HomeMy WebLinkAboutPermit Electrical 2003-09-25Building/Combination Permit
coM2003-00969
09/2sl2003
03/25i2004
Status Finaled
225 Fifth Street, SPringfieldo OR
541-726-3153 Phone
541-726-3676 Fax
541-7 26-37 69 InsPection Line
SITE ADDRESS: 734 MILL ST
ASSESSOR'SPARCELNO.: 1703352206500
PROJECT DESCRIPTION: Service change
PERMIT NO:
$SUED:
APPLIED:
EXPIRES:
VALUE:
Owner:
Address:
SAWYER BRENDA L
734 MILL ST SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Residential
ATTENTION:Oreg on law requlres You tL
otification Center. Those rules are set fori
oAR9s2-o0 1-0010 through oAfl 952-00
: the telePhone
Utility Notification
Nr
I
Contractor Type
Electrical
Contractor
CONRICH ELECTRIC LLC
Ce.rritdhdeEoo Sfl ts#Addh o ut.
149s09 1U0212003
Phone
541-228-0200
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improyements:
Storm Sewer Available:
Special Instruction:
Notes:
REQUIRED PARIilNG
Overlay Df{$TlCE: Total:
# street rmry#ptnMtT SHALL EXPIRE l[ [ffiffiffiflped:
Paved nriySffipizED uNDER THls PERMFqssretr
%oofLotQ-wr.qngprucED 0R ls ABANDONED FOR
i'iru/ I $0 DAY PER|0D.
Sidewalk Type:
Downspouts/Drains
VN
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Pase I of2
DEVELOPMENT INFORMATION
Description Type of Construction Value Date Calculated
I' U ILI-'I],\ U T1\ I UI(IYTryJ
Valuation Description I
Building/Combination Permit
Status Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00969
ISSUED:
APPLIEDz 0912512003
EXPIRESz 0312512004
VALUE:
ees Paid
Fee Description
+ llYo Administrative Fee
+ 7o/o State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
$6.30
$4.41
$63.00
Date Paid
9t29/03
9t29t03
9t29t03
Receipt Number
r200200000000002229
1200200000000002229
1200200000000002229
day.
Total Amount Paid $73.71
To Request an inspection call the 24 hour recording at726-3769. All inspection requested before 7:00 a.m.will be made the same workinrg day, inspections requested after 7:00 a.m. wilI be made the foilowing work
I Electric Service: Approvar required prior to utirity company energizing service.
By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance withthe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, andthat 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 wiII 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 thestreet, that the permit card is Iocated at the front of the property, and the approved set of plans wiII remain on the site at alltimes during construction.
Owner or Contractors Signature Date
Reviews
Pase 2 of 2
97477
City of Springfield Official Receipt
Development Services Department
Public Works Department
#: 1200200000000002229
+ lYo State Surcharge
+ 10Yo Administrative Fee
Perm Servffdr 200 amps or less
Item Total:$73.71
4.41
6.30
63.00
of
Check
Paid BY
CONRICHELECTRIC ddk
Received By Batch Number Authorization Number How Received
In Person
Payment Total:
Amount Paid
$73.7t
-$7a-if
LEGAL DESCRTPTION
'1'352-L
Mutti-TamilY Per 0lelling unit'
service Included:
Items cost'?c
JOB DESCRTPTION The
zon
approva
rble and exfrFoino
tlffiOtnqvftgor less
Hdrffiitional500
sq. ft or Portion
d Home or
$106.00
$ 19.00
\(L!r Le lollowing p roiect q9 submitted has
tntdd€e ?equire specific
Permits are
if work is
of issuance
180 days.
2
Electrical'
withiffiQ
work is suspegded fgrsignarure Modular ,qtllEg
TALLATION ONLY ,ffiH&sps
c LLe ggggBYowm)
ru?flSerret
201 aqrpr$
401 amp sto
I amps
ervising Electrician
D. BratlLff
LDA
0{d,
E
onvith
not inclu
Date
l-
$45.00 l
e is 515.00 * Surcharges
t ..t-- >L
"ltll
b'3o
3
4
TOTAL
ection Fe
CI6*)e)
ob
you to
by
I
70
80
UNDER THIS