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Home My WebLink AboutPermit Electrical 2004-7-2 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00812 ISSUED: 07/02/2004 APPLIED: 07/02/2004 EXPIRES: 01102/2005 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2017 SCOTT RD ASSESSOR'S PARCEL NO.: 1703254301102 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: 200 Amp Service Owner: NICHOLS DAVID A & KRISTINE L Address: 88608 ERMIBEE SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor EUGENE ELECTRIC SERVICE INC License 90200 BUILDING INFORMATION' Addition Expiration Date 03/17/2007 Phone 541-344-3561 # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: . !,nergy Path: ATTENTION: Oregon law requires you Sprinkled Building: nla r....::....... . _~:: :- ..J_:-'........~ h~' thl:) nrpnnn l JtI~I~V. 'U ':__ _ _ Notification Center. Those rules I~DE\lEI\6PMENl'lNOORMATlON I in OAR 952-001-0010 through OAn ""wvv' I nt.:l t'~tlrVIII :)HALL EXPIRE IF n~FiP&WD PARKING Frontya~1b)(Clt! may obtain copi~s of the rUle.h~lrlay ~U,T~ORIZED UNDER THIS PERMllf!l~'iOT Side I Setblltlll~ng the center. (Note,the telePhO'If~treet Tr~~'Rll'd~JCED OR IS ABANDONED Har,dicapped: Side 2 Setbarklber for the Oregon Utility Notl"cat~aved Drih'"Rqd:Q DAY PERIOD c~.ripact: Rearyard SetbackCenter is 1-800-332-2344). % of Lot Coverage: ' Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Lot Size: Sq Ft ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Sidewalk Type: DownspoutslDrains: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Paee I of2 Value Date Calculated . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00812 ISSUED: 07/02/2004 APPLIED: 07/02/2004 EXPIRES: 01102/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line L.Fees paidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $4,41 $63.00 7/2104 7/2104 7/2104 3200400000000000139 3200400000000000139 3200400000000000139 Total Amount Paid $73,71 I Plan Reviews I To Request an inspection call the 24 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. I RI'"l1in,d J ~.neetinn'l II II illiiJ II r -, 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 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 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 \~~g:stre;LHoI {/d/O~ Owner or Contractors Sigere jJ.;-- Date Paee 2 of2 225 Rifth Street -Springfield, Oregon 97477 541-726-3759 Phone . .P~'NQ.f1I1LD. ~.n. __ '. ~. f , , -. - _ l ~~.: !IiY of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 3200400000000000139 Date: 07/02/2004 1:47:18PM Job/Journal Number COM2004-00812 COM2004-00812 COM2004-00812 Description Penn ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard RUSSELL ROBBINS Item Total: Check Number Authorization Received By Batch Number Number How Received nim 000429 002044 In Person Payment Total: Amount Due 63.00 4,41 6,30 $73,71 Amount Paid $73.7\ $73.71 7/2/2004 Page I of I