HomeMy WebLinkAboutPermit Electrical 2005-10-21Building/Combination Permit
Status Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
244
SITE ADDRESS: 6197 THURSTON RD Springfield TYPE OF WORI(: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1702342100800
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Relocate main Service and install new subpanel & 6 circuits
PERMIT NO: COM2005-01ISSUED: 1012112005
APPLIEDT 0911212005EXPIRES: 0412112006
VALUE:
Owner:
Address:
Contractor Type
Electrical
YANTZ DONALD W & WILMA J
6197 THURSTON RD
SPRINGFIELD OR 97478
Contractor
C & S ELECTRIC
License
3849
Expiration Date
09/01/2008
Phone
541-741-2236
CONTRACTOR INFORMATION
BUILDING INFORMATI(
# 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 Setback:
Solar Setbacks:
Notification Center. . Th
Street Improvements:
Storm Sewer
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo ofLot Coverage:
ATTENTION: Oregon law recttires vctrto
$ Per Sq Ft
or multiplier
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PEBMIT SHALL EXPIHE IF THE WOHK
AUTHORIZED UNDER THIS PERMIT IS NOT
180 DAY PERIOO.
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Qarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Type of Construction
Paee 1 of2
Value Date Calculated
dr**
Building/Combination Permit
Status Finaled
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01244ISSUED: 1012112005
APPLIEDz 0911212005
EXPIREST 0412112006
VALUE:
Total Value of Project
Date Paid
Fee Description
+ l0oA Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$14.40
$10.08
$r8.00
$126.00
$168.48
t0l2U0s
t0tzu05
t0t2u05
t0t2u05
Receipt Number
2200500000000001479
2200s00000000001479
2200s00000000001479
220050000000000r479
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
witt 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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Reou
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 correc! and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfietd 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 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
Pase2 oI2
Date
E
I ees raro l
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
.City of Springfield Official Receipt
;velopment Services Department
Public Works Department
RECEIPT #: 2200500000000001479 Date: 1012112005 3:20:13PM
Job/Journal Number
coM2005-01244
coM2005-01244
coM200s-01244
coM2005-01244
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0%o Administrative Fee
Amount Due
126.00
18.00
10,08
t4.40
Item Total:$168.48
P lyments:
T rpe of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check C & S ELECTzuC llh r2362 By Mail $168.48
Payment Total: $168.48
t0/2U200s Page I of I
eP-
Lf 0tr1A,._- ^-ntpt/l
Ec 001 I
Job Number
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City ot Springfield
225 Fifth Street
Springrield, OR97477
Fax Line
Eleckical lnspector
General inlormation
541 -726-3676
541 -726-3663
541 -726-3759
I Job Address:
Owners Name:
Description ot
Date:?- t)5
PUBLIC
p Electrical Contractor:
Supervising Electrician
Supervisors License #:Expires:
Expires:Construction Contractors Board #:3gyq ,O-l-o7
THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE
y1ory, fe,lo.d<- rna;n g:v./ ;rtdal ne.' sJVtrcl
4,
'q1 4.
lHspecrror Tvpe Appnoval Drre lNsPEcToH
TEMPORARY
UNDERGROUND
UNDERSLAB
ROUGH V'tn- a{-Z4-
SERVICE V-)a, d{.4^
LOW VOLTAGE
MANUF HOME SERVICE
MANUF HOME CONNECTION
SIGN
-tFINAL-/-_-ac,an P
TO BE REMOVED ONLY BY BUILDING OFFICIAL