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Home My WebLink AboutPermit Mechanical 2004-4-29 (2) . Ll1:f OJ< ~rRlNGFIELD Building/Combination Permit PERMIT NO: COM2004-00502 ISSUED: 04/2912004 APPLIED: 04/29/2004 EXPIRES: 10/29/2004 VALUE: e 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-2 Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1703154003100 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: to J W,reQulres yoU ATTENTION: Or~lIt'~ffitfer~I'iUtllity tallow rules_ adO?:e~~<>A roles are set tort.!' ~atitic~~~~.w!IOOroIMPR6V9irni~Hr~~V In OA OD'taII1 ",,",~'y_ ~ 0090. You may (Note: the telep~e Sidewalk Type: calling the cen~'egon Utility NotificatIOn DownspoutsIDralns: number tor thels 1r -800-332-23'\4). Center TYPE OF USE: PROJECT DESCRIPTION: Replace furnace add heat pump Owner: WILLIAM SKOOG Address: 3530 GAME FARM RD 29 SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Heigh~l \ructure Secondary.Occupancy Group: X- ~'l; ~: Primary Construction !y.P.e ~'t.l.~\\\'t. ~ ~~e e: Secondary Const.rRG.t1~IU't,.P~~~ S\\t>-\: ,\\\S \It.~'.;~pe: # of Bedrooms: l'~\S \It.Wi'\ \\~()t.\\ :ot>-~()()~\1rgy Path: , I' uQ\\\1.t: ,,\\ \S ~ ~\\\<, -1\"~\I. v _:"0 c,QWI~~~~ Ut>-'l yt."I- I DEVELOPMENT INFORMATION I SETBACK~~'l . Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description $ Per Sq Ft or multiplier Square Footage nr Bid Amount Type of Construction Total Value of Project Paee I of2 New Residential Phone Number: 541-747-4753 Expiration Date 08/3112004 Phone 541-683-2590 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Cnmpact: Value Date Calculated 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 Furnace - up to 100,000 btu Heat Pump Minimum/Adjustment Mechanical Total Amount Paid e . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00S02 ISSUED: 04/29/2004 APPLIED: 04/29/2004 EXPIRES: 10/29/2004 VALUE: ~ Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $12.00 $21.00 4/29/04 4/29/04 4/29/04 4/29/04 4/29/04 4/29/04 2200400000000000443 2200400000000000443 2200400000000000443 2200400000000000443 2200400000000000443 2200400000000000443 $62.65 1 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 Reouirl'd In~nedinn~ I I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined tbe completed applicatinn and do hereby certify that all infnrmation 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 witbout permission oftbe 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 tbat 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 tbe approved set of plans will remain on the site at all times during construction. ~12~ Owner or Contractors Signature ---= '0<;/0'1 Date ;- Paee 2 ofl 225 Fifth Street Springfiellt, Oregon 97477 541-726-3759 Phone e ~ WiL. _ of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 2200400000000000443 Date: 04/29/2004 10:23:23AM Job/Journal Number COM2004-00502 COM2004-00502 COM2004-00502 COM2004-00502 COM2004-00502 COM2004-00502 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type or Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 12.00 12.00 21.00 10,00 $62.65 Amount Paid Check ASSOCIATED HEATING djb 11521 In Person Payment Total: $62,65 $62.65 4/29/2004 Page 1 of I