Loading...
HomeMy WebLinkAboutPermit Electrical 2003-5-16 r" "1l 5?"*~f,; "'~ 1li\i,'!!;i,: EE:EtlK:lill':PERlvlITl'U'PCICATlON''''''''; , :::.'1 .~.7'~~';j it ~, ' flr'I'f'~.,~ Lt:;'/f~TI"$.ftli",",'i '~~t....., .;,.~:'q'; ".,it:~~~, " ;1t',:':'.~ D','~"":_\j>,~~ \t,~t.~~~'I' {jJ '~'Cf'ti> I~l ;ljOo.:;f-j> i"'",,~;~Bk~,,~~,?:~~'1I<?;j'{\g;:.;;:';'i,;.:fF''''-.?~ ;',~ ,''':>' ,',\Cit\',;3oh Nnm, hci,:<*!'lA'ZE:0 -~. ':"~..:b, .!"",~;,', c.,;;, >'~ t'" "~,..~... r, '""':fij..- . .. - - ..', ,",.~,( - ..... .'1')I;l.lJ'll.L'tr ~,',,', ':~.-1,1,.4 !.~ ;\1.0 i': ,'';Y;:' :\+......,'". ~":r~ >~' ',=~~A.-.,~.:.-{'-..~tt t~-i!'k'g~Ol"'_", t < ;;,...;I;.<',,~ ~. J.,;.li 1'\='L".l,;',}'-""':~'l'.,\::."...""-<::')"':1-;.j,""'i-,,,,';;'.',,',,"" ,':~ p.q .....;.,~ R~_"',.'-',\.,-...f.:,~~ .1,,-1.3. '~'''''>,1. :'~'~ ~'ttl'4'I~* :l:'< f'. )i",' .],hCOl'1l'l?E.TE FEr;:SCHF!.:H:JJ..E:BEt<:>W!~" > i"i,,<~',i&;':l,f!'~ ~ :' r~ ~-~:t" ~ ~.g;;'{J" ~~',\''{''''''J.'''''''~' ''If'f,,W''''>>'~ """""y~~,~ ~ ;?l~""i{,~ i .,~.~-;..., , "'~~if"..i.'" "'-~';...,;;',','.~r~}~I'~'~.'-"~8'~.. :J1ifoM:">'c '.!.t .',' "~?-'Ne'~~csidcnti:ll~i~g{~'rir-' ,>".",- ""~~}~~,,,;.~~\~r~i""'4~~"":;J~\~r~ . Multi-Family per dwelling unit. ~~..~~ Service Included: ~~~ Items Cost S,~WW,\ t,::'?;'C.~( IOR_t or less $106,OO:,\~)1o\); 5at..V/C6 (OIvPVC.m-<<a'$I\I<\lil'eJ,addi;iona1500 ;'I;'~~ 5 sUb""lIe cl\\C tail ft ' ,i ~t.; I ?Io\ecl a ClUlle s?e sq, or portion \,..' ~" Permits nee 110n-transferaW8,a'l1ll~wrl(\bes nOI Ie ther $ 19,00 If,:,1~ if work is n6!~started withinoI'S61s!Ws d Home or ,:iii2W~ of issuance Stjf work is susPlli~ged f~QfI\n9 ular Dwelhng :{~Jtl~ ;, ISO days, I", r eeder ::~l1i1.:', " 'j~;,'-~l ~} 1':: ..',.lH.... t;~'....1!t '".;l fl",tP --;;;:. ~,;;(t'0',~ '~.' A'_,<>l\lllU(e ~ ,I" l1i;, 1". '-m.{ ~1.~~ 2. CON~GlOR~.STALk~JJ~UNLY B. Sel-YiccsOI~ ;!;\~~~,; .', ~t~~ illI:~f# p'ijlJ\ ~ Installation, Alterations'or ",,:!oj!;(, ~ (~', ;~'? ~1lji: Electrical CoiItfactoc'l(6'ASTSlOc f1.-EC.11<1 <- Relocation: t'},'ii';,~" &l:t", #.Gl~;;',' ""1;;,, ";~<1,''',' '\!f.~ i[',~",'t, >ii1''''~~1o. ~,,''''I ~.~,'t.,j"" ~'XII..~~ .t-{~' ~ 8Z\",\.-:..~",,,,: ~r~~'I':~~~;;~-" '~4f l~ Address !:l>~?;n! t,?SG^ 6-f I.-At->_~tj:'~:~>, 200 amps or le~~{;;~,~:;:t~€;"~':~::~~~tg~~3;~p ~~1!1 ,rt.;; ,jD~ ~~ "':"~ 1"1-4tfZ };!:~ ;/~ 201 amps 10 199 a~~~~ :~:~-:M)i>!