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HomeMy WebLinkAboutPermit Building 1981-5-13 , \ \ "~~J~(~I!i.,~l;itt\~~;.f...~~:?ik:~,,,j;~j~~:t'~~;~~:!~t1);,:;~~:r.~~. :...#:- ~ ,'" ',......e.' ,~"'~;t~~~,,,~ ifl-Y- ~. V 0 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