HomeMy WebLinkAboutPermit Building 1980-9-17
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/INSPECTION LINE
726-3769
.~.:1;
CITY Of SPRINGFIELD
COMBINATION APPLICATION/PERMIT
Owner
1st Addition
Steve Wi'lliams
50,000.00
INFORMATION LINE
726.3753
Sq. Fig. Main l752
Sq. Fig. Atten. -24.l'l
Sq. Fig. Other
llNew_Add_Alter _Rep.
_Fence_Demo_Chonge/Use
_Other
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ENERGY SOURCES:
Cll - Woodstove
Job Addr~.s
7253 Holly Street
Heat
Water Heater Rl pr.+'_
Ranqe ~1.eG":
Value of Work:
legal Descriotiol'l
Lot 109._~zie Hills
726-1525
Building Permit Info: Describe Work (i.e., Build Single
Famil" Residence With Attached Goroqe)
Single Family Residence; Att gar
Add.... 1010 N 54th street.
Sorincrfield. Oregon .97477
Phone
Construction lender
Addreu
Phone
DESIGN TEAM
(nome)
(address)
(lies. no.)
(e)lpirel)
(phone no.)
Primary
Ben Buchanan 526 North 67th Street, springfield
747-1853
Structural
electrical
Mechanical
CONTRACTORS
(nome)
(oddren)
(lies. no.)
(e)(pirel)
(phone no.)
General
Harvey Williams
820300
726-1525
Plumbinq
Electrical
Mechanical
PLUM81NG ElECTRICAL MECHANICAL
NO. FEE CHARGE NO. fEE CHARGE NO. I FEE CHARGE
Relidence of furnace/burner to
Each lingle fidure X _l252-1Q. fl. 25.00 IlTU'1
Relocated building Hew circuits, olterotioM Appliance vent
(new fi)l. additional) or e)ltenlions leparate
S.F. Relidence 25.00 Stationary evap.
1 (l both) SERVICES cooler
Vent fan with
Duclell (1 balh) each 1 Temporary Canltruction 10,00 4 lingle dud 3,00 12.00
2 20.00 Vent SYltem apart from
Additional bath Ampl. heating or A.C.
Mechanical ellhault
Waler service 1 hood and duct 4.50
Sewer 1 Wood stove/heater 5,00
Storm Sewer FEEDERS Heat Pumc
Air handler to
Amps. 10,000 CFM
Air handler over
10,000 CFM
ISSUANCE Of PERMIT
10.0!
TOTAL CHARGES
45.00 I TOTAL CHARGES
35.00
I TOTAL CHARGES
31. 50
WHERE STATE lAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portion of thi5 permit 5hall not be valid until a
label has been 5igned by an Eledrical Contractor and attached to the electrical panel.
I HAVE CAREFUllY EXAMINED the completed application for permit, and do hereby certify that 011 information hereon is true and correct, and I further
certify that any and 011 work performed lhall he done in accordance with the Ordinances of the City of Springfield and the LaWl of the State of Oregon
pertaining to the work delCrihed herin, and that NO OCCUPANCY will he made of any 5lructure without the permission of the 8uilding Oivilion. I further
certIfy that my regiltrotion with the 8uilder's Board il in full force and effect CIS required by ORS 701.055, that if e)lempt the basil far e)(emption i5 noted
heron, and that only sUbcontroct~D'I"'V"". who hir . in c~.P' iance.-Wl#l ORS 701.055 will be used on this prOJect.
Z7 /-1. /-. ~e;& c7~
8asil for Builder'5 Boord ellemptio . _'L...+-'1 --- ~.. ~ ~. .-,' //:i/ J'h-FC;::
Steven H. Williams e -' /1'~/--;<--' /'i, {&' ...
NAME (pleale print" C:1GNATUR - ....-- ~./..,,,-e:.--
fOR'OFfICE USE ONLY
-DAn!-!P7/0'7'J
I
Zon~
Fire Zone
Flood Plain---NO
R-l
Type/ Const
Bedrooms
Ctorie-
V-N
3
"nill
Sq. Ftg. Main ----1..7':;?
