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HomeMy WebLinkAboutPermit Mechanical 2004-8-20 .e . 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