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Home My WebLink AboutPermit Electrical 2004-9-22 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01174 ISSUED: 09/22/2004 APPLIED: 09/22/2004 EXPIRES: 03/22/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PROJECT DESCRIPTION: Hot tub 1'\ I I ENTin... ~ NI~*,'i!Htfleld ati.r.:~!~}),FWo,IfK~r9E\ectrical Work Only in 0 IICarlon Center. Th",',r.':c Orer:;on l..'iii[j" o OAR 952-0011J~r5 eF USE~S arfAd_l!i~!9.~ Residential 090.. You may obtain ;rough OAR 952-001__ callmg the CPnto. ", OPles of the ru/po ~. "UIIlOerto th :. .to,,,. tile [ele h - WEBER STEPHEN J & MICHELLE Mer ~ Oregon Utility N t'fP o?e 1718 LAWNRIDGE SPRINGFIELD OR 97477 enter IS 1-800-33.2'2~: lcalion SITE ADDRESS: 1718 LA WNRIDGE AVE ASSESSOR'S PARCEL NO.: 1703252106700 Owner: Address: I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Ex.piration Date 05/01/2007 Phone 541-688-6121 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # or Bedrooms: # of Stories: Lot Size: l" ..... ~ , f . .... Height orStructure Sq Ft 1st Floor: Ty~e'l,tHWt~IT SHALL EXPIRE IF T~:q;t 2nd Floor: ',' I ~'''D07ED 'fl.D", Water'TYpe: UNDER THIS PERM . f\: t'Basement: Ra'rigU~pe;EO OR IS ABANDO I1SqlIl~~lirage/Carport E..iergylJ'~tb;w PERIOD NED .sqfft Other: Sprinkled Building: . n/a Occupant Load: I DEVELOPMENTINFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsillrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 ~ . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01174 ISSUED: 09/22/2004 APPLIED: 09/22/2004 EXPIRES: 03/2212005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fp.p.~, paidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.60 $4.62 $3.00 $63.00 9/22/04 9/22/04 9/22/04 9/22/04 3200400000000000259 3200400000000000259 3200400000000000259 3200400000000000259 Total Amount Paid $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. ~ Rp'OIJirp.d ~nectionsJ Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefuIly 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. !~f~Jfi tJ/ZZ)t1Y Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Sp~ingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 I 174 COM2004-01174 COM2004-0 I 174 COM2004-01174 Payments: Type of Payment Check 9/22/2004 . RECEIPT #: 8~ ~ '--...: A}ty of Springfield Official Receipt _evelopment Services Department Public Works Department 3200400000000000259 Date: 09/22/2004 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CHRISTENSON ELECT. Item Total: Check Number Authorization Received By Batch Number Number How Received njm 1084 In Person Payment Total: Page I of I 2:08:57PM Amount Due 63.00 3.00 4.62 6.60 $77.22 Amount Paid $77.22 $77.22