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HomeMy WebLinkAboutPermit Mechanical 2009-8-18 \ .\...., . \'::'.-. ""... . '''\.J~~hanical Permit Application [~~e"EPARmMEN1;1tj'SE1'0t~~~~1 ~m."_"', "._ .',. __ .. ,_ _,' ..~. _,_, ~_'. ,___.t'l'"'-~""_"M."".C.--""..l~;{,<,~.}_,;~I\l"-",,",",-~r'_"'''''rJ:~~~." "<~",,". -,>,_.. =_.,,"".. _,"_". ',' ___"."" ,_,~,'=='_""'~._ '''tI~"", I Permit nb: e'7'- 1197" I I Date: ~ /1 ~/G) 7' I This permit iS,issued under OAR 918-440-0050. Permits expire if work is uot started within 180 days of issuance or if work is suspended for 180 days. 1iiii~"~'eAmEG0RYlI0E'?"C0NsmRi!i(!Sjf[0Nlll~~~.1 1~~~:J~~'-'_c-,--,~_~__"",,--,-~_~,,-"_,,-._Jti->-~~,,;,j~,,~,_-,Jm~~~~a~.iP'J I D Residential I D Government 1iQ] Commercial 1!1i2It\1Wf!)0B1'SlmEl'ifNEORMAffiI0N;;r;rNB\\1i:!OCAlli0Nlll'~ill:1 ~~Ij/{."~,. ".....,__~!4.._.~ ".":Y@~"c~~__~_"*~;.;",.:.;l_~,._"!4_'___"_~~"'M__"'~__""'_'~~_-,_"_~....;;.."",.if.i''';:i I Jobsiteaddress:,L-/7IA ,If), lIN/ ~at I ~i~::6pVlvJjh€ld . LState: OJ2- I ZIP:Q1Ll-11 I ~"JJ",o'o,,: l~S3 \ ILotno,I,33C:0_ 1-3lf"""''''''>=.:,,' .' ..,.. '.'._,. ..,_....,-fI'i""-~""'-' "'.."'''''iZ''''''''''....'''"".....j;jjf" ~Z'~~lk~Jt~~~BlEaULqN?!-Q~Y'lg8ts:,~~~~~~~~ It\',,,rYl~c'''''..,.I,lV]clucr-npt.A vA.t7t hP11A, I ClLt? clllA i V1:)bf,~LOO~lpne Ulj4C CO dtJ":1- I "~~r3"'~~.~j:iR0f!ERm;Y~OWNERif.~""'~~-?;~.J1);~-! ~j!m0\#l'q!'i.~i!!';~;,!8!~~1:r~1L,.,..",.~)L....",""""..".~"._~="....,......"."........,.,.~. l~iii?tL.);v~.._v;;_._._.__._..:: I Name L U, 'XIDIJ IHiaft' I Address:.127C. UK-F.M.vr 'Drz... I City: t:;U C7='Ivt-- I State: br?- I Phone: -~ ot -1111 IJ I Fax: I E-mail: 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: 1~!_'1(<f(;!fliiliMc;J~R.~[!i\~illK[lc'Aiti9]~~~1 I Business name:, ,r-fi I\,{ ~nll;/: fjII all I tnc. - I I Address: 'lJuuiJ I{PYf,P: V2lvk.w1AA city:Xwil1llkhdi!1 State: OIZ!.. I ZIP:t11417 ~. IFax:-- I E-mail (;JlmJ - t-vnitleprYVlbfq:I.C6y() I CCB license no,: -tl /)1[ ~ 11 () .. I Print name: .IlJ2 ....;..- I Signature: '/I /~~ ~Oh'/J Lt!/lm/J1~ ~fZe~ 225 Fifth Street. Springfield, OR 97477 . PH(541)726.3753. FAX(541)726-3689 I I ZIP: "j';y{) C 440-2545-) (llIOS/COM) 'll'[f~~~'~....\~IF.EE{S.CWESU~E'''~""I~''''il!'..'(~i\!G!\\!;I' M"'ilt""~3.~~~'iJI',_...,.".... .,....,..,....,J.........!l/1i:lli....._,....Jf'li!!Illl!....qjl!l!l/i!!; ~"'~'-'~w........g'"_"m,.'"""'~.,,~j"...""M"., ..~-."l"'" ..'I.~~C-.t..""II' 'T" 'I'" !iRt:"~'.'d\!tro"t.~.I'~~M.l2,,::V,rJ~t!Xl;':~,>ji:&f-;:~i~;-r:rE 'Q" :\110. -:::rfS5'"'OS ;o;d~~' :otadJii i;,;,.:,"\.~...~l~.'~,IJ__~l~~~s:~~;~~~_~~~l~~*f~~ 1t~211 ~~:r~"J1 .._.~o~cost~~ I First Appliance 'I $79,00 $ 1 \Furnaee/burner including ducts and vents I Up to lOOk BTUIhr. lOver lOOk BTUIhr. 1 Heaters/stoves/vents I Unit heater Wood/pellet/gas stove/flue Repair/alter/add to heating appliance/ refngeration umt or cooling system! absorption system I Evaporated cooler I Vent fan with one ductlappiiance vent .