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Home My WebLink AboutPermit Mechanical 2007-9-20 . 225 Fifth Street. Springfield. OR. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SCANNED aITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01429 ISSUED: 09/20/2007 . APPLIED: 09/20/2007 EXPIRES: 03/20/2008 VALUE: Status Issued SITE ADDRESS: 3530 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703154003100 Springfield TYPE OF WORK: Heating System TYPE OF USE: Move Residential PROJECT DESCRiPTION: Replace HIP & AIH Owner: PATRICIAN HOMES LLC Address: 15500 STRONG RD DALLAS OR 97338 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/3112008 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: 'Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla 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 IMPROVEMENTS I Street Improvements: Sidewalk Type: ATTEN-'''''' J"'< Dowilspoll!5fD~aios::equires you to foHow rules adopted by the Oregon Utility Notification Center. Those rules are set forth Notes~OrICE: .in OAR 952-001-0010 through OAR 952-001. THIS PERMIT SHALL EXPIRE IFTHE WORK OO?_~:. Yo~ may obtain copies of the rules bv MU I nUt'llLI:U UI~UI:K 1111" t'I:Klvlllla :':':.' I r....." "'w w"....". I"un.. me lerepnone COMMENCED OR IS ABANDONED FbMaluation DescriDtion"lmbe~or the Oregon Utility NotificatiOl'l ANY 180 DAY PERIOD. . enter Ia 1-800-332-2344). $ Per Sq Ft Square Footage or multiplier or Bid Amount Storm Sewer Available: Special Instruction: Description Type of Construction Value Date Calculated Paee I ofl -~.'" ~ ~~~~ . aITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01429 ISSUED: 09/2012007 APPLIED: 09/2012007 EXPIRES: 03/20/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Insp~ction Line Total Value of Project FI'I''' tiWU Fee Description ....Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $5.00 $2.50 $4.00 $9.00 $14.00 $27.00 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 3200700000000000635 3200700000000000635 3200700000000000635 3200700000000000635 3200700000000000635 3200700000000000635 3200700000000000635 Total Amount Paid $81.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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'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 that 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 ofthe 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. Owner or Contractors Signature Date Paee 2 of2 ... . . Receipt # EC517244 9/19120073:57:54 PM City o~ Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com ~ It - ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us TYPE OF WORK I Subdivision: I Lot no.: 1 Description I Heating/cooling appliances I Furnace- up to 100,000 BTU I Furnace - above 100,000 BTU I Electric Furnace Duct alterations and additions Gas heater units! in-wall, in- duel susoended. etel I Vent, Oue,liner for above I Air Conditioner I Heat Pump I Air Handler I Other fuel burning appliances I Water heater I Gas fireplace/insen/stove I Gas log! log hghter I Gas c10thesdryer I Gas stove/range I Pool or spa heater, kiln Wood/pellet stove/insert I Wood fireplace Chimneyflinerlfluelvent w/o aooliance I Environmental exhaust A!'ITI ventilation I Range hood Clothes dryer exnaust Single-duct exhaust (bathrooms, toilet compartments, utility rooms) I Atticfcrnwlspace fans I Fuel piping I upto first 4 outJets(enter Qty=I) I each additional outlet 1 MECHANICAL PERMIT FEES i Subtotal' $23.00 I Minimum fee used instead of Subtotal $50.00 I State Surc~e (8% of permit fee) $4.00 I City OfS~rin~field fees. $27.50 1 TOTAL PERMIT FEE $S 1.50 . City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee; $10 Issuance Fee FEE SCHEDULE I, Qty. Ea. Tolal I 0 New construction lXJ Addition/alteration/replacement CATEGORY OF CONSTRUCTION IlXl i or 2 family dwelling 0 Multi-family 0 Accessory Building I JOB SITE INFORMATION AND LOCATION jJobno.: 3239A [Job address: 3530 GAMEFARMRD I CltylStatelZlP: SPRINGFIELD. OR 97477-6008 .1Sulttlbldg./apl.no.: SPC 74 I Project name: Cross stNctldirrclions to job sile: $14.00 $9.00 I I I $14.001 $9.001 I I I I I I I I Tax map/partel no.: 1703154003100 DESCRIPTION OF WORK Replace HIP & AlH SITE CONTACT I Name: Garold Workman I Phone: (541) 736-4840 I FBI: lEman, I CONTRACTOR cc~ lie. DO.: 106275 I Business Name: ASSOCIATED HEATING & AIR CONDlTIONI I Contact: Brandy Forsman IAdd..." PO BOX 412 I Clty/StatelZIP: EUGENE. OR 97440 I Phone: (541)6832590 IFu: (541)6070287 I Emall: associatedhealing@gmail.com I Melro lit. no.: I City lit. no.: Upon review and approval by your local jurisdiction, your permit will be e-malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. CO~.dCJt), - OllY'd,C1 RCPTII' 'S 2c:ro, ...... Co '35 DATE PROCESSED~yo - 07 PROCESSED ByJ \ ,'101\ ~ TN, '"Iho,;,,'oo To """;0 Wo,' m~lb, ,,,,to<! ,"h, Jw .'. ""'" """"Iodmo The local building department may determine that an Authorization To Begin Work Is null and void If It does not meet applicable land use laws and local ordinances. 225 Fifth Street. Springfield, Oregon 97477 . " 541-726-3759 Phone .fik~ Ci~ Springfield Official Receipt De.pment Services Department Public Works Department Job/Journal Number COM2007-01429 COM2007-01429 COM2007-01429 COM2007-0 1429 COM2007-01429 COM2007-01429 COM2007-01429 Payments: Type of Payment RECEIPT #: 3200700000000000635 Date: 09/2012007 Description Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Heat Pump Air Handling Unit Up to 10,000 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By Item Total: l.:heck Number Authorization Received By Batch Number Number How Received ONLINE CHGS ,ONLINE PERMIT CHGS cReceintl NJM ONLINE ASSOCIAT Online ED Payment Total: Page 1 of I 7:54:18AM Amount Due 27.00 20,00 14.00 9.00 2.50 4.00 5.00 $81.50 Amount Paid $81.50 $81.50 9/20/2007