HomeMy WebLinkAboutPermit Building 1981-5-13
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INFORMATION LINE
726-3753
INSPECTION LINE
726-3769
(I I) f) (~
I
CITY OF SPRINGFIEW
COMBINATION APPLICATION! PERMIT
Job Address 647 West ~en_'te~J1J~J
Legal Descriptian Centenn i9.l~Center__
I ENERGY SOURCES,
I Heat E1 €ct
I '.Vater "Ieeter -.E1 ect
____I Range
Value af Work:
co
......
o
w
o
U1
Owner
Address
S,pr:ingfielci~gon 97477
ChirORracti~_Office
I Pi'lc;e-Spacp
Conitruction lender
Address
DESIGN TEAM
phone
(name)
(address)
(lies. no.)
(expires)
(phone no,)
Primary
Structural
Electrical
Mechanical
CONTRACTORS
(name)
(address)
(lies, na,)
(expires)
(phone no,)
Plumbing
Twin River~ Plumb,~9
Penselin Electric
Harvey & Price
!:-U-ge+le
SprinQfield
Sprinqfield
#20-96
#20-48C
741-1420
683-1414
741-11Rn
746-162~
General
Hiatt Brothers Investments Sprinqfield
Electrical'
Mechanical
PLUMBING
ELECTRICAL
MECHANICAL
NO. FEE CHARGEl NO,
Residence of
6 Each single fixture 5.00 30.00 sq, ft.
Relocated building New circuits, alterations
(new fix. additional) or extensions
S.F, Residence
(1 bath) SERVICES
Duplex (1 bath) each Temporary Construction
Additional bath 1 Amps, 150
Water service
1 Sewer 110.00
Storm Sewer FEEDERS
Amp.,
FEE I CHARGE NO.
FEE CHARGE
f5.OO
furnace/burner to
BTU's
Appliance vent
separate
Stationary evap.
cooler
Vent fan with
1 single duct
Vent system apart fram
I heatirg or A,C.
I Mechanical exhaust
hood and duct
L 00 3.00
Woad stave/ heater
1
Heat Pum"
Air handler to
10,000 CFM
Air handler aver
10,000 CFM
6.00
~
TOTAL CHARGES
I
40. 00 I TOTAL CHARGES
ISSUANCE OF PERMIT
I
25. 00 I TOTAL CHARGES
10.00
19.00
WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical '..ntractar, the electrical portion of this permit shall not be valid until a
label has been signed by an Electrical Contractor and attached to the electrical panel,
I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that all informatian herean is true and correct, and I further
certify that any and all work performed shall be done in accordance with the Ord:nances of the City of Springfield and the Laws af the State of Oregan
pertaining to the wark described herin, and that NO OCCUPANCY will be made of any structure withaut the permission of the Building -Divisian, I further
certify that my registration with the Builder's Board is in full force and effect a s required by ORS 701.055, that if exempt the basis far exemption is nated
heron, and that anly subcantractors and emplayees wha are in campliance with ORS 701,055 will be used an this project,
Basis for Builder's Board exemptian:
',[
I
NAME (please print)
o 1::)/ tJ ( c;
Ci,~ c/L:;;7( SIGNATUR~~ .~A.J-4?--r
FOR OFFICE USE ONLY
DATP / -3 y/
."
L.-~
Type! Const,
Bedroams
'torip~
V-I
HI< Units
n",y Load
nccy Graup
1
11
B-2
Sq, Ftg, Moin
Sq, Ftg, Access
Sq, Ftg. Other
1100
"
1
"
Value
Value
Value
4,620.00
Zonl'"
Fire Zone
Flood Plain
x
TOTAL VALUATION
BUILDING PERMIT
Charges and
Surcharges
32 drf'an Ck, Camm/lnd
. ~5%/ Bldg Per Fee
I '
1 2d"an Ck, Res
. DjO%/ Bldg Per Fee
Systems Development
CharC'e (1.5%)
69.30
ELECTRiCAL PERMIT
Charges and
Surcharges
40.00
1. 60
25.00
-----~--
1. 00
19.00
---------
.76
Fence
20.80 PO
I
'-19P .G-tf
I
5(o4~)afcomb. Permit
PLUMBING PERMIT
Charges and
Surcharges
Demo
Sidewalk
MECHANICAL PERMIT
Charges and
Surcharges
Curb Cut
0--L~-~/
1- '- .
,_ ,____.J___ _ .
189.94
A/ C PavinC'
TOTAL