Sq. Ftg. Accen ?.1n
T'\_ :_Sq. Ftg. Other
)('7 sn
)( 7 an
Value .1A. ??4...J)D--
Value -1....--77h nn
.,
f"ny load
Occy Group
x
Value
TOTAL VALUATION
50,000.00
BUilDING PERMIT Plan Ck. Comm/lnd
Chargel and 187.00 65%1 Blda Per Fee
Surcharge I 7.48 Plan Ck. Rei
30%/ Bldq Per Fee
PLUM81NG PERMIT 45.00
Chorgel and fence
Surcharge I 1.80
Demo
ELECTRICAL PERMIT
Charges and 35,00 Sidewalk 76,21'
Surchargel 1.40 I AI C Pavina
MECHANICAL PERMIT 18'
Chargel ond 31. 50 Curb Cut
Surcharges --------
1.26
Sy5tems Development
Chorae 0.5%)
750,00
56.10 PD 6-30-810
RECEIPT # 53875'
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Totol Comb. Permit
329.84
7.60
H.80
TOTAL
ll'07~,'~
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. .-.- , ELECTRICAL LABEL w?
~UILDING OWNE~ S f springfield-346 MAIN 51.
DIVIStON-C,ty 0 _ _ .
3UILDING 26-3769 (l.,p.d;..') ELEC "dCAL PAIlIEL
726-3753 ('~)' 7 ATTACH TO ~
~- ~)
- I. fellations
_/~,..,.t.-._ tinjl electrica Insth 54th
. t re of Buildingown~d -d b:fore energizing or connec 1010 Nor
Signa U (Must be.erolv~ ~ms __ _ (Moiling Address)
steve 1ol,I , , . ,.
'(p,.",.,2~ ffo"l"fy' ~'tr)eet
- emises Served) . 1 service
("dd'T~~;;rar'!... Electrlca . _.. _.. .
:::::;~~:M'i~E1e~J~I.c;?~~ l!n ~
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0036
B
PERMIT VALIDATION
. ,
Feeder(s)--
Additionol Circuits-
orate label) _'. --:
-' vice (Requires_~ -c to connect.
_Tem~~ Ser __--' electrical serving a:~~6MPANIED 8Y
~-:-. hereby granted to a~HEN THIS LABEL IS
p~:~;;;~~nSylsSlem desi9';:t~~E;le;~~~LINSPECTOR. -.JOB
~OT1CE AFFIXED BY A OAT!:
INSPECTED BY
",..."....
I tAM AND CONTRACTORS
,
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BUILDING OWNER'S ELECTRICAL LABEL
BUILDING DIVISION-City of Springfield-346 MAIN 51. NQ
726003753 (Bus.), 726..J769 (Inspections)
ATTAs:Ji TO ElECTRICACPANEl
Signature of Building Own~^,A:6<.'(' b-4..~~_~ --'
(Must be provided before energizing or connecting electrical installation
Steve Wi 11 i ams 1010 North 54th S'
(Please Print) . {Owner's Name) (Mailing Addre!s)
7253 Holly Street
(Address of Premises Served)
l~erJllanelrt-5el:JI; r" for S F R" < .
Description of Work:
Service'"
Feeder("
. Additional Circuit.
_Temporary Service (Requires a separate label)
Permission is hereby granted to on electrical serving agency to connect and
electrical system designated hereon WHEN THIS LABEL IS ACCOMPANIED BY A RI
NOTICE AFFIXED BY AN ELECTRICAL INSPECTOR.
INSPECTED BY
'''I. NO' C-
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Received For:
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SPRINGFIELD
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City Hall
Springfield, Oregon
Deportment of Public Works
OFFICIAL RECEIPT
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V Address /Olt/ -n 54--t::/i,~
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