HomeMy WebLinkAboutPermit Mechanical 2005-6-7 (2)
Status
Issued
.
. U1 f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00682
ISSUED: 06/07/2005
APPLIED: 06/07/2005
EXPIRES: 12/07/2005
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 70
ASSESSOR'S PARCEL NO.: 1703154003100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Air handler and heat pump
Owner: BETTY PAINTER
Address: 3530 GAME FARM RD SPACE 070
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Phone Number: 541-988-0970
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/31/2005
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
, Secondary Occupancy Group:
Primary Constructinn Type
Secondary Construction Type:
, # of Bedrooms:
Frnntyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Snlar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VN
I DEVELOPMEN J "'rUJudATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
~:rrENTION: Oreg~n law.~~~~~~~,
follow rUles 8Dm"~ Il... ou"'___, . -
.' t' Ce <1~~lMRRPY5M1lNlI1$II
Notlflea IOn""tiK~ v, -VJ- !
In OAR 952-001-0010 through Oi'l1ltO<. I
0090 You may obtain copies of the Nles by
cailing the center. (Note: the tele~ho~e
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
Sidewalk Type:
Downspoutsmrains:
NOTlC~:
THIS PERMIT SHALL EXPIRE IF THE WORK
AU I HUHILtU UNUtH I HI" rtHlvll1 I;) I~U I
I Valuation DescriDtion I COMMENCED OR IS ABANDONED FOR
S F ANY 180 DAY PERIOD.
$ Per Sq Ft quare ootage V I
a ue Date Calculated
or multiplier or Bid Amount
Type of Constructinn
Paee I of2
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
Total Value of Project
L.FI'I" Paid I
Amount Paid
Date Paid
. CITY OF ~rK.ll'1ul'1J'.,LtJ
Building/Combination Permit
PERMIT NO: COM2005-00682
ISSUED: 06/07/2005
APPLIED: 06/07/2005
EXPIRES: 1210712005
VALUE:
Receipt Number
1200500000000000787
1200500000000000787
1200500000000000787
1200500000000000787
1200500000000000787
1200500000000000787
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.
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
6/7/05
6/7/05
6/7/05
6/7/05
6/7/05
6/7/05
$62.65
I Plan Reviews I
l..,Jl.elluiredln.nl'dioW
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 cnmpleted application and do hereby certify that all
Infnrmation hereon is true and correct, and I further certify that any and all work performed shall be dnne 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.
CfJA vA-
~
Owner or Contractors Signature
Paee 2 of2
Date
&/7/1)r
" (
225 Fifth Street
Springfiell Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00682
COM2005-00682
COM2005-00682
COM2005-00682
COM2005-00682
COM2005-00682
Payments:
Type of Payment
Check
:i
(
'1
,.
6nt2005
.
RECEIPT #:
1iE".<!""'~"'.'_"!!.~..,-Ip.I;I~'..".-.-..' --.. .-1......
' -."" .. .
. .
" - ... " - ~
t "\ !;
_ _ ,'_,. . '. ~ ..,./' , .n
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000787
Date: 06/07/2005
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 HEATING
Item Total:
Check Number Authorization
Received By Batch Numher Number How Received
djb 13127 In Person
Payment Total:
Page 1 of 1
10:40:4IAM
Amount Due
3,15
4,50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65