The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2010-7-1 C/O. 82'6 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00159 Approval Code: 040311 7/1/2010 8:06 am E-mailedTo:Teresa@lowesweatherization.com ~"M"","".""",_"~_""=,, '",..[ }... EEE:'sCI:lE:DlJLE~'''''''' City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726~3753 Email: permjtcenter@ci.springfield.or.us rL"['."oi,:,,~,:,., ~". ,~-',..':' : ,.".A",. ':'i,T' ':,,:.: , 0 New Construction IRI Addition/a Iteration/replaceme' iit , , ' ""\ '!~",,':'" ,.'CATE:GQ8yi,QE c:roN'sfR8'cfIONfii{;$~~ '~~ ,{:-'~- ~'. ~ <:: IRI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory ["i.e.,' ..~<i:::c :;~"oi'JOBSI'1:E'I~~dRM~tlbN:AND:ldCA'1:ioN:"'''i.,..,..,... " 0 Job Address: 2020 EST City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1703361211700 .' .' :!J ~ 'Z':: Install heat pump and air handler ,.",.,cc";;';6"i0;~ "":c~;t;;";.A " ":J,Z-:Z,,1 -" \' 'i" L" Name: Harvev Flovd .'<< " ; .lljJllr~;'~,l :',,(,rit. Phone: 541-852-2454 Fax: 541-485-2292 '~.' ., Email: , i' ;',;;- ,;;,,;'" ;"",~'};,";,lCON'1;RACTORi; ,.!L'j";'i"7 ';.;,' " {~.:; ," ! .r....c...."'- .-.j CCB lie. no.: 176741 Business Name: LOWES V\lEATHERIZATION INC Contact: Address: PO BOX 21337 City/State/ZIP: EUGENE, OR 97402 '0; -71 . Phone: 541-485-2282 Fax: 541-485-2292 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 instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work oxpires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To .1ll1l91_~~'fJ~.';.k~~~;".,~u,l~an~ void if it does not meet applicable land use laws and local ordinances. :'.~,);>, :..; M. -.-.....- r( ~W\O 1-1- to .!!.>:1!;r:r' CfJ g:)({ nrY' ..i~~ :', _Heatif)gJCooHng!AppJiaDCeS'; -" Heat Pump Minim~rr(Fee;<;:~' .m""v,. First Appliance Fee N19chanic~lp,~frnl(Fees0~ c7, :~:'^'O Subtotal $96.00 State surcharge (12% of permit $11.52 total Technology fee (5% of permit total) TOTAL PERMIT FEE .# $1~ \Q $4,80 $112.32 ~~ ~'Q~ ~\ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ". '~.!". CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00828 ISSUED: 06/25/2010 APPLIED: 06/25/2010 EXPIRES: 0110112011 VALUE: $ 1,500.00 Status Issued , ,',.'" SITE ADDRESS: 2020 E ST ASSESSOR'S PARCEL NO.: 1703361211700 Springfield TYPE OF WORK: Foundation TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Foundation repair Install heat pump & air handler Owner: STEVE MUSSAK Address: 4988 CHANCELLOR LN EUGENE OR 97402 Phone Number: 541-953-5751 Contractor Type General Mechanical I CONTRACTOR INFORMATION ~ Contractor License OWNER LOWES WEATHERIZATION 176741 BUILDING INFORMATION I Expiration Date Phone 06/19/2011 541-485-2282 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height .of Strudure , IYQe of.J:!.!'at: ,;)\'ater Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: R-3 nla I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: 'Paved Drive Rqd: % of Lot Covenige: .""' . ............ II"!' " Total: Handicapped: Compact: 'I' ,"~"..I""~ /"'In ;';:1\/1./ n~nllires vou to PUBLIC 1M ted by the Oregon till Y " Those rules are set forth o Ilca I ~" "'d 'I"T~."'2 001 OAR 952-001-0010 ti'f,I~~~a ",I..y,,,"' - - In bt ' '~'lhieS of thiJiflUles by 0090. You may 0 am 'owP1P.gul!