HomeMy WebLinkAboutPermit Electrical 2007-3-22
City of Springfield
. .
Electrical Authorization To Begin Work .
E-m.iied To: RoseCorp2000@.0I.com
"
Receipt # EC509646
3/22/2007 8:09:46 fl:>'
~'(?\('
3\~~
Check on status of permit
By Phone: (541)726-3753 or Em.ii: permitcenter@ci.springfield,or.us
o New construction
TYPE OF WORK, ."
IKJ Addition/alteration/replacement
'J
CATEGORY' OFCONSTRUCTION:"
I 0 I or 2 family dwelling
@ Multi.family
o Commercial/Industrial
I JOB SITE INFORMATION AND LO'CATION
IJobno,:1500 IJobaddress: 1500 MAINST
I City/StatelZIP: SPRINGFIELD, OR 97477-4976
1 Suite/bldg.lapt.no.:
I Project name: The Royals
Cross Slrtetldirections to job sile:
I Subdivision:
ITax map/parcel no.:
1
1 Lot no,:
1703363202700
D,ESCR,IPTIO'N OF WORK, '
Remodel
I Name:
SITE CONTACT ',;:
Phil Rose
1 Phone: (541) 686-0905
I [mail: RoseCorp2000@aol.com
I
1 Fax: (541) 686-3050
"'.,
CONTRACTOR
lEI. lie. no.: 20-253C IceD Iie.no.: 54431
I Business Name: ROSE CORPORATION
I Contact: Phil Rose
1 Add...ss: 89976 DAY LN
I Clty/StalefL.IP: EUGENE OR 97402
IPhon~: 5416860905 IFal: 5416863050
I Email: RoseCorp200O@aol.com
1 Metro lie no.: 1 City lie no.:
Isupervising electrician's lie. no.: 1568S
Supervising electrician's name: PHIL S ROSE
Upon review and approval by your local Jurisdiction, your
permit wlJl be e.malled or faxed within one business 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 yold If it does not
meet appllcable land use laws and local ordinances.
',(
1- FE~,SC~EDU[E, ,,'" "
I Description l Qty. I Ea. Total
I Residentil!-I,SIN~LE~ OR mti.ltj.;.faf!'ill)' dwelling unit. Include.~
: ~:~:::~:~:~or ~rtion ,: ".~ ~ ~
I ~ Limited energy, residential b.(-
(with above so. ft.) . ~
I ~ Limited energy, multifamily
residential (with above so. ft.)
I Services:OR~~ers installation, al~eratioQ. ANOioR relocation
1 200 amps or less I
1 201 ampsto 400 amps
1401 amps to 599 amps 1
I ~~~;~~!~~~:iCC5 jR;~~~~i,ins~a~la~(o.n,;~a.l.t.era~:iO~.
1 200 amps or less
120 I amps to 400 amps
1401 amps to 599 amps
I'Bran~~_ci.~~t~,'~ ~EW, 1tlt~~C!l?n, OR eItensio~,; per panel
I A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit:
1 each addl branch circuit
I Misc'ei~'~~lI-~,,'~'
1 Service reconnect only
I Each manufactured or modular
dwell ing service and/or feeder
1 Pump or irrigation cirCle
I Sign or outline lighting
I Signal circuit(s) or limited-
energy panel, alteration, or
extension.
.'.'r
$43,00 I
$3.001
1
1
I
I
I
not olTered online" this jutisdiction I
1
Subtotal $46.00 I
State Surcharge (8% of~nnit fee) $3.68 1
City Of Springfield fees. $6.90 I
TOTAL PERMIT .'EE $56.58
10% Local Admin Fee; 5% Local Technology Fee
$43.00
$3,00
, ,
I ..
