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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