HomeMy WebLinkAboutPermit Electrical 2005-12-20Status: Issued
225 Fifth Street, Springfield, OR
541:7264753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
CITY OF SPRINGFIEL
BuildinglCo mbin ation Permit
PERMIT NO: COM2005-01618ISSUED: 121201200sAPPLIED: 1111612005E)?IRESz 0612012006
VALUE:
SITE ADDRE$S: 645 21ST ST
ASSESSORS PARCEL NO.: 1703361300500
PROJECT DESCRIPTION: Add Six Circuits to Existing Service
Springfield TYPE OF
TYPE OF USE:
Electrical Work Only
Addition Residential
Owner:
Address:
Contractor Tvpe
Electrical
HEMMINGER RICHARD D & BRENDA L
645 21ST ST
SPRINGFIELD OR 97477
Contractor
C & S ELECTRIC
Phone Number: 541-988-4962
License
3849
Expiration Date
09/01/2008
Phone
541-741-2236
CONTRACTOR INFORMATI ON
BUILDING INFORMATION
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Piimary Construction Type
Secondary Constru ction
# of Bedrooms:
Frontyard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
# 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
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
NOTICE:
THIS PER
Square Footage
orBftl Amount
Sidewalk Type:
DownspoutMDrains
MIT SHALL
CED OR IS AB
DAY PERIOD'
'{HsJ[J'tr1'ff3[
Date Calculated
)VELOPMENT INFORMATION
PUBLIC IMPRO\TEMENTS
Description Type of Construction
lof2
Value
($otv
I
eqon law reouires vor r to
Status: Issued
225 Fifth Street, Springfietd, OR
541:726-3753 Phone
541-7263676Frx
541:726-37 69 Inspe ction Line
CITY OF SPRIN
Buildin g/Co mbinatio n Permit
PERMIT NO: COM2005-01618ISSUED: 1212012005
APPLIEDz 1111612005E)PIRESz 0612012006
VALUE:
Fee Description
+ lOVo Administrative Fee
+ lYo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount
Amount Paid
$s.80
$4.06
$43.00
$15.00
$67.86
Total Value of Project
Date Paid
12t20t05
t2t20t0s
12t20t05
t2t20tos
Receipt Number
1200s00000000001834
1200s00000000001834
1200500000000001834
1200s00000000001834
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnections
By signaturerl state and agree, that I have carefuIly examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certi$ that only contractors and employees who are in compliance lyith 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 Date
2of2
L
rees rarq I
225 Fifth Street
Springfield, Ore gon 97 47 7
541:726-3759 Phone
_ ity of Springfield Official Receipt
Development Services Department
Public Works Departrnent
RECEIPT#: 1200500000000001834 Date: 1212012005 1:01:19PM
Job/Journal Number
coM2005-01618
coM2005-01618
coM2005-01618
coM2005-01618
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ lloh Administrative Fee
Amount Due
43.00
15.00
4.06
5.80
Item Total:$67.86
Pnyments:
Type of Payment Paid By
CheckNumber Aufrorization
Received By Batch Number Number How Received Amount Paid
Check C & S ELECTRIC llh 12748 By Mail $67.86
Payment Total: $67.86
;l
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t2/20t200s lofl
armrf,{
Status: Issued
225 Fifth Street, Springfield' OR
541:7263753 Phone
541-726-3676Fax
541 :7 26-37 69 I ns pe ction Line
GFIELD
Building/Combination Permit
PERMIT NO: COM2005-01451ISSUED: 1212012005
APPLEDz 1011712005
E)GIRESz 0612012006
VALUE:
SITE ADDRESS: 1145 21ST ST Springfield TYPE OF Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703254304300
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: Repair Miscellaneous Electrical Code Violations & Track Lighting
Phone Number: 541-736-9862 'Owner:
Address:
AUDREY CIIURCHILL
1145 21ST STREET
SPRINGFIELD OR 97477
Contractor TVpe
Electrical
Contractor
C & S ELECTRIC
Expiration Date
09/01/2008
Phone
541-741-2236
License
3849
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Ptimary Construction Type
Secondary Construction
# of Bedrooms:
- Frontyrrd Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setracks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
N0TlcE: sidewalkrvpe:
THIS PERMI?$+TIOHPMFfF THE WOBK
AUTHORIZED UNDER THIS PERIIIT I$ 531
COMMENCED OR IS ABANDOI{ED EOB
ANY 1BO DAY PERIOD
# ofStories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkted
Overlay Dist:
# Street Trees
Paved Drive Rqd:
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:
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
nla
$ Per Sq Ft
or multiplier
Square Footage
or Bftl Amount
PUBLIC IMPRO\TEMENTS
Descriptbn Tvpe of Construction
lof2
Value Date Calculated
\
lJ U IL rr[\ (, !Nll2l(n! -r ruN
I"'I,VIILUI.M|IN I INIUT(IVIATTUN I
VOU
by the Oreqo
rules are s
001-
rter is 1-800 -gJ2-2544
b,y
ilp\3
Status: Issued
225 Fifth Street, Springfield, OR
541:7264753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
Buildin g/Co mbination Permit
PERMITNO: COM2005-01451ISSUED: 1212012005
APPLIEDz 1011712005
E)OIRESz 0612012006
VALUE:
Fee Description
+ l0o Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount
Amount Paid
$5.50
$3.85
$43.00
$12.00
$64.3s
Total Value of Project
Date Paid
12120t05
12t20105
12t20t05
t2t20t0s
Receipt Number
1200500000000001833
1200500000000001833
1200500000000001833
1200500000000001833
Fees Pa
PIan 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signatwer 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 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 OCCUPANCYwiII be made of any sfructure without permission of the Community ServicesDivision,
- Building Safety. I further certiff 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 Date
2of2
w
Reouired Insnections I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phonc
_.ty of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #: 1200s00000000001833 Date: 1212012005 12:54:03PM
Job/Journal Nunrber
coM200s-014s 1
coM200s-01451
coll loo5-o I {5 I
COI l rrtt ';-111 -,, ,
Dcscription
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ 10o/o Administrative Fee
Amount Due
43.00
12.00
3.85
5.50
Item Total:$64.35
unecK NumDer Authorizationf ; yments:
T..pe ul l':r"rtnettt l':r itl l] r'Received By Batch Number Number How Received Amount Paid
C\eck C & S ELICTzuC llh 12748 By Mail $64.35
Payment Total: $64.35
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1212012005 lofl
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