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Home My WebLink AboutPermit Mechanical 2006-4-6 (2) -- .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00410 ISSUED: 04/06/2006 APPLIED: 04/06/2006 EXPIRES: 10/06/2006 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 42 ASSESSOR'S PARCEL NO.: 1703154003100 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace electric furnace Owner: RUSSELL PAINTER Address: 3530 GAME FARM RD #42 SPRINGFIELD OR 97477 Phone Number: 541-726-8203 Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor License ASSOCIA TED HEATING & AIR CONDITIO 106275 Expiration Date 08/31/2006 Phone 541-683-2590 VN BUlLDlNG'INFORMA'fIONIN req . '. .. ~,~., ctUUpted b Ulres you to NGt'f,~"t'~ C Y the Oregor I'.... .# of StorieS: enter Those I UotJSize: I" l If.' f..J 0........, ^ . ru es are r .j. - . (Heigbt of'Strtfctur~ 1 0 throu h 'Sq Ftrl&t Floor: "Il', , v 9 OAR9-~ Typeof-Heat:,y obtain co . Sq-Ftl~Dd Floor: ~....t'~'f1'fype: center. (N t.es of the nSq:F!J~asement: Ranget'Fy'pe:the Ore ono ~'. the telepls,ql!lt Garage/Carport Energy e~\I).:iJr is 1-8~ t1lity Notifict!9c.'H Other: Sprinkled Building: 0-332-n/M4). Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMlhlHili;MliXI:Sll EXPIRE IF THE WORK AUTHOFlIZED UNDER Tl'i~"'t!Rmypd5 NOT COMMENCED OR IS AlblAVriQr-Jilltif.1i1ns: ANY 180 DAY PERIOD. Notes: I Valuation DescriDtion I Descriptio"n Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fl'l'o tlWLI Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.60 $12.00 $33.00 4/6/06 4/6/06 4/6/06 4/6/06 4/6/06 Total Amount ~aid $63.10 I Plan Reviews I . CITY OF ~rKH"\.J'''lJ'.,LD' Building/Combination Permit PERMIT NO: COM2006-00410 ISSUED: 04/06/2006 APPLIED: 04/06/2006 EXPIRES: 10/06/2006 VALUE: Receipt Number 1200600000000000424 1200600000000000424 1200600000000000424 1200600000000000424 1200600000000000424 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. ~rl'rl Tn.~ 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. ~O( :., (?~aK:;- 4 - (; - 0 J Owner or Contractors Signature Paee 2 of2 Date 225 Fifth Street Sprhi'gfiel~, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2006-00410 COM2006-00410 COM2006-00410 COM2006-00410 COM2006-00410 Payments: Type of Payment Check 4/6/2006 RECEIPT #: _.~'IIQFIIILD.........",' ..... 1&:. ... \, \ ," ,; .. .- ~:'4' . """, - - JiilY of Springfield Official Receipt "elopment Services Department Public Works Department 1200600000000000424 Date: 04/06/2006 Description + 8% State Surcharge + 1 0% Administrative Fee Furnace - up to 1 00,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By ASSOCIATED HEATING Item Total: t::heck Number Authorization Received By Batch Number Number How Received djb 14463 In Person Payment Total: Page I of I 2:32:48PM Amount Due 3,60 4,50 12,00 33,00 10,00 $63.10 Amount Paid $63,10 $63.10 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00410 COM2006-00410 COM2006-00410 COM2006-00410 COM2006-00410 Payments: Type of Payment Check 4/6/2006 RECEIPT #: e ~iiiii""--'!',~" " .... Wit ... . . . . , . "".... .~. -"." "..., - , eof Springfield Officiall1-e~~il?! Development Services Department Public Works Department 1200600000000000424 Date: 04/06/2006 Description + 8% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By ASSOCIATED HEATING Item Total: l.:heck Number Authorization Received By Batch Number Number How Received djb 14463 In Person Payment Total: Page I of I 2:32:48PM Amount Due 3.60 4,50 12.00 33,00 10.00 $63.10 Amount Paid $63.10 $63.10