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HomeMy WebLinkAboutPermit Plumbing 1994-7-14 .--:r'~"-'-'U 'I~' '.' - 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 " 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, ~\ c ~ ,\\ ,II , \ ( I ( I \.1 \ \ \ t i \\'\ ,. \ . \\ \J\ \ \ \ , \ ~ , \ \ \ \ - I ----- .~- I -= !