HomeMy WebLinkAboutPermit Mechanical 2011-6-24
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01425
IVR Number: 811155547797
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
06/24/2011
06/14f2011
155 ued
06/24/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
EXPIRES:
VALUE:
12/20/2011
$0.00
SITE ADDRESS: 2260 MARCOLA RD, Springfield, OR 97477
AssEsOR'S PARCEL NO: 1703251301700
SCOPE: Mechanical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Install mini split system
Phone Number:
OWNER:
ADDRESS:
PEACEHEAL TH
PO BOX 1479
EUGENE OR 97440
CONTRACTOR INFORMATION ~
Contractor Type
Mechanical Contractor
Contractor Name
COMFORT FLOW HEATING CO
Lie Type
CCB
# of Units:
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
.Range Type:
Hazmat:
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
460
Lic Exp
06/27/2013
Phone
541-726.0100
Lot Size:
sq Ft 1 st Floor:
sq Ft 2nd Floor:
sq Ft Basement:
sq FI Garage:
sq FI Carport:
sq Ft Other: 0
Occupancy Load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazijfijl\!':<l't'rION: Oregon law requires you to
Retainingf~Il!IN rules adopted by the Oregon Utility
Soils ReNlJli!l@g!ilim!Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notitication
Center is 1-800-332-2344).
NOTICE:, ..'
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT'
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
6f24f2011 9:18:52AM
Page 1 of 3
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~OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01425
IVR Number: 811155547797
225 Fifth SI
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
ISSUED:
APPLIED:
06/24/2011
06/14/2011
EXPIRES:
VALUE:
12/20/2011
$0.00
06/24/2011
SITE ADDRESS: 2260 MARCOlA RD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703251301700
SCOPE: Mechanical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Install mini split system
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
~
Descrietion
Tvpe 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
$11.82
$98.50
$4.93
$115.25
Date Paid
06/24/2011
06/24/2011
06/24/2011
Reciot #
2011001762
2011001762
.'0'__'_"__
2011001762
Springfield Building Permit
6124/2011 9:18:52AM
Page 2 of 3
..
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01425
IVR Number: 811155547797
225 Fifth SI
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
06/24/2011
ISSUED:
APPLIED:
06/24/2011
06/14/2011
EXPIRES:
VALUE:
12/20/2011
$0.00
SITE ADDRESS: 2260 MARCOlA RD, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703251301700
SCOPE: Mechanical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Install mini split system
Plan Review
~
Department
Initial Review
Received
06/14/2011
Due Date
06/14/2011
CornDleted
06/14/2011
Result
Approved
Reviewer
David Bowlsby
Application Acceptance
06/14/2011
06/14/2011
Application Accepted
David Bowlshy
06/14/2011
Issued...,}-+"",
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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 aU times during
construction.
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Date / /
---:p4
Springfield Building Permit
6/24/2011 9:18:52AM
Page 3 of 3
JUN-10;2011 09:43 From:COMFORT FLOW HEATING 15419889954
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To:5417263689
P.2/8
Mechanical Permit Application
CITY OF SPRI~GFIEI.I), OnEGON
225 Fifth ~l.n:el , Springfield. OR 97471 . rm $41 )726-3753 . r AX(541)72(1-3689
~.ji
DEPARTMENT USE ONLY
PeJ"fni'no.:SlI-OI Z~
1-.'-1-2-'5
610'/1
Da. .
This pcrmi( is issltt.'.d under OAR 9]S~440M0050. rcrmhs e:<pir'e if work is not started wirhin 180 da)'li of issullnce or if work is
suspended ror 180 days.
