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Home My WebLink AboutPermit Mechanical 2004-8-20 -e . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-01040 ISSUED: 08/20/2004 APPLIED: 08/20/2004 EXPIRES: 02/20/2005 VALUE: 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1l \J" SITE ADDRESS: 3530 GAME FARM RD SPACE PI Springfield ASSESSOR'S PARCEL NO.: 1703154003100 TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace air handler and heat pump Owner: EUSTACHY RAYMOND & ROBBI Address: 3530 E GAME FARM RD SPACE 017 SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/31/2004 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # 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: R-3 nla I DEVEI..f.WM~!1,'IOINFORMATION I , ~TTENTlON: Ol"gon b;'the Oregon Utility Front yard Sethack:Jol\ollf ru\8Il ado~OS8 ru\eli>f~llijliJRi!h Side I Setback: NotIfk:8\IOI1 een:10 through f!J~tieep~Q~ kqd: Side 2 Setback: In OAR 952.()01 CO ies d'a.YI\d 1Illi'Veltt'qd: Rearyard Setback:0090. You may obtaln(NO~e: thlt{,,;efdr<Ouc;overage: Solar Setbacks: calling the eenter. Utility Notification 1_ - ...~ n,A(\on puI....... cOOter La 1-80~iFfAA'PROVEMENTS I Street Improvements: Sidewalk Type: REQUIRED PARKING Total: Handicapped: Compact: Storm Sewer Available: Special Instruction: Downspoutsillrains: Notes: Description Type of Construction " -7["'" ~-... ~_. EXPIRE If IHI: WUI1I\ I Valuation Des1:\WtP~I~\DT SU~~~~ THIS PERMIT IS NOT AU I nUllOl.. NED FOR $ Per Sq Ft C~m!tIl<\'JtPDtJ.JI}R IS ABANDO or multiplier AI~y'~~I\lERIOD. Value Date Calculated Total Value of Project Paeelof2 . . CITY OF ~r1<Jl~l.NJ!,LD Status Issued Building/Combination Permit PERMIT NO: COM2004-0I040 ISSUED: 08/20/2004 APPLIED: 08/20/2004 EXPIRES: 02/20/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , FI'I''' P~idl Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment 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 1200400000000001240 1200400000000001240 1200400000000001240 1200400000000001240 1200400000000001240 1200400000000001240 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 Insnl'dions 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 sball he 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 he 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 tbis project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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. '6^ ~ ;;:f:. . r;h%<.f Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Spripgfield, Oregon 97477 541-726-3759 Phone . a~ 1Ii:-- .ty of Springfield Official Receipt Wbvelopment Services Department Public Works Department Job/Journal Number COM2004-01040 COM2004-01040 COM2004-0 1040 COM2004-0 I 040 COM2004-0 1040 COM2004-01040 Payments: Type of Payment Check 8/20/2004 RECEIPT #: 1200400000000001240 Date: 08/20/2004 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump 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 1 11:11:I6AM Amount Due 3.15 4,50 8,00 12,00 25,00 10,00 $62.65 Amount Paid $62.65 $62.65