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Home My WebLink AboutPermit Mechanical 2011-4-19 ~_.PR.!.... G. FIE~ 1i2~~EGOH CITY OF SPRINGFIELD Building J Commercial Permit PERMIT NO: 811-SPR2011-00633 IVR Number: 811191000553 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/19/2011 ISSUED: APPLIED: 04/19/2011 04/19/2011 EXPIRES: VALUE: 10/16/2011 $0.00 SITE ADDRESS: 1369 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362307200 SCOPE: Mechanical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial Replace two air handlers and heat pumps- This permit replaces S11-611 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: 1ST CHURCH OF GOD OF 434 N 14TH ST SPRINGFIELD OR 97477 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 ,ATTF:NT/ON.occupancy Load: uflow rUle .~, c!jon law r . Electrical Specialty Code Edltion':)liticatl'o sCadopted by th eO qUIres you to . n ente T e reg , , Springfield Fire Code Edition: m OAR 952-001 0 r, hose rules on Utility 0090 ~ - 010 th are Seft th Mechanical Specialty Code Editi\\O:,', au n20~Obta/' rough OAR 952 oar ~dl mg th ," n Copies - 01. Municipal I Development Code:nUmber I e center. (Note' th 01 the rUles by Or the 0 ,e tele h Plumbing Specialty Code Edition: Center' regon Utility N t' Pone . , IS 1-800_ 0 Illcat' Residential Specialty Code Edition: 332-2344). Ion Structural Specialty Code Edition: Contractor Type Mechanical Contractor Contractor Name EUGENE HEATING INC CONTRACTOR INFORMATION ~ Lie Type CCB BUILDING INFORMATION ~ # 01 Units: o # 01 Stories: Height 01 Structure: Type 01 Heat: Water Type: Range Type: Hazmat: # 01 Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lie No 188592 Lie Exp 11/05/2011 Phone 541-726-7656 Site Inlonnatlon ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ~/O-'C " I, E: THIS PERMIT SH AUTHORIZED UN;~l EXPIRE IF THE WORK COMMENCED OR IS R THIS PERMIT IS NOT ANY 180 DAY PERIO ABANDONED FOR D, Springfield Building Permit 4/19/2011 12:02:16PM Page 1013 SP~I.N. G~IE.~ ..~ :""~ ", \. 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-SPR2011-00633 IVR Number: 811191000553 permitcenter@ci.springfieJd,or.us PROJECT STATUS: STATUS DATE: Issued 04/19/2011 ISSUED: APPLIED: 04/19/2011 04/19/2011 EXPIRES: VALUE: 10/16/2011 $0.00 SITE ADDRESS: 1369 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362307200 SCOPE: Mechanical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace two air handlers and heat pumps- This permit replaces 511-611 DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dis!: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Com pac!: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Descriotion State of Oregon Surcharge (12% of applicable fees) Mechanical Permit fee (based on value of work) Technology fee (5% of permit total) Total Amount Paid Amount Paid $32.88 $274.00 $13.70 $320.58 Date Paid 04/1912011 04/1912011 04/1912011 Reciot # 2011000749 2011000749 2011000749 Springfield Building Permit 4/19/2011 12:02:16PM Page 2 of 3 Sf. RIN.,G FIEL~ ~1"""'" '", ~ ."\~... (, . OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00633 IVR Number: 811191000553 ..........w.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 04/19/2011 ISSUED: APPLIED: 04/19/2011 04/19/2011 EXPIRES: VALUE: 10/16/2011 $0.00 SITE ADDRESS: 1369 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362307200 SCOPE: Mechanical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace two air handlers and heat pumps- This permit replaces S11-611 Plan Review ~ DeDartment Received Due Date ComDleted Mechanical Review 0411912011 04119/2011 04119/2011 Comments: HVAC only - No SUB energy code inspection. Initial Review 0411912011 ,04/19/2011 04/19/2011 Result Approved Approved Application Acceptance ,',. " 04/1912011 Application Accepted ,',;.,;" 04119/2011 04119/2011 Reviewer Jack Foster Chris Carpenter "j" Chris Carpenter Perriiit-Issuance~-:;:- " Issued. Chris Carpenter , ":'C 04119/2011" ,041191201'1;' 0~/19120.11 INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover 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 readabie 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. Owner or Contractor Signature Date Springfield Building Permit 4/19/2011 12:02:16PM Page 3 of 3 .T COMcheck Software Version 3.8.1 Mechanical Compliance Certificate Oregon Energy Efficiency Specialty Code Section 1: Project Information Project Type: Alteration Project Title: Springfield Church of God Construction Site: 1369 D Street Springfield, OR 97477 Owner/Agent: Springfield Church of God 1369 D Street Springfield, OR 97477 541-746-3288 Designer/Contractor: Automatic heat Co 3675 Franklin Blvd. Eugene, OR 97403 541-726-7656 bpichel@automaticheatco.com Section 2: General Information Building Location (for weather data): Climate Zone: . Springfield, Oregon 40 Section 3: Mechanical Systems List Q!lilllt[ty. 2 System TVDe & De.$_criotion HVAC System 1 (Single Zone): Split System Heat Pump Heating Mode: Capacity = 45 kBtu/h, Efficiency = 8.50 HSPF Cooling Mode: Capacity = 47 kBtu/h, Efficiency = 15.00 SEER Section 4: Requirements Checklist In the following requirements, the relevant code section reference is shown in [ ). '+' denotes that more details exist in the specified code section. ", Requirements Specific To: HVAC System 1. : A'1. [503.2:3 +] Equipment meets minimum efficiency: Heat Pump: 7.7 HSPF 13.0 SEER " Generic Requirements: Must be met by all systems to which the requirement is applicable: o 1. [503.2.1 +] Calculation of heating and cooting loads. Design loads are determined in accordance with the procedures described in the ASHRAElACCA Standard 183. Alternatively, design loads have been determined by an approved equivalent computation procedure. 02. [503.3.1 +] Cooling equipment economizers: The total capacity of all cooling equipment without economizers must be less than 240 kBtu/h. This project lists 93 kBtu/h capacity without economizers. That portion of the equipment serving dwelling units and guest rooms is not included in determining the total capacity of units without economizers. Location in plansJspecs where compliance can be identified (enter NA if not applicable): ~3 [503.2.2 +] Equipment and system sizing. Heating and cooling equipment and systems capacity do not exceed the loads calculated in accordance with Section 503.2.1. o Exception: Required standby equipment and systems provided with controls and devices that allow such systems or equipment to operate automatically only when the primary equipment is not operating. o Exception: Multiple units of the same equipment type with combined capacities exceeding the design load and provided with controls that have the capability to sequence the operation of each unit based on load. ~4 Location in planstspecswhere compliance can be idenlified (enter NA ifn otapplicable): [503.2.3 +] HVAC Equipment Performance Requirements. Reported efficiencies have been tested and rated in accordance with the applicable test procedure. The efficiency has been verified through certification under an approved certification program or, if no certification program exists, the equipment effiCiency ratings are supported by data furnished by the manufacturer. Project Title: Springfield Church of God Data filename: Untitled.cck . Report date: 04/19/11 Page 1 of 4 ., .~5 )(6 [503.2.4.1 +] Thermostatic Controls. The supply of heating and cooling energy to each zone is controlled by individual thermostatic controls that respond to temperature within the zone. Location in plans/specs where compliance can be identified (enler NA if not applicable): (503.2.4.1.1] Heat pump supplementary heat. Heat pumps having supplementary electric resistance heat have controls that, except during defrost, prevent supplementary heat operation when the heat pump can meet the heating load. Location in plans/specs where compliance can be identified (enter NA if not applicable): 1';. [503.2.4.2] Set point over1ap restriction. Where used to control both heating and cooling, zone thermostatic controls provide a temperature range or