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Home My WebLink AboutPermit Electrical 2004-12-28 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01588 ISSUED: 12/28/2004 APPLIED: 12/28/2004 EXPIRES: 06/28/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54l-726-37691nspection Line SITE ADDRESS: 418 RIVERVIEW BLVD ASSESSOR'S PARCEL NO.: 1703341404100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service reconnect Owner: GARY LANG Address: 418 RIVERVIEW BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor GLEN A CAMPBELL License 73995 Expiration Date OS/24/2006 Phone 541-744-0705 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group:.. " , C::: Type of Heat: Primary Construction TypeThlS PtlYNIT SHA ~ater Type: Secondary Construction TYI~~I rJOHIJ~o U LL ~'B'il~el:TYP'\:HE WORK # of Bedrooms: COE\I' NOER Ene!gyl!i~miT IS NOT 1>1/11 I,CEO OR IS ASprinkIedLBuiIding: nla ANY lHIl f)/lV f'lrn...,_ ~ .ItUVI'H::U rUN . -.."... I DEVELOPMENT h..vNliATION , Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: Oregon law requires you to .J,....ll.....'^' rlllcc;: :::lrlnntprl h\l thF! ()rp.nnn Utilitv Notificatioq PUBmc IM"'''''''''EM~N'FSlorth in OAR 952-vv I ~vv IV ~'" vu~'" ....... ,............ 001- . 009Q. You may obtain copies of the rules by Sidewalk Type: calling the center, (Note: the telephone Downspoutsmrains: number for the Oregon Utility Notification Center is 1-800-332-2344). Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of2 -~ .. . . CITY OF ~rK1j'ltil'lELD' Building/Combination Permit PERMIT NO: COM2004-01588 ISSUED: 12/28/2004 APPLIED: 12/28/2004 EXPIRES: 06/28/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees PaidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Service Reconnect Amount Paid Date Paid $5.00 $3.50 $50.00 12/28/04 12/28/04 12/28/04 Receipt Number 1200400000000001799 1200400000000001799 1200400000000001799 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. ~ Reouired Tns~ 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 eusure 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 remaiu on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street SprlIigfMd, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1588 COM2004-0 1588 COM2004-0 1588 Payments: Type of Payment CreditCard 12/28/2004 . RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Service Reconnect Paid By GLEN CAMPBELL 8~~.~!~.~1!l..~._.. .__"', ....'. Wit. ' , '..,.. : .." ..-~._- ,ay of Springfield Official Receipt '-elopment Services Department Public Works Department 1200400000000001799 Date: 12/28/2004 !tern Total: Check Number Authorization Received By Batch Number Number How Received djb 028745 In Person Payment Total: Page I of 1 2:32:58PM Amount Due 3.50 5.00 50.00 $58.50 Amount Paid $58,50 $58.50