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HomeMy WebLinkAboutPermit Mechanical 2009-7-21 ~/. c!:,:; , ' Mechanical Permit Application 'i'-' I Permit noC'" q -mJ(\ lOliJc{ 'I ~~te: 7/;', J{Je I 1 ( 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, 1:~;~0,;;'~::ic::Atg(;()R."(t:QJ;,f[cO:N$TI"R.l.lC:;IIO:Nf~~+~:01 I D Residential I D Government llZl Commercial I (f~OB::SITl"E:iliN~QR.MAIIQN~f\il>~ll!Qc::ATI"ION;:::l!l~~: I Job site address: Big Lots 5790 Main St. I City: Sprinqfield l State: OR . I ZIP: 97478 Reference: \\O'L.~Ac\ I TaxlotD\c\CV ~41'?~i:Y~i€~~l1?!~!k~;QE'S,;,Rn~J],QN:(QE!iWQBt5_!~~f}~,i~r~~ ~VAC Modifications (see plan for' scope of wor}) I"Mckinstry'iob #9300 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 I Name: Big Lots Inc, I \t\exl ~ j I Addre:s: IL\ q 1 n l\'1 VX\ ~ \ c- S t' I City~dnC~ f' ki ~State: Qb.1 ZIP Ci'14I1I PhoneX - - I Fax: - - I I E-mail: I 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: I Business name: Mckinstry Co_ I Address: 16790 NE Mason St. Suite #100 I CitY: Portland I State: OR I ZIP: 97230 I Phone:503-33~51 I Fax503 -33:1,6907 I E-maIl: d.anep@mckiAstry.com I CCB Ii ense 1J'il,: 172/011 /l I Print amy j;.ane ,karke/}l_ 'j / ~ ISign~~Lf~ ~ ~ '0Q~ \\., ~ oC\ ~.~(V ~~ 440,2545-J OI108/COM) ~First Aooliance . , urnacelburner including ducts and vents I Up to lOOk BTU/he. I I $17.00 I $ lOver lOOk BTUlhr, $20,00 $ I Heaters/stoves/vents I Unit heater $17,00 $ I Wood/pellet/gas stove/flu,e $38,00 $ I Repair/alter/add to heating appliance/ ,refrigeration unit or cooling system! $58,00 $ absorption system I Evaporated cooler $13,00 $ I I Vent fan with one duct/appliance vent $9,00 $ I I Hood with exhaust and duct $13.00 $ I Floor furnace including vent $58,00 $ I I Gas piping I lOne to four outlets I I $7,00 I $ I I Additional outlets (each) $4,00 $ I I Air~handling units, includio2 ducts I I Up to 10.000 CFM I $11.00 I $ I lOver 10,000 CFM I $20,00 $ I I Comoressor/absorotion s'vstem/heat DumD I I Up to 3 hp/IOOk BTU $17,00 I $ I I Up to 15 hp/500k BTU $29,00 $ I I Up to 30 hpl1,OOO BTU $43.00 I $ I I Up to 50 hpl1,750 BTU $57,00 I $ I lOver 50 hpl1, 750 BTU $95,00 $ I 'I Incinerators . I I Domestic incinerator I 1 Enter total valuatio mechanical syste~ .4 ~ and installation co ts$.2.!...t..Q.OO,OO ~ I Enter fee based on aluation ofmechanjs.arSystem, etc. I $ 1!t'V~'>'''*,!1'4fw'1f\i1%~/it:A;>>"" """,,,,,,0:i,,0@:ill1il-'U"""C..,,'t''';; 11:" 'T"t", I 8M, is"c*ellaneou's"f,ees1;}S,%;~0YJt'i.(-{;"lrf:7' Jte'ms '~"ai"'O~",$-.d.-,' ;'3," 9!l,:,,- ,~"'t..',"f-- -.!;,', ,'''' ""'*'il"Jli*,k ,"~,A0&i1t&,,*>' ,;#< ),.",,: '=C",,: ,',:RF,ca.,~_'''''' ;'"",'''",cost+"",~; I Reinspection $58,00 I $ I I Specially requested inspections (per hr.) $58.00 I $ I I Regulated equipment (unc1assed) $13,00 $ I I Each additional inspection: (1) $58,00 $ I 'I (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) I (B) Investigative fee (equal to [A]) I (C) Enter 12% surcharge (,12 x [A+B]) I (D) Seismic fee, 1% (01 x [A]) I (E) Technology Fee (5% of [A]) I TOTAL rees and surcharges (A through E): $ $ $ $ $ $ I I I I I I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY. OF SPRINGFIELD Building/Combination Permit " , PERMIT NO: COM2009-01064 ISSUED: 08/07/2009 APPLIED: 07/2312009 EXPIRES: 02/07/2010 VALUE: $<51,000.00 SITE ADDRESS: , 5790 MAIN ST ASSESSOR'S PARCEL NO,: 1702334101900 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Remodel PROJECT DESCRIPTION: Mechanical Only for HV AC- See COM2009-00597 for Primary Permit Commercial Phone Number: Not listed Owner: POLEN DEVELOPMENT LLC Address: 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type General Mechanical I CONTRAC,!OR INFORMATION' License 158289 172811 Expiration Date 01114/2010 11/16/2010 Phone 360-546-1625 206-762-3311 Contractor SKYWARD CONSTRUCTION MCKINSTRY CO LLC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: , Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: BUILDING INFORMATION I # of Stories: M Height of Structure B Type of Heat: VB Water Type: Range Type: ATTENTIOEnergy Pat~: - 81: (')'iif'ifBP'iil'Muires youYe follow rules gli'8PI~a 1J~ltnl~treaon Utilih~ '"u."