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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.