HomeMy WebLinkAboutPermit Electrical 2006-4-20
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01670
ISSUED: 04/20/2006
APPLIED: 11/30/2005
EXPIRES: 1012012006
VALUE:
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nsp;ctIon Lme
SITE ADDRESS 3585 CHEROKEE DR
ASSESSOR'S PARCEL NO . 1802062105200
Sprmgfield TYPE OF WORK ElectrIcal Work Only
TYPE OF USE
Repair
Residential
PROJECT DESCRIPTION Reconnect ElectrIcal Service
Owner ELLINGTON JONATHAN T & L J
Address 3585 CHEROKEE DR
SPRINGFIELD OR 97478
Phone Number 541-744-0125
I CONTRACTOR INFORMATION I
Contractor Type
ElectrIcal
Contractor
BUILDERS ELECTRIC INC
LIcense
4296
ExpIratIon Date
12/10/2007
Phone
541-485-0922
BUILDING INFORMATION I
# ofUmts
PrImary Occupancy Group
Secoudary Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of StorIes
Helgbt of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled Bmldmg
Lot Size
Sq Ft Ist Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION'
Front yard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Handicapped
compa~
I PUBLIC IMPROVEMENTS'
Street Improvements ATl EISlde)Valk,TY)J!\.lla"'l requires ou to
S S .llnTln.1:..h fol/ow r' '1.." ~rI~"+ 1 ~ .. 0 y
torm e_-l'rs'C'ule DownspoutslDrams 16 regon Utility
SpeCial I"i'Nm'~1}1 NoN cation Center Those rules are set fort~
A MIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001
Notes UTHORIZED UNDER THIS PERMIT IS NOT 0090 You may obtain COpies of the rules b'
COMMENCEr) nR Ie: MH"n';"I"n n- calling the center INotp th">lolonh~M .
ANY 1 BD DAY PERIOD - - ~I~ ... -I,moer torthe Oregon Utility Notification
ValuatIOn DescrJotlOn Center is 1-800-332-2344) ,
Description
Type of ConstructIOn
$ Per Sq Ft
or multIplIer
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 of 2
Status
Issued
CITY OF SPRINtJl'u'LJJ.
Building/Combination Permit
PERMIT NO: COM2005-01670
ISSUED: 04/20/2006
APPLIED: 11/30/2005
EXPIRES: 10/2012006
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
Total Value of Project
,Fee"Pa,1l1 I
Fee DescriptIOn
+ 10% AdmmlstratIve Fee
+ 7% State Surcharge
Service Reconnect
Amount PaId
Date PaId
ReceIpt Numher
$500
$350
$50 00
4/20/06
4/20/06
4/20/06
1200600000000000519
1200600000000000519
1200600000000000519
Total Amount PaId
$58 50
I Plan RevIews I
To Request an mspechon call the 24 hour recordmg at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, mspectlOns requested after 7:00 a.m. will be made the foIlowmg work
day.
I Reouired TnsnedlOns I
ElectrIc ServIce Approval reqUIred prIor to utIlIty company energlZmg servIce
By sIgnature, 1 state and agree, that 1 have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance wIth
the Ordmances ofthe CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY will be made of any structure wIthout permISsIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m comphance wIth ORS 701 005 will be used on thIS project
1 further agree to ensure that all reqUIred mspectIons are requested at the proper tIme, that each address IS readable from the
street, that the permIt card IS located at the front of the property, and the approved set of plans will remam on the sIte at all
times durmg constructIOn
Owner or Contractors SIgnature
Date
Pa~e 2 of2
225 F,fth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01670
COM2005-0 1670
COM2005-0 1670
Payments
Type of Payment
Check
cRecemt 1
RECEIPT #.
DescriptIOn
Service Reconnect
+ 7% State Surcharge
+ 10% AdmmlstratJve Fee
PaId By
BUILDERS ELECTRIC
~
~
CIty of Sprmgfield OfficIal ReceIpt
(elopment ServIces Department
PublIc Works Department
1200600000000000519
Date. 04/20/2006
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
llh 93442 By Mail
Payment Total
Page I of 1
12 16 15PM
Amount Due
5000
350
500
$58 50
Amount Paid
$58 50
$58 50
4/20/2006