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HomeMy WebLinkAboutPermit Electrical 2005-09-20Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01107ISSUED: 0912012005APPLIED: 08/16/2005EXPIRES: 0312012006 VALUE: SITE ADDRESS: 2388 9TII ST ASSESSORTS PARCEL NO.: 1703261201006 PROJECT DESCRIPTION: 50A Service and Circuits in garage Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential Owner: Address: Contractor Type Electrical JOHN SMITH 2388 9TH STREET SPRINGFIELD OR 97477 Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12n0t2007 Phone 541485-0922 CONTRACTOR INF'ORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: 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: Yo ofLot Coverage: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: y Notification ir 0 u ter is 1-800_302 -2344). $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated DEVELOPMENT INFORMATION Valuation Descrintior Description Type of Construction Page I of2 Value cs\S\ Il U t I.l, I l\ tr tl\ Il (-, KlvI4!_!!lN-] 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: COM2005-01107ISSUED: 0912012005APPLIED: 08/1612005 EXPIRESz 0312012006 VALUE: Fee Description + l0Yo Administrative Fee + 1oh State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $7.50 $s.25 $r2.00 $63.00 $87.75 Total Value of Project Date Paid 9t20t05 9t20tos 9t20t05 9t20t05 Receipt Number 2200500000000001300 2200500000000001300 2200s0000000000r300 2200s00000000001300 Fees Paid 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 Electric Service: Approval required prior to utility company energizing service. 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 ls readable from the streel that the permit card is located at the front of the property, and the approved set of plans wiII remain on the site at all times during construction. Owner or Contractors Signature Paee2 oI2 Date 225 Fifth Street Springfield, Oregon 97 477 5ll-726-3759 Phone {ity of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000001300 Date: 0912012005 3:07:31PM J,rb/Journal Number coM2005-01107 coM200s-01107 coM2005-01107 coM2005-01107 Description Perm ServiFdr 200 amps or less Add, Alter, Extend Circ Ea Add + l%o State Surcharge + l0% Administrative Fee Amount Due 63.00 12.00 5.25 7.s0 Item Total:$87.7s Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid f C heck BUILDERS ELECTzuC llh 92394 By Mail $87.75 Payment Totat: -SIB 9/20/2005 Page I of I a,rFrilalrrla