HomeMy WebLinkAboutPermit Electrical 2005-6-9
Status
Issued
.
. CITY VI' I:)rKll~uNJ!.L1J
Building/Combination Permit
PERMIT NO: COM2005-00704
ISSUED: 06/09/2005
APPLIED: 06/09/2005
EXPIRES: 12/0912005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2241 ROSE BLOSSOM DR
ASSESSOR'S PARCEL NO.: 1703261103227
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Replace service and sub panel
TYPE OF USE:. Repair
Residential
Owner: GARY MIDDLETON
Addrcss: 2241 ROSE BLOSSOM DR
SPRINGFIELD OR 97477
,.. # of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VN Water T~~e:i\\\
Secondary Construction Type: t:"ange."(fy~~: 0\
# of Bedrooms: 'C: I.. 't.~?\?"E~erJiYiPat;\'!
~O'--\~t:~WI\\ S~~\'I \\-\~~,~~~~'1lepJI'uilding: nla
\~~~\-\O~\L~~\)~ 0\'1 .1'DEv'iLOPMENT INFORMATION I
COW.WI't.~ \)f\'{ ?'t.\'IIv- .
f\~'{ \ \)lJ Overlay Dist: '" " ' - .
# Street Trecs Rqd:
Paved Drive Rqd:
% of Lot ~;oayou W
ATTENiION: ?l~~ ~~~he Ol~gon Uti~~
tolloW ~t~ti<: l.',~'~<u' ,fit.~ ..&~1.
Notilica 0 O,..uUIU"".-J lesblt.
In OAR 952-0 I copies 01 the lU 'Sidewalk Type:
o '(Oil rnay obta n th telephone
009 '. h center. (Note:.. e to! tilicaUonDownspoutsmrains:
calling t e h Olegon UtIlity 0
nlltnberfor t e. . -800-332-2344).
Center IS I
Contractor Type
Electrical
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
:. Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
1 CONTRACTOR INFORMATION I
Contractor
EUGENE ELECTRIC SERVICE INC
License
90200
BUILDING INFORMATION I
I Valuation DescriDtion ,
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pal!elof2
Phone Number: 541-344-3561
Expiration Date
03/17/2007
Phone
541-344-3561
Lot Sizc:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
.
. CITY 0.. ~r1UI'\jlj1'l~LV
Building/Combination Permit
PERMIT NO: COM2005-00704
ISSUED: 06/09/2005
APPLIED: 06/09/2005
EXPIRES: 12/09/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
512.60
58.82
5126.00
6/9/05
6/9/05
6/9/05
Receipt Number
2200500000000000753
2200500000000000753
2200500000000000753
Total Amount Paid
5147.42
I Plan Reyiews 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 Rf'nu~lnsnp.r.tio.w.l
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 ensure that all required inspections are requested at the proper time, that each address is readahle 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
Pal!e 20f2
225 Fifth Street
.. "
Springfield, Oregon 97477
. 541~726-3759 Phone
,
~
Job/Journal Number
COM2005-00704
COM2005-00704
COM2005-00704
i
Payments:
Type of Payment
CreditCard
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6/9/2005
.
RECEIPT #:
~
Wi:.
2200500000000000753
Description
Perm ServlFdr 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
RUSS ROBBINS
Received By
djb
Check Number
Batcb Number
Page 1 ofl
...,.kity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
Date: 06/09/2005
Item Total:
Authorization
Number How Received
009435 In Person
Payment Total:
2:54:08PM
Amount Due
126.00
8.82
12.60
S147.42
Amount Paid
S147.42
$147.42