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Home My WebLink AboutPermit Electrical 2009-10-14 (2) , .....-- --."."-. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01516 ISSUED: 10/14/2009 APPLIED: 10/14/2009 EXPIRES: 04/20/20]0 VALUE: $ 600.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line SITE ADDRESS: 1165 5TH ST, ASSESSOR'S PARCEL NO.: 1703263402200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: Repair Dryrot and House rewire- Permit for II Circuits Residential Owner: FEDERAL HOME LOAN MORTGAGE CORP Address: 7700 W PARMER LN AUSTIN TX 78729 I, C?NTRACTOR INFORMATION I Contractor Type General Electrical Contractor HAROLD & MADISON INC BURRELL BROS ENTERPRISES INC License 168164 136446 Expiration Date 01/20/2010 08/20/2011 Phone 541-688-3648 541-747-2724 BUILDING INFORMATION I # of Units:- Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENTlNFORMATlON I Frontyard Set hack: . 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 Improvements: Storm Sewer Available: Special InstructionATTENTION: Oregon law requires you.~o follow rules adopted by the Oregon Utility Notes: Notification Center. Those rules are seHorth In OAR 952-001.0010throug~ OAR 952.001. 0090. You may obtain copies of the rules by calling the center.- (Note: the tel~phone - number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: DownspoutslDrains: /' I PUBLIC IMPROV~MENTS I NOTICE: - THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ',- _ Page I of 3 -'- -~I,e!,a~~p~,#:,i,Y. ~ . ' '" ~j:_-~"+' Status Iss u ed CITY OF ~YKlj~lIFIELD Building/Combination Permit PERMIT NO: COM2009-015]6 ISSUED: 10/14/2009 APPLIED: 10/14/2009 EXPIRES: 04/20/2010 VALUE: $ 600.00 225 Fifth Street, Springfield,. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descoriotioo I . I 1 Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ F'\t', P,~irIJ $13.80 $5.75 $55.00 $60.00 $6;96 $2.90 $58.00 10/14/09 10/14/09 10/14/09 10/14/09 10/20/09 10/20/09 10/20/09 Receipt Number 1200900000000001147 1200900000000001147 1200900000000001147 1200900000000001147 1200900000000001165 1200900000000001165 1200900000000001165 Fee Description + 12% State Surcharge + 5% Technology Fee : Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge. + 5% Technology Fee Building Permit Amount Paid Date Paid Total Amount Paid $202.41 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All 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 following work day. ~r,(1..i"p.rI Tnsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. " Page 2 00 , Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-015]6 ISSUED: 10/14/2009 APPLIED: ]0/]4/2009 EXPIRES: 04/20/2010 VALUE: $ 600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 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 ofthe 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 ofthe property, and the approved set of plans will remain on the site at all times during constr ction. 0'~~ OWl:rr'" Contracto~s Signatu( (o/zr /ocr I Date 'I: " Page 3 of 3 . . ~. 225 Fifth Street Springfield;Oregon 97477 541-726-3759 Phone ',' City of Springfield Official Receipt Development Services Department Public Works Department : RECEIPT #: 1200900000000001165 Date: 10/20/2009 1:09:54PM Job/Journal Number: \ , COM2009-01516 if COM2009-01516 COM2009-01516 Paid-By:. " ~ Received By ::HAROLD AND MADISON lNC IIh . Item Total: L'heck Number Authorization Batch Number Number How Received Amount Due 58,00 2,90 6,96 $67.86 I.>escription , :,Bpilding Permit . + 5% Technology Fee + 12% State S ilicharge Payments: Type of Payment CreditCard Amount Paid 588D In Person Payment Total: $67,86 $67.86 ,:; , cReceintl Page 1 of 1 10/20/2009