HomeMy WebLinkAboutPermit Electrical 2005-8-11
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00879
ISSUED: 08/11/2005
APPLIED: 07/11/2005
EXPIRES: 02/11/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2391 CLEAR VUE LN
ASSESSOR'S PARCEL NO.: 1703271203600
Springfield TYPE OF
Electrical Work Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: New Service and One Circnil
Owner:
" Address:
CANTWELL DAVID
2391 CLEAR VUE LN
SPRINGFIELD OR 97477
Phone Number: Unlisted
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I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/10/2007
Phone
541-485-0922
I BUILDING INFORMATIONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft Ist Floor: ,
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
'I
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
,
". Front yard Setback: Overlay Dist: Total:
: Side I Setback: # Street Trees Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard SetUifcl€:NTION: Oregon law requires ,"{o!,9f&ot CovHag1;1 CE: _
Solar Setbac~:low rule': 1r1opted by the Oreg,-" ,":'ity THIS PERMIT SHALL EXPIRE IF THE WORK
\." ... . ... _ _ .__...... ,'.lI'....rn TU1C DCQ~AIT \, NnT
1"_,"<',.,,,-,-~'llV'VljL-:;l. l'IU;:)C'IUIt;'....-" ,- .~~.~ """-""'IL-LU V'~""'''''''
in 1J,:'h ;?C'2.001.001 0 through ~UBLIC IMPROVEMEN;JS_ICED OR IS ABANDONED FOR
Street 000"IOli may obtain copies of the rules by ANY 1BO DA1SllieW:\iRType:
Sto S AGi':lil"cb' Jhe center. (Note: the telephone
rm ewer val a Ie: . ,
S . I I tr rlll"lOer lOr the Oregon Utility Notification
peCIa ns uc IOn: .
Center IS 1-600-332-2344).
., Description
'1: '
Type of Construction
I Valuation Descriotion ,
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
DownspoutslDrains cPc::,V
l(.,~ ~
~ O? , r
'bMJ, , \
Notes:
'.;,"'"
Value
Date Calculated
I of 2
.
.
CITY OF SPRINGFIELD .
Status:
Issued
Building/Combination Permit
PERMIT NO: COM2005-00879
ISSUED: 08/11/2005
APPLIED: 07/11/2005
EXPIRES: 02/1112006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.~
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Aller, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$6.60
$4.62
$3.00
$63.00
8/11105
8/11/05
8/11105
8/11105
Receipt Number
1200500000000001183
1200500000000001183
1200500000000001183
1200500000000001183
Total Amount
$77.22
I Plan Reviews I
"
;,-' To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00
, a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
~eolIirect Tn~npr~
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furtber certify that any and all work performed sball be done in accordance
with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein,"
,
and that NO OCCUPANCY wiD be made of any structure without permission ofthe CommwIity Services Division,
Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project. .
I ,;, I further agree to ensure that all required inspections 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 wiD remain on the site
at all times during construction.
Owner or Contractors Signature
Date
2 of 2
225 Fifth Street
'Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00879
COM2005-00879
COM2005-00879
COM2005-00879
Payments:
Type of Paymenl
Check
:f
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-
':'
8/11/2005
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RECEIPT #:
ar-~_~I!.tQ~F!~ ______, !
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~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001183
Date: 08/11/2005
Description
Penn Serv/Fdr 200 amps or less
Add, Aller, Exlend Circ Ea Add
+ 7% Slale Surcharge
+ 10% Adminislralive Fee
Paid By
BUILDERS ELECTRIC
Item Tolal:
Lheck Number Authorization
Received By Balch Number Number How Received
lIh 92183 By Mail
Payment Total:
I of I
1 :35:45PM
Amou nt Due
63.00
3.00.
4.62
6.60
$77.22
Amount Paid
$77.22
$77.22