deadband of at least 50F (2.80C) within which the supply of heating and cooling energy to the zone is capable of being shut off or reduced to a minimum. o Exception: Thermostats requiring manual change over between heating and cooling modes. Location in plarls/specs where compliance can be identified (enter NA if not applicable): ~. [503.2.4.3] Optimum Start Controls. Each HVAC system has controls that vary the start-up time of the system to just meet the temperature set point at time of occupancy. Location in plarlslspecswhere compliance can be identified (enter N A if not applicable): ~9 [503.2.4.4 +] Off-hour controls. Each zone is provided with thermostatic setback controls that are controlled by either an automatic time clock or programmable control system. o Exception: Zones that will be operated continuously. o Exception: Zones with a full HVAC load demand not exceeding 6,800 Btu/h (2 kW) and having a readily accessible manual shutoff switch. locatiOn in plans/specs where compliance can be identified (enter NA if not applicable)' o 10. [503.2.4.5 +] Shutoff 9amper controls. Both outdoor air supply and exhaust are equipped with not less than Class I motorized dampers. o Exception: Gravity dampers shall be permitted for outside air intake or ~haust airflows of 300 cfm or less. 'o~lioo " p""/'"'' wh". com"",,,, ~," ",,',Ii" <"", NA if 00' 'ppli~b"I' L1j fi, o 11. [503.2.4.6 +] Freeze Protection and Snow melt system controls. Freeze protection systems, such as heat tracing of outdoor piping and heat exchangers, including self-regulating heat tracing, include automatic ntrols capable of shutting off the systems when outdoor air temperatures meet code criteria. ~ X location in plans/specs where compliance can be identified (enler NA ifnot appiicable): 'If. . 12. [503.2.4.8] Separate air distribution systems. Zones with special process temperature requirements and/or humidity requirements are served by separate air distribution systems from those serving zones requiring only comfort conditions: or shall include supplementary control provisions so that the primary systems may be specifically controlled for comfort purposes only. o Exception: [503.2.4.8 +] Zones requiring only comfort heating or comfort cooling that are served by a system primarily used for process temperature and humidity control. location in plans/specs where compliance can be identified (enter NA if not applicable): o 13. [503.2.4.9.1) Humidity control. Where a humidity control device exists it is set to prevent the use of fossil fuel or electricity to produce relative humidity in excess of 30 percent. Where a humidity control device is used for dehumidification, it is set to prevent the use of fossil fuel or electricity to reduce relative humidity below 60 percent. o Exception: Hospitals, process needs, archives, museums, critical equipment, and other non-comfort situations with specific humidity requirements outside this range. - ) '~'io"', p'''~'''''' ,ri"ro com."""'~, b. ""lili" ,,,to, NA if", 'ppli~b1.), }/ /-1+- o 14. [503.2.4.9.2] Humidity control. Where a humidity control device exists it is set to maintain a deadband of at least 10% relative humidity where no active humidification or dehumidification takes place. D Exception: Heating for dehumidification is provided with heat recovery or heat pumping and the mechanical cooling system efficiency is 10 percent higher than required in section 503.2.~A~uiPment performan~ requirements. location in plans/specs whare compliance can be identified (enter NA if nol applicable): o 15. (503.2.5] Ventilation. Ventilation, either natural or mechanical, is provided in accordance with Chapter 4 of the Intemational Mechanical Code. Where mechanical ventilation is provided, the system has the capability to reduce the outdoor air supply to the minimum required by Chapter 4 of the International Mechanical Code. ) '''''''"0 '0 ."