(;':":':~ :$.~i7 !WO ~ -;., '~l ~~~,1'1 CIt)' ~~ ..~ ~_ _, ~\:".~~:lhone ..,.~: ,.'_t:,"~.'~ ,::~ .r--~'~ ..=~~% 401 amps t~69P'~~~p.'~.~:7", ..~,}:~ ~~...~.: j~!'f.5.:oq:'~ "'~!l~ ~ ~'~~;:.S.1~ ~}":-..,~,j r:.l~";.:J't ~~a1""....~;l".it;: ':' t~; :~601 ampsto~1000'amps'l~;\~.f.:..t~'l"":"'~ ~~${63:00~; :' ...oJ. ft-"~~-' L~:.'" ~l:. ;r;-). \1~".""\t7'"f!"'"). - t"I... ^ .-,:..,,- l' rH. j.-'.~'~r~'lh.f:~I~ll'-;--;--.'" ......' ,-' \~,~...' \ Supervisor 'EicenS?JteINmilber J1ff..:..l:-" t:: ~.r ':,. ~\, .~': ~ .:: :,;.~' "~0ver 1 000 am.pSl.volts ",'~~.'\. ...?fP.;. ~;~'. , .-,$37 S~OO';-!'" . /)' (;::1'~. t----. "lr ~ l"J"oii ~ i" "'"r :.>--\- .~T~."'l. '-.-." ,''''':; ~ Jr . ,-.... "-. t....... ~Q.3':'-, '....T -" '~':;j 1~. 1., ..' 't "'<P6 ~'~~;~i....~~:' .;~"'~ J,.;'.:,', ~:'=~_'~ ~,~: '-J:..RecorinecrOnly~, ." 1 ~~',,,.~ \ ~.;.: :l<;~-" p :'$.. 5b:oo...;~~ ;:'"1 ;<;:,;\ "-- ,~, "A'O'FI'''''t:';:''''OQu,w;'''';'';''~''4 -~",""".," ,'~~' '"',,. ~"", ';"~~",'", '\~' l;,~?U}i ExpiraticinIDat'e-'::I.~ -; I ;S.i~;;:;.t i-.7~""'{!"'1f';,.,,-"..-:;!<,::.:-':..' '-" '"]r':'.:.~~,' .., 1.....' ,.:.,;' ~ ' i,~",:~"',,i ";"'~ ',!.:. ." p~' "f;"~ ,..:-:~;:if(,:;], t!!"'....~.~.<.t.. '. ;....-c,.' ";. , ~.,.-~..' ,'.:'" ~':""'.:'-' "'''I.,':'V. .,'.~.it',.:.~'.. ..,~~."~ .... .,.q....!.,:O~.fl"~ "11."f Je. '!;,o.~ ;N .......~"l!. ,"=. -:...-, i'.\ .; ~ Of ~ ~.;; 't('~:>-1t, ./~...: ,~~ '" . _ ..:';--;,,_ ,: "..., }C......;fcmporarv SCn'lCeSIOr Fceders:-~ff"<';' . "', f \ ;. -i'~r '. f~~; ,-:'-11 ~...\c.''l-I '.:, '"',~. ~.~"l;..~~I(I''''7vO...:'"~.. ':,-.;: ,",'-''''~'''', c.....-... ~..-.\.~'.;:;t.." 'w-\-:"JO.~_~S'. ..~....,..' ~." J":I'I:~' = ~t~~ Constr~tt::,~1.,!I.11ber'i. ~((!,.'.;it." '<i ,-'t~M r;t' :.1;J;;/. f InstallatlOn,~ Alterahon1or RelocatIol1l,:!"r .~ I." ,; "<:l'~ .'t c.~" " , ," ':s~ . ~~:t ~Il ~lS"~""'~ ' '~"'~ .,~~ '.~~"}f~.' .~;...: :J:....' .""""",~. ....~~h::. ";~""t ~,; -r.:: \' ;. '("lw: .~.: Jl' ."~ '\. ~~.~', -:.r::'. ,,~ ~')~O~,.'iJ.,'f~Ji-'-rr-S;'\~O~.'~J;"'~~~;":!}Q'rf~"t"''''''''( t.."- ".....t,~,j...1-. .~:;" 1~*~~~J>.;;:,..i"r.\:..\'.,4.~"..............t,.~t ~~~""~~EXplratlOn Date -'0~r~'#l9 ~ ~? <1'2;'~ ,}"~l;~~~',J;: .:~~~'OO amps of:iess'" ~':'. ~ '~. ';-:' ~~,. \~ l$s'6':oo f~.