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HomeMy WebLinkAboutPermit Electrical 2004-10-5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01200 ISSUED: 10/05/2004 APPLIED: 0912812004 EXPIRES: 04/05/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3782 S REDWOOD DR ASSESSOR'S PARCEL NO.: 1802061204316 Springfield TYPE OF WORK: Electrical Work Only Contractor Type Electrical Contractor WEILAND ELECTRIC INC Addition \. uireSVOIJ . _ ~.....O"\ \~W reO. . I Hi\1h />.iiENiIUI'l. d~p~cI b'l \\1e ~~~;~ se\ 10rl1'\ 'oIIOW r~les~n\er. i\lOse rIJ ne OAB 952-001- _ . _ ..~,.,...~t,Of\ _.... 04 ('\ \'hfQUg '. #. .\oc. b'J ..- .0 Q5Z-uV .-~.!" . caples v' ...- ne I CONTRACTOR INF6RMAUQN?1 ob\a\n'NO\e: \\'le \e\e.pn~uon ! - - \' \l'Ie Jenter. \ n Utilit'! NotlllC ca~:;"s.e tM <E:t~!\lll1a>M~ Phone tlU~60ltentel is '<<01/23/2005 541-485-3639 TYPE OF USE: Residential PROJECT DESCRIPTION: Add 2 circuits Owner: MASON RONNI S Address: 3782 S REDWOOD DR SPRINGFIELD OR 97478 BUlLDI"" mFORMATION, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: . (l f" rSq' Ft Other: , . , . - ., /'., .. , , ~ , Sprinkled B~i~~iil~lj 03~IO(!I/a'81' Slqf5u8~~1,~~,~fJfI::l , DEVELOPMENTIN~ORMATioN .\'Hl tJ:JUNII U:JL!l:JOHlnv - -!:JX311VHS lWRtQUlitiID PARKING ';~t~l!lON Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethaeks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsIDrains: Notes: 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 Pa!!e I of2 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01200 ISSUED: 10/05/2004 APPLIED: 09/28/2004 EXPIRES: 04/05/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f's Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 $3,22 $43.00 $3.00 10/5/04 1015/04 10/5/04 10/5/04 2200400000000001245 2200400000000001245 2200400000000001245 2200400000000001245 Total Amount Paid $53.82 I PIan 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 Rf'olli[f'd Tnsnf'''tiOlW Rough Electric: Prior to Cover 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 descrihed 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 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~:]JU~iJ;~~ 0-~-O~,; O~ ,- r I er or Contractors Signature Date Pa!!e 2 of2 225 Fifth S~reet SpriiigfieId, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1200 COM2004-0 1200 COM2004-0 1200 COM2004-0 1200 Payments: Type of Payment Check 10/5/2004 . RECEIPT #: j:-; ~ ~... ar of SpringfieId Official Receipt .velopment Services Department Public Works Department 2200400000000001245 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By WEILAND ELECTRIC Received By njm Pa~e I of I Date: 10/05/2004 Item Total: Check Number Authorization Batch Number Nnmber How Received 14483 In Person Payment Total: 2:37:52PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amouut PaId $53.82 $53.82