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Home My WebLink AboutPermit Mechanical 2010-4-14 Mechanical Permit Application DEPARTMENT USE ONLY Permit no.: tv (\1 -;:rotct - D \ 1 q 1 Date: . -I 225 Fifth Street + 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. . CATEGORY OF CONSTRUCTION o Residential 0 Government 1.:r6 Commercial JOB SITE INFORMATION AND LOCATION Job site address: \ CIA{ Q\\JW\ r\'1 V st City:SCln-W~.l-'-t\C I'State 'Dv2... I ZIP: 17"tl1 Refcren~e: . J I Taxlo!.: DESCRIPTION OF WORK" " " ""'W,,-\-OcIA '('o.LW u\AA\,+I..eS) <:'P~'\.\-hlJ.{XVl ...(.tv V'ltvJ c,J. ,-~{11 1Zvv1. '/ Q\. ~V'i PROPERty OWNER ( ) Name:'(f\l.:..l7'M}TilrY\IN'l\C":vJL ~'pn","-.J, '1,... Addres~:\C\rzo T(\Jt" 0.'.- -' City;s,.-- -, ,:...-" n .. St\,te:l\ V I ZIP:Q1--r 7 Phone: 'l.' _ _ (\- Fax: - - 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: CONTRACTOR INSTALLATION ..... . Business name: U-\J A C fC,^L..., Address:':)l R?\ S:r:; "Lt/lkvv1tv!-i t>V\~ WC\,V City: (hi IVJC\.,^-,Kr-( State: tJ~ I ZIP:tI'7:Y.Y.} Phone:S\0Y-'od- L{ ~-'}-';} I Fax: 93 t.Ji/J.--{o'5"))- E-mail: .illriNcl0\J..v i\ IN\ l-oV-D. !,o\fr'. CCB licehse io.: '5 \)' 1\') . Print name:_ ,\)I ~\l J..\',Qj AN Signature: !..nl 1 \ ~ I.n.\ \.U;J C Je ~~-P \!)' ~~~ pt,. ~9(' ~S' 440.2545.) (1IIOS/COM) Residential FEE SCHEDULE Qty. . .'C:- " Cost Total ea- . cost $79.00 $ $17.00 $ $20.00 $ $17.00 $ $38.00 $ $58.00 $ $13.00 $ $9.00 $ $13.00 $ $58.00 $ First Anoliance furnace/burner including ducts and vents Up to lOOk BTUIhr. Over lOOk BTUIhr. Heaters/stoves/vents Unit -heater Wood/pellet/gas stove/flue Repair/alter/add to heating appliance! refrigeration unit or cooling system! absorption system Evaporated cooler Vent fan with one duct/appliance vent Hood with exhaust and duct Floor furnace including vent Gas piping One to four outlets $7.00 $ $4.00 $ Additional outlets (each) Air-handling units, including ducts Up to 10,000 CFM I $11.00 Over 10,000 CFM I I $20.00 Compressor/absorntion svstemlheat pump Up to 3 hp/tOOk BTU $17.00 Up to 15 hp/500k BTU $29.00 Up to 30 hp/t,OOO BTU $43.00 Up to 50 hp/l,750 BTU $57.00 Over 50 hp/t,750 BTU $95.00 Incinerators Domestic incinerator $ $ $ $ $ $ $ I $20.00 I $ " ".,., Commercial Ente~ total v~luation of lTl,e~~i("~1 syst,em and Installatton costs $ .y \"\ t) '3 I t) t) Enter fee based on valuation of mechanical system, etc. terns Cost ea- $ 'Total 1 cost " Miscellaneous fees Reinspection Specially requested inspections (per hr.) Regulated equipment (unclassed) Each additional inspection: (1) ." . $58.00 $ $58.00 $ $13.00 $ $58.00 $ . :,' ;.;i.,:;,.,.":'.,;:;'; $87;:2 :; $/0 ,-Z;1 $ "'1~""").. $ $ li!()d~()r ,... : APPLICANT USE (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) (B) Investigative fee (equal to [AD (C) Enter 12% surcharge (.12 x [A+BD (D) Seismic fee, 1% (.01 x [AD (E) Technology Fee (5% of[AD TOTAL fees and surcharges (A through E): CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~,;~\ H" PERMIT NO: COM2009-01791 ISSUED: 03/30/2010 APPLIED: 12/15/2009 EXPIRES: 10/08/2010 VALUE: $ 70,000.00 Status Issued SITE ADDRESS: 1920 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253107701 SpringIield TYPE OF WORK: Interior TYPE OF USE: Alteration PROJECT DESCRIPTION: Add security room, conference room, remodel rest rooms, mechanical units. Commercial Owner: MCKA Y COMMERCIAL PROPERTIES LLC Address: 76 CENTENNIAL LOOP STE D EUGENE OR 97401 Phone Number: 541-485-4711 I CONTRACTOR INFORMATION I Contractor Type General Mecbanical Contractor D AMYX CONSTRUCTION INC HVACINC License 181110 50897 BUILDING INFORMATION I Expiration Date 03/20/2012 06/1212010 Phone 971-221-9991 503-462-4822 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M SI VB it of St~;ies: 'Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Yes I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: , Paved Drive Rqd: 0/. of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEMENTS ~ ires you to ,I' Oregol1 law requ . . ATTENT'g~del!:ai({8fY1!e:the Oregol1 Utility follow rules a U\Jl . 'se rules are set lorth NotilicatiolD~BS~\lU1~'O'Ii~ti OAR 952-001- In OAR 952-001- Ot10l1 ;opies of the rules by 0090. '{au may ob al Note: the telepho~e calling the cel1ter. ( Utility NotificatiOn number for the,O[1eg600011_332.2344). Center IS - ,....[....;;.1'.. .'" 'ti.~ ,:. Storm Sewer Available: Special Instruction: ';OT!GE:- , " Notes: iHIS PERMIT SHALL EXPIRE iF THE WQ~K . JJTHORIZED UNDER THIS PERMIT IS !