\f.::.~l ,(.,~~~ .~~~~~ --"'~~'i'~\'i:s~~1k' 'tif2vO I'" "i;W~*t:a.~"o'~o;(),)-p>~~i~,l.&~"".' ....".l.,.~:l'>...~ ('-$~69'''0"0~'l'!.-'ol:!\lo.J-')-\. .~ ,,-~ 1;"->:" .....,'\"~' .amRs.Q,,+ ampsh'. J'__" Y,,','~,",,~ \,.~~~:\'r if,o\\.'\ ~.~j.~I\l.. ~~J,w"";; #~~"r;::"'~i '..", ....4.. :ffi,\."'\'~V't:.;.. ~~~.......:..,~.._~- . ''iSi 1natUl'c\of Supcrvising Electrician ~"'~0ver40hto:600;amps~.i{\~r~~ ~~~o ,/$lOO:Oo!m~i~\~ ':ii~~)::t ......'\-.~ ............:.\rJ .'~,;;-'Z\:e} 1fVC) '" ~'""-'~;'/ ,. .,\Jt)":l:ri - ~ ~ ,"~^~'lf,;"~~ Over 600'amps,or'1000.volts'seef.'''~'~'.l~',?",,} ,.";"'1;f.;!,,.J "t '~w:w~... ;\..t~:"~ ,~.~\~t;'~~~ f liB" b ' --';~t~'~,{ ,;-::.4:>""~t~t.~,'it.l..\j.,.ci~,'" ,~~ ~,}!~!~,K,.., ~'t' t' '", ~ ~'t~n:tl:"'~.,:'R~;--\:tf'J9,~*~ a o~ e ';'ttf:3~ ~''" .i . ;jf:..~~: :f~a' "r{~:(~ ~Th;['n~'<"\; - .y.jy '1..;:/.t '11'i'J::l~ '~J~l~-;.. li,,'\;. ~!?'~ r.: h' $~.r, t..~ ~.l, ,,,", j.' " I ~"~':l:"'!~')\: ,;" ,r,~,.,;;..Ii .-: ,F";.; '. .: ;. "'~:~ ..}.~ ~:~;-lr,it~ /. ~;~.':'.~' IttJ:" \\:~: ':~: ~11'ft{0..1{~";.'",?~t",{',~:t' .'r~ "'~~-:f.::",,~~'j';':).r-rJ~ D. Branch Circuits ..i:7~~::' '{,.;.; 1<tI<:'t';"~'J..tV%"..; ;.!'.G~;'(j9": ,It '~':':,.t - v ~~-.l:M';"~~1-:""r:);Hf~,'t!p!:jjH r ..-...."'?i~l. ,. I~j;,,,,''';'.,, .'t(: ,~,-v.:'''''i'';:{ji-' ..t;.. ~~''''''(:1':ilL.;.:,.'\,r>'--' O:wncrsfNamc';of.:.:l..:jt:::lt,'f;;l"~f';''''t\/:Y:c New!AltcratlOn or ExtensIon Per-'Panel" '.i'!'''',: :,t+:-",r &~i'l~ \ > .;;}ff"p,;~,~".~ 't~;;;..t,"'''':s~'''''':'s~';}~":;f,,.''t.4:~''"'S~~b:''''~:;'~ t;r/;:~:r""\;,\ tt::.~ ~~f-'"'"{.:,f\~t!:~...;.<:.:/jw~.: ~~~:::~t!f~, ('f.>l~~~'~:;" ~j,,"{~~~:I:~~? ."''-~ ~1r~ .;J';sj1.\ If{<J..v;,~~~~:'1 .f:-'.::<;) ~I.p;"f;t:~~,,;~+.':~ ..~t...;~ ......,);(."\/~A "", ,c, '", Add ,'ess "","'b.>,,,,,,,,,,,,1;;1c"',~~C,<m Olle CIrcuIt',;:'; "'w .,'J ,,... '''$4''00 -' ,<- "'t -?",t\,-j.'-"":i~'" .{. .. .~. l. "",""" .,..~~..'<"';Jl.~ _.....:<"'-".~:\'..;f'''''' ..\.. . _",'.\ ~ ,\1 \O~'''' ,,): ~ ~,1-~' X;<O;:!-'-""':.i_\.'.~~r~"~.''''''''-'_'''''''''''1t'.~''.?vv-''~", <l;J'~,iiX:~';t!~ 11 btt;.i'~',""" L....., ,.O\), ,<",~.~\v#i'-t t.",\\:,-" ~J~::i~fY'{~1-'~ ;J., '.f~1)j~*~4t~~';~~t~1"':}~~ ~Q\'\l' r: ~;y:~., ~;f\:.': ~'F}\i\,~eS 1 ,,'\'~\\\'i?~~::~)~~:! ;t:,,:..;.":_~~'~~t\.