..........., ""-". ,"--- ..,,-- - ., I in 01, DEMELOPMENnNF?RMATIONv_~i~ 0090., You may obtain copies of the rules by calling theoverlay tilsf:le: the telephone number for Iitslr';;'e't''Ffe''d-Rqa: Notification Cenp'~' kd 'D""n-R~~~d ?344) aye five q;- . % of Lot Coverage: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft B'.sement: Sq Ft Garage/Carport Sq Ft <:llber: Occupant Load: REQUIRED PARKING Total: . II Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: NOTICE: E \fTHE WOR\( THIS PERMlT S~~~~ ~J1~ PERMIT IS NOT AUTHORIZED UOR IS ABANDONED FOR COMMENCED ANY 180 DAY PERIOD, Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Mechanical CIl Use Bid Amount Fee Description + 12% State Surcharge + 5% Technology Fee Mechauical- Value , Plan Review/Com,Ind,Pub Hourly Total Amount Paid Structural Review 07/23/2009 I ~ aluation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 51,000,00 Total Value of Project L. "'tr,~ P~;1 J Amount Paid Date,Paid $56,41 $23.51 $470.12 $116,00 817109 817109 817109 817109 $666,04 I Plan Reviews I 07/23/2009 APP CJC Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01064 ISSUED: 08/07/2009 APPLIED: 07/23/2009 EXPIRES: 02/07/2010 VALUE: $ 51,000.00 Value Date Calculated $51,000,00 $51,000,00 07/2312009 Receipt Number 2200900000000000892 2200900000000000892 2200900000000000892 2200900000000000892 As noted on plans , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 08/05/2009 APP GRG 07/24/2009 CITY OF SPRINGFIELD Building/Combination Permit . ' PERMIT NO: COM2009-01064 ISSUED: 08/0712009 APPLIED: 07/23/2009 EXPIRES: 02/07/2010 VALUE: $::51,000.00 Plans Review: deferred mechanicallHV AC submittal for Big Lots, Job #COM2009,01064, Plans reviewed under the 2007 Springfield. Fire Code, 2007 Oregon Structural Specialty Code and 2007 Oregon Mechanical Specialty Code, Per joint. review with City of Springfield Building Plans Reviewer Chris Carpenter, the air handling units are.not required to have duct smoke detectors due to their servicing only one area for each unit (AC-2 a~d AC-3) or if servicing . moreth3;n one sp-ace, is less than 2000 cfm (AC-I) (2007 Oregon Mechanical Specialty Code 606,2 exception; 606,2,1) Coordinate with sprinkler contractors from Omlid and Swinney Fire Protection for providing sprinkler protection underneath ducts greater than 4 feet in width (NFP A 13, 2007 edition, Section 8,5,5.3.1), To Request an inspection cali the 24 hour recording at 726-3769, All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. IRp~ Rough Gas: After line is installed and required testing and capped if not attached to an appliance, Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete, Final MechaniCal: When all mechanical work is complete, Paee 3 of 4 Status Issued CITY OF St"Kll'llJ1'lELD B uildin g/ C{) m b ina tio n Permit PERMIT NO: COM2009-01064 ISSUED: 08/07/2009 APPLIED: 0'7/23/2009 EXPIRES: 02/07/2010 VALUE: $'51,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, than have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furth,9:,!!gree to ensure that all required inspections are requested at the proper time, that each address is readable from the , st~ee(, that the'p'ermit card is located at the,front OU?he,proper,lY, and the approved set of plans will remain on the site at all " d' \, -- 1/ ,..tImes urmg COfstructlOn. _...._~.~ ~ ( ~\/~0./-' I C g,-7-d( I~ ___- 1 ~~ "" - Ownedlr Contractors Sign~~.-J~ Date Pa~e 4 01'4 225 Fifth Street , Springijeld,Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1 064 COM2009-0 1 064 COM2009-0 1 064 COM2009-0 1 064 Payments: Type of Payment Check cReceint r RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works ~epartment 2200900000000000892 8:24:30AM Date: 08/07/2009 Item Total: t:heck Number Authorization ~eceived By Batch Number Number How Received djb 23028 In F:erson Amount Due 470,12, 116,00 23,51 56.41, $666,U4 Description Mechanical-Value Plan Review/Com,lnd,Pub Hourly + 5% Technology Fee + 12% State Surcharge Paid By MCKINSTRY COMPANY PORTLAND Amount Paid $666 04 Payment Total: $666,U4 Page I of I 8/7/2009