~'p~' Who" com.'"", ~," ""tift" ,.,." NA if 001 'ppli~b1'I' /! ~/Th o 16. [503.2.5.1 +] Demand controlled ventilation (DCV). DCV is required for spaces larger than 500 ft2 for simple systems and spaces larger than 150 ft2 for multiple zone systems. o Exception: Systems with energy recovery complying with Section 503.2.6 Project Title: Springfield Church of God Data filename: Untitled.cck Report date: 04/19/11 Page 2 of 4 .. . o Exception: Spaces less than 750 ft2 (69,7 m2) where an occupancy nsar turns the fan oft, closes the ventilation damper, or closes the zone damper when the space is unoccupied. Location in plans/specs where compliance can be identified (enter NA if not apPIi~bl:): (1/ o 17. [503.2.5.2 +] Kitchen hoods. Kitchen makeup is provided as required by the Oregon Mechanical Specialty Code. D Exception: Where hoods are used to exhaust ventilation air that would otherwise be exhausted by other fan systems. o Exception: Kitchen exhaust systems that include exhaust air energy ra overy complying with section 503.2.6. location in plans/specs where compliance can be identified (enter NA if not applicable)" o 18. [503.2.5.3 +] Enclosed parking garage ventilation controls. In Group -2, enclosed par1<ing garages used for storing or handling automobiles employs automatic carbon monoxide sensing devices. i If;.. location in plans/specs where compliance can be identified (enter NA if not applicable): (l.J / ' / D 19. [503.2.6 +] Energy recovery ventilation systems. Individual fan systems that have both a design supply air capacity of 5,000 cfm or greater and a minimum outside air supply of 70 percent or greater of the design supply air quantity have an energy recovel)' system. D Exception: Where energy recovel)' systems are prohibited by the International Mechanical Code. D Exception: Systems serving spaces that are not cooled and are heated to less than 60oF. o Exception: Where more than 60 percent of the outdoor heating energy is provided from site-recovered or site solar energy. o Exception: Type 1 kitchen exhaust hoods. o Exception: Cooling systems in climates with a 1-percent cooling design wet-bulb temperature less than 640F (180C). o Exception: Systems requiring dehumidification that employ series-style energy recovel)' coils wrapped around the cooling coil when the evaporative coil is located upstream of the exhaust air stream. o Exception: Systems exhausting toxic, flammable, paint exhaust, corrosive fumes, or dust. o Exception: Laboratol)' fume hood systems that include qualifying featurl~ )( Location in plans/specs where compliance can be identified (enter NA if not applicable): ;U /Jt:" I 20. [503.2.7 +] Duct and plenum insulation and sealing. AU supply and return air ducts and plenums are insulated with the specified insulation. When located within a building envelope assembly, the duct or plenum is separated from the building exterior or unconditioned or exempt spaces by a minimum of R-B insulation. All ducts, air handlers and filter boxes are sealed. Joints and seams comply with Section 603.9 of the International Mechanical Code. D Exception: When located within equipment. o Exception: When the design temperature difference between the interior and exterior of the duct or plenum does not exceed 150F (80C). "'" 21. [503.2.7.1.1 +] Low-pressure duct systems. All longitudinal and transverse joints, seams and connections of low-pressure supply and P return ducts are securely fastened and sealed with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric systems or tapes installed in accordance with the manufacturer's installation instructions. o Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at static pressures less than 2 inches w.g. pressure classification. location in plans/specs where compliance can be identified (enter NA if not applicable): o 22. [503.2.7.1.2 +) Medium-pressure duct systems. All ducts and plenums designed to operate medium-pressure are insulated and sealed in accordance with Section 503.2.7. Pressure classifications specific to the duct system are clearly indicated on the construction documents. )7 A Lo~ti'" '0 pl,,",poc, wh,,, oomp""" ~o b, ","'if", I'"'"~ NA ifoot 'pp"~b1.), .