HomeMy WebLinkAboutPermit Electrical 2003-9-11
Status
Issued
.
. CITY VI< ~rRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00844
ISSUED: 09/11/2003
APPLIED: 09/02/2003
EXPIRES: 03/16/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4145 JASPER RD
ASSESSOR'S PARCEL NO,: 1802052300403
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Reconnect service and minimum building permit to final project
Owner: HENDRICKSON LORI & JEFFREY
Address: 4145 JASPER RD SPRINGFIELD OR 97478
# of Buildings: # of Stories:
\0
Primary Occupancy Group: R-3 Height of Stg~4Cture:l,'l
Secondary Occupancy Group: Type ocJIeat:{\ 1j\V.\ (\
Primary Construction Type VN watfr',Type,o ~e\ \00,
"A- , e~ 0
Secondary Construction Type: e~o{\,~-l'~ge 1;~'pJ~~ 9S7.: s \.
# of Bedrooms: O~.O~ :l,eO Energy-Path:>.'" ~Y>W
A~~~~oS 'c}0~:p.~ ,~~~~~oY>~:s~o\ \~~e~~oj~o{\
~o\\o>!l ';o{\ \.I~DEVELOPMENHNFORMA T10N I
~\~\c'Q. 9S7.: :-l v. ~. \,' - \)\". iz.~"'~'
~o O\>-'" oY> ~'Q. ce{\\e _oo.o{\ ",0,7.:
\{\ O.'l \~e eQverlal5I!>1St:
O':;:fd ~\\{\~ \o~ \~ ~\~t'riret Trees Rqd:
C ~'Qe~ f"e{\\epaved Drive Rqd:
, {\'V v
% of Lot Coverage:
Contractor Type
General
Electrical
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Contractor
OWNER
THE MURPHY HARRIS COMPANY INC
License
142410
I BUILDING INFORMATION I
Residential
Expiration Date Phone
04/20/2004 541-736-1292
Lot Size:
Sq Ft 1st Floor: ,
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.."'f"\"
I PUBLIC mMO.~~MENTSll E'i,PIRE If "\ \; IS ~Ol
1\1IS Pt~~~~ u~OtR ~itt~~Oi\
r>.1J1\10 t~CtO OR IS ~ownspoutsmrains:
COt-/lt-/l Or>.'{ PERIOO,
r>.~'{ 18Q
*..,-
..
Paeeloc3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
F pp< tililIJ
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Refund - + 10% Administrative
Refund - + 7% State Surcharge
Refund - Service Reconnect
Service Reconnect
+ 10% Administrative Fee
+ 7% State Surcharge
Service Reconnect
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
$5.00
$3.50
$-5.00
$-3.50
$-50.00
$50,00
$5.00
$3.50
$50.00
$4.50
$3.15
$45.00
9/2103
9/2103
9/2103
9/2103
9/2/03
9/2103
9/11/03
9/11103
9/11103
9/16/03
9/1 6/03
9/1 6/03
Total Amount Paid
$111.15
I Plan Reviews I
. \..-11:t' OF ~r1Ul'\jljt<l~LD
Building/Combination Permit
PERMIT NO: COM2003-00844
ISSUED: 09/11/2003
APPLIED: 09/02/2003
EXPIRES: 03/16/2004
VALUE:
Value
.
Date Calculated
Receipt Number
2200200000000001463
2200200000000001463
2200200000000001467
2200200000000001467
2200200000000001467
2200200000000001463
2200200000000001509
2200200000000001509
2200200000000001509
1200200000000002142
1200200000000002142
1200200000000002142
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.
IRp~
1 Electric Service: Approval required prior to utility company energizing service.
2 Final Building: After all required inspections have been requested and approved and the building is complete.
Pal!e 2 oC3
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.
. CITY 01< ~rKll~GFIELD '
Building/Combination Permit
PERMIT NO: COM2003-00844
ISSUED: 09/11/2003
APPLIED: 09/02/2003
EXPIRES: 03/16/2004
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community 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 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 will remain on the site at all
times during construction.
~.4-;:;",/)~/
//'?"'...:..L- ~ ~
9//6h:3
Owner or Contractors Signature
Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00844
COM2003-00844
COM2003-00844
Payments:
Type of Payment
Check
WI--..~"""""~""'!
---~.., ''',- " l
.I.: 'j; _ t
< ~. ._.~; ..~".,..."" - -,.}
Receipt #: 1200200000000002142
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CENTURY 21 WESTOVER
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
"
Development Services Department
. Public Works Department
Date: 09/16/2003 2:57:50PM
Amount Paid
Item Total:
45.00
,3,15
4.50
$52.65
How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65
.
.