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Home My WebLink AboutPermit Building 2003-6-19 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00537 ISSUED: 06/19/2003 APPLIED: 06/19/2003 EXPIRES: 12/19/2003 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 2 Springfield ASSESSOR'S PARCEL NO.: 1703154003100 TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace heat pump and air handler Owner: ROSEMARY CALDWELL Address: 3530 GAME FARM RD #77 SPRINGFIELD OR 97477 Pbone Number: 541-736-5943 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owner Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 ROSEMARY CALDWELL BUILDING INFORMATION I Expiration Date 08/31/2004 Phone 541-683-2590 541-736-5943 # of Buildings: 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: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION' REQUIRED PARKING ATTEIIi" iUI'i.VI8YF\\ta1\V. requires you. ~o follow rules adoptllt\m:\~Q,mgon Utility Notification Center. ~mp'ilt!res are set fortr in OAR 952.Q01.Q010 through OAR 952-001- 0090. You may obtain copies of the rules by Mill"? thA'"""1!9r. INote: the telephone number for the Oregon utility NOllllt;;l:lIlUI' (':PntElT ;<. ,.Rn(\-~?-~344), Sidewall{'Type: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: NOT ICE: I PUBLIC IMPROVEMENTS I Street Improvements:THIS PERMIT SHALL EXPIRE IF THE WORK Storm Sewer Availabl~:UTHORIZED UNDER THIS PERMIT IS NOT Special Instruction: COMMENCEO OR IS ABANDONED FOR ANY 180 DAY PERIOD. DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft Square Footal!e Value Date Calculated Pal!elof2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00537 ISSUED: 06/19/2003 APPLIED: 06/19/2003 EXPIRES: 12/1912003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.F....s Paid I Fee Description -Mechanical Issuance Fe.... + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 6/19/03 6/19/03 6/19/03 6/19/03 6/19/03 6/19/03 Receipt Number 1200200000000001592 1200200000000001592 1200200000000001592 1200200000000001592 1200200000000001592 1200200000000001592 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. ~uir..d Tnsnections I 1 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 ofany 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 tbe front of the property, and the approved set of plans will remain on the site at all times during construction. ').~ /)~od~~ Owner or Contractors Signature (~I/~6S Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00537 COM2003-00537 COM2003-00537 COM2003-00537 COM2003-00537 COM2003-00537 Payments: Type of Payment Check Paid By Mi8P.llDlOlOllLD,7~~'''''''':"'~"'= '..~~.. ',r, .' .,.,..~ I ., .,;'.. j .. ,,~. . ^^'^.,' '''''~''." . .., Receipt #: 1200200000000001592 Description Air Handling Unit Up to 10,000 Heal Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Check Number Batch Number Authorization Number ASSOCIATED HEATING AND AC dim 10417 City of Springfield Official Receipt Development Services Department Public Works Department ' Date: 06/19/2003 1:48:59PM Amount Paid' . Item Total: 8.00 12.00 25.00 10.00 3.15 4.50 $62.65 . How Received In Person Payment Total: Amount Paid . $62.65 $62.65 . .