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Home My WebLink AboutPermit Electrical 2005-5-22 Address .8Cl8"9 .~, 'A/ 'SF City.~ ./ Supervisor License Number ~ /':5 <c. S 10///107 '/ . Constr. Contr. Number /5/?'ih,,4I' Expiration Date ~ / b2.f/J/ (<) ~ , { SiD O~S~ming Electrician . ~~ , Expiration Date City 2. ., ro s?p~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . Owners Signature: Inspection Request: 726-3769 7% State Surcharge 10% Administrative Fee TOTAL S 43.00 . Shared Drive(T:}'Building FonnslElectrical Pennit Applicatio.n I.03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRIl'Ij~t<lJi,L1J Building/Combination Permit PERMIT NO: COM2005-00334 ISSUED: 04/19/2005 APPLIED: 03/25/2005 EXPIRES: 11/19/2005 VALUE: $ 5,900.00 SITE ADDRESS: 2950 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702190001101 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Patio cover Owner: STARK JAMES L & NANCY E Address: 2950 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Contractor OWNER GROUNDED ELECTRIC 15~.80.41\11'-\<- L .BUlLDING INFORMATI()N1IS ~O I ~01\~- II ';)D"~- 1\-11'.:) p.,.. rOI'- :'i\-lIS \'t.I'-~ft?f~tori~~ t;\\l\~\)O~t.\) U l\\),\-IOI'-I:I.-'!rllNll'fStructure w.Wlt.I;'.Type of'HeatD. VN C~'{ "\ ~\,wl/t~r Type: l\ Range Type: Energy Path: Sprinkled Building: Contractor Type General Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pbone Number: 541-726-7811 I CONTRACTOR INFORMATION I License Expiration Date Phone 02124/2006 541 726-6858 nla Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 324 Occupant Load: , DEVELOPMENTlNFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ,.; -, "oU\O QU\les J '\i\'!.. ,_.., "8_. - "t\ tot\ll I PUBLIC IMPROVEl\!J;.l'Ii.~,t-I.. Ole;ud'b~ \l\e Olts;~~se\ to , r1 lules adO\> :;lilil.Sil tu\~ t-~ 95Z.(\0 . Partially Improved tol~O>tl \\On ce~' ~ 0 \hlOOO' ~ \he tuleS b'/ No t-Io\lflca 95Z.00<D;\Q;hSR<etWBFlli'tl{: \e?hone In Ot-\". 'lou ll\a,/ ob\~\ tNo\e'. ~~e ~O\I\ica\lOn 0090.. \he cen\e. on \.1\\\1\'/ callIng \he Oleg Q-a3Z-Z344). nUll\beI6~n\el is ,-80 Existing slab no SDC fee's 3/29/2005 CAS Paee 1 of3 . . \..-11 i' VI:' ~rj(Jl'1ul:'l~LlJ Building/Combination Permit PERMIT NO: COM2005-00334 ISSUED: 04/19/2005 APPLIED: 03/25/2005 EXPIRES: 11/19/2005 VALUE: $ 5,900.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,900.00 Value Date Calculated Description Total Value of Project $5,900.00 $5,900.00 03128/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $49.53 3125105 3200500000000000108 + 10% Administrative Fee $7.62 4119105 1200500000000000471 + 7% State Surcbarge $5.33 4119105 1200500000000000471 Building Permit $76.20 4119105 1200500000000000471 + 100/0 Administrative Fee $5.00 5119105 1200500000000000643 + 7% State Surcharge $3.50 5119105 1200500000000000643 Service Reconnect $50.00 5119105 1200500000000000643 Total Amount Paid $197.18 I Plan Reviews I Initial Review 0312812005 03/2812005 APP LLH Plan nine Review 0312812005 0410112005 APP TAJ No Planning review required. Public Works Review 0312812005 0312912005 APP CAS Existing concrete slab no SDC Fee 312912005 CAS Structural Review 0312812005 0411412005 APP RJB 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. Rpnnirptf In~,np,..UI&IY.I Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After ail required iuspections have been requested and approved and the building is complete. Electric Service: Approval required prior to utility company energizing service. Paee 2 of3 . . CITY OF SPRINGFu,LU Building/Combination Permit" PERMIT NO: COM2005-00334 ISSUED: 04/19/2005 APPLIED: 03/25/2005 EXPIRES: 11/19/2005 VALUE: $ 5,900.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line By signature, 1 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. 1 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 3 00 225 Fifth Street Spl'ingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00334 COM2005-00334 COM2005-00334 Payments: Type of Payment Check 1I " 5/19/2005 . RECEIPT #: 1tIit.....'~.~!"''''.'/!LD . "'..' ... '.'......' " ,__'H." ,,: ~ i:-'~ ' wr::. :i ->...,,--,. '''''','''. ~: ,-"", .',' ,Ji,lty of Springfield Official Receipt .velopment Services Department . Public Works Department 1200500000000000643 Date: 05/19/2005 Description + 7% State Surcharge + 10% Administrative Fee Service Reconnect Paid By GROUNDED ELECTRIC Received By djb Page 1 of 1 Item Total: L'heck Number Authorization Batch Number Number How Received 1066 . In Person Payment Total: 10:17:45AM Amount Due 3.50 5.00 50.00 S58.50 Amouut Paid $58.50 S58.50