I
I
I
L
. City Of Springfield
, " ',ELECTRICAL PERr,llT FEES
COM:s......7-. - 0/437
RCPT#: /.:{ OD 7- :5 0 '7
3 - :J-""d.-07
PROCESSED BY: flA
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Caof Springfield Official Receipt
.Iopment Services Department
Public Works Department -
Job/Journal Numher
COM2006-01437
COM2006-01437
COM2006-01437
COM2006-01437
COM2006-01437
Payments:
Type of Payment
ONLINE CHGS
cReceinl1
RECEIPT #:
2200700000000000391
Date: 03/22/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
raid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm ONLINE rose corp In Person
Payment Total:
Page 1 of I
10:55:13AM
Amount Due
43,00
3,00
2.30
3,68
4,60
$56.5~
Amount Paid
$56,58
$56.5~
3/22/2007
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01437
ISSUED: 02/23/2007
APPLIED: ll/09/2006
EXPIRES: 08/23/2007
VALUE: $ 6,080.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1500 MAIN ST
ASSESSOR'S PARCEL NO,: 1703363202700
Springfield
TYPE OF WORK: Office
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Convert laundry Bldg to Manager's office
Owner:
Address:
PIXIE LP
421 SW 5TH AVE STE 905
PORTLAND OR 97204
Contractor Type
General
Electrical
Mechanical
Plumbing
I Lv" I KACTOR INFORMATION . --l-"-~ y"'" 'u
ATTE:N Ilul~."'" v,,~- ;"\/ the iliec:on Uti~ ~'J
Contractor follow flllE;S adoPEi'cense' :IE xpiration,)Date
t . "T'"i-........erue::;c,...It:i.:JIv\I .
JOHNNY FIX IT LLC ~otification Cen el}~95~8' h OAr-\'#!.~~.9!!8
ROSE CORPORATION , OAR 952-001-0rs443'/1rO~g 09/30/2lJ.0~
JOHNNY FIX IT LLC In YOU may obi5950lPples of t~ilah'9/'f008
0090. ..Iot.... the 'e'''''' 'vT,,,
RIGHT WAY PLUMBING MlIl.~n lhQ cent49561. -:..... :, I71J!:>1.7!!98
. .;.-.....'JI1VUII:.] .-.-.
BUlLDINGlINFP~l\fATlONt(,_ '332- 2344).
\....~'\lO. ...' ' .-
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
~Pfff!f'l!.ath: Sq Ft Other:
~iH"ibl<I'e'a'Buildine: FXPI,f//aIF THEOccuoant Load:
Tu,e D~IH!IT C:~AII Ht :-hunl\
I DEVEIlOP~fI'~NRORMXllION IERMIT IS NU I
COMMENCED OR is AljANUONED FOR REQUIRED PARKING
~r<;VI'll@W,Y PERIOD, Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Phone
541-607-6670
541-686-0905
541.607-6670
541-484-3787
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
VB
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Setback 5'
To Storm Sewer
Notes:
Paee 1 of 4
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review Comm/1ndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 80/0 State Surcharge
Building Permit
Fire SF Fee - Residential
Fixture
Furnace - Unit Heater
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Plan Review Comm/lnd/Public
Vent Fan
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Aller, Extend Circ
Add, Aller, Extend Circ Ea Add
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,080.00
Total Value of Project
F..... P~i" I
Amount Paid
Date Paid
$49.53
$10.00
$18.52
$8.70
$13.92
$84.00
$11.20
$42.00
$12.00
$27.00
$3.00
$5,07
$6.00
$4.60
$2.30
$3.68
$43.00
$3.00
11/9/06
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
3/22/07
3/22/07
3/22/07
3/22/07
3/22/07
$347.52
I Plan Reviews I
Paee 2 of 4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01437
ISSUED: 02/23/2007
APPLIED: 11109/2006
EXPIRES: 08/23/2007
VALUE: $ 6,080.00
Value
Date Calculated
$6,080,00
$6,080.00
01/29/2007
Receipt Number
2200600000000001565
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000391
2200700000000000391
2200700000000000391
2200700000000000391
2200700000000000391
. . CITY OF ~rKm\Jl'lJ!,LD
Building/Combination Permit
Status Issued PERMIT NO: COM2006-01437
225 Fifth Street, Springfield, OR ISSUED: 02/23/2007
541-726-3753 Phone APPLIED: 11109/2006
541-726-3676 Fax EXPIRES: 08/23/2007
541-726-3769 Inspection Line VALUE: $ 6,080.00
Fire Department Review 1lI15/2006 12101/2006 OK GRG Plans Review: Conversion of a
laundry room to an office. Job
#COM2006-01437. Occupancy
Classification: B. Construction
Type: V -B. 224 sq. ft.
Provide fire extinguishers with a
minimum rating of2-A:10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
Initial Review 11/13/2006 1lI15/2006 APP LLH
Plan Review Comments 01/29/2007 10 JMP WE. Received incomplete responses
to structural comments. Called
John of Johnny Fix-it, LLC aud told
him that the electrician still has not
submitted the requested lighting
information and forms.
