HomeMy WebLinkAboutPermit Electrical 2005-06-09lFIILI!
CITY F
Building/C ombination Per
\q
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:726-37 69 Inspection Line
PERMIT NO:
ISSUED:
APPLIED:
E)PIRES:
VALUE:
0s/1
SITE ADDRESS: 25017TH ST
ASSESSOR'S PARCEL NO.: 1703363102400
Springfield TYPE OF
TYPE OF Residential
PROJECT DESCRIPTION: Relocate Meterbase
- Owner:
Address:
WAIIDA LASATER
250 17TH STREET
SPRINGFIELD OR 97477
umber: 541-7474577
Contractor Type
Electrical
Contractor
C & S ELECTRIC
License
3849
Expiration Date
09/01/2008
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Prim ary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Enerry Path:
Sprinkled
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
ca//ing
nunlber the cen
for thp r
Tvpe of Construction
e
fi Square Footage
or Bid Amount value
CONTRACTOR
f INFORMATION
PUBLIC IMPROVEMENTS
Description
lof2
Date Calculated
.T
Frontyard Setback
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
l1urLur'\tr l1\I UKlYrAr rUNl
$v
or
IL
1?IILD
Status: Issued
225 Fifth Street, Springfield, OR
54l:126-3753 Phone
541-7263676Frx
541:7 26-37 69 Inspection Line
Buildin g/Co mbination Permit
PERMITNO: COM2005-00548ISSUED: 0610912005
APPLIED: 05/1012005E)?IREST 1210912005
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount
Amount Paid
$6.30
$4.41
$63.00
$73.71
Total Value of Project
Date Paid
6t9t05
6t9t05
6t9t05
Receipt Number
1200500000000000813
1200500000000000813
1200500000000000813
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Electric Service: Approval required prior to utility company energizing service.
By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certi$ 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 OCCUPAIICY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certi$ 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 all 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 Date
2of2
I ees raro I
Kequtreo r nsDecuons
225Fltth Street
Springfit ld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
evelopment Services Department- Public Works Department
RECEIPT#: 1200s00000000000813 Date:06/09/2005 12:35:25PM
Job/Jurrnal Number
ccM2005-00548
coM2005-00548
coM2005-00548
Description
Perm ServlFdr 200 amps or less
+ 7o/o State Surcharge
+ l0% Adminishative Fee
Amount Due
63.00
4.41
6.30
Item Total:$73.7r
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check C & S ELECTRIC llh 6884 By Mail $73.11
Payment Total: $73.71
6t9/200s lofl
3PFII{OFITLO