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
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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