HomeMy WebLinkAboutPermit Electrical 1980-7-18
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CITY Of SPRIrIGflELD
COMBINATION APPLICATION/PERMIT
-[nergy Sources:
70BHayden Bridge Road .Iheat
~ater heater
ranoe
I IrISPECTION LItlE
726-3769
Job Address
legal Description
INfURI'^TlON LINE II
726-3753 l
ISq'f4l\~ln..acCsy. olag
new add a I ter rep.
fence demo-litiCiil.
change/use ~other
and electrical service
build 12
1J3
10
I:r.
I
(ohone no. )
Owner (name/address/phone)
Darr01d, Hanna
,alue of work: 1500.00
3uilding pennit info.: describe work (i.e.,
;inQle fam. res. with detached QaraQe)
707 1/2 Hayden Bridge Road
Construction lender (name/address/phone)
OESIGN IEAt1
(name)
(address)
Primary
Structural
OWNER
Electrical
Mechanical
CONTRACTORS
(name)
(address)
Genera 1
Plumbina
0;r,1;:1;
Flectrical
M~~h?nical
~
PLU/.1BING
../ MECHANICAL
NO.1 I FEE I CHARGE NO.
Each single fixture
furnace/burner to
BTlI's
Relocated building
1 (new fix. additional) 15.011 15.0 I
Floor furnace
and vent
S.F. Residence
(1 bath)
Duplex (1 bath) each
Recessed wall
Sn~~p hp~tpr ~nd vpnt
Additional bath
1 Iwater service
I Sewer
Appliance vent
seoaratp
Stationary evap.
cooler
Vent fan wi th
sinale duct
Vent system apart from I
heatino or A.C.
Mechanical exhaust
hnod and duct
Wood stove/heater
10.00/
10.0~
lO. 0' I
lO:O'1
Storm Sewer
ISSUANCE OF PER!lIT
TOTAL CHARGES
WHERE STATE LAW REQUIRES
shall not be valid until the
35.00
TOTAL CHARGES
that the Elecrical work be done by an Electrical Contractor, the electrical portion of this permit
lab~l has been signed by an Electrical Supervisor and returned to the Building Division.
TOTAL CHARGES
10.00
I _HAVE 'CAREFlIlLY EXAMINED the completed application
and correct, and I further cert i fy that any and a 11 work performed sha 11 be d e
of Springfield and the Laws of the State of Oregon pertaining to the work de
of any structure without the permission of the Buildinq Division.
NAflE (please print) Oft f2J2()/ J\ -f,../fJDr\?1, SIGNATURE
Construct foundation for moved
house; connect plumbing (sewer)
(1 ics. no.l
(exoi res)
(lice;. no.)
(~xpires)
(ohane no.)
ELECTRICAL
I FFF
I
I
I
1 rHARr.F Nn
I I FFF
Residence of
I fHARr.F
SQ. FT.
New circuits alts.
or>extens;ons
SERVI~ES ..
"-
....
x
Temporary Construction
Change in existing
rp,; i dJ~.nrp
multifamily. COIllJl. or
Inrluc;trial
I
110.0)
I
10, 10
amps.1
Of
COMM./IND. FEEOERS
Install/alter/relocate
rlic;trih_ fppdprc;
Of
amps. I
alts.
New circuits,
nr .P'tt""...c:;nnc:
)32,717
FOR OFFICE USE ONLY
Zones
Occy Load
Flood Plain Bdrms Type Cnnst.
Decy Group R-r- Sto~l Units 1
ACe U U N 1 S I' r.1 M A
Plan Ck. Camm/Ind
65%/Bldo Ppr Fpp
------------ Plan Ck. Res
.60 30%/Bl do Per Fee
BUILOING PERfHT
Charges and
Surcharges
15.00
4.50
PLU!1BING PERMIT
Charges and
Surcha rges
Fence
__~~._Oil______
1.40
10.00
------------
.40
Sprinkler System
ELECTRICAL PERtHT
Charges and
Surcharges
Demo.
A/C Pavin9
tlECHANICAL PERMIT
Charges and
, Surcharges
Curb Cut
Sidewalk
all info ation hereon is true
. h th rdinances of the City
OCCUPAtlCY will be made
ATE
-.
R Y
Sq Ftg. Value
So FtQ:. Value
Stonn Sewer Connec.
Other Sanitary
Other
Other
Total Comb. Pennit
SOC
TOTAL
! 00- qt)
\
100.00
166.90