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Home My WebLink AboutPermit Mechanical 2006-5-12 (2) .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00524 ISSUED: 05/12/2006 APPLIED: 05/04/2006 EXPIRES: 11112/2006 VALUE: . Status Issued 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 20 ASSESSOR'S PARCEL NO.: 1703154003100 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Replace electric furnace TYPE OF USE: Repair Residential Total: HandicaP.mCi~ CODjPa'i:i:i,v~\j'\ \~ \\'~ \S , yjS~'X~~~\ ~\j~ I PUBLIC IMPROVEMENTS I ~. ~ S"~~~~ \ ~~~~v' ...\~ -~,,\ ,\~ ,"" ~ ~\;) \ ~~i(J.et~lk \S~pe:\j\)' ,\\S c;0\: (.1:'1 <~ '\': \,\\\Do"(~spo!{t~lDrains: ~,,~\:t-.'o:,; \)~ . (,10 '" \ 'O~ ~\\ Owner: BEATRICE SPLICHAL Address: 3530 GAME FARM RD SPACE 020 SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INfORMATION I ~ \<I\\)~ - \O'-\'~ ~') Contractor ,,'61, ': <11)..\ \~\. ,)\'Ei~~!Ise ASSOCIATED HEA T~,~~&ClM.R\'<3(n~DlTl.Q\d062,?~\I\ '\'i'.~BuiLDING INFORM'ATION','iP: \\'6')\\\" 2\ 2'-" \60~ I,\JIJ' 2') ,,- 1-1-0\\0 \10 : '01)..62~." $#c.cif. St.or;i,2 .\2\\1 ~ -;2\(\\ ~\..., \.,.'<l t"\.v ~I..\\"' .,n\' ,.,\. \('\0'1:,> ).\~? R-3 ~~\(\\ ",~(!leight,-of.StrnJture .~\O\ l(\'OQ\ u'\l n$. ......\) O,\~ I'''' ."S'O \'6Tfpe ~!'i!-leat:oX'l<l\ VN,(J\J \,<lS <I ,Wafer T~pe~ o 1I 0\)..... ""'?\ 1)..\' t'\ \I Range'Type: P\\'\ ' C<)--, :\. . (\01- Energy Path: 0\ Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee I of2 Phone Number: 541-746-8108 Expiration Date 08/3112006 Phone 541-683-2590 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated -iik- III I . .11 l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00524 ISSUED: 05/12/2006 APPLIED: 05/04/2006 EXPIRES: 11/12/2006 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 Fl'l's P,~id I $10.00 $4.50 $3.60 $12.00 $33.00 5/12/06 5112106 5112/06 5/12/06 5112106 Receipt Number 1200600000000000644 1200600000000000644 1200600000000000644 1200600000000000644 1200600000000000644 Fee Description .....Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Furnace - up to 100,000 btu MinimumlAdjustment Mechanical Amount Paid Date Paid Total Amount Paid $63.10 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 11\~\n~rl'flln'ir'\r~l;jons 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 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. ~;~ &.UU Cf t--I-z,~ I. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street .. . Springfield, Oregon 97477 541-726-3759 Phone .Iif~ Ci~f Springfield Official Receipt D.pment Services Department Public Works Department Job/Journal Number COM2006-00524 COM2006-00524 COM2006-00524 COM2006-00524 COM2006-00524 Payments: Type of Payment Check cReceinl1 RECEIPT #: 1200600000000000644 Date: 05/12/2006 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: Check Number Authorization Received By Batch Number Number How Received djb 14608 In Person Payment Total: Page 1 of 1 1l:51:33AM Amount Due 3,60 4.50 12,00 33.00 10.00 $63.10 Amount Paid $63,10 $63.10 5/12/2006