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HomeMy WebLinkAboutPermit Mechanical 2006-2-1 (2) '~~~... IIIr:JIL~ ' ~ ~ ~ : - -~'-'.'~.~-~- '---' - ',. -' . . CITY OF "'rK11~GFIELD Building/Combination Permit PERMIT NO: COM2006-0011I ISSUED: 02/0112006 APPLIED: 01130/2006 EXPIRES: 08/0112006 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 64 . ASSESSOR'S PARCEL NO.: 1703154003100 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential ;, PROJECT DESCRIPTION: Replace heat pump and air handler ~. m' :: Orer;on iaw requires you to .. . - Owner: Address: CHARLES GRISWOLD 3530 GAME FARM RD SP 64 SPRINGFIELD OR 97477 " ., .....--I.................y <1,,-, ......,...~v" .....1I11..y t'\h ,~atlun Center, T!\!!~'!.el\'!,~~~~[:sJ1~~i'1~4-7801 in OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies of the rules bv call1no the center. (Note: IIle telephone I CONTRACTOR INF0RM1\'flONtll, Oregon Utility Notification Center is 1-800-332-2344). Contractor License Expiration Date ASSOCIATED HEATING & AIR CONDITIO 106275 08/3112006 Phone 541-683-2590 , - Contractor Type Mechanical I BlJILDlNG INFORMATION I . # of Units: i' Primary Occupancy Group: Secondary Occupancy Group: : Primary Construction Type . Secondary Construction Type: . # of Bedrooms: VN # of Stories: Lot Size: Height ofStrill;ture PIRE IFSfHttWlJFt\Sor: Type ofl!e!'t~F\M\1 SHAll ~H\S PEI1.\fl\~IEToor: Water ~~~fjR\IEO UNOER ~sement: RangfT~p,~~:\ENCEO OR IS ABANOO q t Garage/Carport Energy\Potlj;;-':' 011.'( PERIOD. Sq Ft Other: Sprinki~lIIB\li'/ding: nla Occupant Load: 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: I PUBLIC IMrKu~ EMENTS I . Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e I of2 . . Lll r OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-0011l ISSUED: 02/01/2006 APPLIED: 01/30/2006 EXPIRES: 08/01/2006 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 ~~ Paid" Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.60 $8.00 $12.00 $25.00 211106 211106 211106 2/1106 2/1/06 211106 Receipt Number 3200600000000000046 3200600000000000046 3200600000000000046 3200600000000000046 3200600000000000046 3200600000000000046 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. IRl'olJi~ 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 Informatinn 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 wlll 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 wlll 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 wlll remain on the site at all times during construction. ~~J~ z- (.4(. ownet Contractors Signature Date Paee 2 of2 -225 Fifth Street t.,.. { Springfield, Oregon 97477 5~1-726-3759 Phone Job/Journal Number COM2006-00 III COM2006-00 III COM2006-00 III COM2006-00 III COM2006-00111 COM2006-00111 Payments: Type of Payment Cjeck " " ( ~\ . :' :c I :.~ ,. " :i, t: ..' :. :c ) 'I '! ? 2/1/2006 . ~aD~ RECEIPT #: 3200600000000000046 Description + 8% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By Received By ASSOCIATED HEATING, INC. njm Page I of I ar of Springfield Official Receipt .elopment Services Department Public Works Department Date: 0210112006 Item Total: Check Number Authorization Batcb Number Number How Received 14175 In Person Payment Total: 10:48:46AM Amount Due 3.60 4.50 8.00 12,00 25.00 10.00 $63.10 Amount Paid $63.10 $63.10