HomeMy WebLinkAboutPermit Mechanical 2009-11-10
NOV-06-2009 13:56 From:COMFORT FLOW HEATING 15419889954
To: 5417263689
P.2/2
225 Fifth Sb-cc[ . Srrin.l:t.l1cld, OR 97477 . rlffsa 1)7!6-J75'). . l"AX(541172o.-JbS~
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DEPARTMENT USE.ONLY I
Perl11i, no [' ~ . \D\o I
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Mechanical Permit Application
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Crrv OF SPRINGFIJ::U>, OREGON
This permit is iuued_under OAR 918-440-0050. Permits expire if work is not dorted within 1,80 clays of issllan(:-e or if work is
~u~peaded for ISO days. .
I
I Residential I QIJ'.I ~~~'
j Fir~t Anllliance ~ S79.00
lr.u.-nll('~/bll"ri~;- incllldinl!: ducts and VE'llts
I Up ", lOOk BIll/hr. I I
I Over lOOk nn)!hr. r
I Hellters/stoves/vents
I DESCRIPTION OF WORK I Unit heater I
In,,1z,.(.tLlf1-M~eI'-S; 1tvVlaf.J' ~1o!'/ITt"vnA I WoodJpollcti~as."ov.ltlu. . .
~~(llrU qt:,\ lb' ~Y~vVla(:LA J ~r.~ ~L+~ fir ~~~fj~;~~~~~I~:a~:itl:~:I~J~t~;:lr;~~;;~~~~I~I~! I $5e~OO $
() V PROPERTY OWNER ------u- ~ I ~Ibsorpljon system
Name: ~~ev@ ('1Juvzlv Evapo""ed<""ier
I . (', 4.- . . V~nl fan willi 111le dUl.:l/uppli,mt,:t;: V("TlI
Address: ( ..",', ,
~.~.-..-_., '. ~ ,. 1 Hood with l,:l:htwst, anti ducr
I CiIY: ~''\'l '.e Cd I SI"'.; tfL I ZIP:'! 4-17 n"" Fum"" ;ne1ud;ng vent
I Phone: 'l:1Y;; '-1(>1_ I Fa" ~ All ~ . Gas pipin~
P,Mlllilrl: \1(lt.-VtQ6J\/\ OncrofoLlfoutlcts I I
This installatio)) Ls beillg made Oil property owned by me 01' [I Additional outlets (cae,h)
member of my immediale family, and is t:.\.cmpt from Iict'.nsing Air-handline uOlb. im:luding dut..:,ts
requin:me:nls undcrORS 701.010. UIH,) lO,tlOUCFM I I $11.DO I $
Signalure: ~\lt ~'1klA C'QI\~ Ove'IO.OOOCFM... $20.00 $
CONTRAC1oR INSTALLATION Compre<sor/ah,orptioll .""lem/heal uumu
. ^ .ll..1.."T-:I U..L, IIp.(>.J hp/IOOk RTIJ I $17.00 I $
, Busl11cssname: [Qt'vfQ:i\";IJ n~w, Ka...TI~
- . I Ci Up 10 15 hpl500k B ru $29.00 $
Addl'eg" 19;1 1Yv. (t;-- Uplo)Ohpli,OOUIJTU $A3.00 I $
_<::;'Y.:5~.' '.(.. I A I State: oR. I z1P,crJt.J.17 I Up to 50 hp'1.75U IJTll $57.00 I $
PhOne;~f) I Fax:"l'II"illI'i q,?~ Ovor50hp(1,75uBru $95.00 Is
R-mail.: M.ll "',"U (()_ (f1tV1ih.rt-~Ot.J.l.oWU Incineralors.
:~ 1=-1 Dnnu::slic in-:in"rlil~lt $20.00 I S
CCB I1CCllSC no.: .'~ f1 C '. I
Print n:;c: - M_ [ En~;:~lr~~~alil)n of rneL'haniL"t11syskrn
~' - /1 ai1l1 instaJlatlon c.osts $ ~J *". ~
Signature: V"tV
, . ~ JtOr, :::::~I:~:::: :~::;"o Ofn10eh;illi~;:.~::t"S~:; \~.~~l
. 1"1-;/S 7et.: Ro,"'p<:etioll _ $55-00 S
. : I(\~ \ \ \ 4U7; p(.-9, >pec,ally r<quo'led ;0'1><"""'"' lper hr.) $58.00 S
. ~ ~ - \ rl \"1.,'1'\ \ CO!/;;, 1-;0-90 ;f{~~~~~lllaled equ'pme"l (unci.".") $13.00 S
~'t}/ \9 4t1;y i1f(/It, (:"b d'V'!$Jl4IIlrlonBlIllsp<<tJOIl, (I) $58.00 $
~ ATTENTION: Oregon Jaw requires you to 780o.'(]t"/) 0 ~U(~- "'.{pIll. APPLICANT USE
. follow rules adopted by the Oregon Utility '1y Pr (8) .n(j;, ;~fP .0 fml.ol <ntel' ,c'
Notification Center. Those rules are set forth "'J. ,
In OAR 952-001-0010 through OAR 952-oot.
