HomeMy WebLinkAboutPermit Electrical 2006-04-11Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00095ISSUED: 0411112006APPLIED: 0112412006EXPIRES: 10/1t12006
VALUE:
SITE ADDRESS: 580 r2TH ST
ASSESSOR'S PARCEL NO.: 1703351405900
PROJECT DESCRIPTION:
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Replace 200 Amp Electrical Service and Circuit for Hot Tub
Phone Number: 541-747-4202Owner:
Address:
Contractor Type
Electrical
Contractor
C & S ELECTRIC
Expiration Date
09/01/2008
Residential
Phone
s4t-741-2236
ALLEN JEFFERY L & LORI J
580 12TH ST
SPRINGFIELD OR 97477
License
3849
# 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:
# 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 of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
nla
Down
IHIS PERMII
AUIHORIZED
COMMENCED
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
spouts/Drains:
SHALL EXPIRE IF THE WOI"IK
I\4IT IS NOI
ED FOR
$ Per Sq Ft
or multiplier
UNDER THIS PER
OR IS ABANDON
number for the Oregon UtilitY
Center is 1-8C0-332-2
Tvpe of Construction Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description
Paee I of3
Value Date Calculated
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00095ISSUED: 0411112006APPLIEDz 0112412006
EXPIRES: 10/1112006
VALUE:
F'pes Peid
Fee Description
+ l0oh Administrative Fee
+ l0o/o Administrative Fee
+ 87o State Surcharge
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 200 amps or less
Refund - + l0o/o Administrative
Refund - + $oh State Surcharge
Refund - Add, Alter, Extend Ci
Refund - Perm Servffdr 200 amp
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
4nu06
4nu06
4nu06
4nu06
4ltu06
4nu06
4nu06
4nt/06
4nU06
4llu06
4nu06
4nu06
Receipt Number
1200600000000000448
r200600000000000453
1200600000000000448
1200600000000000453
1200600000000000448
1200600000000000453
1200600000000000448
r 200600000000000453
r200600000000000452
1200600000000000452
1200600000000000452
1200600000000000452
$6.60
$6.60
$s.28
$s.28
$3.00
$3.00
$63.00
$63.00
$-6.60
$-s.28
$-3.00
$-63.00
s77.88
Plan Reviews
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.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Renuired Insnecfions
Page 2 of3
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00095ISSUED: 0411112006APPLIED: 0112412006EXPIRES: l0/1112006
VALUE:
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 Safefy.
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 Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;& of Springfield Official Receipt
L elopment Services Department
Public Works Department
RECEIPT #: 1200600000000000453 Date: 0411112006 7:45:33AM
Job/Journal Number
coM2006-00095
coM2006-00095
coM2006-00095
coM2006-0009s
Description
Perm Serv/Idr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
63.00
3.00
5.28
6.60
Item Total:s77.88
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check
Cash
C & S ELECTRIC
C & S ELECTRIC
llh
ilh
13561 By Mail $74.34
In Person $3.54
Payment total:
-5788-
Job/Journal Number
coM2006-00095
coM2006-00095
coM2006-00095
coM2006-00095
Description
Perm Serv/Idr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
63.00
3.00
5.28
6.60
Item Total:$77.88
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received
Check
Cash
C & S ELECTRIC
C & S ELECTRIC
llh
llh
13561 s74.34
$3.54
By Mail
In Person
Payment Total:$77.88
cReceint I Page I of 1 4n112006
ailrmm*
Amount Paid