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Home My WebLink AboutPermit Mechanical 2006-2-8 (2) r I . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00139 ISSUED: 02/08/2006 APPLIED: 02/06/2006 EXPIRES: 08/08/2006 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Owner: .. Address: SITE ADDRESS: 3530 GAME FARM RD SPACE 55 Springfield TYPE OF WORK: Heating System , ASSESSOR'S PARCEL NO.: 1703154003100 :n-lE 'NQ~~ "'\C~E OF UiEt'/..?~tpllir 1 IS N01 Residential PROJECT DESCRIPTION: Replace heat pump and air handleNO \ tR\-JI\1 S\'I~\.: ,\'I\S ?t~\-JII 0\\ 1\'1\5 ?_n'~t:n.U~\)t'" 'l'^MnONr.O t f\~~~E~Ct\) 1)~~~Od:hone Number: 541-746-0571 C~~'i \80 OPo.'i P NICK GERETY 3530 GAME FARM RD SP 55 SPRINGFIELD OR 97477 '" Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 I. BUILDING INFORMATION I Expiration Date 08/31/2006 Phone 541-683-2590 VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport reS 'IOU 10 Sq Ft Other:\alN reC\UI on Ulill\\} , nreuu>' Ore9 .. h n/a'cl'l,\COceupaitt Load:\'1e re set lort, - b.:\ \ . _ ..,AnOleu.....} ....llpS a. _ n1'\1... I DEVELOPMENT INFORMATlON,.,:OIN ~~;cenle;< ~~~~;U9\"1 ~~:,,";es b\} ,w"I\C~ 952'00~ .0REQUlRED,PARKlNGne In Op.,,, oblal.. u~r . \lW lelel-'''~ . Overlay Dist: 0090 'IoU rna'l TotahC!Ole...1 ~\oti\icat\on . cefll'-"" \ \'\,\\ '/ \'" # Street Trees Rqd: call1n9 l\"Ie 1?~~"Jlic'-pped: 2344). Paved Drive Rqd: ~bel lor t\"l Com(lad:332' nU'" leI \~ ' - % of Lot Coverage: cen # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: # ofUnlts: Primary Occupancy Group: . Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 ;. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: , Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDralns: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated - Paee 1 ofl j . . CITY U.l' ~rlUNuN~LD Building/Combination Permit PERMIT NO: COM2006-00139 ISSUED: 02/08/2006 APPLIED: 02/06/2006 EXPIRES: 08/08/2006 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 FI'I'~P:!lW 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 510.00 $4.50 $3.60 $8.00 $12.00 $25.00 2/8/06 2/8106 2/8/06 2/8/06 2/8/06 218/06 Receipt Number 3200600000000000062 3200600000000000062 3200600000000000062 3200600000000000062 3200600000000000062 3200600000000000062 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 Rl'Ou~ 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 tbat 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. Y/d4U1.>: ~Jd--/7cA--~ 4o/Jb Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 .' 541-726-3759 Phone . ii[~ Job/Journal Number COM2006-00139 COM2006-00 139 COM2006-00 139 COM2006-00139 COM2006-00 139 COM2006-00139 P.yments: Type of Payment Check ,.:.~ - ~ u ': ".1 , ., " " , '! ". .,. 2/8/2006 RECEIPT #: ttiii.ty of Springfield Official Receipt .velopment Services Department Public Works Department 3200600000000000062 Date: 02/08/2006 Description + 8% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/ Adjustmenl Mechanical -Mechanical Issuance Fee- Paid By ASOCIATED HEATING Received By ddk Page I of 1 Item Total: Check Number Authorization Batch Number Number How Received 14218 In Person Payment Total: 11:58:44AM Amount Due 3,60 4,50 8.00 12,00 25.00 10.00 $63.10 Amount Paid $63.10 $63.10 " ~ o o ~l ~l rrJiJ ~j ~Jl ~l ,0 ~ ~ iJJ tj~l r~ r~ ,\ ~l o ~) , ~I . .~ 225 FIITHSTREET 0 SPRlNGFIELD, OR 97477 , PH:(54 ])726-3753 0 FAX: (54 ])726-3689 SPRINGFIELD ~"'" M City Job Number r 1'rYv12oD (p ~ 0 0 l ~ q . LOCATION OF PRO;OSED WORK: QS3D ;h~ l.g.--~ /bL# s:r- - , ASSESORS MAP: TAX LOT: . ~WNER: JljuL~Ull/1 dAM ~ 7l/~ -tlS7/ ADDRESS: ---1 S-30 IhlftA/lJ- g-~ U # S5 CITY: xf~ STATE: (he.... " 'l;lp:,r-1'f{1f/1'J . (.~I ; . j-, r.'" . ,/ .F DESCRlFTION OF WORK: ~/du.. If I' cf- 4;r _~.,r,. / ;" '!lj>li, ADDlTON: DEM~71~H;(~C 011HER: , .~/ I(; ~. ,,/' ., ~~., \. EXPIRES NEW: REMODEL: e,\.CQ~t;, CONTRACfOR'S NAME fD~RESS: 4'k0NT~CfOR'~ GENERAL: ...~: i: \ ;'4fJ"" " " . PLUMBING: ~: h~: '<" ,\ MECHANICAL:~G-t '~IL tI..u.li'".t'of ?() /J1TJc '//z-- \1' ' '\ MECHANICAL PERMIT ELECfRlCAL: '. ,t," ~t~~ : lv-ALUE:' \ PHONE O/tJt,'2-7..r ,$~-~f'IP PLUMBING PERMIT ITEM FEE ITEM Furnace Fixtures Exhaust Hood Vent Fan No. Wood Stove/Insert/Fireplace Unit Residential Bath(s) No, Sanitary Sewer Water Storm Sewer IT. IT. IT, Mechanical Pennit Subtotal "Minimum of $45.00 State Surcharge 7% Administrative Fee 10% Plumbins Pennit Subtotal ""'Minimum of $45.00 State Surcharge 7% Issuance Fee Administrative Fee 10% TOTAL MECHANICAL TOTAL PLUMBING FEE Me,~Jru@!JD1h~~] + 1i)jll . h.. " Jr J!l!}!1Q!ljlWlurug · M\ i 1110"IS'I("'e''''''z]l. ]llIDml'~' '(Q: 'iltl!Il$" ! ,; ~ .' .~ ~, i I I ' ',~ ~ . \ ,....... .._ ~ ..... ....~.. ,r :or Shared Drive(T:)/Building FomlslPennit Worksheet 3-04.doc