\ IWI!\i calling the center. ( ate, d I 'E, . number for the Oregon Utility Notification Notes:NOTICE: ' ,I Center is 1-800-332-2344). THIS PERMIT SHALL EXPIRE IF THE WOR~.'i:('!,:',7~~ ':' i AUTHORIZED UNDER THIS PERMIT IS NOt:.1f ," /~~ ' COMMENCED OR IS ABANDONED FOR 'I~,\I ,,11 \IY i 80 DAY PERIOD, " Street Improvements: Storm Sewer Available: Special Instruction: Page I 01'3 Status ,Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ." , ,!"'\' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00828 ISSUED: 06/25/2010 APPLIED: 06/25/2010 EXPIRES: 01/01/2011 VALUE: $ 1,500.00 I Valuation Description ~ "j Description Tvpe of Constrnction $ Per Sq.Ft.!, "'.,~i",S'Iuare Footage or mult!J?IJer. ";.: . ,or Bid Amount . :.$.1000' ,":', 1,500.00 l< 'Total Value of Project Value Date Calculated Foundation Onlv Use Bid Amount $1,500.00 $1,500.00 06/25/20 I 0 ~ Fee Description + 12% State Surcharge + 5% Technology Fee Foundation Permit + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number. $6.96 $2.90 $58.00 $11.52' '.0 $4.80': ' $79:00". .' $17.00 . ,6/25/10 6/25/10 '"j, ,. 6/25/1 0 , "i 7/1/10 7/1/10 7/1/10 7/1/10 2201000000000000747 2201000000000000747 2201000000000000747 3201000000000000358 3201000000000000358 3201000000000000358 3201000000000000358 Total Amount Paid $180.18 I Plan Reviews ~ .1"0-. I,; " 3tk,F ,1 f ;. :;: ",: '~l r" i";j'.E.. ~.... . -. To Request an inspection call the 24 hour reco'rdiIig'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. l...Reoll irerlJ nsnection s -I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Rough Mechanical: Prior to Cover ""r,' r' '.' Final Mechanical: When all mechanical 'Y:?r,kis. complete: ',j . +;'i:'~' "'1 f:~;' ;;.\,'+1" " :-i'i>a'ge'2 of 3 nJt'~i; '~: :~,~., 1," , '.';';,:; ,~ ., ._~..,.. - :; "' 'to,' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00828 ISSUED: 06/25/20]0 APPLIED: 06/25/20]0 EXPIRES: 0110112011 VALUE: $ ],500.00 i:l..{~~', .,~ _ , , n.;tii-:; ,. !l' :." Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 'd - 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 furtllef.'tertify thai 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 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. ., . -7i:.::-";- '-"c7''';'''''''--~''' ., t. . , Owner or Contractors Signature : '~:'.~.~;e Date "'i~t t...... ;:1 -'.'1 '," ! . l' .. ": \ :1 '\'1"', d. f:\"';~ ;'~ 1.'. '", ::'\r:: 'C.:7r..-! .,: . t., ll,n'h.L ;'. " , Paee 3 of 3 225 Fifth Street Springfield,.Oregon 97477 541-7~6-3759 Phone ~.~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000358 8:33:47AM Date: 07/01/2010 Job/Journal Number COM20 1 0-00828 COM2010-00828 COM20 1 0-00828 COM2010-00828 Payments: Type of Payment ONLINE CHGS cReceintl r Description Heat Pump I sl Appliance + 12% Slale Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ! }~~{' ': r;'"; , Amount Due 17.00 79.00 11.52 4.80 $112.32 - J:.~';~:'r ,,' ;:,::',1 Item Tolal: Check Number Authorization Received By Batch Number Number How Received NJM, ONLINE LOWES Online Payment Total: Amount Paid $112.32 $112.32 {"H~,,,:'''l , ,\l~.~" . ~,'::J: :i. . :'~ ,-";-,.,,,: .,:;q;,,,: :..>., ~ ",~/,,"" 'f.. ,.: Page I of I I 7/1/2010