HomeMy WebLinkAboutPermit Electrical 2006-04-20Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00021ISSUED: 0412012006APPLIED: 01/0512006EXPIRES. 1012012006
VALUE:
SITE ADDRESS: 473 SPRINGDALE AVE
ASSESSOR'S PARCEL NO.: 1703224204600
PROJECT DESCRIPTION: Add 60 Amp circuit to shop
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Owner:
Address:
Contractor Tvpe
Electrical
LEBERGEORGE C
473 SPRINGDALE AVE
SPRINGFIELD OR 97477
Phone Number: UNLISTED
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12110t2007
Phone
541-485-0922
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard
Solar
AUIHORIZED
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
OT
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
E
EI
Street Imf&rufi&t€Eti
UNDER THIS L@u
.PE
Storm s"dJy[+&ffeay DONED FOB
OR IS ABAN
PER'OD
Special Instruction:
Notes:
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Vr
Description Type of Construction
Pase 1 of2
Value Date Calculated
u
\LL-Building/Combination Permit
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00021ISSUED: 0412012006APPLIED: 01/0512006
EXPIRESz 1012012006
VALUE:
Fee Description
+ l0oh Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
Amount Paid
$4.s0
$3.60
$43.00
$2.00
$s3.10
Total Value of Project
Date Paid
4t20t06
4t20t06
4t20t06
4t20t06
Receipt Number
r200600000000000s09
1200600000000000509
1200600000000000509
1200600000000000s09
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 OCCUPAIICY 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 atl 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
Pase 2 of 2
Date
f m t-
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt' ,elopment Services Department
Public Works Department
RECEIPT#: 1200600000000000509 Date: 0412012006 12:ll:05PM
Job/Journal Number
coM2006-00021
coM2006-00021
coM2006-00021
coM2006-00021
Description
Add, Alter, Extend Circ
M inimum/Adj ustment Electrical
+ 8% State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
2.00
3.60
4.50
Item Total:$53.10
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check BUILDERS ELECTRIC llh 9285t By Mail
Payment Total:
$s3. I 0
-$rid-
cReceint I Page I of I 412012006