HomeMy WebLinkAboutPermit Electrical 2004-5-21
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. LEGAL DESCRIPTION
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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. CITY OF SPRIrljlJt<mLD'
Building/Combination Permit
PERMIT NO: COM2004-00602
ISSUED: OS/20/2004
APPLIED: OS/20/2004
EXPIRES: 11/20/2004
VALUE:
SlTE ADDRESS: 4660 FRANKLIN BLVD SPACE 2 Eugene
ASSESSOR'S PARCEL NO.: 1803031102100
TYPE OF WORK: Manufactured Home in
Park
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: Electrical service change & add heat
Owner: OGG ERNEST L
Address: PO BOX 186 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ARC ELECTRIC
License
115113
BUILDING INFORMATION I
Expiration Date
07/11/2004
Phone
541-741-0494
# 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 DEVELOPMENTINFORMATION I
Frontyard Setback:
Side 1 Setback:
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:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsIDrains:
Notes:
Description
Type of Construction
(valuation DescriDtio.;'J
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Total Value of Project
Paee I of2
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. CITY 0.. ~rKlJ'HJ"iJ!;LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00602
ISSUED: OS/20/2004
APPLIED: OS/20/2004
EXPIRES: 11/2012004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Manufactured Home Feeder
Manufactured Home Service
Amount Paid
Date Paid
$11.80
$8.26
$18.00
. $50.00
$50.00
5/20/04
5/20/04
5/20/04
5/20/04
5/20/04
Receipt Number
1200400000000000774
1200400000000000774
1200400000000000774
1200400000000000774
1200400000000000774
Total Amount Paid
$138.06
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 Reouired I nsneetions I
1 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 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 aU 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 aU
times during construction.
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Owner or Contractors Signature
$-0< () -~ V
Date
Paee 2 of2
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JIl!y of Springfield Official Receipt
'-elopment Services Department
Public Works Department
225 Fift6 Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00602
COM2004-00602
COM2004-00602
COM2004-00602
COM2004-00602
Payments:
Type of Payment
Check
5120/2004
RECEIPT #:
1200400000000000774
Date: OS/20/2004
Description
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ESTATE OF ARC ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dIm 1385 In Person
Payment Total:
Page 1 of 1
1:53:32PM
Amount Due
50.00
50.00
18.00
8.26
11.80
$138.06
Amount Paid
$ 138.06
$138.06