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HomeMy WebLinkAboutPermit Mechanical 2002-7-5 '" . I Job# 02-00804-01 I ",..~ ~ . ~. Page 1 of2 TRANS#:01-0009B43 DATE: JUL 05 2002 AMT RECD:2 $ 114.65 CHANGE: CASHIER:061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 Fifth Street Springfield, OR 97477 Location Of Proposed Site: 1269 Island Ct Spr Assessors Map#: 17033422 Lot: Block: Addition: Owner: Address: Mike Fitch 1269 Island Ct Phone Number: 541-284-5860 City/State/Zip: Springfield, OR 97477 New Value: $0 0......;::' -.-;..r:......~_ ~ ~~.s~..c ;;:.;;: Pi,~ ~ cg ,a' Registration # .~xe\r~io!1 Qa.te ~ Phone 73762 ~6/6t2603f l.j--@ 541-687-1362 '- \oJ.sJ 0 0- .SJ ~i=' !:1~e..r:::r/J0'" ..:.l}..... 0 ff,Q) s.~c:v r:- ~ G? 0 9. ".~ , ~F3/i5/~0Q.4 ~!5~' 541-672-9510 ~.S}f-cc::~C:: ,. dg,'-:.....-""O~ '. ~O .'1).P.1!J...: SlJr' o~ f6 Of"':: is '€C5 ~ ,r:: lf1CJ8 fif&!9 /!! ilj if.~ {j,# Of;Jll!!ldings: /:: 6 "&:;} 01c]p~ngy Group: .;(.::::::~~--c:-.-,U ./2 :;:, o~ c!feat.Source: o '" Ill' <:: ~ Water Heater: Range: <.s ~Sq~ !::ootag~_~ ~,~~ To request an inspection call the 24 hour recording at 726-3769. All inspections requested b~~ti~~;.!!tl' ~ ~ a.m. will be made the same working day, inspections requested after 7:00 a.m. will be mad~a'\!O~i@ ~ working day. .;; $11 ~ f:j ~ c-- ~ ~ ."!) ~..; ""U ~. 'Y .&~&~ ~~~ ~~" ~$&> ~'bi> f:t>~"i) ~~~ ~ ,,--. ~ ~C5 "i) ~~~ ~ Scope Of Work: Heating System Install HVAC and water heater Contractor Type Electrical Contr Contractor Binns Electric Co 210 Wallis St Unit C, Eugene, OR 97402-5328 Mechanical Contr Pacific Air Comfort Inc Po Box 790, Roseburg, OR 97470 39237 Quad Area: # Of Units: Constr. Type: Office Use Land Use: Zoning Code: Bedrooms: Required Inspections Electrical Rough Electrical Final Electrical - Prior to cover. -When all electrical work is complete. Mechanical Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Job Number: 02-00804-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: 00218 Subdivision: '" . .f Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (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 Grand Total rYr\.-~ I~JA. Signature I Job# 02-00804-01 I # Of Stories: Current Units: Census Code: Does not apply Total: Paid On Receipt# Electrical 07/05/2002 9843 07/05/2002 9843 07/05/2002 9843 07/05/2002 9843 Mechanical 07/05/2002 9843 07/05/2002 9843 07/05/2002 9843 07/05/2002 9843 07/05/2002 9843 07/05/2002 9843 . Height (feet): Proposed Units: Page 2 of 2 Value/Quantity Fee Amount 2 $.00 $46.00 $3.22 $3.68 $52.90 $25.00 $3.60 1 $12.00 1 $8.00 $10.00 $3.15 $61.75 $114.65 ~A\h\ s,/~ Date c::J Jun-10-02 lO:27A . ..