HomeMy WebLinkAboutPermit Mechanical 2003-8-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00841
ISSUED: 08/29/2003
APPLIED: 08/29/2003
EXPIRES: 02/29/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6776 ASTER ST
ASSESSOR'S PARCEL NO.: 1702344400403
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
ACOCELLA MICHAEL R & SANDRA
7967 THURSTON RD SPRINGFIELD OR 97478 *"
~\(\~~\
I CONTRACTOR INFO~-D ~
~ ~~~ <<
Contractor <.v{S st!f-.~ Expiration Date
MARSHALLS INC:,)..~\'':o. '\~ ,,~o 12/23/2003
~~~~~~ONI
\\~*I!\~\'<VV ~ ~ ~<v~
~~, ~cture
eat:
~ Type:
Range Type:
Energy Path:
Phone
541-747-7445
Contractor Type
Mechanical
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
SETBACKS
I DEVELOPMENT INFORMATION .
~\O REQUIRED PARKING
~o . '~'l
Overlay Dist: o.\}\~eS ~ \)\\\\ ,~otal:
# Street Trees Rqd: \0.~ ~e O'(eQP se\ \0 rI.I~ndicapped:
Paved Drive Rqd:'(e~O(\ ,,\'(\e 'eS '3-'(0 9s'2-~()"Compact:
NO (\'0'.1 '('V\ ~~ ~eS \.-
% of !--o~c;~er~!t-v\e ~'(\ose 'V~'(\ 0 \'(\0 '('V O'{\e
~\~ '(\}W: r.e'{\\~~'\ () \'(\~~Q\eS.~~w\0?~(".0.'\\0'{\
I PUBLIC~~R.O~~.~ll~:~r~t0.\\ '~. o\~.~~~\\~ ~~~~.
\ ~] p..'P \ \ \_. '{\ 0'(' ,,(\ v 1)'2>
\'{\ 0 ~o\} ",,0 ce O'(ersitl.e~jli:Type:
, ()9()' . ~ \\ \ X\0 -'il,()\J
() c~\\'\\ '( \0'( ~ '( \S '\ Downspouts/Drains:
~'Oe Ce'f\\e
'f\'V
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description'l
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00841
ISSUED: 08/29/2003
APPLIED: 08/29/2003
EXPIRES: 02/29/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
LFees Paid-l
Fee Description
-Mechanical Issuance Fee-
+ 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
8/29/03
8/29/03
8/29/03
8/29/03
8/29/03
8/29/03
Receipt Number
1200200000000002040
1200200000000002040
1200200000000002040
1200200000000002040
1200200000000002040
1200200000000002040
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.
I Reouired Insoections .
1 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 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 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 ofthe property, and the approved set of plans will remain on the site at all
t~)mcs ~d~~~:strUC".ti ~on. 9 /~
~~ ~jJTot{/ B'~29-o~
owher or Contractors Signature Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00841
COM2003-00841
COM2003-00841
COM2003-00841
COM2003-00841
COM2003-00841
Payments:
Type of Payment
Check
Receipt #: 1200200000000002040
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
-Mechanical Issuance Fee-
Minimum! Adjustment Mechanical
Paid By
MARSHALLS INC
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/29/2003 11:54:34AM
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
10.00
25.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65