HomeMy WebLinkAboutPermit Electrical 2006-9-19
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-tITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00301
,ISSUE]): 09/19/2006
APPLIED: 03/14/2006
EXPIRES: . 03/19/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1900 SCOTT RD
ASSESSOR'S PARCEL NO.: 1703253400700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Change Service & add three circuits
Owner: ANDERSON W ALTER E & LOIS A
Address: 1084 D ST
SPRINGFIELD OR 97477
Phone Number: 541-726-6428
I CONTRACTOR INF'ORMA TION .
Contractor Type
Electrica I
Contractor
EUGENE ELECTRIC SERVICE INC
License
90200
Expiration Date
03117/2007
Phone
541-344-3561
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary COllstruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq F'lOther:
Occupant Load:
nla
i DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rea rya rd Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive R'iWlT\CE: COlfAtCWOR\(
% of Lot Cove,l'd~: ~M11 SHAll EXPIRE IF "01
1H\S PEn 1HIS PERN\11 IS "
".\-:\I~Ol7m IINDER "-E r~P-
I PUBLIC IMPROVE{J.t<<i'SlJNCED OR IS ABANUU"'"
Street Improvements: l;NY 1BO D~ie\;W~ype:
.." . gon law 1'''4''''''''' yUU l
Stol'm Sewer A vailable:ATTEN IlUN.ure the Oregon Utility
Speciallllstruction: follow rulEt3 adopted by les are set fortt
Notification Center. Those ru OAR 952-001
Notes: InOARg52.()01'()o1~tnroU9h f the rules b)
, "non Vnu mall obtain copies 0 I ,__.._~~
calling ths csntr'. r....._.::..; '7'jlticatlOn
number forttte Orl~IJ~tlirn tOlscriotion I
Center is 1-tluu-,),)'" -"'~'" ',.
. $ Per Sq Ft Square Footage'
Tvpe of ConstructIon' It' I' B'd A
or mu Ip lef or I mount
DownspoutS/Drains:
Description
Value
Date Calculated
Pae.1 of2
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· CITY OF ~rKll"GFIELD '
Building/Combination Permit
PERMIT NO: COM2006-00301
.ISSUED: 09/19/2006
APPLIED: 03/14/2006
EXPIRES: 03/19/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
54t-726-3753 Phone
54 t -726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
$7.20
$5.76
$9.00
$63.00
$3.60
$1.80
$36.00
3/14/06
3/14/06
3/14/06
3/14/06
9/19/06
9/19/06
9/19106
Receipt Number
2200600000000000314
2200600000000000314
2200600000000000314
2200600000000000314
1200600000000001427
1200600000000001427
1200600000000001427
Fee DescriPtion
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Eo Add
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
Renew Electrical Permit
Amount Paid
Date Paid
Total Amount Paid
$126.36
I Plan Reviews ,
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 Reouirerllosnectinns I
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 1 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 of any structure without permission of the Community Services Division, Building Safety.
1 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
ti";1;g construction.
%!~4. .-'AA - 't'/tdot.
Owner or Contractors Signature ~ ~ate / I
Paee 2 01"2
"
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0030 I
COM2006-0030 1
COM2006-0030 I
Payments:
Type of Payment
Cred itCard
cReceinl1
RECEIPT #:
.(ii~
Description
Renew Electrical Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
W ALTER ANDERSON
ca>f Springfield Official Receipt
'-Iopment Services Department
Public Works Department
1200600000000001427
Date: 09/19/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 401955 401955 In Person
Payment Total:
Page I of I
10:43:37AM
Amount Due
36,00
1.80
3,60
$41.4U
Amount Paid
$41.40
$41.4U
9/19/2006