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HomeMy WebLinkAboutPermit Mechanical 2011-4-21 SP.R.\. ~:~,,~I E~~ ~~., a... "..m",."'~ ","'- .\ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00654 IVR Number: 811178791002 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfieJd.or.us PROJECT STATUS: STATUS DATE: Issued 04/21/2011 ISSUED: APPLIED: 04/21/2011 04/21/2011 EXPIRES: VALUE: 10/18/2011 $0.00 SITE ADDRESS: 3400 OLYMPIC ST, Springfield, OR 97478 ASSEsOR's PARCEL NO: 1702300001921 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Gas line and flue for parts washer Phone Number: OWNER: ADDRESS: MCKENZIE COMPANY III LLC PO BOX 703 SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor Contractor Name COMMERCIAL AIR INC CONTRACTOR INFORMATION ~ Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # 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: Lic No 110075 Lic Exp 12/18/2011 Phone 541-461-4821 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: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Are.A.TTENTION: Oregon law re . Retaining Wall: foUow rules adopted by the 6~:e~:ou to Soils Report R<M/i\li!ifiatlon Center Those rule g Utility in OAR 952-001-0010 th h s are set forth 0090 ~ roug OAR 952-001 '. au may obtain Copies of the r I - , caU'!1g the center. (Note: the tele ~;~eby numbercfor the, Oregon Utility Not'!~cation enter IS 1-800-332-2344). I~OTlCE: THIS PERMIT SH ,', ItUTHORIZED UN~~ EXPIRE IF THE WORK fOMMENCED.OR THIS PERMIT IS NOT' PINy 180 DAY PER:~D~BANDONED FOR Springfield Building Permit 4/21/2011 8:29:33AM Page 1 of 3 . " SP~\..N..~. FIE.L~ ~~ ~~EGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00654 IVR Number: 811178791002 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/21/2011 ISSUED: APPLIED: 04/21/2011 04/21/2011 EXPIRES: VALUE: 10/18/2011 $0.00 SITE ADDRESS: 3400 OLYMPIC ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702300001921 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Gas line and flue for parts washer 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: 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 Tvpe Unit Cost Value FEES PAID ~ DescriDtion State of Ore,~~~~~arge (12% of applicable fees) Me~h~~i~~i Pe!~i~ !ee (based c:..n value of work) Technology ~~~ o~~ermit total) Total Amount Paid Amount Paid $10.65 $88.75 $4.44 $103.84 Date Paid 04/21/2011 04/21/2011 04/21/2011 Recio! # 2011000768 2011000768 ----- . 2011000768 Springfield Building Permit 4/21/2011 B;29:33AM Page 2 of 3 CITY OF SPRINGFIELD SPRI.NG FIE~ ~-- .... ~ . <',,-\ OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-00654 IVR Number: 811178791002 www.cLspringfield.or.U5 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 04/21/2011 04/21/2011 04/21/2011 EXPIRES: VALUE: 10/18/2011 $0.00 SITE ADDRESS: 3400 OLYMPIC ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702300001921 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial ! PROJECT DESCRIPTION: Gas line and flue for parts washer Plan Review ~ DeDartment Application Acceptance Received Due Date 04/21/2011 04/21/2011 Result ,Over the Counter Comoleted 04/21/2011 Pe-~mit ll?sUl~nce , - ..--' .;;:1,;" . ,Q4!21/2?1F R"/2112~11 _.D4/21l2011 ,k - -~l; i 2-=",' -. ~-. ~~1;j, ":-';F~~':'- ''''0- . ,., 'Issued..; ..:: : ,,>r.f 4',j/. i _~'!_.J+- '-if", , -:'j, ~. J M \~ _ ','., .- ~ " Mechanical Review 04/2112011 04/21/2011 04/21/2011 Comments: Over the counter permit Not Required ,; ~' rnitia~"Review' . CommentS: .'l. ,'04/21/2011 ; 04j21/20) 1 ~Oveflhe'touriter1'''' _" > ,"" f'" '04/21/201'" " ',~,"" 'Over'th,e, coun~er', perr;nil INSPECTIONS REQUIRED I Inspections 2160 Gas/Oil Flue 2250 Gas Piping 2300 Rough Mechanical 2999 Final Mechanical Reviewer David Bowlsby Daviil,Bowlsby. .~ ,~,',~.. '""' ..,;.