\JOT CO'MMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. i;. " , ,,' " Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line Description Tvpe of Constrnction Estimate Mechanical C/I Estimate Use Bid Amount Fee Description Plan Review CommflndlPublic + 12% State Surcharge + 5% Tecbnology Fee Building Permit Fixture Mechanical-Value Plan Review Comm/lnd/Public Plan Review Fire & Life Safety Plan Review/Com,lnd,Pub Hourly + ]2% State Surcharge + 5% Technology Fee Mechanical-Value . Total Amount Paid Structural Review Structural Review SUB Review Initial Review Structural Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I79I ISSUED: 03f30/2010 APPLIED: 12fI5/2009 EXPIRES: 10/08f2010 VALUE: $ 70,000.00 I Valuation Description ~ $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 70,000.00 4,800.00 Value Date Calculated $70,000.00 $4,800.00 $74,800.00 03/09/20] 0 04112/2010 Total Value of Project ~.' Amount Paid~. $254.83 . $140.50 $58.54 $562.65 $304.00 $304.21 $11 0.89 $225.06,. '."'" $1] 6.00,,,,,. $10.47:''';" $4.36LU $87.25 $2,178.76 Date Paid Receipt Number ",......" ] 2115/09 3/30/10 3/30/10 3/30/10 3/30/10 3/30/10 3/30/10 3/30/10 ". 3/30flO 4/14/10 4/14/10 4/14/10 220090000000000]387 2201000000000000292 2201000000000000292 2201000000000000292 220]000000000000292 220]000000000000292 220]000000000000292 2201000000000000292 220]000000000000292 2201000000000000356 220]000000000000356 2201000000000000356 ,,,"'., "~ ... ~ . . h I Plan Reviews ~ 02/09/2010 03/03/2010 ] 2/18/2009 12/1612009 ,12/1812009 12/]8f2009 12/2112009 'J::", I ,~ ., APP LLH Energy forms sent to Sllringfield Utiility Board with plans. WE KLK Completed ]st plan review. Emailed comments to AmyxConstruction. Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01791 225 Fifth Street, Springfield, OR ISSUED: 03/30/2010 541-726-3753 Phone APPLIED: 12/15/2009 541-726-3676 Fax EXPIRES: 10/08/2010 541-726-3769 Inspection Line VALUE: $ 70,000.00 Fire Department Review 12/18/2009 01115/2010 APP GRG Pl.ns Review: Remodel to create security room 011 first floor; convert secretary's office to meeting room. Job #COM2009-01791. Occupancy Classification: M. Construction Type: Ill-B. Security Room Sqnare .,'...... footage: approximately 180 sq. fi. Meeting Room: approximately 200 ". 'i sq. ft. Provide fire extinguishers with a minimum rating of 2-A:IO-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 fcct above linished noor (2007 Springtield Fire Code 906). Contact Deputy Fire Marshal Gilbert Gordon (541-726-2293) for inspection of any relocation of sprinkler heads and tire alarm devices. Structural Review 01115/2010 01115/2010 10 KLK No response from contractor, called and had phone conversation with contractor- re~sent 1st plan review letter (from 12/21/09). Initial Review 02/09/2010 02/0?/20 I 0 APP LLH Resubmittal for plan review from Tiat and Associates, inc. Two sets of plans forwarded to Kip Kaufman. Structural Review 02/22/2010 02/22/2010 WE KLK Phoned contractor, please provide special inspection form signed by all responsible parties: post-installed anchors and structural welding. Initial Review 03/02/20 I 0 03/03/20 I 0 APP LLH Three sets of revisions submitted from Tait and Associates. Forwarded all copies to Kip Kaufman. Structural Review 03/09/2010 03/09/20 I 0 . WE KLK Mechanical Value Structural Review 03/12/2010 03/12/20 I 0 APP KLK 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. , ''''' . Paee 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01791 ISSUED: 03/30/2010 APPLIED: 12/15/2009 EXPIRES: 10/08/2010 VALUE: $ 70,000.00 225 Fifth Street, Springfield, OR 541-726-3753 P~one 541-726-3676 Fax 541-726-3769 Inspection Line I ReQuired InsDections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Ceiling Grid: After drywall approval bnt prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Strnctural Welds: To be done during constr~ction b~ State Certified Special Inspector. Provide inspection test results to City Building Inspector. . .~',<,-. -.-... ,~ , Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to City Building Inspector. " Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line now test. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. SUB Final: After all required energy inspections have been requested and approved. By signature, I state and agree, that I have carefully examined the completed application and do hcreby 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 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 during construction. 1:~ pc Date L{ / {If,/I 0 Owner or Contractors Signature -, Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000356 Date: 04/14/2010 I :57:21 PM Job/Journal Number COM2009-0 1791 COM2009-0 1791 COM2009-0 1791 Payments: Type of Payment Check cReceintl Description Mechanical-Value + 12% State Surcharge + 5% Technology Fee Paid By HV AC, INC , Rec~}yed,By ,njm Check Number Ba.tch Number .', .., ,",,' , . ,. ,} ,: i\ ~ , l~~, .. n' u...:i\ n.., ':i.'l Page 1 of 1 Item Total: Authorization Number How Received Amount Due 87.25 10.47 4.36 $102.08 Amount Paid 6239 $102.08 $102.08 I n Person Payment Total: 4/14/2010