HomeMy WebLinkAboutPermit Electrical 2005-7-19 (2)
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00932
ISSUED: 07/19/2005
APPLIED: 07/1912005
EXPIRES: 01119/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3782 S REDWOOD DR
ASSESSOR'S PARCEL NO.: 1802061204316
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
PROJECT DESCRIPTION: Add two Circuits for Heat Pump and Air Handler
Residential
Owner:
Address:
MASON RONNI S
3782 S REDWOOD DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ROBS ELECTRIC INC
License
156678
Expiration Date
08/14/2005
Phone
541-686-5444
BUILDING INFORMATION'
'J
,
. # 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:
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 I
Front yard Setback:
Side 1 Sctback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
~ I PUBLIC IMPROVEMENTS I
.. Street Improvements: .
ATTa;TlON: Oregon law requires you to
Storm S'1~e.rA>:,!j'!!bl":jopted by the Oregon Utility
Special ~fJ~r\'~i11!H Center. Those rules are set forth
ir, C;~:~ :52-001-0010 through OAR 952-001-
Notes: a:,.:lJ. You may obtain copies of the rules by
.,. _ _ ..1- _ ___.._~ 11..1,........ +h... +....IQr'lhl"'lno
- ""-";:J . ,
llJmlJ::.r for the Oregon Utility NOf:iUCallOnt. D "t" I
Center is 1.800-332-2344\ Valua Ion eSCrlP Ion
S Per Sq Ft Square Footage
or multiplier or Bid Amount
Sidewalk Type:
Downspouts/Drains:
-'
,r <;':.\lL '''DREIF
'.' ,~' I THE WOn"
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Description
Type of Construction
Value
Date Calculated
Paeelof2
.
. CITY OF SPRINGFIELD
Building/Combination Permit'
PERMIT NO: COM2005-00932
ISSUED: 07/19/2005
APPLIED: 07/19/2005
EXPIRES: 01119/2006
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
Fp.p.s tiWU
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$4.60
$3.22
$43.00
$3.00
Date Paid
7/19/05
7/19/05
7/19/05
7/19/05
Receipt Number
2200500000000000947
2200500000000000947
2200500000000000947
2200500000000000947
Total Amount Paid
$53.82
I PIan 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.
IR.MlJirp.t1~
Rough Eleetric: 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 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 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 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
Pal!e 2 of2
225 Fifth Street
.Sprin~field, Oregon 97477
541-726-3759 Phone
.u:~.A~14
Wit.,
City of Springfield Official Receipt
.velopment Services Department
Public Works Department
.
RECEIPT #:
2200500000000000947
Date: 07/19/2005
Job/Journal Number
I COM2005-00932
. QOM2005-00932
COM2005-00932
1
C;OM2005-00932
,
i.
Payments:
Type of Payment
CreditCard
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
IIh
Item Total:
Check Number Authorization
Batch Number Nnmber How Received
053747 Phone
Payment Total:
Paid By
ROBS ELECTRIC
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7/19/2005
Pa~e 1 of1
I2:27:28PM
Amount Due
43.00
3.00
3.22
4.60
S53.82
Amount Paid
S53.82
S53.82