HomeMy WebLinkAboutPermit Electrical 2009-3-30 (2)
Status
Issued
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769Inspeclion Line
CIn; OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00425
ISSUED: 03/30/2009
APPLIED: 03/30/2009
EXPIRES: 09/30/2009
VALUE:
SITE ADDRESS: 607 D ST
ASSESSOR'S PARCEL NO.: 1703352408800
Springfield TY,PE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Change panel in garage
Owner: MARY BROADHURST
Address: 607 D ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secoudary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Selback:
Rearyard Setback:
Solar Setbacks:
Slreet Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
AD)) S- @12c!.
TYPE OF USE: Repair
Residenlial
Phone Number: 541-746-4502
-., .j.....
f-\' l ~~ l ,'...., \I. '-" ....'::1"'" I ,...... . - -1-"- - - ~ . .
I GONTRAeTOR'INF.ORMATrO-N-]~~~~:ih
;~v6AR-952-001-001 0 lhro"f]h OAR 952-001-.. '
0090, You may obtain cor.-I,;JS~I)~,~e rulJhxJ~lratlOn Date Phone
~olli~n th" ""ntAr (Note: the telephone ,
BlHUDlN(; INFORMATioN:, NOlltICanOfl
vv"._, ,,,".' _ _' " 344).
# of Slories:
Height of Structure
Type of Heal:
Water Type:
Range Type:
Energy Path:
_Sp'rinkled Building:
Nnnf:!-'
I DEViELOI'MENlCINFORMATION iHE WUKI\
AU I HUHILtLJ UJ~U~n I nlJ r Li",IIT IS NOT
CO"o"ctl''-;~D''.r:t\R IS ABANDONED FOR
l\ veT ay- ' IS :
ANY#1s1['eetl-'i1hPe~ lR\l'd'?
Paved Drive Rqd:
% of Lot Coverage:
U
VB
I P~BLlC IMPROVEMENTS I
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pace 1 01'3
nla
LOI Size:
Sq Ft l;t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
!
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Draius:
\1)~.cf\
lo <s.~
\l'i v-..\.
Value
Dale Calculated
,
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project'
Fpp<, P'jj,jLJ
Fee Description
+ \2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ,Ea Add,
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
+ \2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$\0.44
$4,35
$6.00
$81.00
$0.72
$0.30
$6;00
$3.60
$1.50
$30.00
3/30109
3/30/09
3/30/09
3/30/09
5/22/09
5/22/09
5/22/09
6/24/09
6/24/09
6/24/09
Total Amount Paid
$\43.9\
I Plan Reviews ,
eIT\; OF SPRINGFIELD'
Building/C~mbination Permit
PERMIT NO: COM2009-00425
ISSUED: 03/30/2009
APPLIED: 03/30/2009
EXPIRES: 09/30/2009
VALUE:
Receipt Number
1200900000000000226'
\200900000000000226
\200900000000000226
\200900000000000226
\200900000000000523
\200900000000000523
\200900000000000523
2200900000000000708
220~900000000000708
2200900000000000708
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wil'.,be made the following
work day.
'"RPlllJ~
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00425
ISSUED: 03/30/2009
APPLIED: 03/30/2009
EXPIRES: 09/30/2009
, VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ~ork performed shal(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 strnctnre without permission of the Community Servi~es 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'::Y~L:o~~~..__J/ 6/cLllo?
Ow"" "' I'""t"",, ""'''"'' D"" / / '
Page 3 of 3
City of Sprihgfield Official Receipt
Development Services Department
Public Works Department
225 Fifth'Street
Spri[\g4ield, Oregon, 97477
541-126-3759 Phone
dJob/Journal Number
COM2009-00425
COM2009-00425
COM2009-00425
:COM2009-00639
COM2009-00639
COM2009-00639
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
,2200900000000000708
Date: 06/2412009
1:17:22PM '
Description
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
.Vent Fan
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
30,00
1.50
3,60
9,00
0.45
108
$45.63
Paid By
MARY BRAODHURST
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
CJC
018838 In Person
Payment Total:
I:
$45,63
$45.63
Page 1 of I
6/24/2009