( J 7 \J . 0 23. [503.2.7.1.3 +J High-pressure duct systems. Ducts de'signed to ope~ate a high-pressure are insulated and sealed in accordance with Section 503.2.7. In addition, ducts and plenums a~e leak-tested in accordanc,~t~ the SMACNA HVAC Air Duct Leakage Test Manual. location In plans/specs where compUanCOl can be Identified (enlerNAlfnolapphcable): ~ o 24. [503.2.9.1 +] Air system balancing. Each supply air outlet and zone termir41 deVice IS eqUipped With means for air balanCing In accordance with the requirements of IMC 603.17. Discharge dampers intended to modulate airflow are prohibited on constant volume . fans and variable volume fans with motors 10 horsepower. , /./1 ~ Location in plans/specs where compliance can be Identified (enter NA If not aPPlicable)"'; 25. [503.2.9.3 +] Manuals. The construction documents require that an operating and maintenance manual be provided to the building owner by the mechanical contractor. See long description for specifications. Locationinplans/specswherecompliancecanbeidentified(enterNAifnotapplicable): o 26. [503.2.10 +] Air System Design and Control. Each HVAC system having a total fan system motor nameplate hp exceeding 5 hp meets the provisions of Sections 503.2.10.1 through 503.2.10.2. Project Title: Springfield Church of God Data filename: Untitled.cck Report date: 04/19/11 Page 3 of 4 ~ -, l~li"o;o p"o.,,,",,wh,,. rom."oro ~o b. ;'oouo., t.ot., NA ;fo"l.ppli~b1.), ;I) Ii o 27. (503.2.10.1 +] Allowable fan floor horsepower. Each HVAC system at fan system design conditions does not exceed the allowable fan system motor nameplate hp (Option 1) or fan system bhp (Option 2) as shown and calulated in requirement details. o Exception: Hospital and laboratory systems that utilize flow control devices on exhaust andlor return to maintain space pressure relationships necessary for occupant health and safety or environmental control shall be permitted to use variable volume fan power limitation. o Exception: Individual exhaust fans with motor nameplate horsepower of 1 hp or less. location in plans/specs where compliance can be identified (enter NA if not applicable): 029. o 28. [503.2.10.2 +] Motor nameplate horsepower. For each fan, the selected fan motor is no larger than the first available motor size greater than the brake horsepower (bhp). o Exception: For fans less than 6 bhp, where the first available motor larger than the brake horsepower has a nameplate rating within 50 percent of the bhp, selection of the next larger nameplate motor size is allowed. o Exception: For fans 6 bhp and larger, where the first available motor larger than the bhp has a nameplate rating within 30 percent of the bhp, selection of the next larger nameplate motor size is allowed~ 1 location in PlanslS~S where compliance can be identified (enter NA if not applicable): viA / [503.2.10.3.1) Large Volume Fan Systems. Fan systems over 8,000 (7 m3/s) cfm without direct expansion cooling coils that serve single zones reduce airflow based on space thermostat heating and cooling demand. A two~speed motor or variable frequency drive reduces airflow to a maximum 60 percent of peak airflow or minimum ventilation air requirement as required by Chapter 4 of the Intemational Mechanical Code, whichever is greater. o Exception: Systems where the function of the supply air is for purposes other than temperature control, such as maintaining specific humidity levels or supplying an exhaust system. ~ location in plans/specs where compliance can be mentified (enter NA if not apPlicable):~ / Section 5: Compliance Statement Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans, specifications and other calculations submitted with this permit application. The proposed hanical alteration project has been designed to meet the Oregon Energy Efficiency Specially Code, Chapter 8, re ments in COMch k .!3r' n 3.8.1 and to comply with the mandatory requirements in the R~uirements Checklist. <g cf4!