HomeMy WebLinkAboutPermit Mechanical 2011-7-7
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~OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01694
IVR Number: 811177206675
www.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
07/07/2011
ISSUED:
APPLIED:
07/07/2011
07/07/2011
EXPIRES:
VALUE:
01/02/2012
$0,00
SITE ADDRESS: 1369 B ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703362313700
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Completion of previous mechanical installation - see COM2009-00706
Phone Number:
OWNER:
ADDRESS:
CHURCH OF SPRINGFIELD
1369 B ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION I
Contractor Type
Mechanical Contractor
Contractor Name
COMFORT FLOW HEATING CO
Lie Type
CCB
BUILDING INFORMATION I
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Lie No
460
Lie Exp
06/27/2013
Phone
541-726-0100
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Fl Other: 0
. Occupancy Load:
Electrical Specialty Code Edition:
Springfield Fire Code Edition: ATTENTION. 0
I . regon law req ,
Mechanical Specialty Code Edition: allow rules adopted by th VIres you to
Municipal I Development Code: NOlllication Center, Thos e,OI egon Utility
In OM 952-001 0 e ru es are set lorth
Plumbing Specialty Code Edition: 0000 v - 010 through OAR 952001
' . rOU may obtain c . -.
Residential Specialty Code Edition: calling the c t oples of the rules by
en er, (Note' the t J
Structural Specialty Code Edition: number lor the Oreg U '. . e ephone
_ . on tlldll ^jrlt;I;......~~,
I . """'~r IS HJOO-332-2.344), --"v,"
Site Information I
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
71712011 2:37:15PM
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
MY 180 DAY PERIOD.
Page 1 of 3
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SP~li.NG _..FIEL~
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~;"'\'- ~_I'
. ~- \:'. 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-SPR2011-01694
IVR Number: 811177206675
, permitcenler@cLspringfield.OLUS
PROJECT STATUS:
STATUS DATE:
Issued
07/07/2011
ISSUED:
APPLIED:
07/07/2011
07/07/2011
EXPIRES:
VALUE:
01/02/2012
$0.00
SITE ADDRESS: 1369 B ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703362313700
PROJECT DESCRIPTION:
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Completion of previous mechanical installation ~ see COM2009-00706
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
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
~
Description
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
,
Descriotion
State of Oregon Surcharg.<:J12% of applicable fees)
~~_a~ni~~!!T1it fee (I:ased ~~e_?!~orkL._~__ _~
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$9.48
$79.00
$3.95
$92.43
Date Paid
0710712011
07/07/2011
----07107/2011
Reciot #
2011001918
2011001918
2011001918
Springfield Building Permit
7mZ011 2:37:15PM
Page 2 of3
SP~~ING.~E~
~~
~OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01694
IVR Number: 811171206675
www.ci.springfield.or.us
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:
APPLIED:
07/07/2011
07/07/2011
Issued
07/07/2011
EXPIRES:
VALUE:
01/02/2012
$0.00
SITE ADDRESS: 1369 B ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703362313700
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Completion of previous mechanical installation - see COM2009-00706
Plan Review
~
Deoartment
Application Acceptance
Received Due Date Comoleted
0710712011 07/07/2011 07/07/2011
Result
Over the Counter
Mechanical Review 07/07/2011 07/07/2011
Comments: Over the counter permit
~lritial.'ReV,ie.~. < :~;::J-~~r>J;~~i~!F{tR~.L ~,;g1~,q~j\~?'1f
!' .'Comrflents: '9ver(th~'counter.'p"ermit~. ,_ ',C"~ ;'jd,;;;, "
07/07/2011
Not Required
Reviewer
Chris Carpenter
Chris Carpenter
) ~
"9ver,the;,Counferf~ ",.c ,~'Chris'Carpenter
, .. ';:~,_'~~~',:~,,~&:::~~~B;k~/0 ~"":<i .... ~:v: 4;
. 07/07/20tt'
.."c.",
INSPECTIONS REQUIRED ~
Inspections
2999 Final Mechanical
Final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
2300 Rough Mechanical
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 struction.
