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HomeMy WebLinkAboutPermit Mechanical 2010-6-21 .,1 -"',,, C/O. JeI2. Residential Mechanical Authorization To Begin Work 69600-BMC-10-00140 Approval Code: 072611 6/21/2010 8:30 am E-mailedTo:seth@lowesweatherization.com City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfiefd.or.us 'I' .(1, o New Construction (K) Addition/alleration/[~'place~enl .. '., 'I! ,: .h :.;&~4;"9'A,.EG()RY0~.&cD~StRU~CTI()N: fr:};,,' IZJ 1 or 2 family dwelling 0 M'ulli-family 0 Commercial 0 Access~~ . _:;..JOB'SITEINFORMATION,ANDLOCATIClN."" C ~:~: :";"'.1 Job Address: 802 54TH Pl !' City/State/ZIP: SPRINGFIELD, OR 97478 r Suite/bldg.lapt.no.: 'Ii Project Name: I I Cross Street/directions to job site: I I , Description Mi.nim9m F~es" First Appliance Fee Mecha.nica~.PerrTiIU~ee!{':;'" Subtotal Stale surcharge (12% of permit total Technology fee (5% of permit total) $79.00 $79.00 $9.48 $3.9S TOTAL PERMIT FEE $92.43 ., Tax map/parcel no.: 1702331201522 .DE~C;"~Jf>Ti.oN:OFW0RK0;~,:;;: ': + ,: ~~:. .\ ',.,,, Insulation of heat pump [' .' '):':;' :~: ,; Name: Phone: Fax: .," Email: : .~ ' .:. ", CONTRACTOR' . - - - ~ ceB lic. no.: 176741 Business Name: LOWES WEATHERIZATION INC Contact: Address: PO BOX 21337 CityfStatefZIP: EUGENE, OR 97402 Metro lie. no.: City lie. no.: I I I I Phone: 5414852282 . fax: 5414852292 " Email: , Upon review and approval by your local jurisdiction, your permit will be e-malled or faxed within one business day, with Instructions on how to schedule your inspection. I The local building department may determine that an Authorization To void if it does not meet applicable land use laws and local ordinances. ...-. , B~.~~ri~~~~d ~t..; ~~tl;, .and :-.~~f~~~ :::~~:: :_~~r~' ' ~.. " -j1.'~~". ITd-. :':;~~:.:. \. .~. ..~~~ W \.9~ \$)~.\o \0'1.1 0.- ~4J. ~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. CoYvzoI 0 - OCJ7Q L cR -d.-I -} () nrYl ,I Inspections Phone: 541-726-3769 This Authori~ation To Begin Work must b~ pos~ed;at the job site until replaced by a Permit I' . . ~ '.:~ ' ,I r",,~,~, .~' ^^ ',-""" . .- I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00792 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 802 54TH PL ASSESSOR'S PARCEL NO.: 1702331201522 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pnmp installation Owner: BJORNBAK LESLIE F Address: 802 54TH PL ' SPRINGFIELD OR 97478 Contractor Type Mechanical Contractor , , , License LOWES WEATHERIZATIONl>' 176741 Bu-iLD'Il~G'iNFORMA TION ~ '1 # of Stories: Height hf Strncture , Type ot: Heat: Water Type: Range Type: Energ)jIPath: Sprinkled Building: 'I I CONTRACTOR INFORMATION ~ I Expiration Date 06/19/2011 Phone 541-485'2282 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoudary Construction Type: # of Bedrooms: 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 Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION ~ "', ,I " ~. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 'I % of Lot Coverage: ,I REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMEROVEMENTS Street Improvements: ., J,,, .NO : JAt'C"@\t?T~e"iF iHE WORK Storm Sewer Available: ' ;,~~:: '"J,,,:,,THISYERMIT SU,,",,,,,,S'"J.ll&JIWM\l'! IS NOT ., ...,.,,; ~':. 'AUTHORIZto l'lI.n:.n'l'IL! FOR SpeCIal 1'lt\1i"PEtVl'IbN: Oregon law . ,'i.,.:;"".. ",.;':'.. 'OMMENCED OR IS ABANDONED , follow rules ad t d reqUires you to I C 100 Notes: Notification Cen~ eTh by the Oregon Utility I\NY 180 DAY PER ' . In OAR 95 _ _ r. ose rules are set forth 1 . ou may obtain copies of th' calling the cente~. (Note: the te,: ~lilltion Descri number for the. Oregon Utility Notifi~~ Canter I~ t..<lnrL"''''F. :!'1'"ell'l>q Ft Square Footage Description TVpe nfu18"""",illo44) It' I' Value Date Calculated , . or mu Ip ler or Bid Amount " I', . . 'I !I. .!'\ .' ~.'. . '" f ~ ,I Pa2e 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Total Amount Paid r ,'. ,', h(;) 'I': ~ ;' L :;~t:,.~::'~,:, ..., .':' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00792 ISSUED: 06121/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: . :,~j.l:i:~":;f. .~~i~{,:;;. [>. Total'IValue of Project Fees Paid ~ I I Amount Paid $9.48 $3.9?, $79:00 " $92.43 Plan Reviews ~ Date Paid Receipt Number ",,' , 6/21110 6/21110 6/21110 3201000000000000316 3201000000000000316 3201000000000000316 To Request an inspection call the 24 hour r;~~_Qrdi~g"at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, in~p~ctiJris',requested after 7:00 a.m. will be made the following I . work day. 1 .I Reauired 'Insoections ~ " Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is cotriplete. ,I By signatnre, I state and agree, that I have carefnlly examiJed th"'c~n;~leted application and do hereby certily that all information hereon is true and correct, and 1 fnrther certify that any arid all work performed shall be done in' accordance with the Ordinances of the City of Springfield and the, ~aws of the St"ie of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any str"dure with6ut permission of the Commnnity Services Division, Building Safety, I further certify that only contractors and employees who a~e.in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are r~quested 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 . .( ; \.; '-1"'----' "2.(.1)1 lit', ,':'.~Ji ": (1 ", -~.:-:;'r IM;-::' ,O'}Vl'.~ :; r1j.; ! , '" I) ;C I.: Date Pace 2qf 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department I RECEIPT #: :1 3201000000000000316 , Date: 06/21/2010 ~:03:2IAM Job/Journal Number COM20 I 0-00792 COM20 I 0-00792 COM20 I 0-00792 Payments: Type of Payment ONLINE CHGS cReceintl Description 1 st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS I . ,1~~(:;, ..!. t. ., ... J." ."':~l'~: 't;,{l '1;+1 ";I~' 'i, , , ;,.:' Ii .' ~ r I I Check Number Received ~y Batch Number nJm ONLINE " ,; . ,,~':\'H~ r'\ t~ - ,,;.:f.;<:: , , J '1 Jk, I.", 1 ;. :i ......~ I '.'''l''i'~\~:"' 'f .. : 'i' "'Ii" ~'. I itl'" :", . "" r Page 1 of I. ,I Item Total: Authorization Number Amount Due 79.00 9,48 3,95 $92.43 How Received Amount Paid Lowes Online Payment Total: $92,43 $92.43 6/21/2010