Planniue Review 11/15/2006 1lI16/2006 APP EMM
Public Works Review 11/15/2006 1lI20/2006 APP CJS Sent e-mail to transportation dept. -
need info on ITE trip rate/new trip
factor for laundry. 11/17/06 CJS
Called contractor to get iufo ou
demo'd DFU's. Contractor
suggested contacting apartment
complex manager - Judy. Called
Judy and left message. 11/17/06
CJS
Talked to apt. mgr. (Judy) - demo'd
2 clothes washers and I lauudry tub.
No new transportation SDC's -
remodel within existing apartment
complex. No new storm or sanitary
SDC's for remodel. 11/20/06 CJS
Structural Review 1lI15/2006 1lI21/2006 WE JMP Received with 4 projects in one day.
See attached documents for 7
structural comments faxed/delivered
to John Johnsou.
Structural Review 02116/2007 02/16/2007 APP DJP
Paee30f4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01437
ISSUED: 02/2312007
APPLIED: 11/09/2006
EXPIRES: 08/23/2007
VALUE: $ 6,080.00
"
Status
Issued
225 fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 fax
541-726-3769 Inspection Line
SUB Review
SUB Review
02109/2007
11/15/2006
02109/2007
11/21/2006
APP Jf
WE Jf
No energy code issues or inspections,
See JMP's structural comment #4
atlacbed for the request of the
Ligbting energy code forms and
worksheets.
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.
L-Rf'llIlir.." ~..dions ,
framing Inspection: Prior to cover and after all rough in inspections have been approved.
final fire Department. After all requirements of the fire Department have been met.
final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
final Plumbing: When all plumbiug work is complete.
Rough Mechanical: Prior to Cover
final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereou is true and correct, and 1 further certify that any aud 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1
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 tbe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 4 of 4
.
.L11 f OF ~rK11~t..t<1~LU
Status
Issued
~
Building/Combination Permit
PERMIT NO: COM2006-01437
. ISSUED: 02/23/2007
APPLIED: 11109/2006
EXPIRES: 08/23/2007
VALUE: $ 6,080.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1500 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363202700
Springfield
TYPE OF WORK: Office
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Convert laundry Bldg to Manager's office
Owner: PIXIE LP
Address: 421 SW 5TH AVE STE 905
PORTLAND OR 97204
Contractor Type
General
Electrical
Mechanical
Plumbing
. _~......n"Oc. \loa to
1="\1'IUN:Vltl\:l"" .~:: - - . -- - Ut ,,~,
!\l!: '" -~ on '..'I
I ;C.ON,TRAG:T,eR~:lNFOIIM!A'I'roN' setfo,.'
I 'II re.
. Ifcationcenter. 1I1Ui> ,y' - 952-001
Contractor N~ot ~R952.()Q1..()()10thrlm~t!h~A.~ EX9~dtion Date
JOHNNY FIX IT L on You may obtaIn CQp9'SiilPtt I e r~t n 4/19/2008
ROSE CORPORA Tf N"". thQ C$ntQlr. (NcS41131j'le te e.~ O. 30/2008
JOHNNY FIX IT LLC calling the oreuon 59'5"lIf Notlhcatl /19/2008
RIGHT WA Y PLUMBlW(lbe~....ri~ 1_800495'6i-2344). 12/16/2008
I BUILDING INFORMATION I
Phone
541-607-6670
541-686-0905
541.607-6670
541-484-3787
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
NO.wI"~ Type: Sq Ft Basement:
~,K, ~,T1"pe: L EXPIRE IF THE W;!{t Garag~/Carport
THI~l? }VII?atiil1AL .ft Other:
AU1fm~!i!~4)lljJ,'i)ailii THIS PEIaMIT IS~upant Load:
~~~k~T WK6R~AVro~li~ ~2D
'!'." 1:~ . ,- REQUIRED PARKING
VB
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd: '
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fnlly Improved
Yes
Sidewalk Type:
Setback 5'
To Storm Sewer
Downspouts/Drains:
Notes:
Paee 1 of 4
r
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Estimate
Fee Descriution
Plan Review Comm/lnd/Public
-Mechanical Issuance Fee--
+ 10% Admiuistrative Fee
+ 5% Technology Fee
+ 80/0 State Surcharge
Building Permit
Fire SF Fee - Residential
Fixture
Furnace - Unit Heater
Minimum/Adjustment Mechanical
Miuimum/Adjustment Plumbing
Plan Review Comm/lnd/Public
Vent Fan
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,080.00
Total Value of Project
FpP~, tIii.I
Amount Paid
Date Paid
$49.53
$10.00
$18.52
$8.70
$13.92
$84.00
$11.20
$42.00
$12.00
$27.00
$3.00
$5.07
$6.00
11/9/06
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
2/23/07
$290.94
I Plan Reviews I
Paee 2 of4
.L11 i OF SPRlrlitJt<H..L1J
Building/Combination Permit
PERMIT NO: COM2006-01437
ISSUED: 02/23/2007
APPLIED: 11/09/2006
EXPIRES: 08/23/2007
VALUE: $ 6,080.00
Value
Date Calculated
$6,080.00
$6,080.00
01129/2007
Receipt Number
2200600000000001565
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
2200700000000000242
. .CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2006-01437
225 Fifth Street, Springfield, OR ISSUED: 02/23/2007
541-726-3753 Phone APPLIED: 11/09/2006
541-726-3676 Fax EXPIRES: 08/23/2007
541-726-3769 Inspection Line VALUE: $ 6,080.00
Fire Department Review 11/15/2006 12/0l/2006 OK GRG Plans Review: Conversion of a
laundry room to an office. Job
#COM2006-01437. Occupancy
Classification: B. Construction
Type: V-B. 224 sq. ft.