1/' III
Date
Springfield Building Permit
7flf2011 2:37:15PM
Page 3 of 3
Mechanical Permit Application
225 Fifth Street. Springfield. OR 97477. PH(541)726-3753 . FAX(541)726-3689
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This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
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o Residential 0 Government .Commercial
~f!T(??:j()B"~if:E"1 f'iF9.RNtAill[()N'iAND;i~QG.i(t1()N"iK~' F;:!
Job site address:
"
City: .
ReferenJe:
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Name:
Print name;
Signature:
-----.
440-2545-J (I II08/COM)
FEE SCHEDULE . .'
~,~~,~j~'#f>e~~!~'~I0;~:I_\;tt(~ft!;1'(':';(~;~;l~~?;1 '" .9~: ",_ Cost I!:" :.,,;,T?ts_I,/,,
,.,',;.: ,-,.,. ',-,' ~'.
'~"'-:.:";; ea.-.'''''~-'~' ~,",:,,~,cost "~.~
First Annliance I { $79.00 $ 7~
urnace/burner including ducts and vents
Up to lOOk BTU/hr. $17.00 $
Over lOOk BTU/hr. $20.00 $
Heaters/stoves/vents
Unit heater $17.00 $
Wood/pelleVgas stove/flue $38.00 $
Repair/alter/add to heating appliance/
refrigeration unit or cooling system! $58.00 $
absorption system
Evaporated cooler $13.00 $
Vent fan with one duct/appliance vent $9.00 $
Hood with exhaust and duct $13.00 $
Floor furnace including vent $58.00 $
Gas piping
One to four outlets $7.00 $
Additional outlets (each) $4.00 $
Air-handling units, including ducts
Up to 10,000 CFM I I $11.00 I $
Over 10.000 CFM I I $20.00 I $
Co m nressor/a bsorvtion svstem/heat Dumo
Up to 3 hp/IOOk BTU $17.00 $
Up to 15 hp/500k BTU $29.00 $
Up to 30 hp/1,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 $
~C'omm-e-fClal~~::f).~.~;;r~?;';~t;~;~0;?;"f~:,:;;~~~';~:1::";~;{"~~~L':'l:'?C~p;~;FrTt~~~p::;'1;:~'~J'
Enter total valuation of mechanical system
and installation costs $
Enter fee based on valuation of mechanical system, etc. $
f~).#R~IT~~,~~~~".-f~~~~t1l~:;:!;-~\[-i;l:~;':~~ri;{~ it~ffi~ -~:t?~~~~~~,;~ ;':~~'~~~1~,.:;-t;:
'. "; ~:.'.'-: .t
Reinspection $58.00 $
Specially requested inspections (per hr.) $58.00 $
Regulated equipment (un classed) $13.00 $
Each additional inspection: (1) $58.00 $
\m~~~~!~~~~1Ulf~%1;if?~~j~,giErC'~N~*WS-E~~"~~T~~~~~~*l;
(A) Enter subtotal of above fees (or enter set '7 (
minimum fee of $ 79.00) $
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (12 x [A+B]) $ q IfJ.-
(D) Seismic .fee. 1% (.01 x [A]) $
(E) Technology Fee (5% of [A]) $ "> "t:-
TOTAL fees and surcharges (A through E): $q].;L/:~
s~&~~. FIE~
~~
~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726~3753
www.ci.springfield.or.us
,
811-SPR2011-01694
1369 B ST
pe rmitce nter@ci.springfield.or.us
RECEIPT NO: 2011001918 RECORD NO: 811-SPR2011-01694 DATE: 07/07/2011
tOESCRIe:TIQN:;:'/;!"Cj ,.. -~.,:2__;, '" ....;..,. AC~C;,O.l.JNJ~COOE ";:<::AMQUNfjjUE]
Mechanical Permit fee (based on value of work) 224-00000-425604 79.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 9.48
Technology fee (5% of permit total) 100-00000-425605 3.95
TOTAL DUE: 92.43
!;"PAYMENUYPE:, ',pji,"V:QR'.1!.;:?j"CASHIER,'il:CARF:ENTER '.COMME-NTS; .'.. ";Y~'~:').MOUNf;PAIQ:;J.!ij2!.i;
Credit Card COMFORT FLOW HEATING CO $92.43
031440
TOTAL PAID:
$92.43