HomeMy WebLinkAboutPermit Electrical 2002-8-1
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I Job# 02-00869-01 I
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TRANS#:01-0010133
DATE:AUG 01 2002
AMT RECD:2 $ 61,75
CHANGE:
CASHIER:061
./ SPRINGPIELD
~
225 Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00869-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 569 Laksonen Lp Spr
Assessors Map#: 17023523
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 04500
Subdivision:
Michael Malosh
569 Laksonen Loop
Phone Number: 541-726-0893
City/StatelZip: Springfield, OR 97478
Addition Value: $0
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Mechanical Contr
Connections for new Heat Pump & replacment air handler
Contractor
Michael Malosh
569 Laksonen Loop, Springfield, OR
97478
Marshalls Inc
4110 Olympic St, Springfield, OR
97478-5620
Registration # Expiration Date
Phone
541-726-0893
25790 12/23/2003
541-747-7445
_~I'
1\1t ~W""
Office Use C~: . ~~I'\~~ \f \S \,\01
Land Use: ~01\ 1't.~WI\1 S\1r>.\\ 1~~P.ifl~~~
Zoning Code: 1I1\S O~\l~O \l\'\O~ r>.~~~~ Group:
Bedrooms: r>.\l'SWI~\'\C~O O~ \~OOHeat Source: Heat Pump
Range: CO ~ eO or>.'i I't.~ Sq, Footage:
~1I'/
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
working day.
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Rough Electrical
Final Electrical
Rough Mechanical
Final Mechanical
Required Inspections
Electrical e Ulfes you,t?
- Prior to cover. N'.oregon laW r 6regon UtIlity
- When all electrical work is complete. Ii- rn:,Nll0 dopted b~ t\'le I S are set \ort\'l
-J'~...ru\esa lhOserue R952-00~-
Mechanical' :;~ad\iOncentef'~ot\'lroug\'lOP; ruies bY
- Prior to cover. NU AR 952-001-00 in copies o\\\'Ie hOne
-When all mechanical work is COmPh~t'e090 'l'oU may obta 'Note: tnetele~'catiOn
00 '. t\'le center, \ Utility Not"\
callIng t\'leoregon 2344).
numbedor . 1_800-332-
centel IS
.
.J
. Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq, Feet)
I Main: Accessory:
Fee
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
GrandJa~1/-~ ;/~
Sig re '(
I Job# 02-00869-01 I
.
Page 2 of 2
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt# Value/Quantity .
Electrical I
07/19/2002 9991
07/19/2002 9991 3
07/19/2002 9991
07/19/2002 9991
Fee Amount
$.00
$49.00
$3.43
$3.92
$56,35
Mechanical
08/01/2002 1 0133
08/01/2002 10133
08/01/2002 10133
08/01/2002 10133
08/01/2002 10133
08/01/2002 10133
$25.00
$3.60
1 $12.00
1 $8.00
$10.00
$3.15
$61,75
$118,10
J7/ /c 2-
Date
PAY TO THE ORDER OF
SPRINGFIELD BRANCH
US NATIONAL BANK OF OREGON
FOR DEPOSIT ONLY 1 536 0145 2508
CITY OF SPRINGFIELD
DEVELOPMENT SERVICES DEPARTMENT
AUG 01 2002/61.75/01-0010133
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I
LEGAL DESCRIPTION
/7tJ"2- 3'S Zj
t9~S-eZJ
~B DESCRIPTION The tOI/OWlng . 1000 sq. ft. or less
lA(~ Zoning. and n=: as SUbmitted haS~aCW'additiOnal 500
-""J.,//OVa/ t reqUIre speclfics,;t I~on
.i . n tf4.J'~u
Permits are non-transferable and expiming _ t.dS~ thereor
ifwork is n&staned withiiilllliO s c;gh Manufd Home or
of issuance I work is ~l1ended for - g;L Modular D"welling
mCinlElC S
180 days. Ignalure -.(W e Feeder
. .
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2. CO ' '. OR,lITALLATlON ONLY.,
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TRANS#fbl~Q009991
DATE:j~,~9 2002
ANT RECD:2 $ 56,35
CHANGE:
CASHIER:003
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