HomeMy WebLinkAboutPermit Electrical 2004-10-5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01200
ISSUED: 10/05/2004
APPLIED: 0912812004
EXPIRES: 04/05/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -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
Contractor Type
Electrical
Contractor
WEILAND ELECTRIC INC
Addition
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I CONTRACTOR INF6RMAUQN?1 ob\a\n'NO\e: \\'le \e\e.pn~uon
! - - \' \l'Ie Jenter. \ n Utilit'! NotlllC
ca~:;"s.e tM <E:t~!\lll1a>M~ Phone
tlU~60ltentel is '<<01/23/2005 541-485-3639
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Add 2 circuits
Owner: MASON RONNI S
Address: 3782 S REDWOOD DR SPRINGFIELD OR 97478
BUlLDI"" mFORMATION,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: . (l f" rSq' Ft Other: , .
, . - ., /'., .. , , ~ ,
Sprinkled B~i~~iil~lj 03~IO(!I/a'81' Slqf5u8~~1,~~,~fJfI::l
, DEVELOPMENTIN~ORMATioN .\'Hl tJ:JUNII U:JL!l:JOHlnv
- -!:JX311VHS lWRtQUlitiID PARKING
';~t~l!lON
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethaeks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsIDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pa!!e I of2
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01200
ISSUED: 10/05/2004
APPLIED: 09/28/2004
EXPIRES: 04/05/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Ff'f's Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$4.60
$3,22
$43.00
$3.00
10/5/04
1015/04
10/5/04
10/5/04
2200400000000001245
2200400000000001245
2200400000000001245
2200400000000001245
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.
I Rf'olli[f'd Tnsnf'''tiOlW
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 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 descrihed 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~:]JU~iJ;~~ 0-~-O~,;
O~ ,- r
I er or Contractors Signature Date
Pa!!e 2 of2
225 Fifth S~reet
SpriiigfieId, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1200
COM2004-0 1200
COM2004-0 1200
COM2004-0 1200
Payments:
Type of Payment
Check
10/5/2004
.
RECEIPT #:
j:-; ~
~...
ar of SpringfieId Official Receipt
.velopment Services Department
Public Works Department
2200400000000001245
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
WEILAND ELECTRIC
Received By
njm
Pa~e I of I
Date: 10/05/2004
Item Total:
Check Number Authorization
Batch Number Nnmber How Received
14483
In Person
Payment Total:
2:37:52PM
Amount Due
43.00
3.00
3.22
4.60
$53.82
Amouut PaId
$53.82
$53.82