrYQ747gz Over l00k BTU/hr t26.00 $
Heaters/stoves/ventsReferenceTaxlot.: ^<d44(6,Unit heater i23.00 sDESCRIPTION OF WORK \1tr2-
Wood/pellet/gas stove/fl ue ts4.00 $
Evaporated cooler t19.00 $
Vent fan with one dug,Vappliance $13.00 $
Hood with exhaust and duct $19.00 $PROPERTY OWN*
Name
One to four outlets $9.00 s
Address:Additional outlets (each)s5.00 $
includin ductscity: AtelAj I State:ft17 ZIP
Up to 10,000 CFM $15.00 $
Fax:Over 10,000 CFM $26.00 $
ComDressor/absorntion svstem/heat numoE-mail
up to 3 hp/I00k BTIJ $23.00 $
Up to 15 hp/500k BTU $41.00 s
Up to 30 hp/|,000 BTU $61.00 $
Up to 50 hp/l.750 BTLI $78.00 $
This instailation iJJir{g made on properry owned ty'me oia
member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Signature:
Over 50 hp/l.750 BTU $132.00 $coNTRlcToR tNSTALI+TION
Incinerators
Business name Domestic incinerator $26.00 $
CommercialAddress: %t.{
st*",$7 'aP?zc/o3 Enter total valuation of
and installation costs $
mechanical svs@6oaa "-
Phone:Fax:Enter fee based on valuation ofmechanical system, etc.$
&-t &E-,mal )Miscellaneous fees Cost
ea.
Total
cost
Reinspection ;102.00 $
a Tccg li'ceise no.: a7
Specially requested inspections (per i102.00 $
Regulated equipment (unclassed)i19.00 $
Each additional inspection: (l)i102.00
Print name
Signature
(A) Enter subtotal ofabove fees (or enter set
minimum fee of $ 102.00)S illI
(B) Investigative fee $
(C) Enter l2olo surcharge (. I 2 x [A+B])$
(D) Seismic fee, 1%o (.01 x [A])$
(E) 'fechnology Fee (5% of [Al)s
TOTAL fees and surcharges (A through E):sqv*>
[,ast edited 7/l/2019 BJones
l)
$
DEPARTMENT USE