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Home My WebLink AboutPermit Mechanical 2010-12-10 Mechanical Permit Application . 'r.:c'!cJ,~'.'.~,;.k, '''1,''1;:', ?.:'- ~';"''''''~;''{''-:'>'''''.':''''. ~:"'L:.". - o..:':H",:',,,"W',',," "c,";DEPARTMEN1;'USE ONLY',!'!.; :~:'I',.-~. ';',- 'F, F', : .:c ~ '. 'j;'" ( ',^-; '~", .,..,~.,;!" .-;', .>~;":'~' Pennit no,sltZ1:>lO poo87Z Date: /Z -/0 -10 225 Fifth Street. Springlield, 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 / :[~:-;,\:25,/;c'~;~~C::'AftEG6RYl!oF.;Vc6NstRUc:i'16N~" ".," ., ......"..'^..,... .... ....., h' _...'" . .,. _.__ .. _.n. _ __ . _.n. .... 'H. _ o Residential I 0 Government I ~ommercial ~Kt~\1i~tjPB\E~I]E'j;IN-f'QRi\n;'Kj:iQf.l~;/i.r'lD!~lJ!Q.9~illl()&)')riR,;~,:;'i, Job site address: Ii C h .<he" II li .:. f City: <I riA,I,-"C~";J State:'(~r. IZIP:7"7ti'77 Reference~~_[)1,Ar1, no Taxlo!: rOaM "DESCRII?:i'ioNbFWqRj(':" " , II I,~ L,: / / () p t,,,,,.. -",0-: J . .,f) rf,nA ill" 0'1 '.J ' ~ (}f'Jli~ Address:ll~r\i - In ~.fI -lzl n City,: Y 1)(::1.pfLQ.. "" I State: r: [L... I EIPQ140f Phone:';'''' ,,/~ -r I r9;L I 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 70 LO 1 0, Signature: b'!l',ij'~j%f,gd"':'C" 'O"N,T: 'R'AC"O', 'Ri'iINS'TA;","'A" 'TmIO"N""~b~"""/';,,g,>';t'd)! 4!;~AJS;0;,~'f~Jifi. ,____.L '. .. ._ ~I:~_. ~.~b'-,i___-_ _..<_" ~_~:}_, _ - ~___;"':'1':~?_ '.7i',-' ~...~, ;j'~,~.~.r Business name: /Jr)fJ-hf'V"f.l i6~ tC.eo:~ L",,) Address: f) IJMif ~h ~, J City: 1'l'Al. H~ /.1 State:OJ( I ZIPC(' 73(" f-. Phone:.("'lhLiYl 46.2 ~ I FaxlFII-,tt,,<) fj/L7 II E-mail:iil2 f) p- ,"L A 1/ , r7rr CCB license no,: I ali <:.-//';"" :; Print name: 11d'Y-l1) fA ,1/.,.1. "', Signature: ~A, I ;/~--;;,., . , o ~\:~ \~& j '0-" 440-2545-J (ll/OS/COM) :' .;-' ;"';-'.:,c::'FEE SCHEDUL.E , -' n)~~iL~,~6!!~i~\t~*~f{~~~~;.':;:i:~~?t~k~~i: ,.9~.;: ~'~hw~~~~~~j:l ~'~~6~~~;~-: First Avoliance Furnace/burner including ducts and vents Up to lOOk BTU/hr. Over lOOk BTU/hr. Heaters/stoves/vents Unit heater Wood/pellet/gas stovelflue 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 $79.00 $ $17,00 $ $20,00 $ $17,00 $ $38,00 $ $58,00 $ $13.00 $ $9,00 $ $13,00 $ $58,00 $ $7,00 $ $4,00 $ Additional outlets (each) Air.handling units, including ducts Up to 10,000 CFM I $11,00 I $ Over 10.000 CFM I $20,00 I $ Comnressor/absorotion svstem,lheat numn Up to 3 hp/l OOk BTU $17,00 Up to 15 hp/500k BTU $29,00 Up to 30 hp/l ,000 BTU $43,00 Up to 50 hp/l,750 BTU $57,00 Over 50 hp/l,750 BTU $95,00 Incinerators Domestic incinerator $ $ $ $ $ $20,00 $ ~!"",i'; Enter total valuation ofmechanical~st~ro.. and installation costs $11:12., {JOUr;.l.XJ Enter fee based on valuation of mechanical system, etc, $ r;tJ j l> 5r~~)'~~~~n~~~~i!{~~:!~lf~:~rJbl(f t~~i{;~ ~~~~~~~;~ ~;~~~~~~;~i]; Reinspection $58.00 $ Specially requested inspections (per hr.) $58,00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (1) $58,00 $ ;~'1:;:'i:Li:;&~r41),\f,}itJ"1;!:tv;::r:':.-"'-"'.;"" y "~~"''4F' "'H?;r#~l,'},fi+""T~:';::'.i;~'J;iffJtj~yJI."'0 ~A \~]}.}l~<;#,~;";-~~Y;;\2!;\tltl~A~RI1:IGANJt<tlJ.Sl;j;!!%~:, :'i$Vt<4:;.~~'~0~i,'X,t:"i'1;1 ;lit. (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) (B) Investigative fee (equal to [A]) (C) Enter 12% surcharge (, t2 x (A+B]) (D) Seismic fee, 1% (,01 x [A]) (E) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through E): $ 966!..J $ $ q;: ,0> $ $ 1$" '!)' $ ~?~~ CITY OF SPRINGFIELD ~~ .,,,,,;. fr/i ..\?:'2\;"s". OREGON Building I Commercial Permit PERMIT NO: 811-SPR2010-00872 IVR Number: 811134623903 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541-726.3676 permitcenter@ci.springfield.or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/17/2010 12/10/2010 155 ued 12/17/2010 EXPIRES: VALUE: 06/15/2011 $0.00 SITE ADDRESS: 1100 SHELLEY ST, Springfield, OR 97477-1916 ASSESOR'S PARCEL NO: 1703270000902 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE; Commercial PROJECT DESCRIPTION: Compressor unit for Turtle Mountain Phone Number: OWNER: ADDRESS: MCKAY COMMERCIAL PROPERTIES LLC 76 CENTENNIAL LOOP STE D EUGENE OR 97401 CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor Contractor Name BRADLEY R PUTMAN & MICHEllE T PUTMAN Lie Type CCB Lie No 122816 Lie Exp 12/29/2011 Phone 541-563-7604 # of Units: o BUILDING INFORMATION ~ # of Stories:'. Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2010 /' Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: N' 11.1'.... Retaining Wall:' SOiliReport'Req'Uif"eff:HALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR MY 180 DAY PERIOD. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for tile Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 12/17/201 1:14:07PM Page 1 of 3 Sr~I.~G~E~ ~\W"Aa.i. ".;;;"_: ~Jl' __~i.,; -OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.U5 Building I Commercial Permit PERMIT NO: 811-SPR2010-00872 IVR Number: 811134623903 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/17/2010 ISSUED: APPLIED: 12/17/2010 1211012010 EXPIRES: VALUE: 06/15/2011 $0.00 SITE ADDRESS: 1100 SHELLEY ST, Springfield, OR 97477-1916 ASSESOR'S PARCEL NO: 1703270000902 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Compressor unit for Turtle Mountain DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PROJECT DESCRIPTION: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion Mechan~~~, Permit fe:Jbased on value of work) Me~~_~_~nical- Additional Plan Review per Hour State of Or~gon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $708.75 $58.00 $85.05 $35.44 $887.24 Date Paid ReceiDt # 12/17/2010 375171 ---- -~,,_._-,--,.__._--- 1211712010 375171 12/17/2010 375171 ----~.- 12/17/2010 375171 Springfield B~ilding Permit 12/17/201 1:14:07PM Page 2 of 3 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00872 IVR Number: 811134623903 www.ci.sprlngfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/1712010 12/10/2010 Issued 12/17/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726.3676 permitcenler@ci,springfield.or.us EXPIRES: VALUE: .06/15/2011 $0.00 SITE ADDRESS: 1100 SHELLEY ST, Springfield, OR 97477-1916 ASSES OR'S PARCEL NO: 1703270000902 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Compressor unit for Turtle Mountain Plan Re\'iew ~ Deoartment Application Acceptance Received Due Date Comoleted Result 12/10/2010 12/10/2010 12/13/2010 Application Accepted Reviewer David Bowlsby Mechanical Review 12/13/2010 12/13/2010 12/14/2010 Approved Chris Carpenter Comments: Engineering for anchorage approved C;~s:~:::~~: -~~:~: :t:-Y;::r~:j~: ;!,2I1j/:::;:1~/}112~1~-'- '.I~~U.~dS';?'-:L'," .?', ::nCY:MaCha~~ :: . i'i,'" INSPECTIONS REQUIRED ~ Inspections 2999 Final Mechanical ,~ -<".' "", '1 ",l '.' '. . .. j _" ""~-:...".:..:..-t....:..."~' ~l 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 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 or 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 atth?!font of the property, and the approved set of plans Will remam on the sIte at all times dUring construction // !/t<<tI ~~~N<.j , J -" ...- Owner or Contractor Signature L/ 1?2//1 liD f' / Date Springfield Building Permit 12/17/201 1:14:07PM Page 3 of 3 . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00872 1100 SHELLEY ST CITY OF SPRINGFIELD 225 Fifth $t Springfield, OR 97477 541-726-3753 .' permitcenler@cLspringfield,or.us RECEIPT NO:. 2010001083 RECORD NO: 811-SPR2010-00872 DATE: 12/17/2010 .,;:::"f.!;..:;:;"':",<I.q::_o.UN(C.QDE'" "';6;MQlJN(R.l.IE >.. 224-00000-425604 $708.75 224-00000-425604 $58.00 821-00000-215004 $85.05 100..00000-425605 $35.44 TOTAL DUE: $887.24 "'>P.A,(MENT'T;{RE,~;Z~.P.AYOR"12i*1CAS..HIERNM"CHADOC:. .C..QMMENl$ :':"';0"" "c,:. ':"AMOlJNTPAIO'" [DE~i::j:UPT1QN~~~-:'" '.. -+>',..."!t:.~.. ,L Mechanical Permit fee (based on value of work) Mechanical - A~.?itional Plan Review per Hour ~tate of Oregon Surcharge (12% of applicable fees) Tec~ology fee (5% of permit total) "".,.,,, I ." . -":.::ij' , ".', ',. ..~ '''< ,. Ow Check 2481 BRADLEY R PUTMAN & MICHELLE T PUTMAN $887.24 $887.24 ,