HomeMy WebLinkAboutPermit Mechanical 2011-6-6
SP~I..H.~. F.IE.L~
.;,~
)".,,'":"~ OREGON
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01267
IVR Number: 811162995596
www.ci.springfield.or.us
perm itcenler@ci. springfield. or. us
PROJECT STATUS:
STATUS DATE:
Issued
06/06/2011
ISSUED:
APPLIED:
06/06/2011
06/02/2011
EXPIRES:
VALUE:
12/02/2011
$0.00
SITE ADDRESS: 3660 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703153300100
PROJECT DESCRIPTION:
Replace min split system serving drive thru
Phone Number:
OWNER:
ADDRESS:
NORTHWEST COMMUNITY CREDIT UNION
PO BOX 70225
EUGENE OR 97401
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Contractor Type
Mechanical Contractor
Contractor Name
COMFORT FLOW HEATING CO
CONTRACTOR INFORMATION ~
Phone
541-726~0100
Lic Type
CCB
lie No
460
Lie Exp
06/27/2013
BUilDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
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:
~
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:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
~
Site Information
Engineered Fill:
Fill Volume:
Flood Hazard Area: R,\ ,,~'4
land Hazard Area: ~~ ~ ~'S\\l':)
Retaining Wall: . \l'~-;~ ~':J~1 \.~'4
Soils Report Required: ~ c:,' ~\l ~ (\211\~\l~ ,,~~\.
~'<l~'<l \l~~ u ~-;O ';) ~
^ \ ~;~~\l~ c;\~\. ~i~\'<l~c; \.\~ .~';\\\.O
~\J~ ,,\'Ojo O'/-.; .
~ c;\ \.\';, ~\ ~'O\
~~~ '?l~\.
Springfield Building Permit
6/6/2011 12:02:38PM
. - .~'~. .-;:~.
.._,.:.:....,
ATTENTION' 0
tollow rules ado~~~~~law requires you to
Notltlcatlon Center. ThoY the Oregon Uti/ity
In OAR 952-001-0010 th se rules are settorth
0090.. You may obtain c~ough OAR 952-001_
calling the Cent"r (N pies of the rules by
nUmber tor the 0 . ote' the telephone
regon Utility N .
Centel is 1 800 33 o!ifJcation
- 2 2344).
Page 1 of3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01267
IVR Number: 811162995596
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:
Iss ued
06/06/2011
ISSUED:
APPLIED:
06/06/2011
06/02/2011
EXPIRES:
VALUE:
12/02/2011
$0.00
SITE ADDRESS: 3660 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703153300100
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Replace min split system serving drive thru
DEVELOPMENT INFORMA TION ~
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
Tvoe of Construction
Unit Amount Unit TVDe
Unit Cost
Value
FEES PAID
I
Descriotion
State of Oregon Surc~arge (12% of applicable fees1_
Mec~~~ical Permit !:,~_Lt:ased on vaL~~_.9! work)
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$10.65
$88.75
$4.44
$103.84
Date Paid
06/06/2011
06/06/2011
06/06/2011
ReciDt#
2011001451
2011001451
2011001451
Springfield Building Permit
6/6/2011 12:02:38PM
Page 2 of 3
SPRIN...G..F ..Ifl~ '
..~'
c,;- ~
:';\ OREGON
WWW.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01267
IVR Number: 811162995596
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
. Issued
06/06/2011
ISSUED:
APPLIED:
06/06/2011
06/02/2011
EXPIRES:
VALUE:
12/02/2011
$0.00
SITE ADDRESS: 3660 GATEWAY ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703153300100
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Replace min split system serving drive thru
Plan Review
~
Department
Initial Review
Received
06/0212011
Due Date Comoleted
06/02/2011 06/02/2011
Result
Approved
Reviewer
David Bowlsby
Application Acceptance
06/02/2011
06/02/2011 06/02/2011
Application Accepted
David Bowlsby
fpiir~iFis-su~t;;~~-"'J7:~-'-"',:~06IiW20Y1> 06/02/2611~~ ;o6jb6i2.61T-~,';:'i;"~J€d v_ :~!J;;i.;-< ' ,~: :D.~q~'8;;~)Sb~;,~'17 -t""[.~.:~~._~- ~.- ~
L~z';:~-/ '"~;"~~E?~'- -;~-~ ":>~ - >.-. : ~';5~~:~~~'~ :,s.,\: ,~~ '<~'~:~"."j.tt~' ~ :' ~~""{ '7::~'~i~:i~~~~,_.k~J\' -~;:8t :' ,," '< ' ~. '_;,"~ ~~;:,S .;; _._ d
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 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.
A V 1ft W-l'<'\ ~A..I
5~'>"'-t''' F. ,..
