HomeMy WebLinkAboutPermit Electrical 2003-8-20
.
Status
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: COM2003-00798
ISSUED: 08/20/2003
APPLIED: 08/20/2003
EXPIRES: 02/20/2004
VALUE:
SITE ADDRESS: 66 SHADY LP
ASSESSOR'S PARCEL NO.: 1703262300608
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Reconnect service
TYPE OF USE:
Residential
Owner: CRAWFORD VINCENT JAMES
Address: 66 SHADY LOOP SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
OWNER
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
BUILDING INFORMATION I
';)'<:"
# of Stories: v..~ ~ ~<::::>'\
Height of Structu'~e ~ f.:> ~
TypeOfH~~~~~~~S)~~
Water 1;rpe: S ~ ~<.(;
Rang~\fYP~~ ~":>~
E~rn:.!:llt~o~
.~, _~ ~oi{.~ f.:>
.v .o.~'.<'\ ~q... ,<,\":>'
. .. u . .~ "n - ~ v~.
I:-DEV;ELOP.M~<i' INFORMATION I
n'
.,' _~v \)' "IREQUlRED PARKING
',:'> ~'~<::::> . o~ .,\\.'\
,p ~ ~verlay Dist: .0"''\ -,)\.Total:
~ ~\' ~ ' '\"
~ # Street Trees Rqd: \'001. 0Q,0 ~Handlcapped:
Paved Drive Rqd: \'lJ.~ 00\ 'lJ.\0 c.GCl~pact:
00 ~ ~0<:> ~ ~- ,s."~
% of Lot Coverage: 0\0\$ ~ '0'\ 0 \~ '&> O~ ~0 \ ,&>000 ~
.-<\O~:~o~\.~ -<''(\~~\O~~",,,, O~ \.0\0~M:i~.o
I PUBLIC IMPROYE~NT~'1')0~:d:)\~0 c,u~\.0'~~~,\ ~~tl.'"
u \" ~(;) ~'O" \~ -,)\.\ r/..'?J
,0\'\,\c,0-"1 ~'2: 0-'\ Sid~)Valk(f-YP'e;:,'2:
o~ ~ ~ ~ ~0~ (""\\0~ r\~r::>
~ O~ ~O~ ,'(\0 Do~sp'outslDrains:
.~ R) <\' .'\l.' .",'
\ R)~ . ~\\0"'" ,0' 0\\
Cl c,'l> ~0\ 000"1
0~~
I CONTRACTOR INFORMATION.
License
R-3
VN
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Total Value of Project
Pal!elof2
New
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Value
Date Calculated
.
.
Ll1 l' OF ~r'Kll'itJl'mLD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00798
ISSUED: 08/20/2003
APPLIED: 0812012003
EXPIRES: 0212012004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees tiWU
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$5.00
$3.50
$50.00
8/20/03
8/20/03
8120/03
1200200000000001984
1200200000000001984
1200200000000001984
Total Amount Paid
$58.50
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 Reouired InsnectionsJ
1 Electric Service: Approval required prior to utility company energizing service.
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 of the Community Services Division, Building Safety.
1 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
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street"
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00798
COM2003-00798
COM2003-00798
Payments:
Type of Payment
CreditCard
.:~'.""""'.'P""-~" .. -i..
1Ii:. .
, ,
.____'--_ I
Receipt #: 1200200000000001984
Description
+ 7% Slate Surcbarge
+ 10% Administrative Fee
Service Reconnect
Paid By
VINCENT CRAWFORD
Received By
djb
Check Number
Batch Number Authorization Number
000149 015741
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/20/2003 9:16:36AM
Amount Paid
1Iem Total:
3.50
5.00
50.00
SS8.S0
How Received
In Person
Payment Total:
Amount Paid
S58.50
SS8.SU
.
.
-' B~ - City of Springfiel_
~-~,. Voucher
Report ID: SPRA103A
Voucher 10 : 00129035 Accou nting Date: January12312008
Handling Code: RE Vendor Number: 0000015471
Invoice Date : March12112007
Crawford,Vince Invoice # : Com2007 -00125
66 Shady Loop Approver : STOU9948
Springfield, OR 97477 Operator: W1LS5940
Gross Amount: 485.67
DescriDtion Account Fund .Q!!J. Proi/Grant BY Terms Amount
see Refunds of San/Admin ~
426604 719 00000 2008 00 27.49
448024 442 00000 2008 00 260.27
448025 443 00000 2008 00 197.91
Payment Message:
Sanitary Sewer refund
Comments:
Was charged for fixtures that were exsisting in this remodel. Shown on plans that they were exsting.