The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2007-9-20 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01429 ISSUED: 09/20/2007 . APPLIED: 09120/2007 EXPIRES: 03/20/2008 VALUE: 225 Fifth Street, Springfield, OR. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3530 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703154003100 Springfield TYPE OF WORK: Heating System TYPE OF USE: Move Residential PROJECT DESCRiPTION: Replace HIP & A/H Owner: PATRICIAN HOMES LLC Address: 15500 STRONG RD DALLAS OR 97338 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/31/2008 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Description Type of Construction $ Per Sq Ft or multiplier Sidewalk Type: ATTENl)~,h~(Ul~~tli>>!f.equires you to foll.~w r~les adopted by the Oregon Utility ~otlflcatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- OO~_O',_~ou may obtain copies of the rules bv ...._II.,,~ 1I... ..gIlU~I. \f'lute; me telephone ' tion" mber for the Oregon Utility Notification Center is 1-800-332-2344). Square Footage or Bid Amount Value Date Calculated Notes~ ~T~ CE: THIS PERMIT SHALL EXPIRE IF THE WORK AU I MUlilLtLJ UI\lUtK J HJ~ l-'l:KIVIII .~ I'~\::: COMMENCED OR IS ABANDONED F aluation Descri ANY 180 DAY PERIOD. Page 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01429 ISSUED: 09/20/2007 APPLIED: 09/20/2007 EXPIRES: 03120/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $20,00 $5.00 $2,50 $4,00 $9.00 $14,00 $27,00 9120/07 9120/07 9120/07 9/20/07 9/20/07 9/20/07 9/20/07 Receipt Number 3200700000000000635 3200700000000000635 3200700000000000635 3200700000000000635 3200700000000000635 3200700000000000635 3200700000000000635 Total Amount Paid $81.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired Insoections I 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 of 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. Owner or Contractors Signature Date Pa2e 2 of 2 City o~ Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Receipt # EC517244 9/19/20073:57:54 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New construction [XJ Addition/alteration/replacement Qty. Ea. Total [X] i or 2 family dwelling o Multi-family o Accessory Building 1 Fumace- up to 100,000 BTU 1 Furnace - above 100,000 BTU I Electric Furnace I Duct alterations and additions I Gas heater units/ in-wall, in- duct, suspended, etc/ I Vent, flue, liner for above I Air Conditioner 1 Heat Pump Air Handler Job no.: 3239A IJob address: 3530 GAME FARM RD I City/State/ZIP: SPRINGFIELD, OR 97477-6008 I Suitelbldg.lapt.no.: SPC 74 I Project name: Cross street/directions to job site: II II $14001 $9001 $14.00 $9001 Water heater 1 Gas fireplace/insert/stove I Gas log/log lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace Chimney/linerlflue/vent w/o I Subdivision: I Tax map/parcel no.: 1703154003100 [Lot no.: Replace HIP & A/H Phone: (541) 736-4840 Email: IFax: Name: Garold Workman I Range hood 1 Clothes dryer exhaust Single-duct exhaust (bathrooms, toilet compartments, utility rooms) 1 Attic/crawlspace fans 1 CCB Iic. no.: 106275 I Business Name: ASSOCIATED HEATING & AIR CONDITIONI 1 Contact: Brandy Forsman 1 Address: PO BOX 412 1 City/State/ZIP: EUGENE, OR 97440 1 Phone: (541 )6832590 I Fax: (541)6070287 1 Email: associatedheating@gmaiLcom I Metro lie. no.: I City lie. no.: 1 upto first 4 outlets(enter Qty=l) each additional outlet Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. I I I I I · City Of Springfield $10 Issuance Fee Subtotal $23.00 Minimum fee used instead of Subtotal $50.00 I State Surcharge (8% of permit fee) $4.00 I City Of Springfield fees · $27.50 TOTAL PERMIT FEE $81.50 I 10% Local Admin Fee; 5% Local Technology Fee; NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. COM'd, erG { - Ol 4-'~ C1 RCPT #. 'S 2(sO/ ,- G ~S DATE PROCESSE~ q l ~ - en PROCESSED BY: ~ YJi/n~ ~ This Authorization To Begin Work must be posted at the JOo site urnll replac100y a t"'emlL V The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. 225 Fifth Street Springfield,.Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01429 COM2007-01429 COM2007-01429 COM2007-01429 COM2007-01429 COM2007-01429 COM2007-01429 Payments: Type of Payment RECEIPT #: 3200700000000000635 Date: 09/20/2007 Description Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Heat Pump Air Handling Unit Up to 10,000 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE CHGS ,ONLINE PERMIT CHGS NJM ONLINE ASSOCIAT Online ED cReceintl Payment Total: Page 1 of 1 7:54:18AM Amount Due 27.00 20.00 14.00 9.00 2.50 4.00 5.00 $81.50 Amount Paid $81.50 $81.50 9/20/2007