HomeMy WebLinkAboutPermit Electrical 2006-05-19Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00393ISSUED: 0511912006
APPLIEDT 0410312006
EXPIRESz 1111912006
VALUE:
SITE ADDRESS: 10 SEWARD AVE
ASSESSOR'S PARCEL NO.: 1703224400300
PROJECT DESCRIPTION: Replace 200 Amp Electrical Service
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair Residential
Phone Number: Not ListedOwner:
Address:
Contractor Type
Electrical
Contractor
LR BRABHAM
Expiration Date
12n8t2006
Phone
541-747-6638
ROBERT A & CLARA R MOFFITT TRUST
rO SEWARD AVE
SPRINGFIELD OR 97477
License
8699
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
f{
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
TX|"::?#T,III!L EX
Frontyard setb6&44 MuJrlt
D UNDER rH
Side I Setback.ANY ,,:t-'"t' Ofi
'IS
ABA
side 2 Setback: 5u DAY PERI0D.
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
AI IE,N ltt-rN.uregc'n
Storm Sewer *",tl$["# U?l
Special Instructioilll L
0. you ,
Street Improvements:ules ire set to
6s6lrrl. Those r
h oAR 952-00
Sidewalk Type:
Downspouts/Drains:,N1
Notes:
-00 1-.01C throug
calling th
may obta
e center
in coPies
(Note: th
ol the rules b\
e telePhone
numbertor the Orego n UtilitY Notificatiort
v-2344)
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Type of Construction
Pase I of2
Value Date Calculated
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Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00393ISSUED: 0511912006APPLIEDz 0410312006
EXPIRESz 1111912006
VALUE:
Fee Description
+ l0oh Administrative Fee
+ 8%o State Surcharge
Perm Serv/Idr 200 amps or less
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
sngt06
sn9t06
sngt06
Receipt Number
2200600000000000626
2200600000000000626
2200600000000000626
$6.30
$5.04
$63.00
s74.34
Plan Reviews
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.
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 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.
I 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pase2 of2
Date
m L]
rees rato I
225 Fifth Street
Springfi eld, f)regon 97 47 7
541-726-3759 Phone
Cio of Springfield Official Receipt
I elopment Services Department
Public Works Department
RECEIPT #: 2200600000000000626 Date: 0511912006 10:35:04AM
Job/Journal Number
coM2006-00393
coM2006-00393
coM2006-00393
Description
Perm Serv/Fdr 200 amps or less
+ 8% State Surcharge
+ l0% Administrative Fee
Amount Due
63,00
5.04
6.30
Item Total:$74.34
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check LR BRABHAM lth 33402 By Mail $74.34
Payment Total: 574.34
cReceintl Page I of I 5fi912006
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