HomeMy WebLinkAboutPermit Mechanical 2011-4-21
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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
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SP~\..N..~. FIE.L~
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~~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~
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. <',,-\ 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..; ..::
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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.
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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
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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.
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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 $
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(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
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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