-\. (}1L~ t Name - Title Project Notes: Change of HVAC equipment in this church. Project Title: Springfield Church of God Data filename: Untitled.cck Report date: 04/19/11 Page 4 of 4 M~clia,nical Permit Application . -..~~~<."ii-',".'?~;\;>C.":t"'>' j"iP.,,<S""';,';:' .....-:!_."'....;."'\-!jW' "~:i-'"/".,;',iI>Y':<:" ,'2E;,DEPARTMENr,USE'ONl:Y',",:;iiJ; /_ ,';' ,', -',/_ '~;-~':.':cr' 'i-', .. "., " .-, .. " ",ii- ;:'''''''',-''.C ..~ ":'__ ~ This permit is issued under OAR 9]8-440-0050. Permits expire if work is not started within ]80 days of issuance or if work is suspended for] 80 days. ;;':':;;;;!('3'tCi,;tEG:6RXil'o.f~i<:b.NSTROCJIQN!!i:;1:':'i':'; o Residential 0 Government 'l2'l Commercial ~~,(Wpfii.1fOB~'sl;j;E.YINr=9.F{M~tIQN\'iANDikIT9c~'tIQN11j1i[~i0J ;i k City: 0'(1... ZIP: '11'177 Taxlot.:Ol DESCRllirioN:OF WORK' fRf'~ ~k 14/ !fIrNI)U:;}LS Itt.)q-l fu W\. {J~ ~~fm~~~11;t~1~(~~~~e~p.RQif~R.t~~GWJ{~"~~~~v~~~~~l~~j;~ 225 F,fth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689 , . Name:Cc,.,~~~, <rF Address: '13 1>/ I L{~ City: S P FL-D Phone: '7.Lf (p S 2- '8%' 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. D 'I If?? Signature: ~?1~~~~4I*lC~QN;t~G:J,Q_R~~lt;J:~.IA,~~~.t,I.QNl~~~~~~~~-;'.tik~~~~:,~'L~:.~ Business name: Au...-tQ'IY)6..t\(., KGo--t t;:v-0Jf'~{;1I' f3 \ u . State: O~ City: Phone: 9-1 \-1.l.-'<'<;t., E-mail: 7.5U".,;/I'- CCB license no.: ZIP: C,7'-Jo3 -')~- ,..n Fax:l'<1 41...,.~"""",--\'\<.~~t.<).<...o""", Print name: Signature: 440-2545-J (11/08/COM) .. -.".:' , FEE SCHEDULE' . .. ",,' ,~ "-.'.' ... I<:"j.' -~~, _': -1"";,'.,'j ""-',~;"..'\i"';";~: ':.~ ,.,.;.".: ~':'d>..'.. '1: Qty;, ~/~:S~~tl? ,.: >,'.Total . ~Res Identla 1!f~~>tI~~,~~i~\;''i:,.\jL>J09<'.j~'J:';!; >if,$;C'ost";!iJ1,: "~,..:......,-.-<....",, ,~,,_ ,..,_.'->0;"'1 :.!;-v:.";E>>..' c. ,~""'" ""';->.."..,,,'. "8.' H '-./~ {:l>,-,*:ea;;,;';~" First Aonliance $79.00 $ G'urnace/burner including ducts and vents Up to lOOk BTUlhr. $17.00 $ Over lOOk BTUlhr. $20.00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/peJlet/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 f~ with one duct/appliance vent $9.00 $ Hood with exhaust and duct $13.00 $ I:loor furnace including vent $58.00 $ Gas piping One to four outlets $7.001 $ Additional outlets (each) I $4.00 I $ Air-handling units, including ducts Up to 10,000 CFM $11.00 $ Over 10.000 CFM $20.00 $ Com Dressor/a bsorvtion system/heat DumD Up to 3 hp/100k BTU $17 .00 $ Upto 15 hp/500k BTU $29.00 $ Up to 30 hpll,OOO BTU $43.00 $ Up to 50 hp/I,750 BTU $57.00 $ Over 50 hp/I,750 BTU $95.00 $ Incinerators Domestic incinerator $20.00 $ II' ..c'"'w,.- ''I, Enter total valuation of mechanical system and installation costs $ .;u..J.<:i S. .." Enter fee based on valuation of mechanical system, etc. $ ?~~~~!I~Q~~~9~~~i!~~!,~t!'~~f~4~~~r@1~i~~. it€itr~ ,~h::Cost-:.. . .::~;;?~~~~~~;~, ';~' :_"T~:', ~V?f'ea:71~~;; Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (I) $58.00 $ .TIt'~~'l'~"?\<'~1Jt}!1~~~:'~~-;'-~-'~~r-"~\''''',>_",,--,-,'C'". ""-w',~~'~~""'""'~~---~~' ltji~~&:~1J;,;":;.'" ~~~t4fns~,A~.P:lfIG~NH"tJUSEsk~',,: :H,~~rff;]:$4r1~ (A) Enter subtotal of above fees (or enter set ~ "),{'<>o minimum fee of $ 79.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [MB]) $ 5: ~" (0) Seismic fee, 1%(.01 x [A]) $ (E) Technology Fee (5% of [A]) $ 32-'':: ~ TOTAL fees and surcharges (A through E): $ 320'>1 ...;.... www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00633 13690 ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011000749 RECORD NO: 811-SPR2011-00633 DATE: 04/19/2011 ~D-ES.CRleJION 0' " '~.' ", -"'<1+,11,,:"- ':';i~+;{;~lI.-:.Pjr;-A~c.C:Ol:iNT.:CODE;"" \ "0: 'AMOUNr=DUE' ,..- I Mechanical Permit fee (based on value of work) 224-00000-425604 274.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 32.88 Technology fee (5% of permit total) 100-00000-425605 13.70 TOTAL DUE: 320.58 f. PAYI\IIJ;NIL:r.fig~"':;-~I~tt~()R;'l.cAsHiER:CCARPENTER..r.~> i,;( ~6MMENTS'_:,.;';;:"..;\:rYili: ';;;',,+ .AMOUNT ('AID _' . Credit Card Wynette Crossburg 320.58 015338 TOTAL PAID: 320,58