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Home My WebLink AboutPermit Electrical 2005-8-17 ... , . . < . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00948 ISSUED: 08/17/2005 C\~.-<:. APPLIED: 07/20/2005 V-'v~V' ().. EXPIRES: 02117/2006 Il'~ ,.rt VALUE: V ~ ,1 SITE ADDRESS: 3667 Main St ASSESSOR'S PARCEL NO.: 1702314204701 Springfield TYPE OF Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: Temporary Electric for Siding Attachment Residential - Owner: WESTFAlRASSOCIATES Address: PO BOX 15157 SEATTLE WA 98115 'CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License C & SELECTRIC 3849 I BUILDING INFORMA nONI Expiration Date 09/01/2008 Phone 541-741-2236 #ofUnits: Primary Occupancy Group: Secondary Occupancy Vrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Description Tvpe of Construction I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount lllIf.Nif!fWepregon law requires you to rciliow"rules adopted by the Oregon Utility NI?!!1X.~P9"~ffi!P'sThose rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the ri~es by calling the center. (Note: the telephone .- -- ,- - ~. ", ""\ . ". ,,'. .. -.., . . ."-. .__. ._. ~..- ....,...~......,. ......".] .......U"........~I.....,. Center is 1-800-332-2344). IJ t~"';o,f(,:,'";.,! ..;.:"'(.....,;...1- J~ l'~. 'f''') Date Calculated . Value Street Storm Sewer A vaiIabh;: ~;:: Special Instructio'1iilS hKlIlIT SHALL EXPIRE IF THE WORK AUl HORILED UNDER THIS PERMIT IS NOT COlvilvn:NCED OR IS ABANDONED FOR Notes: nl,1 IVV .....,\1 . ..., ".......... ". I of 2 t~ . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00948 ISSUED: 08/17/2005 APPLIED: 07/20/2005 EXPIRES: 02/1712006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.Ff'f'S Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.00 $3.50 $50.00 8/17/05 8/17/05 8117105 1200500000000001195 1200500000000001195 1200500000000001195 Total Amount $58.50 I Plan Reviews I To Request an inspection caD the 24 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. wiD be made the following work day. IRf'mli~ Temporary Electric: Approval required prior to Utility Company energizing pole. 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 furtber certifY that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiD 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 furtber 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 wiD remain on the site at ail times during construction. Owner or Contractors Signature Date 2 of 2 ":r. . 225 Fifth Street . ~ringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00948 COM2005-00948 COM2005-00948 Payments: Type of Pa)1llent Check '.l' , :f " 'i 8/17/2005 . RECEIPT #: a!'~A~~Q..!!1~.__" ......_.__ '. ~' ~.i ! 1200500000000001195 Description Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By C & SELECTRIC Recei ved By IIh I ofl ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 08/17/2005 Item Total: LneCK Number AuUlonzatlOn Batcb Number Number How Received i 1788 By Mail Payment Total: 9:1I:59AM Amount Due 50.00 3.50 5.00 $58.50 Amount Paid $58.50 ' $58.50 ) EC 00 09 Job Number <:~. "7.;1 jY ELECTRICAL PERMIT - CONTRACTOR INSPECTION LINE: 726.3769 Fax Line Electrical Inspector General information City 01 Springfield 225 Fifth Street Springfield. OR 974n I] Job Address: 3"".7 rn..v. <;~ Owners Name: U ksf.AJ}~ A_"~~,Jr:snate: _7-;)O-oS Description 01 Work: +" ../11fO;-'IWl' <;~.ffl/tc-c"- . , I COMMERCIAL \I RESIDENTIAL!J INDUSTRIAL!J PUBLIC !J I1JElectricaIContracto;: ,,~,,~<"~l; '_. 7:J::V-- ~U- . Supervising Electrician Signalur . ,... . Supervisors License#: If (NS Exp;res:.l!2L!..lo 7 Construction Contractors Board #: ~ l(' If" Expires: q 11/(') K THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE BEEN COMPLETED AND SIGNED BY THE SUPERVISING ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED I INSPECTION TVPE ITEMPORARY [UNDERGROUND I UNOERSLAB [ROUGH I !:.FRYleE I LOW VOLTAGE IMANUF HOME SERVICF I ",4~UF HOUF r.nNNF;:r.TION [SIGN I I I FI~AL 541-726-3676 541-726-3663 541-726-3759 ApPROVAL DATE 7.... ~> _6""'-- IN~TOR A.::::...... ~ ~/ ,,-/1,( 'I/~\ ., I TO BE REMOVED ONLY BY BUILDING OFFICIAL