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Home My WebLink AboutPermit Electrical 2004-11-3 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-01361 ISSUED: 1110312004 APPLIED: 11/0312004 EXPIRES: 05/1012005 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2425 HARVEST LN ASSESSOR'S PARCEL NO.: 1703243300200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Circuit for sump Owner: NORTHWOOD CHRISTIAN CHURCH Address: 2425 HARVEST LN SPRINGFIELD OR 97477 Phone Number: 541-746-2790 ,I CONTRACTOR INFORMATION , Contractor Type Electrical Plumbing Contractor CHRISTENSON VELAGIO INC GIBSON & MORLEY INC License 64137 61433 Expiration Date 07/14/2006 10/16/2006 Phone 541-688-6121 541-935-2302 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # 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: R-3 nla I'IU\SI'~tRM\1 SHALL EwpmrELd~rJki,r~j"'UlUrtATION I 1H 0 UNDER 11'1I~ n:nwll\ 'u ..- . ~U1HORIZE Own FOR Front yard SetbacCbMMENCEO OR IS ABANO 6Verlay Dist: . Side I Setback: y 180 DAY PERIOD. # Street Trees Rqd: Side 2 Setback: AN Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: . 1,- Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I ...... '__ requires yoU to ATTENTllSlteQaftMll!" Or Utllwu do tad the egon ", follow rul~&\\m~ lfaYlrISS are set forth Notification n ^0'10-'ghOAR952..()()1- In OAR 952.()01." VII.... by 0090. You may obtain copies of the ~~ . th center. (Note: the telel"_ne calling e . .u.... ..~.:"~a.l^'" II b&rtor 11111 \,/1"\,1"" "".,., I Valuation Descriotion f Center Is 1-800-332-2344). Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 012 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-01361 ISSUED: 1110312004 APPLIED: 11103/2004 EXPIRES: 05110/2005 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fpps Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addlll 00' Amount Paid Date Paid $4.90 $3.43 $43.00 $6.00 $7.30 $5.11 $45.00 $28.00 11/3/04 11/3/04 11/3/04 11/3/04 11/10/04 11/10/04 11/10/04 11/10/04 Receipt Number 1200400000000001558 1200400000000001558 1200400000000001558 1200400000000001558 2200400000000001394 2200400000000001394 2200400000000001394 2200400000000001394 Total Amount Paid $142.74 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. l.Rpouh;gU:nSDections , Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Line to Septic Tank: Prior to filling trench and required testing. 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 locat at the front of the property, and the approved set of plans will remain on the site at all 2timeSduringcon~t~on.' I'; _, 0 :7~_!/ "'-'_H ,U'/ ek _ //-/0 ~p' ~ wner or 20ntractors Signature Date'----' t Paee 2 of2 225 Fifth 8:reet Spri~gfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-01361 COM2004-01361 COM2004-01361 COM2004-01361 Payments: Type of Payment Check " i. i III 0/2004 RECEIPT #: ap~_~~C!..~~._.__. ~___.__ : 1IIr' .. . ...- ' . . . _ -' i '.~_....-_.,,~.- '. 2200400000000001394 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtJ 100' + 7% State Surcharge + 10% Administrative Fee Paid By ARBOR SOUTH Received By djb Cbeck Number Batcb Number Page I of I JIily of Springfield Official Receipt "elopment Services Department Public Works Department Date: 11/10/2004 Item Total: Authorizatiou Number How Received 12024 In Person Payment Total: 10:00:59AM Amount Due 45.00 28.00 5,i i 7.30 $85.41 Amount Paid $85.41 $85.41