HomeMy WebLinkAboutPermit Mechanical 2009-7-21
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Mechanical Permit Application
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I Permit noC'" q -mJ(\ lOliJc{
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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,
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I D Residential I D Government llZl Commercial I
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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
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~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~
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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 $
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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
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,..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