~:.~1.; ',-)"'~"'!oi:"I,Clt'" ,\,:,,~f.;::t(,,~1;)l;~~<~~llJII'\t=:~\'li! '-' ..,,1' Each'Addltlon!lI\@Ii'CUI(,o,,\\,th se'r.V~e'o,~"": -,,' ." ,:;,,', '. ""~~~;l.'" '" ~ t-, ~ 't'rl_\r\~:' ~ ....'\...~>-" \'Co" ..~t)"d- :\,\]1.\'", t-.... '..-. t'.,.", f ~~:-t"\~'~~01\t~:;':;';":'1~1' 'r..tVJb"''\;\i;~\\~\\ \0 orX<;<elsi?P.ern\\~e' '. :~10se ,;(!\ S,$']:OO,:-"',' ;;": ~~ife:~L:i~%'.:.OW_~l~1'j ~l~w~""t-\l\) to?' "'~\ \~\~~~ ~\%~?~~s~IU\.~~~~ 9S~~;~,\)~"~(~;' ,~:~~.. '''\-:. ',,"'.,.,:._ ',,'," \tI1\~~~.t~\~\illh 'e\lll!~\~~...., ",,\E-: l\lis~cn~ncouS'((8cl"VICclfeeder.,nOI\mclnded)~JJ': ro'" :,7 :' ,', .;..;......:...,1<i..":~ "1\J .;:.,~ '(\' ~.\i:l':~, ...:';!.'V,..."'-t".;;r r ,"I{\Y'1, '.-nt~~~....~~.,-,,'(.u~_t.-~\."-' 0~\7-",-;'.:' ". .. '.';~':~';;' 'I"" :;Il.vpc ',I. .{}tVlj,\WM ~'t mtel\ded '> ,0~\0~. '0" (Each,ms.tallauon:t,e$c!' \0"" . 0'" ;".,,~\ "',',,,, ,Co: '-0<;"" t"''l. n""N\ '''4V u'"nC' ~.' ..'jL....."",:{f'-r" 0.\' \-' h./\WV.... ....nU "'''''e\0\ ,y a.\'\ ,",~ r _.j l-M\i' :;,'c: (;t,<':f~",a!e" l;{l'\s~r"'l> ..,"1> .',;,r~W:~i':--i;', ~'o'i.I'iC ';'i\unp o~irrigation~:'\" '~'O'i.I\IC ':1$50,00,,', :;..;:-\~;A{:/; "\'(;1. ~~t>,,:';0},~t%~,:' 'J:::ti'ii!::[~r~ '''' O"~ 9.,> ~iu;;;'b;\l1~;;e I.li~'il1i';"I\i\~ '''' n - $50,Ori,~:' '..,...m'..... "',............-,.,..~.~-~.. ...$.....-o1~~"I.'_. .:(\ r" "l \\"\:0-. fr''''"....;i\\:.,O'::'t\., A~I' - " ~- \:.~ ;.t?f%1~~n:l~lP:~ ~-ig~illl~f.5::::~~;\' :~~~~\5~~~:' \ (\gO..? ~\l;lltea .E~lefID!fResrI~?-"~'2> _ $25.00,~ ~l" "'j"" ,~. -'" '~"" .. '." 4~"'< _:il>,,~, d i'fo... ' ()v "\I'CL' 't 'd(JE~J 'c"," $'" ()O ,,' ,>"~.:,~:~\,;..,:,t\.~.:-::..~-~ 1-:':;~"~;";' ,;.!.'~ %r.~I\ --.,'O:J{'<.--:.:;r/:-,> ~J, ce" .. 11m e nergx/j 'omm -t-'.. ),?~~~:'i.:?:>:;~:~!?;:;:~:=~~~,:"~,~~I:'~\":,. ::+m;.-'!i:\;4:,.;:~Y ,,\)II''Q~I~b~i!?~?b''c::: ,:'::"':, ~ ' ~" :, ~._-tii' ;'~:.;.-';!:._;:::k.,':~,,,::~\\:J.'i ,""i\~>'f.:~i~"l:~'~~'J..~;"';:V': j\Ilnlffium Elcctnc-P\ermlt Il)spcctlOn Fcc IS 54.:'1.00 + Surcharges " ,~ ~l ,t7,~--\":,,,"'4'"''''~'~'''',;\U''''' ;.~,~',..r\),~., '-~-,~ ',"-'"'....,-. ~~.. , ': ....'/ j", :';"J:~l\' -~ ...,.;it't.'r.:.-.<1, t4''''1,.1;.:~'.i,'';\:.....-w-!.t,., -,.' ') \, ':, ~:. ,,~:~'~(/:',~. l'-~-,' b)' ," .,.' .'