HomeMy WebLinkAboutPermit Mechanical 2010-8-5
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Residential Mechanical Authorization To Begin Work
69600-BMC-1 0-0021 0
Approval Code: 050911 8/5/2010 8:12 am
E-mailedTo:teresa@lowesweatherization.com
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@d.springfield.or.us
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00 1 or 2 family dwelling
CATEG.0~y.6FC6NSIRl.J(;TION
o Mufti-family 0 Commercial
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Description
.HeatinglCoqling'Appliarlces.
Heal Pump
Mir:lrrnlJ~h:'F'ees:
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o New Construction
IRl Addition/alteration/replacement
o Accessory
':;)OB SITE INF;ORMA TION.ANDLOCA TION
City/State/ZIP: EUGENE, OR 97403
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First Appliance Fee
N1ec6anica," Permit Fees
Subtotal
State surcharge (12% of permit
total
Technology f~ {5% of permit total)
$96.00
$11.52
Job Address: 1533 CONCORD AVE
Suite/bldg.fapt.no.:
Project Name: Dixie Cross
Cross Streetfdirections to job site:
TOTAL PERMIT FEE
$4,80
$112.32
Tax map/parcel no.:
1703344300701
Installation of new heat pump and air handler.
"""'I,S;:~ii~;k": ~ :'~ srtE'~.oNtACi
Name: Harvev Flovd
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Phone: 541-852-2454
Fax: 541-485~2292
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. ,CONTRACTOR~.:
CCB lie. no.: 176741
Business Name: LOWES WEATHERIZATION INC
Contact:
Address: PO BOX 21337
City/StatefZIP: EUGENE, OR 97402
Phone: 541-485.2282
Fax: 541-485-2292
Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your, pennit will be e-mailed or faxed
within one business day, with instructions on how to schedule your Inspection.
NOTE; This Authorization To Begin Work expires within 180 days if a permit is not obtained.
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The local building department may determine that an Authorization To~Begin Work
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void if it does not meet applicable land use taws and local ordinances. ,n,'
is null and
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Inspections P.hone:.541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building~Combination' Permit
PERMIT NO: COM20IO-OI053
ISSUED: 08/05/2010
APPLIED: 08/05/2010
EXPIRES: 02/0512011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectinn Line
SITE ADDRESS: 1533 CONCORD AVE
ASSESSOR'S PARCEL NO.: 1703344300701
Eugene
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump & air handler
Owner:
Address:
CROSS EVERETT M SR & DIXIE L ,.... ... '~'-"
1533 CONCORD ST
EUGENE OR 97403 ....,c.,;,
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Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
LOWES WEATHERIZATION 176741
BUILDING INFORMA nON ~
Expiration Date
06/19/2011
Phone
541-485-2282
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Storie,:
Height of Strilcture
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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMA nON ~
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
~ #'S.ireet Trees Rqd:
Paved Drive'Rqd:
::::~.::of ~ot eoverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
_"Uk! \II!<Oi n law requires you to
ATTE.TI1IO . ~d b the Oregon Utility
f0l1o~Yrl.9Pi1ffi8~e rules are set forth
Notification center. hOAR 952-001-
In OAR 952-001-001~thro~~s of the rules by
0090. Vou may obtain ~~fe. the telephone
caltlng the center. ( uiilit Notification
Center is 1-800-33 -
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Notes:
NO: 'M" . '.:
THIS PERMIT SHA.LL EXPIRE IF ~~tion Desc'ription ~
AUTHORIZED UNDER THIS PER r,r;'
DescriPtimnMM~I9IO:RlI\&tAPel'i~hDONE~ 5 rl~ql~t Square Footage
vv 0 or mu lip ler or Bid Amount
ANY 180 DAY PERIO .
ValUe.
.. Date Calculated
Pa2e 1 of 2
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ii'-<'sP". ~.;i -t.n\i~c' ; ,_ i
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Heat Pnmp
Total Amount Paid
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Total Value,ofProject
8/5/10
8/5/10
8/5/10
8/5/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-01053
ISSUED: 08/05/20]0
APPLIED: 08/05/20]0
EXPIRES: 02/05/2011
VALUE:
Receipt Number
3201000000000000516
3201000000000000516
3201000000000000516
3201000000000000516
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested hefore 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.
Rougb Mechanical: Prior to Cover
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,>!;'~ees Paid'
Amount Paid
$11.52
$4.80
$79.00
$17.00:'~i.
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$112.32,:..:". ,;'),:
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I jiJ;~ R~~iews ~
Date Paid
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Reouired Insoections I
Final Mechanical: When all mechanical work is complete.
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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 tbat 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.:'Yith~ut permission of tbe Community Services Division, Building Safety.
1 further certify that only contractors and emplo'ye~s who are'in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectioris.are.reqtiested at the proper time, that each address is readable from the
street, that the permit card is located at the front of..tHe:pr6peity, and the approved set of plans will remain on the site at all
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times during construction. ">J:!r~, .
Owner or Contractors Signature
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Paee 2 of2
Date
225 Fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
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RECEIPT #: 3201000000000000516 Date: 08/05/2010 8:28:33AM
Job/Journal Number Description Amount Due
COM2010-01053 15t Appliance 79.00
COM2010-01053 Heat Pump 17.00
COM2010-01053 + 12% State Surcharge 11.52
COM2010-01053 + 5% Technology Fee 4.80
Item Total: $112.32
Payments: . ~c._,Check Number Authorization
Type of Payment Paid By Re,~~.~~ed ~y.;, Batch Number Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS NiM. ONLINE LOWES In Person $112.32
Payment Total: $112.32
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8/5/20 I 0