HomeMy WebLinkAboutPermit Electrical 2006-07-19Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676F2x
541 -7 26-37 69 Inspection Line
OF SPRIN
Building/Combination Permit
PERMIT NO: COM2006-00687ISSUED: 0711912006APPLIED: 06/0612006
EXPIREST 0111912007
VALUE:
SITE ADDRESS: 305 S 4TH ST Springfield TYPE OF WORI(: Electrical Work Only
ASSESSOR'S PARCELNO.: 1703353407700
TYPE OF USE: Addition Industrial
PROJECT DESCRIPTION: Add four light fixtures and extend two receptacles (2 circuits)
Owner:
Address:
Contractor Type
Electrical
TIMBERPRODUCTS CO
PO BOX 269
SPRINGFIELD OR 97477
Contractor
LR BRABHAM
License
8699
Expiration Date
t2/18t2006
Phone
541-747-6638
CONTRACTOR INFORMATION
BUILDING INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
number for the
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Centeris 1 -800-332 -2344).
fi0 ftfrE
Sidewalk Type:
Downspouts/Drains:
E /F THE WO
DONED FOR
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
IHIS PERMIT HALt EXP/RAUIHORIZEDI{DER IHIS
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Type of Construction
Page I of2
Value Date Calculated
{1 h-
CITY F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00687ISSUED: 0711912006APPLIED: 06/0612006EXPIRES: 01/1912007
VALUE:
Fee Description
+ l0%o Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$4.60
$3.68
$43.00
$3.00
$54.28
Total Value of Project
Date Paid
7n9t06
7n9106
7lt9t06
7n9t06
Receipt Number
220060000000000r008
2200600000000001008
2200600000000001008
2200600000000001008
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page2 of2
Date
.-,I u
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C:", of Springlield Official Receipt
, . elopment Services Department
Public Works Department
RECEIPT #: 2200600000000001008 Date: 0711912006 l:44:48PM
Job/Journal Number
coM2006-00687
coM2006-00687
coM2006-00687
coM2006-00687
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ \jYo Administrative Fee
Amount Due
43.00
3.00
3.68
4.60
Item Total:$s4.28
ts:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check LR BRABHAM llh 33649 By Mail $54.28
Payment Total: $54.28
cReceint I Page I of I 711912006
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