HomeMy WebLinkAboutPermit Mechanical 1996-1-31
COMMERCIAL/INDUSTRIAL '~A'NO".LO
PERMIT APPLICATION ~ olIIIIIIIIIlJ
225 Fitth Street, Springfield, Oregon 97477 ~
LOCATION OF PROPOSED WORI<, --s--icf:_L~ (' / <:.VI. )
ASSESSO"S MAP: /71') 3 2. 2 2.. t'J
:'3'7.' DtU i9, d-.?.d _
t:fC" ~ ~"f-.?J4 Ll/h-..1
"iPA"~,o:./~ 1
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.
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JOB NUMBER
9-&'J2,2, <
INSPECTION LINE: 726.3769
OFFICE: 72G-3759
TAX LOT;
CJD ~J
ADDRESS:
L" .
r'HONF-:
OWNER:
CITY:
STATE'~
7 -{/- - fP,~<L
~ ~d' 77
6/1'1: ?A'6~~
ZIP:
DESCRIPTION OF WORK: ~ .
NEW ~ REMODEL ADDITION
~ 2/) GAP! /? 774-
- ,
DEMOLISH _."_
VALUE:
OTHER _..
NAMF..
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
GENERAL:
PLUMBING, TR.. --, W\ec.\..~ .~,=,
1'-0(3 ).Ie '1',.~:>r.
MECHANICAL: _-bA,1}~~ ~, ,.
ELECTRICAl.
.I:-~l...
sT<!" /","0
ADDRESS
(';0 NSi.
CONTRACTOR'i
EX f:>l RES
PHONE
'7~~(;,
~~~feI/lJ
Ml=rl-:i.l\t.llrh.1
NO,
. PLUMBlf\ln
Single FI>:lure
RelOCated E::Ildg.
(now (lx, addUl
Water service
I
1~11
II
I I I
J~11. f"?t:" I
, '-'
I~
I
I
U 5."D
fl,
:;.anllary Sewer
1<.
.:i(urm 5QWor
fl.
Bltckflow Device
.1-
-I
i
I
(~o; le~
~\l)
TOTAL PE'RMIT
fND-1
I
I
I
I
I
I
I.. r~Aw:::j
I I
FIOOt furnaCe and vent I I
1;)u$~enCled w.:;J1r or lIo0r L
mounlaQ unit healer. _._
APPII"-nce Vent I I
separate
51ulionsry eVlJp. I
COOler
Vent f-sn/tilngle
duel
I Vent Sy~tern apan --I'
frorn AC at htg.
Meenanleal c:.:tlau~~, ;To' i.h I
hood and ducl
--Y--I SJ.."....., -".3n<
Furnacefbumer & 'vent
<: 100.000 STUs
Furnace/burner &. vanf
> 100.000 BTU~
l-EE"
I
'-i
I
I
I
/5:80
Permit Issu~nce
$10.00
TOTAL PERMIT
- OF'FICE USE -
LAND USE;
QUAD AREA:
" OF SLOGS:
OCCY GROUP'
" O~ UNITS:
CONSTR. TYPE:
HEAT SOUACE; _ __.___
.. OF STORIES:_
sa. FT.
$/50. FT.
so. FTG MAIN
so. FTO ACCESS
so. FTC OTHER
x
x
x
HANOICAI=' ACCESS'
FLOOD PLAIN:
ZONING:
LIGHTING POWER nUDGEr:
WATER HEATER:_
VALUE
TOTAL VAl.UE OF PROJECT
PLAN CH!::CK FE.E
ACPTN_
BY
I BUILDING PERMIT
I 5~/~ Slele
Surch.8roQ .'4,
I MeCHANICAL
15%5,.,. 7<"'..",....
SlJrChl:t~(10 I J 'TIN
PAVING
I f"'LUM8IN~ I
5% 5'.,. 75' i51
Surchar 1')/, '1-.
FENCE
VA.I.,UE 1-
SIDEWALK
IS, fA;>
/,1-''-'
FT.
CURBCUT
FT.
OA1"E"
/ C;. cro
1 ,'i,oJ
DEMOLITION
I
I
I
1
1
- -I
1=-
SUBTOT^L~'
PERMITS
$Ysn::MS _. -
DEVELOPMENi
. L'
TOTAL PERMIT FEES
EXCLUDING ELECTRrC^L "_
.3 2, ;;t'o
<:00 1lI
\.dO
uddS'
J
u,.........-....... ~~
L.O:7.T
96/Tt"/O'f
IM"'IS
.