0090. You may obtain copies of the rules by 'Rl)
calling the center. (Note: the telephone . ~~,.o,. I (I)) Sei,mic fcc, 1% (.UI x [A])
number for the Oregon Utility Notification ""l\...U,\ I (E) T"dm"'''BY Fcc (5% "f[A])
44U-2545.J(1 'i~ Ie 1~OO-3a2.2344). ~,\'J~I TOTAL [.<. Dnd ,urchar~es (A th,'ollgh E):
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L . . CATEGORY OF CONSTRUCTIO~
I 0 Residential I 0 Ciovenunent I J!("cumme:triaJ
I JOB SITE INFORMATION AND LOCATION
I M 'lie addrcss: 13h'l ~ s:.t-. I
I City: S?"tu.. P1<..1 ~ I SI"I. oIL I ZIP "n4.-17 I
I SuhdivislOll: U 1 Lot no.: I
FEE SCHEDULE
'roul
C(I:'l:t
,
$.17.00 I $
$20,00 S
$17.00
$38.00
$
.$
$13.00 $
$9.00 $
$13.00 $
$58.00 $
$7.00 I $
$4.00 $
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$.411.'g I
$ I
$ ,,().51. I
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: OS/21/2009
EXPIRES: 05/10/2010
VALUE: $ 43,415.00
Status Issued
225 Fifth Street, Springfieid;:ORi0~iq;.::
541-726-3753 Plione:: . .,.:;. .. ......,..
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541-726-3676 Fax' :
541-726-3769 Inspection Line
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SITE ADDRESS: . 1369 B ST
ASSESSOR'S PARCEL NO.: 1703362313700
Springfield TYPE OF WORK: Church
:.;,. : TYPE OF USE: Alteration
PROJECT DESCRIPTION:i."Eiilsthig Ch~rch: Alterations to Men's and Women's Bathrooms, Alterations to
. .:,,' ,\' ~ -" ' -' 'c-: ." , '.'
;. . .'i.' ;,. .' Vestibule, Janitor's Closet and Storage Room Adjacent to Bathrooms, and Roof
J::, . Repair. Reroofing does not include structural Toof repair. Required Plumbing and
E1~ctrical Permits are Separate. Mechanical permit obtained by Comfort Flow
. Heating. Permit is for 4 ale gas furnace systems. Running gas to 4 furnaces, ale's set
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on ground.
,
Commercial
Owner:
Address:
CHURCH .OF SPRINGFIELD
1369 B ST . .
SPRINGFIELD OR 97477
Phone Number: 541-746-1255
I
I . i
I CONTRACTOR INFORMATION I
I Contractor License
DAVID ZARZYCKI GENERAL CONTRACTlIl05626
REYNOLDS ELECTRIC 184921
COMFORT FLOW HEATING CO. 460
CARLOS GILBERT MACIAS & RAQUEL T01l01l7
Expiration Date
04/26/2011
0110212011
06127/2011
01/0312010
Phone
541-688-0243
541-343-7297
541-726-0100
541-607-8740
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Contractor Type
General
Electrical
Mechanical
Plumbing
~UILDlNG INFORMATION I
o
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
580
# of Units:
Primary Occupa.ncy Group:."
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
.: A3
VB
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nla
7
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I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
" .
Overlay nist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
d'~1 '. J, j'
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I PUBLIC IMPROVEMENTS I
Street Improvements: ,.
; .
Storm Sewer Available:
Special Instruction:
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Sidewalk Type:
Downspouts/Drains:
Notes:
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Paee I of 4
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Status
....
225 Fifth Street,l~p~ing~~ld: ()R;"
541-726-3753 Phone' :,: ...;:',:..:;.;::..
541-726-3676 Fax ... ".'.':,'
541-726-3769 Inspection Line
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Description: .
"i;, Tyoe ~f Construction
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Estimate
, Estimate
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Fee Description; .,. .
Plan Review Co\illnlIndlPnblic
~r, .'" t.,.
+ 12 %. State Snrcharge'"
+ 5% Technology Fee
1st Appliance .
Bui]ding Permit
Fixture
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Plan Review Fire & Life Safety -
Vent Fan "\ ., :
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+ 12% State Surcharge
+ 5% Technology Fke ;.
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Water Line - 1st 100' '.
Water Line - Each Addtll00'
+ 12 % State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, A]ter, Extend Circ.EaAdd' ,L
+ 12% State Surcharge
+ 50/0 Technology Fee
Mechan'ical-Val,ue i r
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Total Amount Paid
'.
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Initial Review ~.
