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Home My WebLink AboutPermit Mechanical 2009-12-8 SPRIN,G.FI~E"L,O P, . .'1 ,~ ' ..'~. '(' ~ fir""",, .";';J .;f,"?" ~-. Oki:GON City Of Springfield 225 Fifth 81 Springfield. OR 97477 Phone: 541-726-3753 Email: permilcenter@ci,springfield,or,u,s I"", t". - j 0 ~ew Construction ,- ,: ~~ f, ~.5TYP.-E~ OF WORK 1 ;-~ij~:~:-J~-tir':"i';~<~; ~~'~--:1,~ IKl Addition/alteration/replacement ,.- I~; , ell TEG9RY,"OFC9NSTRUCTION I 0 1 or 2 family dwelling D Multi-family [R) Commercial 0 Accessory If,' ;"" 'JOB'SITE'INFoRMATIONANOYOC'A TIOt.N1 't;;'_~ :;(1;:1 I Job Address: 4851 MAIN 5T I City/State/ZIP: SPRINGFIELD, OR 97478 I Suitelbldg./apt.no.: I Project Name: I C,os> St,eeV"',ecl'on, to job ,'te, I Tax map/parcel no.: 1702320000901 I' -, '~:DESCRIp'TioN-OirW()RK'i~:f;;';J' " Installation of Daikan Ductless HP II' ',,' -t'., ~ '. --"". !,r,"" . '~~'-r;:','r",'5ITE,CONT~CT','_j,:. I Name: Harvev Floyd I Phone: 541-852-2454 I Emall: Fax: 541-485-2292 ,r....._.l"\r. --"<;"rl' " ,'" - .... ,I~ v:~':~:..:,~\' ~~~~RF\F.Hjl::-VV~:j:;,,}:}';CI I nl0 r ,-"""T ,-,,, , UIS PSOMII ,\" I~V' , .^L'Tf-ln017l=f) UNCIE\'l'iF,. , "-<"~"'fI I :I~ ",- C', ^BI\\\IUUI~CU ,,, Business Name: ~\~tre~atJ~O"' n I Contact ANY 1 SO DAY Pl:KIUU, I Address: PO BOX 21337 I City/State/ZIP: EUGENE, OR 97402 I Phone: 5414852282 I Email: I Metro lie. no,: L I Fax: 5414852292 City lie. no.: . Upon review and approval' by your local Jur1sdlcllon, .YQur permit will be e-malllld or fUed within one business day, with Imstructions on howto 5cheduleyou rlnspectlon. NOTE: This Authorization To Begin WorX e.plres within 180 dayalf II permit Is nOI obtained. The local building department may determine thai an Authorization To Begin Work Is null and void If II does not meet applicable land use law. and local ordinances. ~~~ \ 0,,_\\ \D'\' Residential Mechanical Authorization To Begin Work 69600-BMC-09-00209 Approval Code: 051714 12/8/2009 11:17 am E-mailedTo:seth@lowesweatherization.com ,:i~~:;~i=Ei;T$c~i.EOliLE ,-~~-:,;.,-\~- -~~~_. ./- ~ '- I I Qty, I Ea. j Total I ~';ii. ~":.,,;~).-~.' ~_"I .,} 'J! , $17,00 I $17,00 I ,,,II $79,00 I 'I $96,00 I $11.521 $4.80 I ,-"A'''''Ut: ;_o~{ t....: ;i1;:l!'f. ;:'1 I Description IHe~t!~g'-CoolirigiAppl.i~nf:es j~~: I Heat Pump IMinimunl,Fees>f,-.. ':--~i:.:':" I:::~:~~:~':~~ft Fees~ I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE -.",-,,-- ~l:"-',,' ii', i.. '" ,~ $112.32 e,Q-\\5o \a- \2-\ ~\09 ATTENTION: Oregon law requIres you,~O follow rules adopted by the Oregon Utility Notification Center. Those rules are setlorth In OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies 01 the rules by calling the center. (Note: the telephone number lor the Oregon Utility Notification Center II 1-8OO-33l.'-2344). \~~ 1f\/V ~'SV\ ~\)<\ \, . .,' .-'11 , ;,.. ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit -W1L.,.::'.'~:Q....':..',:.'I'.