~ Hood with exhaust and duct f Floor furnace including vent Gas piping . lOne to four outlets I I I Additional outlets (each) , 'I Air-handling nnits, including ducts I Up to 10,000 CFM I I lOver 10,000 CFM 1 Comnressor/absorntion svstem/heat numn I Up to 3 hpllOOk BTU I I Up to 15 hp/500k BTU I I Up to 30 hpll,OOO BTU I Up to 50 hpll,750 BTU lOver 50 hp/I,750 BTU 1 Incinerators Domestic incinerator I I '. $17,00 I $ $20,00 $ I I I 1 I I I I I I I 1 I I 1 I I I I I I I I I I $17,00 $38,00 $ $ $58.00 $ $t3,OO $ $9,00 $ $13,00 $ $58,00, $ $7,00 I $ $4,00 $ $11,00 I $ $20.00 I $ $17,00 $ $29,00 $ $43,00 $ $57,00 $ $95.00 $ $ ,I Enter total valuation of rnjchaniCal system and installation costs $ -L...O 50 _" 6 D Enter fee based.on valuation of mechanical system, etc. I $ )-0 trM""''''-->iff'iI'I'P'I'!:-f""i!ilI,llf.. .;;",ilil!lF..lc\,',f$~~q"".liI'lfIi"'EGost~I!li'i,1'otiill.;' ~ Isee aneOUS!, ees%\:- 1V:>llilli""<l,,>.\f;.,~it,;q~tems " ""-'~"""~ ~ - ,"",.' ,,", i'!2:c€.1,,:"".%>~~1f;\~U;f':;,..,t!>lHIl.<&;.""~~_ "!i""Yl'if(;:,'B...;n; -Z1,,,~,'Illf!J , "*,,,,, ea~.,~ ~cost" .! I Reinspection '$58,00 $ I I Specially requested inspections (per hr.) $58.00 I $' I I Regulaled equipment (unclassed) I $13,00 I $ I liF~~~~~:::~~:::;c,t~on:}~)r,' ..,.1..,.., _"''''''..:;~1..~1l--~<1\'11 f~1iI:,,~~1;.~1~,.'A~~,ll.I!':AN:r:,]l!J$EZlllil'~!RIoi;\1l1W~~ I (A) Enter subtotal of above fees (or enter set .-t minimum fee of $ 79,00) $ 7 '1 I (B) Investigative fee (equal to [A]) $ I I (C) Enter'12% surcharge (.12 x [MB]) $ <7 ~ I I (D) Seismic fee, 1% (.01 x [A]) $ I I (E) Technology Fee (5% offAl) , $ ') ~ I I TOTAL fees and surcharges (A t,brough E): $ "11 t!-I \- -:;; ~ "'/r' ...f"" ...,...... ." FM Sheet Metal Inc. COMMERCIAL HEATING and AIR cONDITIONING SPECIALTY FABRICATION AND SERVICES 3000 Pierce Parkway Springfield, OR 97477 Phone (541) 726-3000 Fax (541) 726-HVAC (4822) CC8 # 089710 WWW,fmsheetmetaLcom PROPOSAL TO: A Better Way to Go Attn: Susan Hammond FROM: Jo~1 V Hutchinson DATE: August 13, 2009 PROJECT: Exhaust Modifications FM Sheet Motallnc, proposes the follo\ving: Disconnect existing vertical duct work from existing S/S hood. Raise existing hood to a height determined by owner. Fabricate and install one end cap over remaining opening of duct work, Fabricate approximately 6ft if 6" S)S round pipe from 24 gauge material and i[).Stall between new piece of equipment and the bottom of existing duct. Re-support duct worl<. ~ Price for above as ctcscribed____m___n_____-----m-m---.--n....-m----.--m.-m-m-.m-----.$1,050.00 .- Exclusions: Roofing; electrical; Patching; Painting; Framing of openings; Carpentry; demolition, Plumbing; Ceiling removal or replacement; Hazardous material abatement; Permits or fees; Bonds. ~ All material is guaranteed to be as specified, All work to be completed In a workmanlike manner according 10 standard practices, Any alteration or deviation from above speCiiications Involving extra costs will be executed only upon written 0 s,and will become an extra charge over and above the estimate, All agreements conti ent upon strikes, accidenls or delays eja d our control, Owner to carry fire, tornado and other necessary insurance, Our workers fully covered by Work en's C nsati n Insurance, 1 YR, LABOR & MATERIAL GUARANTEE, Price Is good for 30 days, n \' - ' AUTHORIZED SIGNATUR.J(; . --" / , ,,/' ~ ACCEPTANCE OF PROPOSAL 1'he above prices, specifications and conditions are satisfactory and are hereby, accepted. You are authorized to do the work as specified, Payment will be made as outlined above, ACCEPTED DATE: , SIGNATURE: . ' cd S9LSON JNI 1~13~133HS ~j ~dElcl 600c 'EI '8n~ Status Iss u ed CITY OF SPRIN'-TJ:<lJ:<,LD Building/Combination Permit PERMIT NO: COM2009-01194 ISSUED: 08/1812009 APPLIED: 08/1812009 EXPIRES: 02/18/2010 VALUE: ' $1,050~00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 471 S A St ASSESSOR'S PARCEL NO.: 1703353113300 Springfield TYPE OF WORK: Mechanical Only Owner: Address: TYPE OF USE: PROJECT DESCRIPTION: Adding rottisserie vent, altering hood and duct ATTENTION: OreGon 'RW rpmd,oo "~,,._ , IUIIOW rUles adopted by the 0 - Ut'/' SW AGGART LESTER G'& M.A regon Ilty 3276 LAKE MONT DR :~-,.,.~~,,~n Center, Those rules are set forth EUGENE OR 97408 In OAR 952-001-0010 through OAR 952-001- 0090, You may obtain cOOles of thp "doo h" """II1Y "'8 cenrer. (Note: the tAlcmhnnp - number ICC0NTRACTORiINF.0RMATION I ""'Cllll;;;l I'=! t-OUu-vv;:::~;:::;j44). Contractor' License FM SHEET METAL INC 89710 Commercial Contractor Type Mechanical Expiration Date 03/15/2011 Phone 54 I - 726-3000 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: A2 Height of Structure Secondary Occupancy Group: NOTICE' Type of Heat: Primary Construction Type TH . Water Type: Secondary Construction Type: IS PERMIT SHAR'a.[g'<ff'tiypidF THE WORK # of Bedrooms: AUTHORIZED UNDEliefi:)l$'lft!!:;lMIT IS NOT ,~~,~~~E~N~~.D 9_R l~p,r\il}J<.\~V~?jl'\!J'pbR Yes Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: ' , Occupant Load: 'V'V I....... . . n..., I I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Total: Handicapped: 1 Compact: I PUBLIC IMPROVEMENTS I ' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrai'ns: Notes: I. Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value. Date Calculated Paee I of2 Status Issued CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2009-01194 ISSUED: 08/18/2009 APPLIED: 08/18/2009 EXPIRES: Oi/18/2010 VALUE: $ 1,050.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Mechanical C/I Use Bid Amount $1.00 1,050.00 $1,05,0.00 $1,050.00 08/18/2009 Total Value of Project Fees ~~id I Fee Descrintion + 12% State Surcharge + 5% Technology Fee Mechanical-Value Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $9.48 $3.95 $58.00 $21.00 8/18/09 8/18/09 8/18/09 8/18/09 2200900000000000924 2200900000000000924 2200900000000000924 2200900000000000924 Total Amount Paid $92.43 Plan Reviews I , To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. I Reouired Insnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I l'urther certify that any and all work performed shall:be done in accordance with the Ordinances ofthe City of Springtield 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 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times d~ring construction. ~~4UU'~/rP 3pg/iM Owner or.Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfi;id, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1194 COM2009-01194 COM2009-0 1194 COM2009-0 1194 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Pu~lic Works Department 2200900000000000924 9:30:28AM Date: 08/18/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 1714 In Person Payment Total: Amount Due 58.00 21.00 3,95 9.48 ,$92.43 Description Mechanical-Value Minimum! Adjustment Mechanical + 5% Technology Fee + 12% State Surcharge Paid By SUSAN COX-HAMMOND Amount Patd $92.43 $92.43 , / Page 1 of 1 8/18/2009