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Home My WebLink AboutPermit Electrical 2003-11-12 ": . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01l37 ISSUED: 11/12/2003 APPLIED: 11/12/2003 EXPIRES: 05/12/2004 VALUE: Status Issued 225 Fifth Street, SpriDgfield, OR 541-726-3753 Phone 541.726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1815 RAMBLING DR ASSESSOR'S PARCEL NO.: 1703252101500 SpriDgfield TYPE OF WORK: Electrical Work ODly TYPE OF USE: New Residential PROJECT DESCRIPTION: Change paDel and add 3 circuits " Owner: EUGENE BOYD Address: 1815 RAMBLING DR SPRINGFIELD OR 97477 Ph ODe Number: 541. , CONTRACTOR INFORMATlON-' Contractor Type Electrical Contractor MAG ELECTRIC INC License 149834 Expiration Date 12/13/2005 Phone 541-461-0387 BUILDING INFORMATION I VN # of Storics: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Sccondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R.3 '- SETBACKS I DEVELOPMENT INFORMATION I 'TTENTION:Oregon la~~l{'%9.:~~ING Overlay Dist: ,Iii. les adopted by Ul1?oiill:3g0n Utility # Street Trees RqdP~I?W ~u Center. Those Haitdlcilpped:t IQrt Paved Drive Rqd!otlflcatlon 001 001 0 thro~Qmpa"ct: 952-<JO' n OAR 952- - " '01 the rul0s \ % of Lot Coverage:gO You may obtam copIes h . vV " center. (Note: the telep one calling the _" ___ Iltalh, Nntification I PUBLIC IMPROVEMENT~uel~~~;~~i;1~800-332-2344). Sidewalk Type: Frontyard Setback: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street 1n\l!.:9tW@)s: Storm selW~~,f;IlM~T SHALL EXPIRE IF THE WORK Speciall.rsU-b~'l.lfi~ZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Notes: ANY 180 DAY PERIOD. DOWDSpoutslDraiDs: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or mDltiplier Square Footage or Bid Amount Value Date CalcDlated Total Value of Project Pace 1 of2 . . U 1 r OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2003-01137 ISSUED: 1111212003 APPLIED: 11/1212003 EXPIRES: 05/12/2004 VALUE: 225 Fifth Street, SpriDgfield, OR 541.726.3753 PhoDe 541-726-3676 Fax 541-726-3769 InspectioD LiDe I F""s Paid I Fee DescriptioD + 10% Administrative Fee + 7% State Surcharge Add, Alter, ExteDd Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $7.20 $5.04 $9.00 $63.00 11/12/03 11/12103 11/12/03 1l/12I03 1200200000000002455 1200200000000002455 1200200000000002455 1200200000000002455 Total AmouDt Paid $84.24 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 Inso"etioo11 I RODgb Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete. .By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, aDd I further certify that aDY and all work performed shall he done in accordance with the OrdiDances of the City of SpriDgfield and the Laws of the State of Oregon pertaiDing to the work described hereiD, and that NO OCCUPANCY will be made of any structure without permission of the CommuDity Services Division, BuildiDg Safety. I further certify that only contractors aDd employees who are iD compliaDce with ORS 701.005 will be used 00 this project. 1 further agree to ensure that all required iDspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the froDt of the property, and the approved set of pia os will remaiD on the site at all times during construction. OWDer or Contractors Signature Date Pace 2 of2 J 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003.01137 COM2003.01137 COM2003.01137 COM2003.01137 PaymeDts: Type of Payment CreditCard -~.._"~ --. ~., ;. , "II, ! .......'k...'..' . .>~ Receipt #: 1200200000000002455 Description Pcrm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surchargc + 10% Administrative Fee Received By djb l:heck Number Batch Number Authorization Number Paid By CROW V ALLEY ELECTRIC 000217 061499 City of Springfield Official Receipt Development Services Department Public Works Department' Date: 11/1212003 2:29:13PM Amount Paid Item Total: 63.00 9,00 5.04 7.20 $84.24 How Received In Person PaymeDt Total: Amount Paid $84,24 $84.24 . .