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Home My WebLink AboutPermit Electrical 2009-3-6 \ 19-f 0'\ ~~;o~) 0r0'"' . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00611 ISSUED:. 03/06/2009 APPLIED: 05/0112008 EXPIRES: 09/06/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1050 KINTZLEY AVE ASSESSOR'S PARCEL NO.: 1802062403700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp panel change out and 5 circuits Owner: HOLLIS STEVEN LEROY Address: 1050 KINTZLEY AVE SPRINGFIELD OR .97478 Phone Number: 541-954-6542 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R_3 n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: . Handicapped: Compact: . Street I~provements: Storm Sewer Available: Special In~truction: I PUBLIC IMPROVEMENTS' , Al I cNTIQN' Orpqnn law F'~L!:l.ar: ~"""..I t~ f II I S.dewalk,'f,ype:tl'e ,.,. ,-., , ,. :'['1 , 0 ow ru (:~ dUV1.Jlt1I.., -'Y \ \_dVt:J....., ~''''- I NotiJicatiorDown!spoJfs/brai.n\~fS are s~t ,!orih in OAR 952-001-0010 througr, OAR 952.001- 0090. You may obtain copies of the rules by . calling the center. (Note:Yle telephone number for the Oregon Utility Notlf:callon . .. ,...,"'.... ,..,,...,0 1"1...,11,4\ Notes: ......... ,~...., .- . - - - - - - NOTICE: I Valuation Descriotion I THIS PERnAIT_~I-I^, I .rv, ~~~w.Ft Description ^ IJTH:t)"pe.'OfConst.....non'JIRE . n"K t\ L KIZED UNDER THIS I IlllIl ~?~,~:'11ENCED OR IS ABAN;O~~~'~6~ NOT i\flY 180 DAY PERIOD. Square Footage or Bid Amount \;alue Date Calculated Pa2e 1 of3 ~. Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-006II ISSUED: 03/06/2009 APPLIED: 05/0112008 EXPIRES: 09/0612009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769Inspeclion Line Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number + ]0% Administrative Fee $7.00 5/1/08 2200800000000000564 + 12% State Surcharge $8.40 5/1/08 2200800000000000564 + 5% Technology Fee $3.50 5/1/08 2200800000000000564 Perm ServlFdr 200 amps or less $70.00 5/1108 2200800000000000564 + 10% Administrative Fee $2.00 5/9/08 1200800000000000446 + 12% State Surcharge $2.40 5/9/08 1200800000000000446 + 5% Technology Fee $1.00 5/9/08 1200800000000000446 Add, Alter, Extend Circ Ea Add $20.00 5/9/08 1200800000000000446 + ]2% State Surcharge $6.96 3/6/09 2200900000000000235 + 5% Technology Fee $2.90 3/6/09 2200900000000000235 Renew Electrical Permit $58.00 3/6/09 2200900000000000235 Total Amount Paid $182.]6 Plan Reviews I To Request an inspection caIl the 24 hour recording at 726-3769. AIl inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the foIlowing work day. I RpllJlirp,-i InlO,npPtaJ Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 Sta tus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00611 ISSUED: 03/06/2009 APPLIED: 05/0112008 EXPIRES: 09/06/2009 VALUE: 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 70\.005 will be used on this project. I further agree to ensure that all requi': iuspections are requested at the proper time, that each address is readable from the street, that e permit card is located a the front of the property, and the approved set of plans will remain on the site at all ti ill construction. G1JdAJ 1-. / 3'0 'C)C1 Owner 0/ Contractors Signature. Date / Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00611 COM2008-00611 COM2008-00611 Payments: Type of Payment Check cReceint] RECEIPT #: Description . Renew Electrical Penn it + 5% Technology Fee + .\2% State Surcharge Paid By STEVEN HOLLIS City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000235 Date: 03/06/2009 Item Total: <":heck Number Authorization Received By Batch Number Number How Received njrn . 1577 In Person Payment Total: Page I of 1 10:02:18AM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 3/6/2009