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Home My WebLink AboutPermit Mechanical 2011-3-16 .. 5P~. IN... G...f IE~ .~ ~ ~. ,.;V'" ^..."~m 'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00428 IVR Number: 811148372285 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 03/16/2011 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 SITE ADDRESS: 3150 MAIN ST, Springfield, OR 97478-5800 ASSESOR'S PARCEL NO: 1702310000400 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Relocate furnace/air handler OWNER: ADDRESS: OREGON STATE OF BOARD OF FORESTRY 2600 STATE ST SALEM OR 97310 Phone Number: CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor Contractor Name USA HEATING & AIR CONDITIONING INC Lie Type CCB Lie No 154663 Lie Exp 03/19/2013 Phone 541.942.9626 BUILDING INFORMATION I # 01 Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Occupancy Type Construction Type B Type VB # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: occupancytload: ro,~ law requires you 0 . Electrical Spe'!i.'11\Y3'bil'e'1td;lIon:.gon h Oregon Utility ! ,. I'" -- .dopted by t e f th Springfield Fi ec-oae '."dition: Those rules are set or -'lnHi~.t'on Center. R 052 001 Mechanical :;peclaf1:y'Code.Editiofi', 0 t!lrou20J OlA ~ - - in OAr; \Jb<:-UU ,-vv .~ h ules by Municipal I Development Code:obtain caples at t e rh . UU~V..'VU. "'':'. _', Note: the telep one Plumbmg Spec'~!!Y,.c.~de'Edltlon:A. ( Ut'l.t Notification ~ - hr 'I.~ oregon II Y Residential SpeciallY'Coae Edition: 800-332-2344). C':e!Jtpr IS 1 ~ Structural Specialty Code Edition: o Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report. Required: : .'" NOTICE: . HE WORK THIS PERMIT SHALL EXPIRE lF T NOT AUTHORIZED UNDER THIS PERMIT IS COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 3/16/2011 104~f}J,'CE: THIS PERMIT S AUTHORIZED U~;~l EXPIRE IF THE WORK COMMENC1=11 nD I~ R. ~~I.S_PERM1T IS NOT Page 1 of3 .. sr~I~. .G.~ FIE~ ~~.... 11>"- ""'''^J;. '"~ fS#:L:.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.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00428 IVR Number: 811148372285 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/16/2011 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 SITE ADDRESS: 3150 MAIN ST, Springfield, OR 97478-5800 ASSES OR'S PARCEL NO: 1702310000400 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Relocate furnace/air handler DEVELOPMENT INFORMATION ~ O,verlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion State of Oregon Surcharge (12% of applicable fees) Me~hanical Permit fE!*~0(b~sed on value of wor~) Technology fee (5% of permit total) Total Amount Paid Amount Paid $9.48 $79.00 $3.95 $92.43 Date Pa id 03/16/2011 03/16/2011 03/16/2011 Reciot # 2011000493 2011000493 .~-_.'-'--""_.'._--'.~'_."- 2011000493 Springfield Building Permit 3/16/2011 10:44:32AM Page 20(3 SPRIN. G.FIEL~ 1a:11 "- ,~ "'~ OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00428 IVR Number: 811148372285 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 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 03/16/2011 SITE ADDRESS: 3150 MAIN ST, Springfield, OR 97478-5800 ASSESOR'S PARCEL NO: 1702310000400 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Relocate furnace/air handler Plan Review ~ Deoartment Permit Issuance Received Due Date Comoleted Result 03/16/2011 03/16/2011 03/16/2011 Issued" Reviewer Chris Carpenter Initial Review 03/16/2011 03/16/2011 03/16/2011 Over theCaun!er Chris Carpenter Comments: Over the counter permit ~if~~~~lor:~cc€p!a~ce~~;;"'~:~~~~/lJt~9J}: ~ <~~93~1,6/~O~1:1~:, , Q~(16/2.911"$':',)"' 0~vett~'~=G99:~tef'; ;v't";'c':Ghri~ . Gafperi{er:;:,:' .",".( . f, ClZ~~"ff~f ':..;~_:ft':ki::::'C:<',,,;:o<<' .\, t~:i~;:\ f:~~j~_~~ I. -c"c "'-~:.:~""~':" ~ ..:~J :;-~"':?,;Jl,~'ili:C - ':l/~";:""k< ,;'; " -+,"*i~' t. -r--'~-~'~-"1 " " \ , ;.. -<, '". ~r' '. "J i"C,\ _ ':c .,,\..-, INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 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 addres~ 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. '3Pt/~/ Date Springfield Building Permit 3116/2011 10:44:32AM Page 30f3 Mechanical Permit Application . ;';~'f."~;~ };', ,"'~-,"'.'1.I';-".(",;. .::.' .'.~ ';*04, ,:,--t",,,_.;;{f;,,,,;,.,-,,,,.>"":':'<t,"":i':'_'i-~: :,o]i' :o.::'-:~DEPARrMENT_USE ONLY'''~'i: :' ~c _ "_"_ ro\,,_ : .,_~ ~', ~.;- ""-"',. - ," ",. ..- -,,', _.,,> . T_'~;';;~,. '.-." ..>_~~ -1" 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. :i\r;~':(>~I:rCAJ~(3bRYNQI';%CbNstROc-:tION?":~/;-<;:"- '" '; o Residential 0 Government 0 Commercial ~t;;~i~(JQB\f$!TEirINIiQ"R,Iv1AI:jQN(t~N[jjl~Q(:AIH!INl'11'!i'f:H Job site address: ':) 56 s T City: S p.[; ZIP: 1 Reference: t)!axlot.:a?7'DO DESCRIF1i:ioNOF WORK,d.." ;- Ce.. 225 Fifth Street + Springlicld, OR 97477 + PH(541)726-3753 + FAX(541)726-3689 ~~f~~~~~~t~;rJgRQRi;]:~jJY~9\t;(~:~_~~~~~i{~~~~\f~~J{~~1 Name: City: Phone: 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&w:~,,~~IIG'9,~J1~Aqm~QE{~Ir\j~J~.U~~;f:tQ:~~fJ.~?~f;'~~~~:~~:~;~F:1,; City: Phone5/t - <( - E-mail: ZIP:9'f72 Print name: Signature: 440-2545-) (11/08/COM) 77 "",- ":'Jr"', .FEE SCHEDULE " . .. '" ".~...: -- ,~".(' ..;" It,,,.\.., - ".~" Ii '_' ;', .~'. -;.0... ,',., ,."j , QtY:: {~~>f.~~~~~~1;,~,: ",,_,Total ~Resldentlall&~1g%~'i~g1;"::;;';\;~jf<~~~t<;li;';':t:'" ,i~~:cost;{~;:;; ,''J,'=, ',,,,~","c "F:-,'J.',,':,r, .v:;" .",-<l',W",~1 ,.;:7; ".,'-" ":,: 7H..,t'~';~;-:: I,. ,:..J' First Annliance -='- - $79.00 ~ Furnace/burner including ducts and vents Up to lOOk BTUlhr. $17_00 $ Over lOOk BTUlhr_ $20.00 $ Heaters/stoves/vents Unit heater $17_00 $ Wood/pellet/gas stove/flue $38_00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system! $58.00 $ absorption system : Evaporated cooler $13_00 $ Vent fan with one duct/appliance vent $9_00 $ Hood with exhaust and duct $13_00 $ Floor furnace including vent $58.00 $ Gas piping One to four outlets $7_00 $ Additional outlets (each) $4.00 $ Air-handling units, including ducts Up to 10,000 CFM I $11_00 I $ Over 10.000 CFM I I $20_00 I $ Comnressor/absorotion svstem/heat DumD Up to 3 hpll OOk BTU $17_00 $ Upto 15 hp/500k BTU $29_00 $ Up to 30 hpll,OOO BTU $43_00 $ Up to 50 hp/l,750 BTU $57.00 $ Over 50 hpll.750 BTU $95_00 $ Incinerators Domestic incinerator I $20_00 I $ ,;'COIHffierclaJ~%~~:t~";~~~~\;j~S1P:~:~f~!jt\~~~~(;~~f~~-tf::t{:;~~1~?~~~~0:?{! .~~~~ Enter total valuation of mechanical system and installation costs $ ~O Enter fee based on valuation of mechanical system, etc. $ [~>;i--"';';;:'-~'''t\''$'';:;Q;;(;;;&;i'5t/:'i\~:,u:.;,;:,::<t;<-'~v~'~'~)/ ,;bc.'::W ~~~gJl~;!~a ~!~;r~tal'~~+ 'iMlscellaneOUSifees".!:f.'i;~~ii"')lii" Items , -._"'''~''-'~'''''''~''''''i-:':',:i,.(t''''''_,'1' ,~:-~; J",~:';"''''.I.';'\''';!L'S l1[~. '--:1-.'.!:':""~' '~ '; costJ:-' !> Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (un classed) $13.00 $ Each additional inspection: (1) .$58.00 $ i~i~~~~,~~arA-~:ffffiCAN~f~~t1JS--E~~i~~'~mIt~1iif!i~;r~ (A) Enter subtotal of above fees (or enter set 77- minimum fee of $ 79_00) $ (B) Investigative fec (cqual to [A]) $ (C) Enter 12% surcharge (.12 x [MB]) $1.:ti (D) Seismic fee, 1%(.01 x [AI) $ (E) Technology Fee (5% of[A]) $ -:J 95 - TOTAL fees and surcharges (A through E), $Cf2 "-3 - ~ . ' . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00428 3150 MAIN ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECEIPT NO: 2011000493' RECORD NO: 811-SPR2011-00428 DATE: 03/16/2011 ~DESCRIe.TloN~j; ~.".. ',~',-""'''.;~i:, .~" ;, ",,;,,;c:,,~j;i::r,~,,';jfACC'0UNJ~C;ODE"'.;'~' "'~* .L ;. ANiO.UNIsDU!:l";" ,q Mechanical P~rmit fee (based on value of work) 224-00000-425604 79,00 State of~~_~C>I1Surcharge (12% of applicable fees) 821-00000-215004 9.48 Technol.!:g,L~ee (5% ~ermit t?.!.al) 100.00000-~256.c:5 3.95 TOTAL DUE: 92.43 r~LBtl.Yl'<!rnT,-&'gEy.t'''''PAy'Q~,CAjHIER CCARPE~1'E'R'~~CJ:l~NLiv1~~1s~;{,1' ~'.. '1" .y,,, AMf>UN1~AID.i':,"..-L:T ':.:.J Check USA HEATING & AIR 92.43 1134 CONDITIONING INC TOTAL PAID: 92.43 f\IH18Q DAY PERioit""UU'V/:U I-UH