-::P~
f~/l1
Owner or Contractor Signature
. ~-\v..r..r
71~"O"'" ~(
Date
Springfield Building Permit
6/6/2011 12:02:38PM
Page 3 of3
To:5417263689
P.2/8
MRY-19-2Q11 14:36 From:COMFORT FLOW HERTING 15419889954
Mechanical Permit Application
>
:' CITY OF SPRl;\GFIEUl, OIU:GON
225 Firth Stll;Cl . Spri'li,fickl, OR 97477 . PH(541)72(,.]75J . FAX(541)726-Jo89
~~
DEPARTMENT USE ONLY
remli!no.: S/f~ / z6 7
Dale:
This permit is issued under OAR 918-440-00S0. Permit!' expire if work is not started within 180 days of issuance or if work is
suspended Cor 180 days.
CATEGORY OF CONSTRUCTI9N
o Residential
o Government
Commert:il:il
JOB SITE INFORMATION AND LOCATION
D
E-mail:
This installAtion is being made on propel1Y OU'11cd by me or j]
member of my immediate family, Illld is exempt fl'Oln licensing
r~quin::rnc:nts lmdc,[ ORS 701.010. I <1
Slgnalure: ~ f<lel "1/"1 1
CONTRACTOR INSTALLATION
Print name:
SignlHure;
440-2545-.1 1II/O.'-lICOM,
FEE SCHeDULE
Residential Qty, Con ''fotal
ea. Cl),t
First AlmJjallce I $79.00 $
~lI"'nli(:,~lburntr induding duds .and vents
Up to lOOk BTU/hr. I SH.OO S
Over lOOk BTU/h,. S20.00 S
Heo.terl'/stove8/vents
Unit healer $17.00 $
Wood/pellel1gas ~love/llue $38.00 $
RcptLir/alttr/add III healing nflrliaucei
reli'ij;eta.lion unit or cMling systeml $58.00 $
absorption system
Evap:lraled cCloJer S13.00 $
Vent fun with on/;: dI,lCl/upplilmr,;l;: vent $9_00 $
Hood Wilh tXhaU51 l'lod duct 513.00 I
Floor furnace inc.luding vent 558_00 S
Gas plphlR
One tt) jour outleLs. T .1 $7.001 $
Additional outlets (eLlch) r $&_00 I 5
Air.handling units, including ducts
Up j" 10.000 eFM I 511,00 I $
Over] 0,000 CFM I 520.00 I $
Comnrcssor/absorDtion svstcm/heat~mD
UplO J hpIJOOkBTU $17.00 5
Up (0 J 5 Itp/500k BTU $29.00 S
Up t" JOhp/I,OOO BTU $&3.00 $
Ufllu 501'1"-'/1,750 BTU $57,00 $
Over 50 hp/l ,750 BTU $95.00 $
IncinentCon
lJomeslk incinerator I $20.00 I 5
Commercial
EnltT total v3luCI(ion of ~l:'t~(CJll
ant..! imaallution l,:()~U; S
Enter fee based 011 valuation of mechanical s)'slem, etc. 5
Miscellaneous fees Ilt;:m~ Cost 'focal
ea, ~I))\r
Reinspection $'8.00 $
Spcl-j;.llly roq\lcstcd inspections (pcr'hr.) $'..00 $
RcgullUcd cqujpmcl1t (uncJas:scd) $13.00 $
Eat-h additiomtl inspection: (l) $56_00 $
APPLICANT USE
(A) Entet SubUllal orahove feel> (nr enter ~el <687\
minimum fcc of $ n..2Q) $
(8) Invc~tig~tive feel (~uall(l [A]) $
(e) Bntcr 12% !1.UrChal'Sl; (.12 11'. lA+RJ) $ If')~
(D) Stismic fcc, 1% (.OJ x [AD $
(E) Technology Fee (5% l)r [AD $ II \.f4
TOTAL fees and surcharges (A lhr'ough E): $
$JD5 81.{
---
SPi:~::;~
' ~
OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-5PR2011-01267
3660 GA TEWA Y 5T
permitcenter@ci.springfield,or.us
RECEIPT NO: 2011001451 RECORD NO: 811-SPR2011-01267 DATE: 06/06/2011
iDESCRI~tION .*' .:";ri.?.2~-~~;;.?;J<'_;, ''F;:';;;';ft- 0' ,- 'AccouNj~e.6DE.;:;,~ ,- '. ""'AMOUNTjDUL':
Mechanical Permit fee (based on value of wo~I1...,__ 224-00000-425604 68.75
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 10.65
Technology fee (5% of permit total) 100-00000-425605 4.44
TOTAL DUE: 103.84
[J~AYMEI'{fj:x"-,,,,:t~:!~FiAiclR;"'CAiH.IER:'!<~9.Yi~?!io'i5i:ii?''f~i'~",i.c_9MMlfiT:S""~';i:.\:;;;..; .0 0: ;'t\IVIOONJ PAID. ~I
Credit Card melany noel 103.84
085724
TOTAL PAID:
103.84