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Home My WebLink AboutPermit Electrical 2003-8-28 (2) . . CITY OF ~rK.ll~hHJ!.,LD Building/Combination Permit PERMIT NO: COM2003-00838 ISSUED: 08/28/2003 APPLIED: 08/28/2003 EXPIRES: 02/28/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2015 1/2 S A ST ASSESSOR'S PARCEL NO.: 1703364207400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Commercial PROJECT DESCRIPTION: Change service Owner: MAINWARING FAMILY TRUST Address: 970 N PARK AVE EUGENE OR 97404 'l.V 0-> , '{\~ e'" ~ \)'I.~ ~\ >J'~ ~ ,0 ..,.~ .t'\.O _C>":-. _C"\ ,,,,-t>. _ 0'- "'~.., :"",,/:- _ '\ I CONT.R:AC1iOKINFORMATION., ~!J" ~eo' 0"'''' ~~- ~~- O~v' 'O(Co. Contractor ,..0P ,?>oo'Q ~ ~'<' >is'~O'\e''' 0 'lr:i~~~~e-~ Expiration Date RALPH W I1R"O~N\0'" r 0~'l.0 ~()\ "'. ~ c,0'Q ,,,,.>is'e_li~llj7, 02/15/2004 ~o\\o-t> ~'~"BUliDING'ir<F()RMAiioN'i" 'i$:.,c, <>. ~J "'~. ",\" e~-" ':'- _'0 "-' . >J" rp ()~ 1\)\' \~ or -.(0 #~9f'S~ries; \'~ ,(Co. ""q,"" \\,~('Height,of<Structure VV ~, -:\' r. ~ C, :\<,'O'FYp.e:ofHeat: (Co.~ Water Type: Range Type: Energy Path: Phone 541-729-1500 Contractor Type Electrical # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: .,,'/0,. I DEVELOPMENTINFORMATION I '\"~ ~"~Cl' Ii'~ ~ ~\\ ,S Ii' REQUIRED PARKING Overlay Dist: \. ~-jS>:S '(~~~~~ ~~ Total: # Street..:v~es ~qg,,\>.~~~ ,'<I ~'V~ Handicapped: Paved DrIv!'..R<<d: . ,,,\'\) c. ....'0'<' Compact: i\\)" <;;.\ ," 'V \l'~ ,\>... o/~o~\I{ot~:~~o Cl\~,Cl'V' \'.'0\~~~<;;'~ \"\~ '( , '\: J-.:"'~_ I PUBLIC IMi>:ij.QVRMENTS I SETBACKS Frontyard Setback: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee I of2 __s::;._ d'iI, ~,'-- .. I .. .! .' . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00838 ISSUED: 08/28/2003 APPLIED: 08/28/2003 EXPIRES: 02/28/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L.F..... Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Perm ServlFdr 201 to 400 amps Amount Paid Date Paid Receipt Number $32.70 $22.89 $252.00 $75.00 8/28/03 8/28/03 8/28/03 8/28/03 2200200000000001444 2200200000000001444 2200200000000001444 2200200000000001444 Total Amount Paid $382.59 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 R..ouired In.nec1ion., 1 Electric Service: Approval required prior to utility company energizing service. 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 Paee 2 of2 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00838 COM2003-00838 COM2003-00838 COM2003-00838 Payments: Type of Payment Check ~~~'''''''-'''~'''','','l,' . '. i' i .' ,: ....- .' ~'->- Receipt #: 2200200000000001444 Description Penn ServfFdr 200 amps or less Penn ServfFdr 201 to 400 amps + 7% State Surcharge + 10% Administrative Fee Paid By HERITAGE ELECTRIC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department' Public Works Department' Date: 08/28/2003 IO:21:13AM Amount Paid Item Total: 252,00 75.00 22,89 32.70 $382,59 How Received In Person Payment Total: Amount Paid $382.59 $382.59 . .