HomeMy WebLinkAboutPermit Plumbing 1994-7-14
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CO'~ ERCIALlINDUSTRIAL
PER IT ,APPLICATION
225~. h ;tree.l, Springfield, Oregon 97477
JOB NUMBER
q L/ ! f)"7 ()
INSPECTION LINE: 726-3769
OFFICE: 726.3759
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LOCATION OF PROPOSED WORK: 430 Anderson Lane ~RSt:
ASSESSORS MAP: Sec 33 T17S R3W 1ilM
TAX LOT: 019-03
OWNER. Horizon construction"
PHONE: 503-743-2103
ADDRESS: PO Box 57
.
Turner
CITY'
STATF' Oreqon
ZIP' 97392
DESCRIPTION OF WORK:
Excavation & Fill Permit
.NEW
REMODEL
ADDITION
DEMOLISH
OTHER
x
VALUE:
CONTRACTOR'S NAME
, ADDRESS
1155 13th St SE Salem. 97302
eONST.
eONTRACTOR Ii
PHONE
503-363-9227
NAME
Engineer
A.f.1CH.Il:GC~. - Mu1 ti/Tech Enqineerinq
GENERAl' Horizon Construction PO Box 57, Turner
90911
EXPIRES
5-5-95
. PHONE
743-2103
ADDRESS
PLUMBING:
MECHANICAL:
ELECTRICAl.
, .~~
"
PLUMAII\IG
MECHANICAL
NO P::F' r.I-lAnnF'
Furnace/burner & vent
-< 100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
Floor lurnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg. .
Mechanical exhaust
hood and duct
\.
Permit Issuance .. $10.00 I
TOTAL PERMIT I
NO. FEE I CHARGE
Single Fixture
Reloqated Bldg.
lnew fix. addtl\
Water Service
It.
Sanitary Sewer
It.
. Storm Sewer
It.
Backllow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACeESS'
FLOOD PLAIN:
ZONING: .
LIGHTING POWER BUDGET:
WATER HEATER:
QUAD AREA'
LAND U~I='
" OF STORIES'
N OF UNITS'
eONSTR. TYPJ:'
HEAT SOUReE:
"OF BLDGS:
oecy GROUP'
SQ. FT.
$/SQ, FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTHER
x
....
x
q ~O(J CO #) X , .11.
I gtcr' '-f /1-- :r
+/~fp
( .5 (0 ----
j.. ,.'2,?;;2 1'0 . .(\.. 1
TOTAL VALUE OF,PROJECT4:)/-. tJ. obif -,
1 /14 (1rf BY f7() ~ r ~11wt G- !
PLAN CHECK FEE.
L/ () cO
RCPTN .(")(~q/~ '
DATE
.
BUILDING PERMIT
PLUMBING
DEMOLITION
~
5% State
Surcharge
I MECHA.NICAL .
15% State
SurcharQe
I PAVING
5% State
Surcharpe
FENeE
VALUE $
SIDEWALK
eURBCUT
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl,
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