HomeMy WebLinkAboutPermit Electrical 2006-9-21 (2)
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.ITY OF SPRINGFIELD
Building/Com bina tionPermit
PERMIT NO: COM2006-01217
ISSUED: 09/21/2006
APPLIED: 09/20/2006
EXPIRES: 03/21/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2656 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254tOOt02
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: tOOamp service and 2 circuits
Owner:
Add ress:
KEVIN HOWARD
14855 SE 82ND DR
CLACKAMAS OR 97015
-'-'-, .,." '~I.l \o-.o.l'1nn I~W r80UICitti vuU to
f~'li~'; r~l~ adopted by the Oregon UtIlity
Notification Center. Those rules are set fortt
in OAR 952-001-0010 thro~gh O~~_9~~~0~1
0090. YOU may UU.QII' uut'.uu u. .... - .
I CONTRAC'rQR,INFOR~-;rrQN II~ote: thGtel~phone
mber tor me uregOn Utility Notification
nu " n,>1\..1\
Contractor Cenl:litien'seJOO-<mxplranon Date
BRIGHTSIDE ELECTRIC & LIGHTING SER t53860 0110212007
Phone
541-852-7900
Contractor Type
Electrical
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
llln!~~f
I DEVELOPM1r~iNE\ORMATION I
AUTHO .", "rll-lLL EXPIRE REQUIRED PARKING
overl$VmM'ERIZED UNDER THIS pt THE ~IiK
# Strm!J~rJ'es ~Gli{J OR IS ABANDO RMIT ISHlI!l~icapped:
Paveit'fihv..afiqd!.W PERIOD NED FOJ1Compacl:
% of Lot Coverage: '
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Fronlyard Setback:
Side 1 Selback:
Side 2 Setback:
Rearyard Setback:
Solar Selbacks:
I PUBLIC IMPROVEMENTS I
Slreellmprovements:
Stnrm Sewer Available:
Speciallnslruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
PaEe t on
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01217
ISSUED: 09/21/2006
APPLIED: 09/20/2006
EXPIRES: 03/21/2007
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
Fees ~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$6.90
$3.45
$5.52
$6.00
$63.00
912l/06
912l/06
912l/06
9121106
9121106
Receipt Number
2200600000000001327
220060000000000t327
220060000000000t327
220060000000000t327
220060000000000t327
Total Amount Paid
$84.87
I Plan Reviews, I
To Request an inspection call 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. will be made the following work
day.
I Reollired ~
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
I
I,
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 orany 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.
Owner or Contractors Signature
Date
Paee 2 of2