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Home My WebLink AboutPermit Electrical 2004-6-2 (2) CITY OF SPRINGFIELD - Building/Combination Permit . . '-~ ~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line PERMIT NO: COM2004-00647 ISSUED: 06/02/2004 ' APPLIED: 06/02/2004 EXPIRES: 12/02/2004 VALUE: Status Issued SITE ADDRESS: 724 RIVER HILLS DR ASSESSOR'S PARCEL NO.: 1703341213000 Springfield TYPE OF WORK: Electrical Work Only I BUILDING INFORMATION I ..oUW # of Units: # ~~s1 \}~\\~ Primary Occupaney Group: R-3 g,O\'l \aVUee~'~~ Secondary Occupancy Group: ~\\O~" Ole ~ed 'O'l ~J!M~dt!!i'2.'OO'\. Primary Construction Typ~\€ ~e~n/.dO? \no~alW; ~:9 ~ell 'O~ Secondary Construction T~e~:J'I'J lUO\'l Ce\'lWlO'\ 0 \~ca~ l)Yp'il!l ~no\'l6 # of Bedrooms: \'IO\\\\c:~!i'2.-00'\ -~'o\,a.i\'l ~~~~.e?.6It~iO\\ i\'l Oi o,JnulI'I:~ _"'~l._~~~\~.~ g nla OV ca.lli\'lg, \~ol~wv;Et'QjN\1:eNf INFORMATION I . 'lI'I'oel ....Wl \" \'Iv ce,' Overlay Dist: Total: # Street Trees Rqd: Handieapped: Paved Drive Rqd: ~mpact: % of Lot Coverage: t. \r i\'\t.I.NO i 1}.$'\1:\C~:. \' ... <:.I-\~\.\. t.~~,~ o~?t-!I\i \~ 1'10 I PUBLIC ~)lR~i~~)\; ~B:~~$OI'lt.\l r":\ p,U ~',~t.I'ICt.\)U C\\\o~idewalk Type: COw' n \)t>-'{ Ill- ' t>-I'I'{ ,~v DownspoutslDrains: TYPE OF USE: PROJECT DESCRIPTION: Add 2 circuits Owner: RENNICK DONA Address: 724 RIVER HILLS DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrieal License 152766 Contractor WIZARD ELECTRIC LLC Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbaeks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Deseription Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Paeelof2 Addition Residential Expiration Date 09/05/2004 Phone 5414845200 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated . . Lt1 t OF SPRIr~ljj<IELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00647 ISSUED: 06/02/2004 APPLIED: 06/0212004 EXPIRES: 12/0212004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F",,~ Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Cire Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 6/2/04 6/2/04 612104 612104 Receipt Number 2200400000000000694 2200400000000000694 2200400000000000694 2200400000000000694 Total Amount Paid $53.82 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 R"'lUir"rI In~n"ction~ I 1 Rough Electrie: Prior to Cover 2 Final Eleetrie: When all electrieal work is complete. 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 descrihed herein, and that NO OCCUPANCY will be made ofany 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 projeet. I further agree to ensure that all required inspections are requested at the proper time, that eaeh 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 eonstrueiion. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~ Job/Journal Number COM2004.00647 COM2004.00647 COM2004-00647 COM2004.00647 Payments: Type of Payment CreditCard 61212004 RECEIPT #: aity of Springfield Official Receipt WDevelopment Services Department Public Works Department 2200400000000000694 Date: 06/02/2004 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By PACIFIC ELECTRIC Received By djb Page I of I Item Total: Check Number Authorization Batch Number Number How Received 000400 0480 I 5 In Person Payment Total: 10:29:55AM Amount Due 3.22 4.60 43.00 3.00 $53.82 Amount Paid $53,82 $53,82