HomeMy WebLinkAboutPermit Mechanical 2006-2-1
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. CITY OF "'rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2006-00111
ISSUED: 02/0112006
APPLIED: 01130/2006
EXPIRES: 08/0112006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. SITE ADDRESS: 3530 GAME FARM RD SPACE 64
, ASSESSOR'S PARCEL NO.: 1703154003100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
;, PROJECT DESCRIPTION: Replace heat pump and air handler
~' m' :: Orer;on law requires you to
.. . -
Owner:
Address:
CHARLES GRISWOLD
3530 GAME FARM RD SP 64
SPRINGFIELD OR 97477
" ., .....--I.................y <1,,-, ......,...~v" .....1I11..y
t'\h ,~atlun Center, T!\!!~'!.el\'!,~~~~[:sJ1~~i'1~4-7801
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules bv
Callinq the center, (Note: IIle telephone
I CONTRACTOR INF0RM1\'fIONtll, Oregon Utility Notification
Center is 1-800-332-2344).
Contractor License Expiration Date
ASSOCIATED HEATING & AIR CONDITIO 106275 08/31/2006
Phone
541-683-2590
,
- Contractor Type
Mechanical
I BIJILDING INFORMATION I
. # of Units:
i' Primary Occupancy Group:
Secondary Occupancy Group:
: Primary Construction Type
. Secondary Construction Type:
. # of Bedrooms:
VN
# of Stories: Lot Size:
Height ofStrill;ture PIRE IFSfHttWlJFtlSor:
Type ofl!e!'t~F\M\1 SHAll ~H\S PEI1.\fl\~I)"foor:
Water ~~~fjR\IEO UNOER ~sement:
RangfT~p,~~:\ENCEO OR IS ABANOO q t Garage/Carport
Energy\Potlj;;-':' 011.'( PERIOD. Sq Ft Other:
Sprinki~lIIB\li'/ding: nla Occupant Load:
R-3
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay nist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMrKu~ EMENTS I
. Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
. Lll r OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00111
ISSUED: 02/01/2006
APPLIED: 01/30/2006
EXPIRES: 08/01/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~~ Paid"
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 8% Slate Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
S10.00
S4.50
S3.60
S8.00
S12.00
S25.00
2/1106
2/1106
2/1106
2/1106
2/1/06
2/1106
Receipt Numher
3200600000000000046
3200600000000000046
3200600000000000046
3200600000000000046
3200600000000000046
3200600000000000046
Total Amount Paid
S63.10
I Plan Reviews I
. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
IRpolJi~
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.
~~J~
20- (.4(.
owne! Contractors Signature
Date
Pa!!e 2 of2
,225 Fifth Street
t.,.. {
Springfield, Oregon 97477
5~1-726-3759 Phone
Job/Journal Number
COM2006-00 III
COM2006-00 III
COM2006-00 III
COM2006-00 III
COM2006-00111
COM2006-00111
Payments:
Type of Payment
Cjeck
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2/1/2006
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RECEIPT #:
3200600000000000046
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By Received By
ASSOCIATED HEATING, INC. njm
Page I of I
ar of Springfield Official Receipt
.elopment Services Department
Public Works Department
Date: 02101/2006
Item Total:
Check Number Authorization
Batcb Number Number How Received
14175 In Person
Payment Total:
10:48:46AM
Amount Due
3.60
4.50
8.00
12,00
25.00
10.00
$63.10
Amount Paid
$63.10
$63.10