HomeMy WebLinkAboutPermit Mechanical 2020-01-290RES0r{
Web Address: www,springfield-or.gov
Building Permit
Commercia! Mechanica!
Permit Number: 8f 1-I9-OO284O-MECH
IVR Number: 811066705019
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or.gov
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Permit Issued: January 29,2020
Category of Construction: Commercial
Submitted Job Value: $16,000.00
Description of Work: 1st floor pharmacy storage room 1C29
Type of Work: Tenant Improvement
Worksite Address
3333 RiverBend DR
Springfield, OR 97477
Parcel
1703220004102
Owner:
Address:
PEACEHEALTH
1115 SE 164TH AVE
VANCOUVER, WA 98683
Business Name
HARVEY & PRICE CO - Primary
License
ccB
License Number
77
Phone
541-746-t621
Inspection
2999 Final Mechanical
2300 Rough Mechanical
Inspection Group
Mech Com
Mech Com
Inspection Status
Pend i ng
Pend ing
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 inspections at www.buildingpermits,oregon. gov
Call or text the word "schedule" to 1-BBB-299-2821 use IVR number: 811066705019
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Fee Description
Technology Fee
Commercial mechanical permit (based on mechanical job value)
State of Oregon Surcharge - Mech (t2o/o of applicable fees)
Quantity
Tota! Fees
Fee Amount
$74.27
$28s.40
$34.2s
$333.92
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 wh€ther 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 952-001-0010 through OAR 952-O01-OO9O, You may obtain copies of the rules by calling the Center at (503)
232-L987.
All persons or entities performing work under this permit are requared to be licensed unless exempted by ORS 701,O10
(Structural/Mechanical), ORS 479,54O (Electrical), and ORS 693.O10-020 (Plumbing),
Pilnted on: 1l29l21 paqe 1 of 2 C:\myReports/reports//production/01 STANDARD
Permit Number: 81 1-19-002840-MECH
Printed on: 1/29l20 Page 2 of 2
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C : \myReports/reports//production/0 1 STAN DARD
Mechanical Permit Application
225Fifrh Street o Springfield. OR 97477 . PH(541\726-3753 . FAX(541)726-3689
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.
DEPARTMENT USE ONLY
Permit no. : \1 meglo -t tW
D,,", t2\ro\t1
CATEGORY OF CONSTRUCTIO FEE SCHEDULE
! Residential E Govemnrent Conrnrercial Residential Qty Cost
ea.
Total
cost
JOB SITE INFORMATION AND TION
Job site address:
ducts and vents
to l00k BTU/h-r $
State:nPq-7 Over l00k BTU/hr $
Referencc:Taxlot.
DESCRIPTION OF WORK Unit heater s
stove/flue $
I t cooler 19.00 $
Vent fan with one ducVappliance il3.00 $
RTY Hood with exhaust and duct $t9.00 $
Name:One to four outlets $
Address:Additional outlets each $
State ZIP:u
tol CFM $
Phone:Fax Over 10,000 CFM $
E-mail
This installation is beirrg made orr property owned by me or a
member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Up to 3 hp/100k BTU $
to 15 BTU t.00 S
to 30 BTU $
to 50 ,750 BTU $
CONTRACTOR INSTALLATION Over 50 750 BTU t32.00 s
Business name:Domestic incinerator $
Address t Commercial
State:^Pq't4o
Enter total valuation of
and installation costs $
Phone:t Fax Enter fee based on valuation etc.$
E-mail:us fees Cost
ea.
Total
cost
CCB liccnse no.-1 Rein It02.00 $
Print name
Specially requested inspections $t (unclassed)$
Signature Each additional I r02.00 $
DEPARTM
(A) Enter subtotal ofabove fees (or entet set
minimum fee of $S7K,\C
f'ee s-d
Enter l2Yo 12x A+$
Seismic fee, l% (.01 x SO
Fee of S t.t.2:l
TOTAL fees and (A E):$\14.qt
Last edited 7/l/2019 BJones
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