~ , "_ .j"'(,l'~":'- :'-.,'':.,\~I:;!",,'':,'...... .fl','1':,".R/-!)::, '., :_~t, ";"~':-' ',:"'" . .,'.... ....~.....\,"'~ \ .,...,.'~,...(...~...'....."\t.'i.,..\'b;~.._,...,'~"...,'."--t...,... .' "'~l""""" ~-" .' -:i'r ..a i::~\i'{,'~~:(~:. ~~\;~~~~i~ ;..,;~J.~,',:~~,~i:~,:,.~ ;',~~~s~: ; 4. SUB TOT AL ,~O F: AB 0 VE . . t~<~.:.~~~~"~J~~::; ~i L~.~;lj:~;:~l~1~~;~~,-s.,4~, . \; '0;.", .~~ 7 % S t a!'~ts~;~I.ch:1~~e ,,:::: i q I . '. ~i .";;\~.;"~i~..;''\:.:..~....; .:~t'~.~.t.t~;.lr~~\:::'.J , " ' g% Administl'atirc:Fce;' h~u '~i~w~~('~"~~;::r:~~:~:(~~,~e~t,:..:,-.:;~~~~:~~f~''':';}iff. f ,,: (.~,"' ~..i'; .y'~',' l..t'-!~-~\..I.;,', i"..l:~..lf" _.?T'....i).-~~.~!.~...~:.-. _v-c"~. ", s." "."Jl~t. .\. ~~:~".~;::;~'~J~j~~~i7~~':?,'~:f::~~i~::~:'~:~~~1'i~'~'. ~'~<~l~~;:~-~(~~~tJI~_f~~~~ '. TOTAL . ''''2~~W225 FIF;IH'S1'REET~'" '.>">",, ~;i. 'l~;" ~;.h.~->,. ,.....-'- ,....~, l"'~ ,r,.',' mil "<"..~(';"~ ~'i~ '"'TSf.,~ItI,9F.,~I.:,1p" QJ';fQ9J:'l~7~i\7 '~''iAA'l\. <;;dNSPECTI 0 NiREQl:JESl't':;726- 3 76Q'T.! ~'~'~",""""','" . ""^,,,n "" 'C! '''I' ~ ~.~ t.-" ~"'''', .., ,""P'" :o',OFFICE''I\726,'37-),9'';'''''l "" "IQ ,~",G ",",f,,,," ~' . , ""..\ ~v~' -," '''i' ~:: t:d"~' ;g~ - .~~ ~J .. ': "1( - :{.....li.; 'c"; . ....n.. *.,j ( ..--- "....~....,.~ ..... , "-+: . 1. LOCATlONOF'lNSTAlJD'ATlON '" ,1 ...' 3~''lJ:J) ~1Yl A'fN ~i'S1:"l !iSi.l " LEGAL DES~TION 1703;;' 5"3 I /2600 JOB DESCRIl'TION 'RE.PLAc.t I3!1.D 73 ?l- Building/Combination Permit PERMIT NO: cOM2003-00352 ISSUED: 05/08/2003 APPLIED: 05/08/2003 EXPIRES: 11/13/2003 VALUE: $ 1,500.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 347 MAIN ST ASSESSOR'S PARCEL NO.: 1703353112000 . CITY OF ~rK.Jl'\jGFIELD ' Springfield TYPE OF WORK: Dryrot Total: Handicapped: Compact: 'IOU to ,% of Lot Coverage: requIreS 'I.t" on laIN on lItl I, ._ hI I \O\\I'.ureg -' .", \lIe oreg_ .,"'\ lortl' I PUBLIC 1l\iP.ROVEMENTSf1\1OSe rU~O;P. 95'2.-0U ~~ , \IUIO - ' . 0 \"'roU9 ' ....'" ruleS Notillca 5'2.-001-00 I , Si~V.!lkl'Fype: lIone , O,"J'\9 obta\nc .",,,,tAle? 'n In 0 "oU rf1a'l r DownspoutsIDralns:t\O 009 . 1 cente . \,,, tilit'1 \'lU""- calling tile tile oregon ~32.