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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 tb 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