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Home My WebLink AboutPermit Mechanical 2009-12-10 SPRINGFIELO~ ~ . ii~.. ~. ? "..:~.;g",,,, . .~~:~<.._{~i':', ! . "'^~:,+" OREGON City Of Springfield 225 FifthSl Springfield, OR 974.77 Phone: 541-726-3753 Ernail: permitcenter@ci.springfield.or,us I 0 New Construction ~ Addition/alteration/replacement ~ ~:Aff~"0':1i:~i)~~~~";,9~fE~ORY~:,QFIc~ONSffF{rt~:tj9t~li;+r:J,~~~:~;,:~t~~~ [K] 1 or 2 family dwelling 0 Multi-family D.Commercial 0 Accessory ";::" "1J6B'SITHN~6RMATI6N.ANi5:t!OCAiI6N~.:!~1':;F;1:~~ I Job Address: 658 S 57TH 5T I City/State/ZIP: SPRINGFIELD, OR 91478 I Suitefbldg.lapt.no.: 54 I Project Name: Wlllanna Haynes I em.. Stre,Vd'''cl'o", to job sit" I Tax map/parcel no.: 1802040000200 Replacement 01 electric furnace I Name: Harvev Floyd I Phone: 541-852-2454 I Em,i1 NOTIl;t;: '., ) .cYI?\BF IfTHE WORl\. , It "'"#""'""\'" ~tr\lVI1T,vUh\ L-,.., ..' 'M' I""IS'M\;J"'" '."''''P,-l1l':'''''I,'''' " ''''~'h'~~~~K;~{~'UN~t~If~=ro:~.oR,.:~~~1,,:~:J;:l;l ~~''^.'nl(Cn nR IS AS9Wl . I Bus'nes~~t'~~Ef)iWA~10DlN INC . I Contact:' 0>" I Address: PO BOX 21337 I City/State/ZIP: EUGENE, OR 97402 I Phone: 5414852262 I Email: f Metro lie. no.: Fax: 541:48S';'2292';V.' Fax: 5414852292 City fie, no,: Upon review ,~nd approval by your local Jurisdlt:tlon, your permit will be c-malled or faxed within one business day, with instrul:llons on howto schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if II permit Is not obtained, The [1;11:81 building department may determine that an Authari.zatkm To Begin Work !s null and void if il does not meet applicable land use laws and localordinan ces, {;q./1f/L Residential Mechanical Authorization To Begin Work 69600-BMC-09-00213 Approval Code: 053813 12/10/2009 10:38 am E.roailed To:seth@!owesweatherization.com ":',L O?,p;",,~~~~ E~,'---i~'" ';~:I~' .~II I Description $79.00 I ~.~.f1. !i.~" ,.":",,t '0;";; I First Appliance Fee I Subtotal I State surcharge (12% of permit lotall I Technology fee (5% of permit total) I TOTAL PERMIT FEE $79.00 $9.48 $3.95 $92.43 c.~ w l~Lo2- ~ \'Ll\OlO1 AnENT10N: Oregon law requlrel you to "!low roles adopted by the Oregon UtlIItY Notification Center. Those rules are oet forth , In OAR 952-001-0010 through OAR 852..oot. D09O. You may obtain copies of the rule,." calling the center. (Note: the telephone IlImIMIr for the Oregon Utility Notification Center 111-800-332-2344). -~ ~ ~ \9.\0-'\\ 'vQ'V oC\ \1;\lo' ~ ~S~ \}:\ Inspections Phone: 541-726~3769 This Authorization To Begin Work must be posted at the, job site until replaced by a Permit _S;Ii!IlI~~I"Iw"O, ~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01762 ISSUED: 12/10/2009 APPLIED: 12/10/2009 EXPIRES: 06/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 658 S 57TH ST SPACE 54 ASSESSOR'S PARCEL NO.: 1802040000200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Replacement of electric furnace in residence Residential Owner: Address:. HAYNES WILANNE L 658 S 5TH ST SPACE 054 SPRINGFIELD OR 97478 I. CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor LOWES WEATHERIZATION License 17674 I Expiration Date 06/1912011 Phone 54 I -485-2282 ~UILD1NG INF?RMA TION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: ~. "-sqFt Basement: Range Type: Sq Ft GaragelCarport Eiiergy P*th: Sq Ft Other: Sprinkled Building: ~a.... N .occUIJagt Load,... to AlTENTlO : oregon law ~1.,"es you I DEVELOP.M.ENT INFORMA:fQlImt1Ules aaopteo DY me uregon UlIlny . " '.' '".,', .. ~'6':-:~~f:'1~~~sI~G NOTICE. EXl'lRe~fritl~1D'l<<9RI< 0090. YoumayobtaIn~oftheruIesby THIS PERMlT S~~~~ THIS If'~RM\"fIW~\t4d: calling the center. (NA\iIi!JIMl&fl\I!P.hone AUTHORIZED U AN,Jl~~EWi%lRRqd::. number for the Or~~~Olificatlon COMMENCED OR IS AB ~" of Lot Coverage: Center II , ~2344)., ANY 180 DAY PERIOD. Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Description Type of Construction I Valuation Descriotion I $ Pei" Sq .'Ft, " Sq uare Footage or multiplier or Bid Amount Value Date Calculated Page I of2 S,F!l',R,,...QF!I~I;.Q,' -~ ._,".' Status Issued CITY OF SPRINGFIELD BuildingiCombination Perinit PERMIT NO: COM2009-0I762 ISSUED: 12/10/2009 APPLIED: 12/10/2009 EXPIRES: 06/10/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Descr'iption + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 12/10/09 12/10/09 12/10/09 1200900000000001322 1200900000000001322 1200900000000001322 Total Amount Paid $92.43 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. I Reouire? I~sTlec~io~,~ I Rough Mechauical: Prior to' Cover Final Mechauical: When all mechanical work,is complete, By signature, [ state and agree, that [ have carefully examined the completed application and do hereby certify th"t "II information hereon is true and correct, and [ further certify that any and all work performed sh,,1I be done in accordance with the Ordinances of the City of Springfield and the Laws of the St"te 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 S"fety. 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 thut ull required inspections a~e 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 the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Daie '. . i Page 2 01'2 225 Fifth Street ' Springfield, Oregon 97477 541.726-3759 Phone ,Job/Journal Number- COM2009-0 1762 COM2009-0 1762 COM2009-0 1762 Payments: Type of Payment ONLINE CHGS cReceinll RECEIPT #: Description 151 Appliance + 5% Technology Fcc + 12% State Surcharge Paid By ONLINE PERMIT CHGS 1200900000000001322 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/10/2009 I :27:52PM Amounl Duc 79.00 3.95 9.48 $92.43 Item Total: Che~k Number Authorization Received By Batch Number Number How Received KR Page I of I Amount Paid ONLINE LOWES Online WEATHERI ZATI0N $92.43 Payment Total: $92.43 ~ 12/1 0/2009