-' -'~l '~, -:.., ','0,,9:"" David Bowlsby D~vid Bowlsby' 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 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 co~#~~ y~//;/ Owner or Contractor Signature Date Springfield Building Permit 4/21/2011 8:29:33AM Page 3 of 3 APR-?0~2Vl1(WED) 13:00 commercial air Mechanical Permit Application . 225 Fillh Strecl. Sprin~rlelcl, OR 517477 . PH(54I)726-3753. FAX(S41)726.3689 (FAX)5414616104 P.002/003 ~_I"'G"ICL.Q n:~ ~ -1~.Gt'j';-~ ~.~~ ;"~V;"Ei~PA~TMENT.U~@~.~t":7: . <: ((l.:r..o / 1- 0 G 6, S <-i PCrT11lt 1'It.: I Date: 'I 7--( I f This permit is issued under OAR 918-440-0050. Permits expire iC work is nOl slarled wilhin 180 day. oC issuance or iCwork is suspended for 180 days. ~'-,::'''tr::'7:C'A.TEG6R1i:oF,2CO'NSl'RUCTlOliF;; . Cily: Phone: E-mail: This installation is being made on property owned by me QT a member of my immediate family, nnd is exempt from licensing requirements under ORS 701.010. . Signature: iiiJ.t::0~~:~{e:::QIIl.4I'~c:J;Q~"IIIl$;J;~l:CA;rIOf,/:J:%.,"%;;':\-\i~ii','i ,2L City: Phone: E-mail: Print name: S ignanJre: 1-~5,ftlrlj ~L....... + FtftuJ,f.JV' p.,A.f u.J'tI-S \.v . 440.25,'5-) (IIIOHICOM) ,..,.... .. ,:.:;.' FEE: SCHEDULE .' '. .. .. . ~,~:e~~~.~1:i~!~)~f~1~~.;;gi:~1')':~';~~!~~;:~' cc;!!1; ~~~~5:~~.~ .....TouL.: -::'f:::.!:l:uf,l[~1-:'.~, Fir~t Anol innec $79.00 $'7 Furn:ace/burner including ducts :and vents Upto J oak BTU/hr. $17.00 $ Over lOOk BTUlhr. $20.00 $ _-0-:; Heaters/stoves/vents Unit heater $17.00 $ Woodlpelletlga" stovoltl"e $38.00 $ Rcpnir/ulter/udd to hr:llling iJpplil1nccl refrigeration unit or cooling system! $58.00 $ absorption system Evaporatcd cooler $13.00 $ Vent fun with One duclluppliuncc vcnl $9.00 S Hood with exhaust and duct $13.00 $ Floor furnacc including vent $5B.OO $ Gas pipin~ One lo four oLlth::ts I I $7.001 $ 7 ~ Additional outlets (each) I I $4.00 I $ AirahQndlin~ unit!l, including- dUl:ts Up to 10,000 CFM I I $11.00 I $ Over 10.000 CFM I $~O.OO I $ Comnressor/absorntion system/heat Dllmn Up to J hp/l OOk BTU S17.00 $ Uplo IS hp/500k BTU $29.00 $ Up to 30 hp/l,OOO BTU $43.00 $ Up to 50 hp/I,750 BTU $57.00 $ Over 50 hp/I,750 BTU $95.00 $ Incin~rl:llors Dome:Hic incincrolor I I $~O.DD I $ .~~Qijim"en::ial&.~'"2~:~.~~F'~":;;~~:'-~~,~::"..'. ;~~}:~:,,~~,.~'\~~',~:[t~.:~:(~'L!:'<:j.\"':-'f'.~.~>~. En'er lotnl vol"o'ion oC ",eehunietll sys'em ~.~ ~ (j' one! in:s:tnllulion CO$~ $"' 2., Enkr fcr: bused on vuluulion of mc:chanieHI ~m. ele, I s ~MJ~~:~Y~~~~~~~~:?~f:.i;~~:~~2:~:t~:T~ ~.t~~~ ~~~~t~IW:~~~~~/~:- Relnspc::ction . $5B.OO $ Speciully requested im;pcctions (per hr.) $5B.00 $ Regulated equipment (unclassed) $13.00 $ ".<1. addltlon.1 iMpool.on, (I) $58.00 $ ?;,:._";;",,,'.e'~~ ~ "iBC'~t.'!!1 '. "~~';-~ ;~1:/,I.~~,...:l;l~~y:.f.,'..:""#'" ',j':!MPJ?:lJl . N ._ U'-SE{~>!.'l;......_ -~<,.t.... ',".I~~." (A) Enter subtotal of above fees (or r:nt.cr sel 1M#- minimum fee of $19.001 $ (I'll Investigative fee (equal to (Al) $ 16{,p;2- (C) Enter 12% surchargc (.12 x [A"'B)) $ [)<t~ (El Technology Fcc (5% of [A]) $). ".-}.!:- TOTAL Cees and surehor~es (A throu~h E): ru?, Jf!- ( 10 .3~ o %f'7t .. , . SP~~.N~~~ ~\(tJfj ~~EGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth $t Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-00654 3400 OLYMPIC ST permilcenter@ci.springfield.or.us . - ACCOUNT-CODE -:,'AMQUNLD.UE 224,00000-425604 88.75 821-00000-215004 10.65 100-00000-425605 4.44 TOTAL DUE: 103.84 U~YME"'LTI~E__.:.o~':pA YOR---"ASHIE~i!2!~!2YYh~r.. ,,_: .:..:cg()MMEI'iIS~!=",----",--~---,--,-_ AMOUNT P~D Credit Card commercial air inc 103.84 RECEIPT NO: 2011000768 lDESCRIe.T10N - Mechanical Permit fee (based on value of work) State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011-00654 DATE: 04/21/2011 __.1 054731 TOTAL PAID: 103.84