- 225 FIFTH STREET . SPRINGFIELD. OREGON 97477 INSPECTION REQUEST: 726-)769 . OI'FlCE: 726-3759 ELEcr& PERMIT APPUCATION . City Job Number 6 Z. -00 go l{-<J I 3. COMPLETE FEE SCHEDULE BELOW A: 1'1_ Rl:Jidelltial-SingJe or Multi-Family pcr d,,'.lIIn~ unit. .~mlliA~ll~cIwI1g c"jl'(!l"liM~d t~~~e~~~~:~~i~~ speeitie 'ond use zontng, an JOB DESCRlPTIOl'i o\W'Ovo" (N'LtooO sq.ft oW'" //oJ I O~ }-/-~ 'f(....--4Zoning. ,oylo.ach addilional 500 - D'te.L--l' 5~r,u'PUlllon Permits arc: non-lrdnsFerable Aud e"plfg . I e reo' - . d Slgno u' .- If work is nol SInned within 180 d~'sAU\hO"ze Each Manufd Home or of iss",mCC or if work is snspended for - Modutor Dwellil'g ISO dllYs. Service or ~~ ~~r:::,~ 2. CONTRACTOR INSTALLATION ONLY B. Se"'i~~~~~'Y r. ElectriCJrCont=lo~ I~ tJ 5 E lH';/f',.,( (, ~'iE!~ Jj>~ #' Address 2-1 D (),) A-LL i '" ~,....+ .~~~.:f ,~r;, . . _ ~~~~o 400 amps Ci\y.FUr..~1C.- "Phonc. "'8""7.:12ibz.,,,~ ~pslO600amps . iJ - ~'V bC:>6Ili-~1\1PS 101000 AmpS Super\"i'lOr License Number .3 0 4-/-4. ~<51>.$ ~r lOOO nmpslvolu . .'~ ~- ~ RewnneclOnly . E''Pirntion Date I 0 - I - 0 :, ~ c:>'.-j::' . ..... ~ ~. TCIIlpOl'8ry Senil:.. or F..den ConsU Col\lr. Number f ~ 7 b' Z _ 'Y ~-:o~ Installation, Alteration ci/~!Oc~!iO~ /' '. .' ....-l\..::5 ,,-0 Rl" E.xpirntion Dale to - (" - l) '3 - 200 amps or Ics.S'!lo~<:- <oW r}' ~4.,_ S50.00 - 201 ampsto<~Il2.,~.f/ @. ~0 ~~ $69.00 - Over 401..t9'~'~~$' ",0" ~o ,'.E.- Sl00.oo - Over 6008. oi,1 000 volls SOC'f>" .0" a~-e'~ 00'~c;f ~O"'.fP" # ~ ,'<S:vL.,p ~o ;::;.0 '$'0 _~ .~. .~ s;) ., -.0,. 0'" 0' .~ n!(' D. BraD~h ~.!~Jt'!,,~.<:-G ,<Y ,# n~- ,NewAltemtion or Extension'.Per Panel ..;" ~f/.F 0"'"' Jt.;' ~... ~. - U' ;: ~ ..;:j !:' &. o,s. 0($r"- ( l.j7 _,' ~One Circuit-;>' 0<::' 0" 9' 543.00"::' ;" ~') rl}-- V)' <.:-- (') 0 '" - .::5' ...s; o>OJ ;:,,,!!' ;$' .'oS> ~~!1te!!:~i~~~ ~!icUil or \I;lh Service ? -or.FilldCi P.enml'li , 53.00 ..> ~ ~- 'U' N _ -t--- G G ;$' E. Mb..UlUlooU, (Servicclreeder nntlncluded) .Each installation Pump'or irrigallon Sign/Onnine Lighting Limited En.rgy/Rcs Limiled Energy/Conlin I\linimlllll Elec:tric Permit lnsltcdiDn Fl."C b S.&~.nn + SUI"i:hargtll t(b ~-z:z. 361> 9.? <~-- ~ I. LOCAlIQN 01' INjiTALl,ATION .: /Z-b'l ~l/J-v..-~ ("-+- LEGAL DESCRIPTION ell 3 :'> C/7- 7 Slgnnlur. of Snpen'billll EIec:t..icinD ." /~~//:.~~~ O",n...' Name 1M/ ({.t; H~ l. _ Add...". /7-6 ~ .I:s I~ c + Cil)' s?Fj\ PhOD. ZC6<.f-50bO OWNER INSTALLATION The inslallalion is being mude 00 property I own which is not intended for snte, lease or rent O"IlCI"!I Si~nature: 190:)J3IHS\!:J : 39N\!H:J g9'~11 $ 6:0:J3~ 1W\! 600(: gO lnr: 31 \!O ~~B6000-10:#SN\!~1 4. SUBTOTAL OF ABOVE 7% Stat. Surch~ 8% Admlnbtratk". Fee TOTAL lIems Cost Sum $106.00 _ $19.00_ $ SO.OO _$63.00_ S 75.00 .-.:..... SI25.00 5163.00 _ _ $373.00_ 5 50.00 $50.00 S511.00 _$25.00_ _$45.(11)_