HomeMy WebLinkAboutPermit Mechanical 2004-8-20
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CITY OF ~nuNGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-0I036
ISSUED: 08/20/2004
APPLIED: 08/20/2004
EXPIRES: 02120/2005
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 SPACE 1 Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1703154003100
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
O\\'ner: WEAGEL SHARON L
Alldress: 3530 GAME FARM RD #18 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
I BUILDING INFORMATION I
Expiration Date
08/31/2004
Phone
541-683-2590
# of Units: \ If,'of Stories:
Primary Oerupancy Group: R-3 1','" 'le~~~igh_t of Structure
Serondary Occupancy Group: ,<1',0.:;>\1 0'" ])pe ~f Heat:
Primary Cuu,truction Type l\ \~VNe 011',;',1', "'~!t.er Type:
Scrondary Cuustruction TY8~..l~0 0 '0'1 \'<;\ ,..:J0'" \>-~ SR~,~j:e'Type:
# of Bedruoms: ,O~. ~\0 ..'<;\0<;1', ",<;\0 \,<;\,Ener&y,Path:
~\"\' ~OO , 0'0),<, a' S ~'" kI d'B 'Id'
.A~\~ ~0<;" '1.1',1. ,,'\(\, \0'" \'i;' prm".e Ul 109:
b.~' . ..,\: .....0.'(\ ....4.\.1 ^O ,...0. ~',\\v
\a\\~~~~o~;()()V~~\~'" ~CI';DEV.E-LORMENT INFORMATION I
~a\~ \>-~~ ~~'1 l\\01. ,,0" 3~v
\ 0 -{au eOI', 0,0'<' Rj'':;
Front yard Scthark"9()' ,,\~ '\(\0 V'O\J Overlay Dist:
, \,)" ~\"'''' '01 \<;
SuiI'I Sclhark: C~ ';\)01' l\\01 # Street Trees Rqd:
Side 2 Sethark: ~u~ v0 Paved Drive Rqd:
Hearyard Set hack: % of Lot Coverage:
Solar Setharks:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Street Im)lrovements:
Storm Sewer Available:
Special Inslruction:
Total:
Handicapped:
CI'!1Inact:
~\)\'<t<
X. \~ \~t. \<;;' ~\J\
_"o\'?' _~~~\\ ..
I PUBLIC IMPRQ.YE~ENTS:I;\t>-\.\..:~~\<;;' ;C;~t.\) tV'"
"'V' c\'<".' ,\~\)t: ,9.tI.~
\,~\<;;, ?~",\1\'\) v a'" ~!dewalk Type:
t>-'0\~~t.~C,t.~i ?'t.'fl~tispoutslDrains:
c,a\t\ \ <o\) \)~
t>-~i
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
_SPRIOII:lF',,:: d'i!I---- ','
I*".~ I'
.),. .':
.
.
CITY OF ~nuNGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01036
ISSUED: 08/20/2004
APPLIED: 08/20/2004
EXPIRES: 02/20/2005
VALUE:
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone
541-726-367(, Fax
541-726-3709 Inspection Line
I Fees Paid I
Fl'l'l)cscrinlinll
-i\'lcchanil..'allssuancc Fee-
+ IOcYo Administrative Fee
+ 71~) Statl' Surcharge
Ail' Handling Unit Up to 10,000
lIeat PUl11p
i\linimum/t\djustmcnt Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
Receipt Number
1200400000000001244
1200400000000001244,
1200400000000001244
1200400000000001244
1200400000000001244
1200400000000001244
Tnlal Amount Paid
$62.65
I Plan Reviews ,
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.
, Reouired TnsDedion'!J
Rough ~[echanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
B)' signature, 1 state and agree, that I have carefully examined the eompleted application and do hereby certify that all
infnl'lnatinn hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordi"ances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
thai NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further ""I'I i f)' that only contractors and employees who are in complianee with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
slreet, thai 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 cnnstruction.
tj ~ tf2
-=-
Yht?!,<.(
-
OWller or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springlield, Oregon 97477
541-726-3759 Phone
.
"r~'A"'N,"O,~!:1~ ',"_ ...,
1Ir' ,
. ...
-.-. ,-.-- ,_. -- ~. ...:
.ty of Springfield Official Receipt
_evelopment Services Department
Public Works Department
Job/Journali\umhcr
COM2004-0 I 036
COM2004-0 I 036
COM2004-0 I 036
COM2004-0 I 036
COM2004-0 I 036
COM2004-0 I 036
Payments:
Type of Payment
Check
8/20/2004
RECEIPT #:
1200400000000001244
Date: 08/2012004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Air Handlirig Unit Up to 10,000
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HTG
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 11908 In Person
Payment Total:
Page I of I
11:20:37AM
Amount Due
3,15
4,50
12,00
8,00
25.00
10.00
$62.65
AmouDt Paid
$62.65
$62.65