//lJVdCf'?OV F ----
d()U t;tI r?:?1~
kall ;lkM~/~
4'k L/-tJe
FlitJd ~z:-rM/
rA/d ppc:h~(j
51 t:-O'r-P-t"A:: c:..
.
'.
. "..
~ r /f&..e/~
~/r i'f
? 2-.4',,0 >
2- 3> 70S
~
. .
M7~ P#~) . I!/~~
7(e;rJ (,a. /~
( '( " \
FROr-\ : r'IEGA PAC I F 1 C
~'. ..
.
PHO"'E "10. : 692 1692
.
Oct. 31 1996 12"~5pr'l Pi
1f?afl'Y'fo-lf. f3o;/e~s
;:po
/)f/t;>J<z.( V UJ05?.O M JJ;:2.0 cL3 A B"S"
S~~ o()o B,U rVop.n- / 4-i.f.:J..) 000 g,U Ovl-"uT
sa....:o.! -# M96 HOG 077
:#'
SQ~io.l M96r1ob C> 7~
~.
a3'd
.-
6E1'3lZ gc:l. rns
W&:S : l0 '366l-l.l-'33
Signature of Supervising Blec~riciah
-71~7k'
/ . t:../ D. Brancl1 Circui ts
OwOOrs NameMA~\..j..., ~ .,.'m;;;QtJA..11~/lL..
...- ""lLrCl Ne1I, Alteration or Extension Per Panel
Address~t)\2... ~~.;7.->
One Circuit $ 35.00
City~. \X..- Phon("50I'}~~oLt Each Additional
Circuit or with Service
or Feeder Permit
Zoning ('f\, W
~ej.:J'Ct(L
225 ~~r~o ~~L
S1'IlINGFIELD, OllEGON 9~stgnal1Jre
INSPECTION REQUBST: 726-3769
OPPICH: 726-3759 . A-I.", _ . . , J
. .3 'f 3 Ij~"'-WtlA
1. LOCATION ~F 11It!Jr.LATION JfN~/
~\~-rewA-t
LEGAL DESClUPTION SrY"V. ~.
\ 7rJ ~ ??? ~O '6"0..3-
JOB DRS"n.u ...ON
/-N-.) \J~~ R ~ A.\.A~
Permits are non-transferable and expire
If work is not started within 180 days
of issuance or if work is suspended for
180 days.
Z. COIl'nlACTOR D1STALL\TION ONLY D_
f:lectrical ContlractortYA.\\OIJAL.A~
R~.'
Address 21St I \6J.... ~ ~.
t.i ty ~.IC:--' Phone tf9o-'3c;;(Q~
v
Supervisor License Number S'ID.~ \
E~piration Date \0-4'1'"
__ C.
COns~r Contr. Nwnberzo- >'2-:=. ~j E-
ID-\-Cl<'"
Expiration Date
OVNER IllSTALlATION
The installa~ion is being ~de on
property I own whiCh is not intended
~or sale, lease or rent.
OWers Signature:
DATE.
RECEIPT .:
BE...<... . ..., 1ft :
7-5 _VI. V
?'i~ro- /
U&' ,/
lOOIll
'lI3S 'ABa GddS
7V\
ELECTRICAL PE1UIlT APPLICATION
CitY Job Number q&;fJ22 ~
3. COHl'LETE FEE SCllllDIILI! BELOlI
A. New Residential-Single or
Hulti-Family per dvelling unit.
Service Included.
I telllS COs~
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or por~ion
thereof S 15.00
Eacl1 Manuf' d Home, or
Modular 'Dwelling
SerVice or Feeder $ 40.00
Services or Fe~ders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 aJIlpS
401 amps to 600 amps
601 amps to. 1000 amps
OVer 1000 amps/volts
Re<:onnect Only
$ SO.oo
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp...'or less
201 amps to 400 amps
Over 401 to 600 ups
Over 600 amps or 1000
$ 40.00
S 55.00
$ 80:00
see aB" above
vOJ.ts
"
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pwnp or irriga~ion
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TO'UL
$ 40.00
$ 40.00
$ 20.00
~ $ 36.00 w;z;..o-v
-:<fA . /'70
"""'1.'1;'0
SS'
-j;Jf!}",
....
6g9~ 9ll. ~OSA
to:Sl 96/l.l/90