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Home My WebLink AboutPermit Mechanical 2004-8-27 (2) -e . CITY OF SPIUl'lu1'lJi.LlJ Building/Combination Permit PERMIT NO: COM2004-01074 ISSUED: 08/27/2004 APPLIED: 08/27/2004 EXPIRES: 02/27/2005 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 16 Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1703154003100 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace gas furnace and ac Owner: STILL GERALD R & BETTYLOU Address: 3530 GAME FARM RD #16 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor . (. \!'\C)<;?-.~ License ASSOCIATED HEATING *,,*m\~91~IDITIO 106275 .............,~ .. ". , - ~ I gJEJlLDING' INFORMATION I C~. ;\ S"~ .<;?-. '\ I'~- ,,,,,,,,v- # or Units: ~f\:j"\'I. X:.<;?-.~; \')~'i)'2 \>-.'\II'~rStories: Primary Occupancy Gro~,~~S '? 'i)<;?-.\1RS3'i) C)<;?-. \S 'i)'i)~eight of Structure Secondary Occupancy Grou.g\~ .,,'\;.~,,'2 ~ '?'\;.<;?-.~ Type of Heat: Primary Construction Typt 'i)~\" ~~ Water Type: Secondary Construction TY~~'t \'0 Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Expiration Date 08/31/2004 Phone 541-683-2590 Contractor Type Mechanical Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla Street Improvements: Storm Sewer Available: Special Instruction: '\,V I u,HJ',LOPMENTINFORMATlON I 'l0'\~.._ ee.oS-\0'i> (\ \)\: ~~UIRED PARKING ~\ 0Q;0 0\ .... Overlay Dist: (\\'1> 00\ -a,\0'" <r&al: # Street Trees Rqd: . 0\0Q;O 0 '0'1 ': \\)\0'i>0"'~ ~~~~apped: Paved Drive I.\~!)~' 009\0 i.~o'" ~Q;~ " ~0 ~~!JfP\ct: %orLot~'V~a~if''I> (\\0\' ,'I:J~\O .~0'i>O \0\09.\7>",,0(\ '" ~\O~ \. 0" ee ,_f;)f;) '~" C09 e.\~0 ~0\1:;~ \O..:._"'\~...: (\f;) j"\'3' 't'O\!:'\~,./' I PUBLIC IMPROY.F;ME1S..t-:q"~0,,\0\0Q;0" ~'!)'I;'f.;) .. f?j\J' \"",e.&. 0 . 9.\\f;) 'I:J\j ~\,,,Q; \0\ \\ :S1~SWlltk Type: C'3' e\ '1&\ ,,\)\\,'0 ee';:; DownspoutslDrains: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 ofl . . CITY OF SPRll'n:.nELD Building/Combination Permit PERMIT NO: COM2004-01074 ISSUED: 08/27/2004 APPLIED: 08/27/2004 EXPIRES: 02/27/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I FI'I" tiWU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000, Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 8/27/04 8/27/04 8/27/04 8/27/04 8/27/04 8/27/04 1200400000000001274 1200400000000001274 1200400000000001274 1200400000000001274 1200400000000001274 1200400000000001274 Total Amount Paid $62.65 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. ~rl'~ Tn'nl'~tions 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 dn hereby certify that all information herenn 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 withnut 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. $~ 4~ . --,.. ~1(JY Owner or Contractors Signature Date Paee 2 of2 22~_Fift~Street Springfield, Oregon 97477 541-726-3759 Phone . .~ ~ Job/Journal Number COM2004-0 1072 COM2004-01072 COM2004-0 1072 COM2004-0 1072 COM2004-0 I 072 COM2004-01074 COM2004-0 1074 COM2004-01074 COM2004-0 1074 COM2004-0 I 074 COM2004-01074 COM2004-0 I 076 COM2004-0 I 076 COM2004-01076 . COM2004-0 I 076 COM2004-0 1076 COM2004-0 1076 Payments: Type of Payment Check 8/2712004 RECEIPT #: 1200400000000001274 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee . Furnace - up to 100,000 btu Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By ASSOCIATED HEATING Check Number Batch Number Received By djb Page I of I Jiiily of Springfield Official Receipt Wvelopment Services Department Public Works Department Date: 08/27/2004 Item Total: Autborlzatlon Number How Received 11945 In Person Payment Total: 11:24:40AM Amount Due 3.15 4.50 12.00 33.00 10.00 3.15 4.50 12.00 8.00 25.00 10.00 3.15 4.50 12.00 12.00 21.00 10.00 $187.95 Amount Paid $187.95 $187.95