HomeMy WebLinkAboutPermit Fire Damage Report 2001-3-9
.
I Job# 01-00049.Q1 I
.
Page 1 of 2
SPRINGFIELD
~-
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00049-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5495 A St Spr
Assessors Map#: 17023342
Lot: Block: Addition:
Tax Lot #: 0311
Subdivision:
Owner:
Address:
Unknown
Phone Number:
City/State/Zip: x, X
x
Scope Of Work: Fire Damage
Repair
Value: $0
Contractor Type
Electrical Contr
Contractor
Reynolds Electric Inc
2175 W 2Nd Ave, Eugene, OR
97402-7103
Registration # Expiration Date
17252 2/8/01
Phone
541-343-7297
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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. will be made the following
working day.
Required Inspections
Electrical
Rough Electrical
Special
Final Electrical
- Prior to cover.
-See Plan Review and/or Inspectors Notes.
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArca (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.
Job# 01-00049-01
Paid On Receipt#
Electrical
03/09/2001 4638
03/09/2001 4638
03/09/2001 4638
.
Page 2 of 2
Value/Quantity Fee Amount
I
Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is loc8ted at the front of the property, and the approved set of plans will remain on the site at all times
during construction.
1
$35.00
$2.45
$1.05
$38.50
$38.50
Signature
Date