HomeMy WebLinkAboutPermit Mechanical 2010-4-28
City Of Springfield
225 Fifth 81.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
D New Construction
[R] Addition/alteration/replacement
~ 1 or 2 family dwelling D Multi-family D Commercial
D Accessory
JOB SITE INFORMATION ANDtOCATION~"
Job Address: 7077 S E 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Sulte/bldg.lapt.no.:
Project Name:
Cross Street/directions to job site:
Tax mapfparcel no.:
1802022108100
Replacement of air handler and heat pump
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'"',,, .SITE CONTACTcJt.iiC,
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Name: Harvev Flovd
Phone: 541-852-2454
Fax: 541-485-2292
Email:
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CONTRACTOR
eea lie. no.: 176741
Y PERIOD.
City/State/ZIP: EUGENE, OR 97402
Phone: 5414852282
Fax: 5414852292
Email:
Metro lie. no.:
City lie. no.:
C.IO-52S
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00076
Approval Code: 005017 4/28/2010 2:53 pm
E-mailedTo:seth@lowesweatherizatjon.com
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NOTE: This Authorlzatlon To Begin Work expires within 180 dayslfa permit Is not obtained.
Upon review and approval by your local JurisdIction, your permit will. be e-mailed or faxed
within one businessday,wilh Instructions on howto schedule your Inspectlo n. .
The lo!;al building department may determine that an Authorization To Begin Work 15
void If it does not meel applicable land use laws and local ordinances.
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Description
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'Heating/C"o'olingAPpiia~9",S,
Heat Pump
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$17.00
rJIihlm'Uffi:'Fees;v
First Appliance Fee
Mechariicat Permit Fee~s-'
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
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$79,00
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$96.00
$11.52
$4.80
TOTAL PERMIT FEE
$112.32
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ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules bV
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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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: COM2010-00525
ISSUED: 04/28/2010
APPLIED: 04/28/2010
EXPIRES: 10/28/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7077 S E ST
ASSESSOR'S PARCEL NO,: 1802022108100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replacement of air handler and heat pump in residence.
Residential
Owner: BOWDITCH ARTHUR J & R V
Address: 7077 S E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
LOWES WEATHERIZATION
License
176741
Expiration Date
06/19/2011
Phone
541-485-2282
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Street Improvements:
I DEVELOPMENT INFORMATION I .
REOUIRED PARKING
ATTENTION: Oregon law r~qUlres you to
Overlay Di'l: . 'follow rules adopted bylll1tltl:lregon Utility
# Slreet Trees Rqd: Notification Center. Th09ll:rulS8~t forth
Paved Drive Rqd: In OAR 952-o01.0010thr~R 952-001-
% of Lot Coverage: 0090. You may obtain copies of the rules by
calling the center. (Note:, the tel~~ho~e
I PUBLIC IMPROVEMENTS I Center is 1-800-332-2344).
Sidewalk Type:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Storm Sewer Available: .,..... :':H""'!''''
Speciallnstruction:OTICE: E 1~'l:f~E'.wbf{\< .. .
THIS PERMIT SH~LL EXPIR '.. IS NOT
Notes: AUTHORIZED UNDER THIS PERMIT R""
.nor NDONEDFO
IV IV'
ANY 180 DAY PERIOD. I Valuation Description I
DownspoulslOrains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
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,:
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: COM2010-00525
ISSUED: 04/28/2010
APPLIED: 04/28/2010
EXPIRES: 10/28/2010
VALUE:
Status
Issued
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Total Value of Project
Fees Paid _
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$11.52
$4.80
$79.00
$17.00"
$112.32
4/28/1 0
4/28/10
4/28/10
4/28/10
1201000000000000389
1201000000000000389
1201000000000000389
1201000000000000389
I Plan Reviews ~
To Request an inspection call the 24 hour re.cqrdIng at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insp~ctiiJiis'requested after 7:00 a.m. will be made the following
work day. :::-,: -.
LReouired Insoections ~
Rough Mechanical: Prior to Cover
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 a~d 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000389
2:56:55PM
Date: 04/28/2010
Job/Journal Number
COM20 1 0-00525
COM20 1 0-00525
COM20 I 0-00525
COM20 I 0-00525
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1 sl Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMlT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
KR
ONLINE LOWES Online
WEA THERI
ZATION
$112.32
Payment Total:
$112.32
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4/28/2010