HomeMy WebLinkAboutPermit Electrical 2007-01-04rF
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 [nspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00025ISSUED: 0110412007APPLIEDz 0110412007EXPIRES: 0710412007
YALUE:
SITE ADDRESS: 181 lTTH ST
ASSESSOR'S PARCEL NO.: 1703363102200
PROJECT DESCRIPTION: for 181 & l8l ll217th Street
Springfield TYPE OF WORK: Electrical Work Onty
TYPE OF USE: New Residential
Owner:
Address:
Contractor Type
Electrical
NELSON JAMES B TE
2155 BENNETT CR DR
COTTAGE GROVE OR 97424
Contractor
DOUG PALMER CORP
License
90725
Expiration Date
05i03/2008
Phone
541-434-s600
CONTRACTOR INFORMATION
BUILDING INFOR
# 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:
oh oILot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
e rules b
,lt u, .enter. (Note: the te lephone
Sq Ft Value Date CalculatedCOMM
vl r
OR IS ABANDONED F Square Footage
or Bid Amount
PMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction or multiplier
Page I of2
ill t
Building/Combination permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Fee Description
+ l0oh Administrative Fee
+ 5olo Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amps or less
PERMIT NO: COM2007 -0002sISSUED: 0U04t2007APPLIED: 0U04t2007EXPIRES: 07t04t2007
VALUE:
Amount Paid
$18.90
$9.4s
$1s.12
$189.00
Total Value of Project
Date Paid
t/4t07
t/4/07
l/4/07
u4t07
Receipt Number
3200700000000000006
3200700000000000006
3200700000000000006
3200700000000000006
Total Amount Paid $232.47
To Request an inspection call the 24 hour recording at 726-3769. AII 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.
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.
Plan
Owner or Contractors Signature
Paee 2 oI2
Date
Keoutreo rnsDecuons l
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Job/Journal Number
coM2007-00025
coM2007-00025
coM2007-00025
coM2007-00025
RECEIPT#: 3200700000000000006
Cl of Springfield Official Receipt
D- rlopment Services Department
Public Works Department
Date: 0110412007 2:tt:2ePM
Amount Due
189.00
9.45
15.12
18.90
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Item Total:s232.47Payments:
Type of Payment
Check Number
Paid By Received By Batch Number Number How Received Amount Paid
CreditCard DOUG PALMER ELECTRIC njm 040526 In Person
Payment Total:
$232.47m
cReceintl Page 1 of I 11412007
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