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HomeMy WebLinkAboutPermit Electrical 2005-08-11Status: Issued 225 Fifth Street, Springfield, OR 541:126-3753 Phone 541-7263676F.ax 541:7 2647 69 Inipe ction Line Buildin g/Co mbination Permit PERMITNO: COM2005-00868ISSUED: 0811112005APPLED: 07/0812005E)PIRESz 0211112006 VALUE: SITE ADDRESS: 3227 PARTRIDGE WAY ASSESSOR'S PARCEL NO.: 1703221306600 PROJECT DESCRIPTION: Repair damaged Service Mast Springfield TYPE OF TYPE OF USE: Electrical Work Only Repair Residential Owner: Address: Contractor TVpe Electrical WILLIAMS STEPIIANIEJ l793l DARYLMAIN SW ROCIIESTER WA 98579 Contractor LR BRABHAM PhoneNumber: 360-273-6090 License 8699 Expiration Date 12n8t2006 Phone 54t-747-6638 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setbaclc Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbaclc: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla lollow rule$ adopted by Notification Center. Thos REQUIRED PARKING Total: Handicapped: Compact: teDnberu Street Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or muhiplier Sidewalk Type: DownspoutVDrains Square Footage or Bful AmountDescription Type of Construction lof2 Value ) t\ul Date Calculated [3 t-ui\ I l(AL r t,K x\ r u_-5114!Ll!!l_.] Valuation Descrintion I L'I'V I'LUTryT|1,N T TI\IiUr(rYTA T TUN J 6) Jrt PERiOD rl Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 2647 69 Inspe ction Line CITY OF'SPRINGFIELD Buildin g/Co mbination Permit PERMITNO: COM2005-00868ISSUED: 08/11/2005APPLED: 07/0812005E)PIRES: 0211112006 VALUE: Total Amount Amount Paid $s.00 $3.s0 $s0.00 $s8.s0 Total Value of Project Date Paid 8/1Uos 8/r1l0s 8/11/0s Receipt Number 1200500000000001182 1200500000000001182 1200s0000000000u82 Fees Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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. Electric Service: Approval required prior to utility company energizing service. Renrrired Insnections 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 hereiny and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiS 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 alt required inspections are requested at the proper time, that each address is readable from . the stree! 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 Owner or Contractors Signature 2of2 Date Fee Descrhtion + l0Yo Administrative Fee + 7o/o State Surcharge Service Reconnect 225Fitth Street Springfield, Ore gon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT#: 1200500000000001182 Date: 0811112005 12:56:30PM Job/Jurrnal Number coM2005-00868 coM2005-00868 coM200s-00868 Description Service Reconnect + 7%o State Surcharge + l0% Administrative Fee Amount Due s0.00 3.50 5.00 Item Total:$58.50 Payments: Tlpe of Payment Paid By Receircd By Batch Number Number How Received Amount Paid Check LR BRABHAM llh 32283 By Mail $58.50 Payment Total: $58.50 o Ir 1t i'r 8/1U2005 lofl ry! i;H Ec CI176 CONTRACTOR t726-3769 Fax Line 541-726-9676 Electrical lnspector 541-726-3660 General inlormation 541-726-J759 Job Number ELECTRICAL PERMIT - INSPECTION LINE City of Springtietd 225 Fifth Street Springrield, OR 91477 f .roo Owners Description ol Work: _l Eleckical Contractor: Supervising Electrician Signature: Supervisors License #: Construction Contractors Board #: Expires: Expires: lHspecrroru Typr Appnovll Drre lHspecroR TEMPORABY UI'IDERGROUNO /\ -%^(/ FINAL Date:(' THIS NOT ) TO BE REMOVED ONLY BY BUILDING OFFICIAL | .- UNDERSLAB ROUGH E-,- .o s-- MANUF HOME SEEVICE MANUF HOME CONNECTION