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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