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HomeMy WebLinkAboutPermit Mechanical 2011-2-16 Tbi3 permit Is issued under OAR 918-440-0050. Permits expire If ,",ark is not ,tarted within 180 day' of b.uanee Dr ifwDrk Is suspended for 180 days. 02/11/2011 11:55 5415074457 , o. Mechanical Permit Application 7.>5 Fifth S,,"ct< Springfield. OR 97477 . PH(541)726-J151 . fAX(s41)726-36.9 . 'to:ti:SClttl{!'tli\;"Odll!'~rRrretloN'i:;~."" ':. . ' '" . . - .'. .' " .. .. ' " . "~or. ...., ~', E-mail: CCB license nO.: Print name: Signature: / 4"0-2,45-l {lIIORlCOMl '-. PRIORITY ONE HEATING PAGE 01/01 IIiP"IIlO"I~'P '::::J ~~ '+f .... " :t:EE: sctleb"'L.E" .... :(~~!td~"tla',:~~.\,!i)J.}~L:i.~;,:;.\;,,;~!~:;'t.:' "~:;~:':It: 'Q-: ....;:,: ~:I:~'~~~ ~:::'::: ,..:.::~Q,ta~ 1,". ~.~ ..,_,~....:~~..,.-,," ;t'_.J~~, 'L:_,,,,!~\,.:;~:".":"i(:i'>'/,"~:''';''' ; ~ :'~.' ;:-;,\:;eftl,.".....')' ,.:.'_~.ctiJl~.';,,:.'~ First ADoliance $79.QO $ I?l1rnA~e1b\lTner lnc:ludlng ducts and V~ ~ Up 10 lOOk BTUlhr. I ~ I) $17.00 Over lOOk BTUlhr. _/ UO.OO Heat.rst,tove$/venlB Unit heDrcr Weod/pelletlsu. .tov"'~ue Rcpalrflllrer/addto heatmg Bppttanccl refrigeration unit or cooling !l)'Sleml absorption system . Evaporated cooler Vt:.nt fan with one. duetlap?lillncc V1::nt Hood with ..liaus< and duCt Floot {urnaco including vent I Ga. piping One te four outlets I I Addi,ional outlets (each) I Air-handling unit., Including ducts UptolO,OOOCFM \1 $,1.00T $ Over 10,000 CFM $20.00 $ comDi-c...orlab,oroUo....'temlheatoom D Upla3hp!IOOkBTU $'1.00 $ Up 10 1 5 hplSnok BTU $29.00 $ Up to 30 hpll,OOO BTU $43.00 $ UptoSOhpl1,750BTU ,$67.00. ,.$ - Over 50 hpl1.750 etU $96.00 .$" IncineratOr! Domdic indncrator \ $20.00 1 s \Qomm&t'Hi.a,)~~~:;;~:?'\~~Vif:~ 'tr:.~~?~;:?Xrr~:,,:,),~...~~:.t'~\ :':~(;:~.e\'"','t':~~:f"'.'<:_S:~:~:' EntcrlotBI VB.lutltion ofmeehanlcB.1 s)'s;tem Bnd installation costs S _ ,~ Enter fee based on 't'aluation of me:c:hnnical system, c::tc. $ !'~ih,,,,,,..:ll'~'~W'(j-''>>'.>i''''''\i'-;''J''r,:.,':';': '~P":.:'::J3p;t,',:, ie:. 1010l,.:" i\~~:J'e~.!,.~,~.,~g,.'r~~;.~F~,~M;';~;';~~;.~i~'{f,:Sf~~'~, W.p:t:~ vd';,teif:t~.~,..,:. )~".'~a'st,'i:"). . Retnspcction $58.DO $ Spe'iany requc>ted in,peetioo. (per hr.) $6B.OO $ Rogulotod .qu;pmcnt (uncl...,od) $\3.01 $ E"h oddltlo.allnspoetlo.' (I) $58.00 $ , ~ ....~,~"':.('.i...'......""'''\'''''''''',.'''Jj'''''".''',''''' ~ii\!'::m:~"~;,"C~\!l,ot=;,,\,::,;,,,~'~':i!\fd~~:,'''i,r;{,j;:J' (A) tnter ~.';!J.lJ);"~I ibo,;.-r-ee, (Jrt entors.1. JZJt - CJ" mlni"'Jl~ of $ 79,001 / $ (B)'lnvbtl.a,i.uee-r"luol to [An $ -I; -Cf - (e) Bo'er 12% ,u,charge (.12 KIA+81l $ ~ ,IJ- (0) S.I'mlcr,., 1% (.0 I K {AJ) $~ (B) Teoh.olalll' Fee (5% offAl) $ TOT AL fees nnd ,~reb.rges (A through E): s/l '\ / is 77- r ~ $ $17 .00 $38.00 $ $ $68.00 $ 5'3.00 $ $9.00 $ $\3.00 $ $68.00 $ $7.001 $ $<.001 $ .- :S~..~~N~:IE~~ ~'4,'.,. .' "':' ~ ,,,,Q. ;/77". OREGON www.ci.springfieJd.or.us TRANSACTION RECEIPT 811-SPR2011-00244 638 6TH ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2011000294 RECORD NO: 811-SPR2011-00244 lDESCRigftof.l"" ."""; '':t,:,',+c' , '. ,+ -{",;'+t+'iii"~' ;;M,tI;CCOUNficobE~:r;:r:]lf:':!>; First Appliance Fee 224.00000-425604 State of Oregon Surcharge (12% of applicable fe~__.~~1.00000.215004 ___"_'_' Technology fee (5% of permit total) ____._ 100.00~5605_ TOTAL DUE: DATE: 02/16/2011 ~~,tI;MOUNf]bUE .. ,'y "';'j 79.00 ------ 9A8 3.95 92.43 L::fA.Y-N.LEJ:lLtxe.E.:.tL .; PAY.().!3"CASHiERNMACHADO 'V!i~;::/'COMI"{~ll'r~li{ii;:'''T;b+f:;,;''f,;,4'c:.1\MOUN1:~~~;':;':''':'''' , 'f, '; i Credit Card PRIORITY ONE HEATING & AIR 92.43 006141 CONDITIONING INC TOTAL PAID: 92.43