-'2.344). nurnberlor teriS 1-800- cen TYPE OF USE: PROJECT DESCRIPTION: Dry rot repair Owner: LEN KANE LLC Address: 637 B ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Owner Contractor MID VALLEY PNEUMATICS INC EASTSIDE ELECTRIC lNC LENKANE LLC License 130567 117770 I BUILDING INFORMATION I # of Buildings: # of Stories: Primary Occupancy Group: B Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: ~'?!'~C~'!IT C::I-lA\ L EXPIRE IF THE WO~K AUTHORIZt,IDEmlro~T1NFrRMAii~N , COMMENCftJ tn Ii) ~lfn/'~~' I! ' , ANY 180 DAY PE~gtiay Dist: # Street Trees Rqd: Paved Drive Rqd: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of2 Repair Commercial Expiration Date 07/27/2004 10/04/2003 Phone 541-747-1941 541-741-1499 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING . . CITY OF ~rKlj'\it..N1i,L1J . Status Issued Building/Combination Permit PERMIT NO: cOM2003-00352 ISSUED: 05/08/2003 APPLIED: 05/08/2003 EXPIRES: 11/13/2003 VALUE: $ 1,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project I F~~~ tlWU Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $4.50 5/8/03 1200200000000001151 + 7% State Surcharge $3.15 5/8/03 1200200000000001151 Building Permit $45.00 5/8/03 1200200000000001151 + 10% Administrative Fee $6.30 5/13/03 1200200000000001181 + 7% State Surcharge $4.41 5/13/03 1200200000000001181 Perm Serv/Fdr 200 amps or less $63.00 5/13/03 1200200000000001181 Total Amount Paid $126.36 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.~~?'1;wumr~dio'111 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Final Building: After all required inspections have been requested and approved and the building is complete. 3 Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon Is true and correct, and 1 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 ofany 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 pia os 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 City of Springfield , Development Services Department: Public Works Department Official Receipt \. Receipt #: 1200200000000001181 Date: 05/13/2003 Job/Journal Number COM2003-00352 C0M2003-00352 COM2003-00352 Description + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Item Total: Amount Paid 4.41 6,30 63.00 $73.71 Payments: Type of Payment Check Paid By EASTSIDE ELECTRIC Received By djb Check Number Confirm No liow Received In Person Payment Total: Amount Paid 73.71 $73.71- . . 5/13/2003 2:07:57PM Page I of! cReccipt.rpt