Provide fire extinguishers with a
minimum rating of 2-A:10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2,2),
Initial Review 1l/13/2006 11115/2006 APP LLH
Plan Review Comments 0l/29/2007 10 JMP WE, Received incomplete responses
to structural comments. Called
John of Johnny Fix-it, LLC and told
him that the electrician still has not
submitted the requested lighting
information and forms.
Plannine Review 11/15/2006 11/16/2006 APP EMM
Public Works Review 11/15/2006 1l/20/2006 APP CJS Sent e-mail to transportation depl. -
need info on ITE trip rate/new trip
factor for laundry. 11/17/06 CJS
Called contractor to get info on
demo'd DFU's. Contractor
suggested contacting apartment
complex manager - Judy. Called
Judy and left message. 11/17/06
CJS
Talked to apt. mgr. (Judy) - demo'd
2 clothes washers and 1 laundry tub.
No new transportation SDC's -
remodel within existing apartment
complex. No new storm or sanitary
SDC's for remodel. 1l/20/06 CJS
Structural Review 11/15/2006 11/2l/2006 WE JMP Received with 4 projects in one day.
See attached documents for 7
structural comments faxed/delivered
to John Johnson.
Structural Review 02116/2007 02116/2007 APP DJP
Paee 3 of 4
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I437
ISSUED: 02/23/2007
APPLIED: 11/09/2006 '
EXPIRES: 08/23/2007
VALUE: $ 6,080.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
SUB Review
02/09/2007
1lI15/2006
02109/2007
1lI2l12006
APP JF
WE JF
No energy code issues or inspections,
See JMP's structural comment #4
attached for the request of the
Lighting energy code forms and
worksheets.
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved aud the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough,Mechauical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Fiual Electric: When all electrical 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 Oregou 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 compliauce 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.
OwSi..:~~l1'i!: ~
d~)07
Date
Paee 4 of 4
225 Fiftb Street
Springfi'eld, 'oregon 97477
541-726-3759 Pbone
..........HPlnD
. '.'--~~"--~ "
Wit, '," ._,,,.., 1
,.....,.. :
t I 1
.' '.3
_. '-'
. .~....-.'-- ...0.# .. _
Caof Springfield Official Receipt
~opment Services Department
Public Works Departm-ent
Job/Journal Number
COM2006-0 1437
COM2006-01437
COM2006-01437
COM2006-0 1437
COM2006-0 1437
COM2006-01437
COM2006-01437
COM2006-01437
COM2006-01437
COM2006-01437
COM2006-01437
COM2006-0 143 7
Payments:
Type of Payment
Check
. cReceint 1
RECEIPT #:
2200700000000000242
Date: 02/23/2007
Description
Plan Review Comm/lndlPublic
Building Permit
Fixlure
Minimum/Adjustment Plumbing
Furnace - Unit Heater
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Fire SF Fee - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
AFFINITY PROPERTY MGT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
230855
In Person
Payment Total:
Page I of I
1:4S:23PM
Amount Due
5,07
84,00
42,00
3,00
12,00
6,00
27,00
10,00
11.20
8,70
13,92
18,52
$241.41
Amount Paid
$241.41
$241.41
2/23/2007