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
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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
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