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Home My WebLink AboutPermit Electrical 2003-9-2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00843 ISSUED: 09/02/2003 APPLIED: 09/02/2003 EXPIRES: 03/02/2004 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 609 ROWAN AVE ASSESSOR'S PARCEL NO.: 1703342301105 Springfield TYPE OF Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Add 3 circnits Owner: JAMES HOWARD H & DIANE G Address: 609 ROWAN AVE SPRINGFIELD OR 97477 Phone Number: 541-726-6896 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor REYNOLDS ELECTRIC License 17252 Expiration Date 02108/2005 Phone 541-343-7297 BUILDING INFORMA nON. # of Buildings: Primary Occupancy Group: Secondary Occupancy JTrimary Construction Type Secondary Construction # of Bedrooms: VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 1-11 I t.1~! IUI~.vl\::\i()i: ,..w :n1~~\'l1{,Jk,NT INFORMATION' SETBACKSuleS adopted by lh _ ~! N()lili~allOn Center, Those rules are set forth F~ontyard ~t~J'A~ 052-001-001 0 lhrough OAR ~Dist: S.de 1 Setba[:'k\. 0 Y blain copies of thelt~~9'bfrees S'd 2 S th flU.! . ou may 0 ~ pAn' R d · e e aCK. . h I (N te' the tele lSmrrlVe q: calling t e cen er. 0 . .., Rearyard Setl,>,'t~\<iDer for the Oregon Utility NotlliGatiMt Coverage: Solar Sethacks: Center is : -800-:'182-2344). REQUIRED PARKING Total: Handicapped: Compact: NOTICE: IPUBLlC IMPROVEMENTS. Street TH IS . PERMIT SHALL EXPIRE IF THE WORK Stor~ Sewer A~a.lable:AUTHORIZEO UNDER THIS PERM Specml InstructIon: COMMENCED IT IS NOT OR IS ABANDONED FOR Notes: ANY 180 DAY PERIOD. Sidewalk Type: Downspouts/Drains I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project I of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00843 ISSUED: 09/02/2003 APPLIED: 09/02/2003 EXPIRES: 03/02/2004 VALUE: Status Issued 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 Add, Aller, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.90 $3.43 $43.00 $6.00 9/2103 9/2/03 912/03 9/2/03 Receipt Number 1200200000000002043 1200200000000002043 1200200000000002043 1200200000000002043 Total Amount Paid $57.33 I Plan Reviews , 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 Insneetinns I I Rough Electric: Prior to Cover 2 Final Electric: When all electrical 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 described herein, and that NO OCCUPANCY will be made of any structure without permission oflhe Community Services Division, Building Safety. I further certify tbat 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00843 COM2003-00843 COM2003-00843 COM2003-00843 Payments: Type of Payment Check . . / 8!:'~_'I!:!.~I'1~"" ~i" i ""Ili, ; . . . . . ...."......,-.--. -..' Receipt #: 1200200000000002043 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By DAVID ZARZYCKI Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/02/2003 8:13:38AM Amount Paid Item Total: 43.00 6.00 3.43 4.90 $57.33 How Received In Person Payment Total: Amount Paid $57.33 $57.33