HomeMy WebLinkAboutPermit Mechanical 2010-3-4
~SP~INGfIELD
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
EmaH: permitcenter@d.springfield.or.us
DIO-~11
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00040
Approval Code: 020616 3/4/2010 1:06 pm
E-mailedTo:seth@lowesweatherization.com
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D New Construction IKI Add ition/alteration/replaceme nt
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IKI 1 or 2 family dwelling D Multi-family D Commercial D Accessory
'-. y,. ,:JOB'SITEINI'ORMArIONiAN[)L.OCATIO'N'" ," : .'
Job Address: 2739 LOCUST ST ,
City/StatelZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no. :
Project Name:
Cross StreeVdlrections to job site:
Tax mapfparcel no,: 1703244100600
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Installation of heat pump and ductwork
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Name: Harvey Flovd
Phone: 541~852-2454 Fax: 541-485-2292
Email:
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cee lie. no.: 176741
Business Name: LOWES WEATHERIZATION INC ..-. ....
Contact:
Address: PO BOX 21337
CityfStatefZIP: EUGENE, OR 97402
Phone: 5414852282 Fax: 5414852292
Email:
Metro lie. no.: City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be e.mailed or faxed
within one business day, with im.tructions on how to schedule your inspection.
NOTE: this Authorization To Begin Work expires within 180 days if a permit is not obtained.
The tocal building department may determine that an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
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Description Qty. I Ea. Total
Heatin'g1(;o()lingAppliances;<..i. ,,' '~ , ".
Heal Pump I 1 $17.00 $17.00
Minirnum Fees ':." y ,,~~f. ',', .,. .'." ..,' '" , -t...,
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First Appliance Fee I $79.00
ivIech'iinh;;~I: Perm if Fees "I .. '" . -/',
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Subtotal $96.00
Slate surcharge (12% of permit $11.52
total)
Technology fee (5'% of permit total) $4.80
TOTAL PERMIT FEE $112.32
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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: COM201O-00277
ISSUED: 03/04/2010
APPLIED: 03/0412010
EXPIRES: 09/0412010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2739 LOCUST ST
ASSESSOR'S PARCEL NO.: 1703244100600
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pnmp and dnct work
Owner: MARRS MARVIN J
Address: 2739 LOCUST ST
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 Occnpancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
. Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Tr.ees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
p,1^.,..,('l'C.'
~H\S'p~P1M\1 SH~~R ~~-\S'PEP.
!'-.ll1\-\OR\IED UONp. IS f>.Bf>.NDON
'('~li\'J\~CED $ Per Sq Ft
Description .)1. V.ll\\i)f~l0IPction . .
. ,,,NY 18 . Ul'l or multlpher
Sidewalk Type:
AIIOlitRjl6lNs/Oregaa law-requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-001 0 through OAR 952-001.
0090. You may obtain copies of the rules by
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:,
Notes:
Squ'are Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00277
ISSUED: 03/04/2010
APPLIED: 03/04/2010
EXPIRES: 09/04/2010
VALUE:
Status
Issued
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Total Value of Project.
Fees '4.id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17,00
3/4/10
3/4/10
3/4/10
3/4/10
2201000000000000198
2201000000000000198
2201000000000000198
2201000000000000198
Total Amount Paid
$112.32
Plan Reviews I
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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.
[ Reuuired InsDect~
Rough Mechanical: Prior to Covel'
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
th'e Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, aud
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
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Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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lik
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000198
Date: 03/04/2010
2:21 :481'M
Job/Journal Number
COM20 I 0-00277
COM20 I 0-00277
COM20 I 0-00277
COM20 I 0-00277
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
I sl Appliance
Heal Pump
+ 12% Slale Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Tolal:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of I
Amount Paid
ONLINE lowe's Online
weatherizati
on
$112.32
Payment Tolal:
$112.32
3/4/2010