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HomeMy WebLinkAboutPermit Electrical 2005-06-09lFIILI! CITY F Building/C ombination Per \q Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:726-37 69 Inspection Line PERMIT NO: ISSUED: APPLIED: E)PIRES: VALUE: 0s/1 SITE ADDRESS: 25017TH ST ASSESSOR'S PARCEL NO.: 1703363102400 Springfield TYPE OF TYPE OF Residential PROJECT DESCRIPTION: Relocate Meterbase - Owner: Address: WAIIDA LASATER 250 17TH STREET SPRINGFIELD OR 97477 umber: 541-7474577 Contractor Type Electrical Contractor C & S ELECTRIC License 3849 Expiration Date 09/01/2008 Phone 541-741-2236 # of Units: Primary Occupancy Group: Secondary Occupancy Prim ary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Enerry Path: Sprinkled Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: ca//ing nunlber the cen for thp r Tvpe of Construction e fi Square Footage or Bid Amount value CONTRACTOR f INFORMATION PUBLIC IMPROVEMENTS Description lof2 Date Calculated .T Frontyard Setback Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: l1urLur'\tr l1\I UKlYrAr rUNl $v or IL 1?IILD Status: Issued 225 Fifth Street, Springfield, OR 54l:126-3753 Phone 541-7263676Frx 541:7 26-37 69 Inspection Line Buildin g/Co mbination Permit PERMITNO: COM2005-00548ISSUED: 0610912005 APPLIED: 05/1012005E)?IREST 1210912005 VALUE: Fee Description + l0o/o Administrative Fee + 7oh State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $6.30 $4.41 $63.00 $73.71 Total Value of Project Date Paid 6t9t05 6t9t05 6t9t05 Receipt Number 1200500000000000813 1200500000000000813 1200500000000000813 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ 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 OCCUPAIICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi$ 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 stree( 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 Date 2of2 I ees raro I Kequtreo r nsDecuons 225Fltth Street Springfit ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department- Public Works Department RECEIPT#: 1200s00000000000813 Date:06/09/2005 12:35:25PM Job/Jurrnal Number ccM2005-00548 coM2005-00548 coM2005-00548 Description Perm ServlFdr 200 amps or less + 7o/o State Surcharge + l0% Adminishative Fee Amount Due 63.00 4.41 6.30 Item Total:$73.7r Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check C & S ELECTRIC llh 6884 By Mail $73.11 Payment Total: $73.71 6t9/200s lofl 3PFII{OFITLO