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Home My WebLink AboutPermit Electrical 2006-4-20 ... " . . 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 < . . . 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 I , I FINAL ApPROVAL DATE ,~i-~/L~ I TO BE REMOVED ONLY BY BUlL INSPECTOR I r' , t I I~ "- , , , '~ ., \i.. ING OFFICIAL I