~... .' ....,i... ' ' , ~. ' : ' ,/' i , " d' ..,.....,. .Y Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01750 ISSUED: 12/0812009 APPLIED: 12/0812009 EXPIRES: 06/08/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4851 MAIN ST ASSESSOR'S PARCEL NO,: 1702320000901 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installation od ductless heat pump in commercial building. Commercial Owner: SPR]NGFIELD ASST LIV L TD LIABIL]TY Address: 485] MAIN ST SPR]NGFIELD OR 97478 I CONTRACTOR INFORMATIO~ I Contractor Type Mechanical Contractor LOWES WEATlIERIZATlON License 176741 Expiration Date 06/19/2011 Phone 541-485-2282 BU~LDING INFORMATION I # of Units: Primary Occupancy Group: Secondary OccuP:lIIcy 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 "'0\'1." ' REfllIlRIi !l.IIAtjSKING \\t. ~, 't mNTION' Oregon law requlrUlr'J"",', Fronty~rd Setback: ?\\\t. \r"' ~"' \'9w;\lhy Dist: ~\lOW rules ~dopted by1llll:A:lregon ~~% S,de I Setback:,.\C~:' \\t>-\..\.. rf:. s \'t.\\\1\ r/l-\\treet Trees Rqd: Notification Center. ThOSIl\'RIWlefi~'()01. Side 2 Setb~~~:\ I'-\'J\\\ '0 r.\\ \\\~ O~r.\l }Javed Drive Rqd: OAR 952'()01'()()10thr~~E I by Rearyard Set~'~tk?\\lr.\) \)~\) \'0 t>-'Ot>-~\l % of Lot Coverage: ~090 You may obtain copies of Ie ~:e Solllr'Setback~il\\\O "Cr.\) 0\\ \f"'I\), caliing the center. (Note:.t,heNte etir-Cation _,."l\t:\\\ . nC~ V I ,1.'-- ""ognn U..hhty 0 , G~~"~ ~Cl Up.' ' . I PUBLIC IMPROVEMENTS rlll"""c;~tilr-IB 1-800-332-ZWt). Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains: '".... Notes: " , 'J. I Valuation DescriDtion I Description Type of Construction $ Pcr Sq Ft or multiplier Square Footllge or Bid Amount Value nate Calculated Page] 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01750 ISSUED: 12/08/2009 APPLIED: 12/08/2009 EXPIRES: 06/08/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , Total Value of I'roject Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Numher $11.52 $4,80 $79,00 $17,00 12/8/09 12/8/09 12/8/09 12/8/09 2200900000000001357 2200900000000001357 2200900000000001357 2200900000000001357 Total Amount Paid $112,32 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. Reouired Insoed~ Rough Mechanical: Prior to Cover Final Mechunical: \Vhen HII mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify lhat all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance n'ith the Ordinances of lhe City of Springfield and the Laws of the State of Oregon pertaining to lhe work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safely. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furlher agree to ensure that all required inspections are requested at the proper lime, that each address is readable from the street, th:lt 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 Page 2 of2 225 Fifth Street Sp;ingfield, Oregon 97477 541- 726-3759 Phone Job/Journal Number COM2009-0 1750 COM2009-0 1750 COM2009-0j750 COM2009-01750 Payments: Type of Pll)'ment ONLINE CHGS eRcccioll RECEIPT #: Description I st Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS GPAJHCl_fI'IBLD ',lill i iL."". 220090000000000]357 City of Springfield Official Receipt Development Services Department Public Works Department Date: ]2/08/2009 Item Totu!: Check Number Authorization Received By Batch Number Number How Received kr Page I of I ONLINE Lowes Online Weatherizati on Payment Total: 11,36:49AM Amount Due 79,00 17,00 4,80 11.52 $112.32 Amount Paid $112.32 $112.32 12/8/2009