HomeMy WebLinkAboutPermit Mechanical 2005-1-18
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00057
ISSUED: 01118/2005
APPLIED: 01118/2005
EXPIRES: 07/18/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR 'OO/83d A\!O 0
541-726-3753 Phone ijO:l mNOON\!8\! SI 9 l AN\!
541-726-3676 Fa. ION Sf IlVV83d SIH 80 03JN3VVVVOJ
541-726-3769 Insp~ti9Ii'1-.!\tFl :II :JUldX; 830Nn mZl80Hln\!
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SITE ADDRESS: 3530 GAME FARM RD SPACE'S ,JI.L SWlingfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1703154003100
-
PROJECT DESCRIPTION: Replace electric furnace
TYPE OF USE: Repair
Residential
Owner: HALLIE MARKHAM
Address: 3530 GAME FARM RD #5
SPRINGF'l(.t,p"",?~~/ . ~Qe-' ~ ._
8110 ci" "~uun 1JOf!.<>. __-.w..-.)
~q se/~ :/9191fl :910NJI .c.bN1~R'oLNFORMATION I
.JOO-~ 4Ho S9!doo Ute ' -~ ~~j ~U!IIeo
Contractor TYPQRJOJ ll.~ljllnOJI./I 0::, A'elt/ no), '09!1fl License
Mechanical hI/lie+- .~~1AIiI!Eftm:t\T,l~~~-~6m;>~v.lTIO 106275
01 no,{ S9~~t;;;ql Aq PEJIC8HiiDiN&~NFrniMA TION I
MeJ uof5;/fo . ,",fJ/
.?tiilWNii1eilt
R-3 Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone Numher: 541-741-2820
Expiration Date
08/31/2005
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
, DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I 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:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e I of2
.
. CITY OF :srK11'\juFIELD
Building/Combination Permit
PERMIT NO: COM2005-00057
ISSUED: 01/18/2005
APPLIED: 01/18/2005
EXPIRES: 07/18/2005
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
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
1118/05
1118/05
1118/05
1118/05
1118/05
3200500000000000020
3200500000000000020
3200500000000000020
3200500000000000020
3200500000000000020
Total Amount Paid
$62.65
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.
I Reouired Ins~
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 applicatiou and do hereby certify that all
information hereon is true and correct, and I further certify tbat any and aU 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.
~Jok;c ,
ownerl! Contractors Signature
1-(8~~
Date
Paee 2 of2
541-726-3759 Phone
.
J'
Job/Journal Nnmber
COM2005-00057
COM2005-00057
COM2005-00057
COM2005-00057
COM2005-00057
Payments:
Type of Payment
Check
1/18/2005
~.~
RECEIPT'
Public Works Department
-Date: 01/18/2005 IO:35:42AM
3200500000000000020
Deserlptlon
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 12520 In Person
Payment Total:
Page I of 1
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amouut Paid
$62.65
$62.65