HomeMy WebLinkAboutPermit Mechanical 2007-11-16
, .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01694
ISSUED: 11/16/2007
APPLIED: 11/16/2007
EXPIRES: 05/16/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5291 CYNTHIA CT
ASSESSOR'S PARCEL NO.: 1702333400105
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
PROJECT DESCRIPTION: Change out Air-handler
Owner: SAMMIE L MAYFIELD FAMILY TRUST
Address: 87500 RICE RD
MAPLETON OR 97453
Phone Number: 541-554-4735
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION.
Expiration Date
12/23/2009
Phone
541-747-7445
# 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
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
, I PUBLIC IMPROV~;:q~..I,.
~. Oregon law requires you t
foll.~w r~les ado~h!{;j~Itffif~:egon UtT~
NotIfIcatIon Center:. Ib.' c:: , . II Y
Storm Sewer Available: in OAR 952-001_0crr6'ff~Pc~MU~iiriis$et forth
Special Instruction: . 0090 You m b' th o~gh OAR 952-001-
U QO/83d ~ '-;r r.- I " ,'. . ay 0 tam caples of the rules by
00:1 03NOON'f/8V SI H }.. '. 'J ~ /,; )Ga:!mg the center. (Note: the telephone
ION SJ lJIAIH3d StHl U"ln 0 Q3JI'!:;{I../::....number for the. Oregon Utility Notification
>/110 \~ -'J' 0:1 f\In n:J7r r~. .. r:r.>ntl'>r Ie 1 orv\ ""(1 ",.. A l)
..J , I .JO.L :JI :J~ldX3 1- , --. y...... . I . " . JI_ e.~ . i .
V-{7lsJ~~mJ~~~l:i tion
a UN
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Street Improvements:
Description
Type of Construction
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01694
ISSUED: 11/16/2007
APPLIED: 11/1612007
EXPIRES: 05/16/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$io.oo
$5.00
$2.50
$4.00
$9.00
$41.00
11/16/07
11/16/07
11/16/07
11/16/07
11/16/07
11/16/07
Receipt Number
3200700000000000760
3200700000000000760
3200700000000000760
3200700000000000760
3200700000000000760
3200700000000000760
Total Amount Paid
$81.50
I Plan Reviews I
To Request an inspection call the 24 hour recording 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,
Reouired Insoections I
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 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.
Owner or Contractors Signature
Date
Pae:e 2 of2
City O'f Springfield
Mechanical AuthO'rizatiO'n TO' Begin WO'rk
E-mailedTo:cevin@marshallsinc.com
Receipt # EC520695
11/16/20072:19:07 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
IX] Addition/alteration/replacement
I Description
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
$900
$900
[KJ I or 2 family dwelling
D Multi-family
D Accessory Building
Job no.: I Job address: 5291 CYNTHIA CT
City/State/ZIP: SPRINGFIELD, OR 97478-7932
I SuiteJbldg.lapt.no.:
I Project name: MAYFIELD
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1702333400105
I Lot no.:
I Water heater
I Gas fireplace/insertlstove
I Gas log/ log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/linerlflue/vent w/o
CHANGE-OUT OF AIR HANDLER.
I Name: HARLEY MAYFIELD
I Phone: (541) 554-4735
IEmail:
I Fax:
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I CCB lie. no.: 25790
I Business Name: MARSHALLS INC
I Contact: Cevin White
\Address: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone: (541)7477445 I Fax: (541)7410821
I Email: cevin@marshallsinc.com
I Metro lie. no.:
I upto first 4 outlets(enter Qty=l)
I each additional outlet
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
I
I
I
I
I
* City Of Springfield
$1 0 rSSl'"np~ ",pp
COM: ~ ()0 ( -O\(l.:tL/
'<.. 2(:)1)-' - -'<00
RCPT #" _.J
DATE p~~ll "'1 Ct> .- Or
PROCE~.~./')'l )-J
( ,
This Authorization To Begin Work must be posted at the job &ite un~rePlaced by a Permit.
I City lie. no.:
Subtotal $9.00
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of permit fee) $4.00 I
City Of Springfield fees * $27.50
TOTAL PERMIT FEE $8150
10% Local Admin Fee; 5% Local Technology Fee;
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.
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.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
CO M2007 -01694
COM2007-01694
COM2007-0 1694
COM2007-01694
CO M2007 -01694
COM2007-01694
Payments:
Type of Payment
ONLINE CHGS
cReceint'
RECEIPT #:
3200700000000000760
Date: 11/16/2007
Description
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE MARSHAL. Online
LS
Payment Total:
Page I of I
2:56:12PM
Amount Due
9.00
41.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
11/16/2007