HomeMy WebLinkAboutPermit Electrical 2005-2-17
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMIT NO: COM2005-00172
ISSUED: 02/17/2005
APPLIED: 02/14/2005
EXPIRES: 08/17/2005
VALUE:
SITE ADDRESS: 1331 PIEDMONT ST
ASSESSOR'S PARCEL NO.: 1703253204200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Add 2 circuits
Owner: JANICE BROOKS
Address: 1331 PIEDMONT ST
SPRINGFIELD OR 97477
,rC': I CONTRACTOR INFO~;}l"ION I
tsO.U(. .. . ut\\\\~
Contractor ~ Ote901\ \a.~~ Olegce-\,re.I\~
ROBS ELE~ . dopted b'1 lU\e5 ~1~'!.8;)O"
COMMERcf.ii;l\'I~{el\6~e~\\Q" 0."i\3R~!t;s '0'1
- <~"n" -I....~ ,_.~/. ""
o~\~ . ,u'.......'... ~ "'_-"~ 'Tiii 0 .
~ 0.0.' n!f X fP.fflf!f' ,l'jltca\\O"
\l\ "'. ollltla'l.' t \.~O'''':. ~O\II\
(fj90. ~ ~~~Ie~9.O" U\\\\1,344).
R-3 ea.\\\"g ~1gIft bt' ~'1I!lt\l~.
q\llltl'oet fllIlbm -at:
VN ater Type:
Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
Electrical
Mechanical
# 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:
Phone Number: 541-485-1400
Expiration Date
08/14/2005
04/02/2006
Phone
541-686-5444
541-431-0800
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
'PUBLiC:iMPROV.EMENTS~"\RE IF lHE WUl\1\
If'h) . ~',.: - . ,. 0 lu\S p~8M\1 IS NOl
^UluonlZED UNDEn II Sidewalk\Type:
" n n S A.BA.NDUNtU ru \
COMMENCED OR \ 0 Downspouts/Drains:
, A.NY 180 DA.Y PERIO .
Page I 00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fpp< PIilIJ
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% AdlI!inistrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
2/15/05
2/15/05
2/15/05
2/15/05
2/17/05
2/17/05
2/17/05
2/17/05
2/17/05
2/17/05
Total Amount Paid
$116.47
I Plan Reviews I
. Lll f OF SPRIr\juJ'1~LJJ
Building/Combination Permit
PERMIT NO: COM2005-00172
ISSUED: 02/17/2005
APPLIED: 02/14/2005
EXPIRES: 08/17/2005
VALUE:
Value
Date Calculated
Receipt Number
1200500000000000196
1200500000000000196
1200500000000000196
1200500000000000196
2200500000000000192
2200500000000000192
2200500000000000192
2200500000000000192
2200500000000000192
2200500000000000192
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
L..Jleollirerunsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 of3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. U 1 :f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00172
ISSUED: 02/17/2005
APPLIED: 02/1412005
EXPIRES: 08/17/2005
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~L,I$~
Owner or Contractors Signature
Paee 3 of3
Date
d/7
/
~.r-
(
225 Fift!1 Street
. .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005.00 172
COM2005-00 172
COM2005-00 172
COM2005-00 172
COM2005-00172
COM2005-00 172
Payments:
Type of Paymeut
Check
2/17/2005
.
RECEIPT #:
.PAJ.~. ,NQ,.F.I~ '.H_n :....
Wit,
. ,~ .
... .
~----- ~.": ~.
~ty of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200500000000000192
Date: 02/17/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fe....
Paid By
SIMPLY REPLACEMENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1033 In Person
Payment Total:
Page 1 of I
2:33:I2PM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65