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Home My WebLink AboutPermit Electrical 2005-6-17 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM200S-00749 ISSUED: 06/17/200S APPLIED: 06/17/200S EXPIRES: 12/17/200S VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 241 SEWARD AVE ASSESSOR'S PARCEL NO.: 1703233306200 Springfield TYPE OF WORK: Eiectrical Work Only TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Two circuits for Heat PumplAH Owner: PEERY BARBARA J Address: 241 SEWARD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor ROBS ELECTRIC INC License 156678 Expiration Date . 08/1412005 Phone 541-686-5444 BUILDING INFORMATION I # of Units: Primary Oecupaney Group: Secondary Occupancy Group: Primary Construetion 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: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay D1st: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: DownspoutslDrains: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth . .-..'~~. _ _.,,... \'.t'"'lQU 1_ _~... ...__ __, .. \.~,,-"-".'_. "LlE'~~"'..~" ..,~ - .". -"'.~--v""'-VV'V'IIIVu!:tllvMn~o.c:::..UUI" 1HI5 p\J\i\'I:, S\~~'\ R .{lilh Vafu~tlcJ~ D~~criDtion , 0090..You may obtain copies of the rules by f\m t1u\\,ltL LJ' ' , '!\ ~uur,cu 1 u" calling the center, (Note: the telephone ctvpe,Jr'<!~l.~ir~~I~~ ,h '''s Per ~q Ft Square Foo61~81ber for thv~regon Utili~~~~ir.~~'ilred r\I~'{ 1 bJ Utl1 r ~",vD. or multiplier or Bid Amount Center IS r-'800-332-~344). Notes: Description Pae:e 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM200S-00749 ISSUED: 06/17/200S APPLIED: 06/17/200S EXPIRES: 12/17/200S VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value ofProjeet Fp.p.~P~ Fee Description + 10% Administrative Fee + 7% State Surch~rge Add, Alter, Extend Circ Add, Alter, Extend Cire Ea Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 6/17/05 6/17/05 6/17/05 6/17/05 Receipt Number 2200500000000000789 2200500000000000789 2200500000000000789 2200500000000000789 Total Amount Paid $53.82 I Plan Reviews , 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed applieatlon 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 eertify that only eontractors 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 loeated at the front of the property, and the approved set of plans will remain on the site at all timcs during eonstruetion. Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Str..:et . Sp~gfield, Oregon 97477 541-726-3759 Phone . .~ ~' ~,: ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00749 COM2005-00749 COM2005-00749 COM2005-00749 Payments: Type of Payment CreditCard ~ '. 6/17/2005 RECEIPT #: 2200500000000000789 Date: 06/17/2005 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ROBS ELECTRIC Item Total: Check Number AuthoriZation Received By Batch Number Number How Received lIh 064274 Phone Payment Total: Page I of I 10:OI:27AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82