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Home My WebLink AboutPermit Mechanical 2010-2-25 ~'."'." .' -"'0; (] i()- ,:;l1S1 Residential Mechanical Authorization To Begin Work 69600.BMC.10-00038 Approval Code: 030814 2/25/2010 11:08 am E-mailedTo:seth@lowesweatherization.com SPR1NGF'<:LD ~'A'''''~ ,,,. , 'f.. ( '..~1l :;-' . ,- ..........~ · .~., '" OREGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us JOB-SITE INFORMATION AND. LOCATION First Appliance Fee !Vt9qh~nj~aIPermifFees;.0 Subtotal State surcharge (12% of permit total ~ o New Construction IRl Addilionfalteralionfreplacemenl IZI 1 or 2 family dwelling o Multi-family D Commercial o Accessory Description ::j Heatirig/Cooling<AppUanc'e's~?:;1. Heat Pump MinilllulJj;F~e's CATEGORY OF CONSTROCTlON~'.. Job Address: 658 S 57TH ST ." -~"1)' . CityfState/ZIP: SPRINGFIELD, OR 97478 $96.00 $11,52 SuJtelbJdg.Japtno.; 83 Project Name: Dee Barrong Technology fee (5% of permit total) $4.80 $112.32 Cross Streetfdirections to job site; TOTAL PERMI, FEE Tax map/parcel no.: 1802040000200 ~ -'- & "" DESGRI!:,TIO!'t OF WORK~ Installation of heat pump and air handler -'-j;", '*: ~~,:L.,;: -: ;:.1 ;;:illTE CONTACT' t Name; Harvev Flovd Phone: 541-852-2454 Fax: 541-485-2292 Email: ?p C'ONTRACTOR- "c .:$t:...................,.... . '..c',F.' :<-",,'';- CCB lie. no.: 176741 Business Name: LOWES WEATHERIZATION lNC Contact: Address: PO BOX 21337 Metro lic. no.: City lie. no.; .~ ,(\) \ .p ~~~, ~~ \9' ~C'.\D tYro-~~ ~ City/State/ZIP: EUGENE, OR 97402 Phone: 5414852282 Fax: 5414852292 Email: Upon review and approval by yOU! local jurisdiction, your permit will be a-mailed or faxed within one business day, with inslrul;tions on how to scheduht your inspection. NOTE: This Authori.latJon To Begin Work expires within 180 days if a permit is not obtained. The local Quilding department may determIne tnat an Authorjzatlon To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. ~!f)/ () - (jOdS ( /)/Y7 d/d5//0 Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00251 ISSUED: 02/25/2010 APPLIED: 02/25/2010 EXPIRES: .08/25/2010 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 83 ASSESSOR'S PARCEL NO.: 1802040000200 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Installation of heat pump and air handler Owner: Address: JOE AND LEE LIMITED PO BOX 717 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor LOWES WEATHERIZATION License 176741 Expiration Date 06/19/2011 Phone 541-485-2282 BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structu re Type of Heat: Water Ty'pe: Range Type: , Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION . REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: S t~rm rgn,:{;I.CA'Vaila ble: speciaTIJ'n~tfucti~n:r S AUTHORIZ~' HALL EXPIRE IF TH Notes:OMMENC D UNDER THIS PERM E WORK 1,\'\/ "0_ ED OR IS 4R^,,,,~. IT IS NOT '..v U/;Y fJERIOD '-V"L " Valuation'Descri uires you to ......~......../"",n laW req _..... 1\ il' PUBLIC IMPROVE&!E, :r,S, ';'~dopted by tnr~\~~c;:r~ set lorth . 'center. Those OAR 952-001- Nolifu;/l.trl!)~ 001-~i51""'WllIlCiJlyP"e'1 the rules by III Ol\R 95 - ay .-.1-,'''11'\ COPle/;;. 0 ,^l~phone """0 You m ",OWDSRl<GutS "IllUm!. , "":;'aiiing the center. \~n 'Utility NotilicatlOn , Ilt~mber lor theO~~~00_332'2344). , , center IS \ Description Type of Construction $ Per SqFt or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00251 ISSUED: 02/25/2010 APPLIED: 02/25/2010 EXPIRES: 08/25/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '~i~tai Value of Project "::", 'I ' I Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 2/25/10 3201000000000000064 $4.80 2/25/10 3201000000000000064 $79.00 2/25/10 3201000000000000064 $17.00 2/25/1 0 3201000000000000064 Total Amount Paid $112.32 I. Plan Reviews ~ 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 InsDec~ I' Rough Mechanical: Prior to Cover Fiual Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 ou this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is re:!dable 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 Date ;J ,r?;";.' '1 f-'; Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone iiiil City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #1 , 3201000000000000064 Date: 02/25/2010 II :59:40AM Job/Journal Number COM20 I 0-0025 I COM20 I 0-0025 I COM20 I 0-0025 I COM20 I 0-0025 I Description I sl Appliance Heat Pump i + 12% State Surcharge I + 5% Technology Fee I '.':'.t' Item Total: Amount Due 79.00 17.00 11.52 4.80 $112.32 Payments: Type of Payment ONLINE CHGS cReceint 1 Paid By ONLINE PERMIT CHGS Check Number Authorization Rec'eived By Batch Number Number How Received Amount Paid NJM ONLINE $112.32 $112.32 LOWES Online Payment Total: "', Page I of I 2/25/20 I 0