Plannin1! Revie; ~f
. - OS/22/2009
OS/26/2009
Public Works Review
Structural Review :
OS/26/2009
06/01/2009
Structural Review
06/02/2009
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: OS/21/2009
EXPIRES: 05/10/2010
VALUE: $ 43,415.00
. I v ~!~a!ion Desc~illtion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000.00
OS/26/2009
Value
Date Calculated
Total Value of Project
$60,000.00
$60,000.00
F~~~. f.iWLI
,
Date Paid
Receipt Number
2200900000000000543
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
1200900000000000898
1200900000000000898
1200900000000000898
1200900000000000898
3200900000000000582
3200900000000000582
3200900000000000582
3200900000000000582
2200900000000001277
2200900000000001277
2200900000000001277
Amount Paid
<
$334.07
$92.75
. $38.65
$79.00
, $513.95
$171.00
$205.58
$9.00
$11.40
$4.75
$76.00
$19.00
$8.76
,. $3.65
$55.00
$18.00
$50.56
$21.07
$421.33
5/21/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
7/]7/09
7/17/09
8/11/09
8/11/09
8/11/09
8/11/09
8/13/09
8/13/09
8/13/09
8/13/09
11/10/09
11/10/09
11/10/09
n
$2,133.52
'.J
I Plan Reviews I
OS/26/2009
OS/26/2009
APP
APP
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EMM
06/01/2009
06/01/2009
DON CTM
10 KLK
Plan review in progress.
06/02/2009 WE KLK
Left phone message for engineer.
Permission required for plans
examin~r to mark corrections for
code compliance on plans. Also,
plans examiner needs to verify
materials used, loads and limitations
of reroofing.
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Paee 2 of4
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Status . Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection.Line.:'
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: OS/21/2009
EXPIRES: 05/10/2010
VALUE: $ 43,415.00
- .i...
,7. ; f- ,!.
Fire DepartmeEi ~?'iew
," " . ~
OS/26/2009
06/03/2009
APP GRG
Plans Review: modifications to
upgrade men's and women's
bathrooms and upgrade roof. Job
#COM2009-00706. Occupancy
Classification: A-3. Construction
Type: V-B. Occupant Load: 580.
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Structural Review
0?!?3/2009 "
06/03/2009
APP' KLK
Provide or maintain fire
extinguishers with a minimum
rating of 2-A: IO-B:C every 75 feet 01
travel distance. Tbe top of the
extinguisher(s) shall be between 3
and 5 feet above finished floor (2007
Springfield Fire Code 906).
Required Plumbing, Electrical and
Mechanical Permits Separate. PhoDl
call to engineer of record to confirm
alterations DO NOT include any
changes to Egress.
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To Request an inspection call 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. .' "
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Framing .~nspect~on: Prior tl! cover and after all rough in inspections have been approved..
Roofing: Prior to installing 8;.uY roof covering.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
.'
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumhing work is complete.
Rough Mechanical: Prior to Cover
, 1- 1 .,
Final Mechanical: When all !llechanical work is complete.
Water Line: Prior to filling trench and including required testing.
Rough Electric: Prior to Cover
..,
Final Electric: 'Yhen all electrical work is complete.
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Rough ~a~: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appli~nce including required
testing. Presure test done at this point.
Rough Mechanical: Prior to 'Cover
Paee 3 of 4
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By signature, I siate.and agree, that I have carefully examined the completed application and do hereby certify that all
information he{el)l'd; tr'ue and c~i-re~t, 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 m'ade 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 per!'lit c,ard is locate.d at the front of the property, and the approved set of plans will remain on the site at all
times during con'stniction.':' .:::: ,,,::. .
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Status Iss~edi
:225 Fifth Street; Springfield, OR
541-726-3753 Phone,. .
541-726-3676 Fax
541-726-3769 Inspectioo'Line--
.,
Final Gas: When all gas work is comi,lete,
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Final Mechanical: When '.'lI'fuechanical work is complete,
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Page 4 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 0.7/17/2009
APPLIED: OS/21/2009
EXPIRES: 05/10/2010
VALUE: $ 43,415,00
Date
lI.l(),m
I
225 Fifth Street
Springfield, Oregon 97477 .
541-726-3759 Phone' ..."
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.' ,RECEIPT #:
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,Job/Journal Number\:,,~,"'riescription ." ',Y: .';',
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COM2009-00706 MechanicalNalue,"
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COM2009-00706 + 5% Technology Fee
COM2009-00706 + 12% State ,Sur~harge ',:'
Payments:
Type of Payment .
CreditCard
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2200900000000001277
Received By
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Check Number
Batch Number
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Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/10/2009
Item Total:
Authorization
Number How Received
076460 In Person
Payment Total:
1:50:56PM
Amount Due
421.33
21.07
50,56
$492.96
Amount Paid
$492,96
$492.96
JIll 0/2009