HomeMy WebLinkAboutPermit Mechanical 2004-8-20 (2)
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CITY OF ~nuNGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-0I036
ISSUED: 08/20/2004
APPLIED: 08/20/2004
EXPIRES: 0212012005
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 I Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1703154003100
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: WEAGEL SHARON L
A,ldress: 3530 GAME FARM RD #18 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
I BUILDING INFORMA nON I
Expiration Date
08/3112004
Phone
541-683-2590
# of Units: \ If,'of Stories:
Primary Oerupancy Group: R-3 1','" '1e~~~igh_t of Structure
Serondary Occupancy Group: . .1',0.:;>\1 0'" ])pe ~f Heat:
Primary Cunstl'Uction Type l\ \~VNe 011',;',1', "'~!t.er Type:
Serondary Cuustruction TY8~..l~0 0 '0'1 \'<:' ,,>,1','" \>-~ SR~,~.ce':rype:
# of Bedruoms: ,O~. ~\'o -<'fo,o,,:>'o ,,'fo, 0 \,\\,Ener&y,Path:
~\'\, ~Oo \ oU'<' 0' S ~"" kl d'B 'Id'
.A~\~ ~'o":>" '1..'01. ,,'\(\, \'0'" \'i;' prm".e Ul 109:
b.~' . ..,\: .....0.'(\ ....4.\.1 ^O ,...0. ~',\\v
\o\\~~~~o~;()()V~~\~{\ ~CI';D.EV.E-LORMENT INFORMA nON I
~O\~ \>-~~ ~~'1 l\\'OI. ,,0" 3~v
\ 0 -{Ou e e'O 0''0'<' Rj'':;
Front yard Sethark"9()' ,,\~ '\(\'0 V<o\J Overlay Dist:
, \)" ~\"'''' '01 \":>
Sule I Sclhark: e~ ';Qel' l\\'O1 # Street Trees Rqd:
Side 2 Sethark: {\U~ e'O Paved Drive Rqd:
Rearyard Set hack: % of Lot Coverage:
Solar Sctharks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Street Im)lrovements:
Storm Sewer Available:
Special Instruction:
Total:
Handicapped:
CI'!1IDact:
~\)\'\t<
X. \~ \~t. \<6 ~\)\
_"o\'?' _~~~\\ ..
I PUBLIC IMPRQ.YE~ENTS:I;\t>-\.\..:~~\S ;C;~t.\) ,!"',p'
"'V' c.\,\,". '\~\)'t. ,9.tI.~
\,~\S ?~",\lt.\) v a'" ~!dewalk Type:
t>-\J\~~t.~C,t.~i ?t.'fl~tispoutslDrains:
c,\)\t\ \ <o\) \)~
t>-~i
Notes:
I Valuation DescriDtion I
Description
TYDe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee I of2
_SPRIOII:lFI,,:: d'i!I---- ','
1*'. -~ I'
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.
.
CITY OF ~nuNGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01036
ISSUED: 08/20/2004
APPLIED: 08/20/2004
EXPIRES: 02/20/2005
VALUE:
225 Fifth Slreel, Springfield, OR
541-726-375.1 Phone
541-726-367(, Fax
541-726-3709 Inspection Line
I Fcl's Paid I
Fl'l'l)cscrinlinll
-i\'lcchanil..'allssuancc Fee-
+ IOcYo Administrative Fee
+ 71~) Statl' Surcharge
Air Handling Unit Up to 10,000
Heat Pump
i\linimum/t\djustmcnt Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
Receipt Number
1200400000000001244
1200400000000001244.
1200400000000001244
1200400000000001244
1200400000000001244
1200400000000001244
Total Amount Paid
$62.65
I Plan Reviews ,
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.
, Reouired TnSDl'dion\J
Rough ~[echanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
B)' signalure, 1 slate and agree, that I have carefully examined the completed applicatinn and do hereby certify that all
infonnatioo 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 wnrk described herein, and
thai NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further ""I'I i f)' that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
slreet, thai 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 cnnstruction.
tj ~ tf2
-=-
Yht?!,<.(
-
OWller or Contractors Signature
Date
Paee 2 ofl
225 Fifth Strcct
Springlicld, Oregon 97477
541-726-3759 Phonc
.
"r~.A-'.N...O.~!:1~___ ....
1I\r. ,
. ...
-.-. ,-.-- ,_. -- ~. ...:
.ty of Springfield Official Receipt
_evelopment Services Department
Public Works Department
Job/Journali\umhcr
COM2004-0 I 036
COM2004-0 I 036
COM2004-0 I 036
COM2004-0 I 036
COM2004-0 I 036
COM2004-0 I 036
Payments:
Type of Payment
Check
8/20/2004
RECEIPT #:
1200400000000001244
Date: 08/2012004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Air Handlirig Unit Up to 10,000
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HTG
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 11908 In Person
Payment Total:
Page I of 1
11:20:37AM
Amount Due
3,15
4,50
12,00
8,00
25,00
10.00
$62.65
Amouot Paid
$62.65
$62.65