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Home My WebLink AboutPermit Electrical 2005-12-12o Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01713ISSUED: l2ll2l}00sAPPLIEDz l2ll2l}001EXPIRES: 0611212006 VALUE: " Owner: Address: SITE ADDRESS: 152716TH sT ASSESSOR'S PARCELNO.: 1703253102600 PROJECTDESCRIPTION: Re-ConnectOnly Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residentiat License Expiration Date Phone 541-688-8996 Owner: Address: Contractor Type Electrical BOWMAN KIMBERLEY S 2265 FLORAL HILL DR EUGENE OR 97403 GRANT KEVIN W 2265 FLORAL HILL DR EUGENE OR 97403 Contractor LITE ELECTRIC SERVICE CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: " Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARIilNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Paee 1 of2 D U lLI"rlI\ \J rL\ I (rrluYl]ryl]l I ,aFBril(iFrIt D F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01713ISSUED: l2ll2l200sAPPLIEDz 1211212005 EXPIRESz 0611212006 VALUE: Description Type of Construction Fee Description + l0o/o Administrative Fee + 7%o State Surcharge Service Reconnect Total Amount Paid Total Value of Project Date Paid 12fi2t05 tzlt2t05 t2n2t05 Value Date Calculated Receipt Number 2200500000000001687 220050000000000r687 2200500000000001687 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $5.00 $3.s0 $50.00 $s8.s0 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY witl be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Page2 of2 Date \ Valuation Description I Iees raro I Keourreo lnsDecuons I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ^ity of Springfield Official Receipt -evelopment Services Department Public Works Department RECEIPT #: 2200500000000001687 Date: l2ll2l200i 2:35:03pM Job/Journal Number coM200s-017t3 coM2005-01713 coM2005-0t713 Description Service Reconnect + 1Yo State Surcharge + l0% Administrative Fee Amount Due 50.00 3.50 5.00 Item Total:$s8.s0 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check LITE ELECTRIC SERVICE njm 5165 In Person $58.50 Payment Total: -$*m-i tl 12n2/2005 Page I of I tl'ElHcrl&Ll!