HomeMy WebLinkAboutPermit Mechanical 2006-12-27Building/Combination Permit
PERMIT NO: COM2006-01662
ISSUED:
APPLIED:
EXPIRES:
VALUE:
F
12t27t2006
12t27/2006
06t27t2007
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line ffi
SITE ADDRESS: 532 5TH ST
ASSESSOR'SPARCELNO.: 1703352405600
PROJECT DESCRIPTION: Install new gas furnace.
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration Residential
Owner:
Address:
Contractor Type
Mechanical
MANGRICH ADAM E
532 sTH ST
SPRINGFIELD OR 97477
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10t22/2007
Phone
541-726-7654
'RACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
.r". -tr,,i1'f[U1,",'
NoteqliiI] PIIlN,IIT SHALL EXPIRE IF THE WORK
Sidewalk Type:
Downspouts/Drains:
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set fort
ay obtain copies of the rules b
center. (Note: the telePhone-
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
ril lEr
T
i;i;*ll,il l!u[D 0R lS ABAND0NED F
iri'l'/ 1EC DAY PERI0D
Description Type of Construction Square Footage
or Bid Amount Value Date Calculated
$ Per Sq Ft
or multiplier
PUBLIC IMPROVEMENTS
Page I of2
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/C ombin ation Permit
PERMIT NO: COM2006-01662ISSUED: 1212712006
APPLIEDT 1212712006EXPIRES: 0612712007
VALUE:
Amount Paid
Total Value of Project
Date PaidFee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
$10.00
$4.s0
$2.2s
$3.60
$12.00
$33.00
12t27t06
12t27t06
12t27t06
12t27t06
12t27/06
12t27t06
Receipt Number
1200600000000001794
1200600000000001794
1200600000000001794
120060000000000r794
1200600000000001794
1200600000000001794
$6s.3s
F ees Pa
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection 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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Reouired Insnections
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
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 properfy, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 2 of 2
Date
City of Springlield
Upon review and approval by your local jurisdiction,
permit will be e-mailed or faxed within one business
Mecnanical Authorization To Begin Work
E-mailed To: mlester@automaticheatco.com
Check on status of permit:
Contact: http ://www.ci.springfield.or.us/dsd/Building/index.htm
Receint # EC507328
12/271200610:49:48 AM
Fee;
your
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.
The local 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.
Fee;
$10 Issuance Fee
l-l New construction E Addrtion/alteration/replacement
I t o. Z family dwelling E Uutti-famity I e...rrory Building
Job no.:Job address: 532 5TH ST
City/State/ZIP: SPRINGFIELD, OR 97 477 -4622
Suite/bldg./apt.no.:
Project name: mangrich
Cross streeUdirections to job site:
Subdivision:Lot no.
Tax map/parcel no.: 1703352405600
Install new gas
Name: Adam & Maren Mangrich
Phone: (541) 5544t27 Fax:
Email:
CCB lic.no.: 149452
Business Name: EUGENE HEATING & COOLING COMPANY
Contact: Michael Schilling
Address: 1650 NE LOMBARD ST
City/State/ZIP: PORTLAND, OR 9721 I
Phone: 5417267654 Fax: 5417267657
Email: mlester@automaticheatco.com
Metro lic no,:City lic no.:
Description _j
H""ttrg/.""ttrg rpplir**
Furnace- upto 100,000BTU -f
etv. I
--l
Ea.
$12 $ I 2.00
Total
Fumace - above 100,000 BTU
Electric Furnace not offered online at thrs jurisdiction
Duct alterations and additions
Gas heater units/ in-wall, in-
duct, suspended, etc/
Vent, flue, liner for above
Air Conditioner
Heat Pump
Air Handler not oflered online at this jurisdiction
Water heater
0ther fuel burning apptia*ces
Gas fi replace/inserrstove
Gas log/ log lighter
Gas clothes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/insert
Wood fireplace
Chimney/l iner/fl ue/vent w/o
Range hood
j
tilation
-IClothes dryer exlaust
Single-duct exhaust (bathrooms,
toilet comparunents, utility
rooms)
Attic/crawlspace fans
upto first 4 outlets(enter Qty=l )
Fuel piping
each additional outlet
I
,L PERMIT F
Subtotal $ r 2.00
Minimum Fee $4s.00
of $3.60
$16.75
E $6s.3s
This Authorization To Begin Work must be posted at the job slte until replaced by a Permit.
TYPE OF WORK
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
DESCRIPTION OF WORK
SITE CONTACT
CONTRACTOR
FEE SCHEDULE
ciw of s
T()T.dt.
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Citv ^f Springfield Official Receipt
De rpment Services Department
Public Works Department
Date: 1212712006 1l:08:30AM
Job/Journal Number
coM2006-01662
coM2006-01662
coM2006-01662
coM2006-01662
coM2006-01662
coM2006-01662
Description
Furnace - up to 100,000 btu
Minimum/Adjustment Mechan ical
-Mechanical Issuance Fee-
+ 5oZ Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
12.00
33.00
10.00
2.25
3.60
4.50
Item Total:$65.35
Payments:
Type of Payment Paid By
UheckNumber Authorrzatron
Received By Batch Number Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLTNE Eugene Online
Heating &
Cooling
Payment Total:
$6s.3s
s6s.3s
cReceint I Page I of I 1212712006
RECEIPT #: 1200600000000001794