CATEGORY OF CONSTRUCTION
o Residential EJ Govtrnmcnt Commercial
JOB SITE INFORMATION. AND LOCATION
Job si'e oddress: ",~D
City:
,
VI
This inSI.<lllation is being III de Oil property owne by me or a
member of my immediate family, and is exempr from licensing
requiremenb undcr'ORS 70l. 10. 14
Signalur" ~ ~
CONTRACTOR INSTALLATION
Print name;
Sigmllur~;
@;;;i)/lo/~t G, I/LW
44fl-254S-.I{lliOgIf'OM)
FEE SCHEOULE
Residential Qt).. Cos' Total
ea. cost
f'irsl Ar,n!iallce 579.00 $
F'u.-nBl>rJburneT jne,ludine dUelS and \'cnts
Up to lOOk llTU/hl', I S11.00 S
Over lOOk BTU/hr. 520.00 $
Heqtcrs!srovr;:s!venfs
Unit heater $17.00 $
Wood/]'X:lll;:llgllS Slovclf1uc $38.00 5
Rg)l.Iir/tlhcr/add to heating appliancel
refrigdlltiun unit or cooling syslcml $58.00 $
absorption sy,<;leTTI
EvaJX,nHet) wokr $13.00 $
Vcm fan with one duct/appWmce vent $9,00 $
Hood with exhaust and duel $13.00 $
Floor Furnace including vent $58.00 S
G8,;;Iping
Om: l(t rOUT out.lcts I $7.00 S
AdtliLillmil ~lutk,'ts (ctlch) I $4.00 $
Air-handHII~ units, includinR dUClS
Up to 10..000 CFM I $11.00 $
Over 10,000 CfM I I $20.00 $
CUrDoTessor/ab:mrlltion svstemfheat pump
Up '0 3 hpll DQk BTU $17.00 $
Up "> 15 hp/5DDk nTU $~9.00 $
Up tu 30 hp/l,DOO aTU $43.00 S
Up 10 SO hplJ,7$D ani $57.00 $
Ovor SO hp/J.750 BTU $95.00 $
Incinerators
f:>(Jme$tic incint'n11M I 520.00 I $
Commereial
Enler total vulualion ()r'~~h~~~1\tt:rn
and installation costs $
Enter lee b(.l~cd on vlll\.1l'ltion I,lfmt:l.:hnnic.al ~y~tc,"m, CIC. I
Miscellaneous fees Heou Cost Tollll
ca. cost
Rc;nspcction $58.00 $
S{'IeCially rOojul;:..,lcu in~pt:(:li(nls (per hr.) $58.00 $
Rcgulaled Ol.juipmcnl (undassoo) $13.0D $
Each addiliClnal in!iOpcclion: (I) $58.00 5
APPLICANT USE
(A) Enter subtoTal of above fees. (or enter set 7B~ ~
minimum fee <"f $. ~ $
(B) h)Ve~ligative Ii::c (rt.junl {fI rA)) $
{C)Entcr 12% :::urch:uRc (.12 x rA+Rl) $ 1/ 1$"
(D) SeiSrliic (ee,"I% (.01); lAD $
(E) Technology Fee (5% of LAj) $ LIT ~
TOTAL fees and sunhllJ'ees (A through E): $ II~
J) 1/
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www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2011-01425
2260 MARCOlA RO
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
541~726-3753
pe rmitcenter@ci.springfield.or,us
LPAYIVlENi:iYPE~' .~;. 'PA VOR ~ :CASHIER,;DSOVVESElY;;'; .
Credit Card melany noel
057272
RECEIPT NO: 2011001762 RECORD NO: 811-SPR2011-01425 DATE: 06/24/2011
lOESCRIP..TION' "if:,"; _.' 'i a, .'" ',;f~.c:(<;>-.,;-;'i,':';'i!:::'t ';Ac.c;e.i.iJiiflcScioE." .. -., . ',if;'" 'AiVlo.I.JN;CDUE .
Mechanical Permit fee (based on value of work) 224-00000-425604 98.50
State of Oregon Surcharge (12% of applicable fe~s) 821-00000-215004 11.82
Technology fee (5% of permit total) 100-00000-425605 _ ..___.. . 4.93
TOTAL DUE: 115.25
" J C6MMENTS:,:,~_>_,"-'A'.!/'AMOUNTPAfD-
..::J.:_.,,,-~~~~~,~__.
115.25
':I
,~ '2-J
TOTAL PAID:
115.25