HomeMy WebLinkAboutPermit Electrical 2006-4-20
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01780
ISSUED: 04/20/2006
APPLIED: 12/28/2005
EXPIRES: 10/20/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SiTE ADDRESS: 1673 HARBOR DR
ASSESSOR'S PARCEL NO.: 1803023203200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTiON: Replace Electrical Service
Owner: WHITE MERRILL L
Address: 1922 INLAND WAY
SPRINGFIELD OR 97477
Phone Number: Not Listed
, CONTRACTOR INFORMATiON I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/10/2007
Phone
541-485-0922
BUILDING INFORMATiON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATiON 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
cP\~
cJJ
Street Improvement~~OTlCE: Sidewalk Type:
Storm Sewer Availa'1IFi/S PERMIT SH DownspoutslDrains: S you to
Special Instruction' ALL EXPIRE IF THE WORK ATTEN 1101'" \3')90111<1'. re'~Ulre T
. AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utllly ~
COMMENCED OR IS ABANDONED FOR Notification Cenlor. Those rUlesAaRre9s5ei_~0~
ANY 1 RO nllY Pi:DI"" in OAR 952-001-C01C through 0 ,__ ...,
. v '90. YoU may OU~dlll '"'VtJl............. ...- -
I Valuation Descriotion I calling tile center. (Note: the tele.phone
number for the Oregon Utility Noliflcatlon
$ Per Sq Ft Square Footage Conter iryl 'l'1nO-332-2~44).
or multiplier or Bid Amount a ue Date Calculated
Notes:
Description
Type of Construction
Pagelof2
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. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01780
ISSUED: 04/20/2006
APPLIED: 12/28/2005
EXPIRES: 10/2012006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlon Line
Total Value of Project
F,.,.~P,\lW
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$6.30
$4.41
$63,00
4/20/06
4/20/06
4/20/06
Receipt Number
1200600000000000510
1200600000000000510
1200600000000000510
Total Amount Paid
$73.71
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.
IR"'1'i~
Electric Service: Approval required prior to utility company energizing service.
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 1 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 aud employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that ail 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 constructiou.
Owner or Contractors Signature
Date
Pa!!e 20f2
245 Fift\! Street
Springfield, Oregon 97477
541-726-3759 Phone
· i1i~
City of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
1200600000000000510
Date: 04/20/2006
12:1l:32PM
Job/Journal Number
COM2005-01780
COM2005-01780
COM2005-01780
Description
Perm ServlFdr 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Check
Paid By
BUILDERS ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
63.00
4.41
6.30
$73,71
Amount Paid
IIh
92851
By Mail
Payment Total:
$73.71
$73.71
cReceintl
Page I of I
412012006
~D=-I .' EC 0073
.. Job Numbe,cO fY1e)S-()/7 !fO
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax Line 541-726-3676
225 Fifth Street Electrical Inspector 541-726-3663
Springfield, OR 974n General information 541-726-3759
[II Job Address: I In f - ~ 1-1 (11"9 ar u ("-
Owners Name: -f"f"r(V t=";-+~Date:J.2=:2 \( -(}2
Description of Work: 160 ArYI,r-; SPr.vlc;;:p
COMMERCIAL 'J RESIDENTJAdIf INDUSTRIAL 0 PUBLIC 0
~ Electrical Contractor: b(J~~ f-_I...."-!:-y.,C ',Y1'
Supervising Electrician Signature: L-<J1. ~A I,lL
Supervisors License #: -:?:"?? 0 .- <;_ Expires: /eJ~/ - 0"7
Construction Contractors Board #: ~ () Expir""'"
THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
IINSPECTlONTVPE
jTEMPORARY
I UNDERGROUND
UNOERSLAB
I ROUGH
I SERVICE
I lOW VOLTAGE
j MANUF HOME SERVICE
I MAtruF HOME Cot~NEcnON
1 SIGN
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I FINAL
ApPROVAL DATE
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I TO BE REMOVED ONLY BY BUlL
INSPECTOR
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