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Home My WebLink AboutPermit Electrical 2006-6-5 (2) . .CITY OF SPRINtJt<lJ!.,LD . Building/Combination Permit PERMIT NO: COM2006-00680 ISSUED: 06/05/2006 APPLIED: 06/05/2006 EXPIRES: 12105/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1516 W QUINAL T ST ASSESSOR'S PARCEL NO.: 1703273200109 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Add I modify 4 circuits Owner: RUTH SPRINGER Address: 1516 W QUlNAL T ST SPRINGFIELD OR 97477 Phone Numher: 541-746-5695 Contractor Type Electrical , CONTRACTOR INFORMA'[l0N11 " o,u\\~- . 0\\1'" Contractor 01' \"'~ Ie oleE}&~,1!sIP\\\;\. Expiration Date MITCHS ELECTRIC I~~~., Ole?_A 'O'l ~'~"\eSI'4~J.1~~oO~,, 01/18/2007 ._.~.- ....,,- --~ . .-... \~;;;!I- ~ 1':<;'\ 'I'> BHlLDlNG\lrr 'f",Ml\rrrQN'. \U (\0 \0\\0" \\01' VV' .00' v. . co~\ca;, - \e\e~~O ~O(\ ~o\\\\C'3' SI,!!;9f;SloU5\:\\1' IN.o\e'. \\;\e ~o~\\~ R-3 \1' O",r>o 'I ~gli~o{,~yuCtii{-N\\\\\'l Z>44~' OOSlO., q;Yll\l,o'fHJ~;e<do o.'!J'!J~Z VN C"'\\\~~f\~t~J\~e,~ \-~\) \,\ullRa"f,.e.JlICjipe: . Energy Path: Sprinkled Building: Phone 541-521-5690 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: IfI\. % of Lot Coverage: \~ '\\~ ~\ ,'''''<;;''('' t.~)'~'- I PJ{O/5JC 11\I1lli'0M"'$J.~;r'~i..\\O~ \\,\\\ ~ \ ~ I ~ I "",~t. \~\S ?t.~~~'\) 'J ~\~ ~~ 1'\'" Sidewalk Type: \Io\l\\\~~~c,t.'\) ~'t.\\\~~' DownspoutslDrains: c,\)WI 'Oil \)~'l ~~'l \ Total: Handicapped: Compact: Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Notes: I Valuation Descriution I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I 012 . .CITY OF ~rKll~l.J<mLD' Building/Combination Permit PERMIT NO: COM2006-00680 ISSUED: 06/05/2006 APPLIED: 06/05/2006 EXPIRES: 12/05/2006 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 F~~s P3irl I Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter. Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $5.20 $4.16 $43.00 $9.00 6/5/06 6/5/06 6/5/06 6/5/06 Receipt Numher 1200600000000000793 1200600000000000793 1200600000000000793 1200600000000000793 Total Amount Paid $61.36 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. L.R~fJlli-&'nsn~ctio~ Rough Electric: Prior to Cover Final Electric: Wheu all electrical work is complete. By signature, I state aud agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hereiu, 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 compliauce 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 Spri"g(ield1 Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00680 COM2006-00680 COM2006-00680 COM2006-00680 Payments: Type of Payment Cred ;tCard cReceintl" RECEIPT #: .~~ ~."... C&of Springfield Official Receipt .lopment Services Department Public Works Department 1200600000000000793 Date: 06/05/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By MITCHS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 135560 In Person Payment Total: Page I of I 9:IS:20AM Amount Due 43,00 9.00 4.16 5,20 $61.36 Amount Paid $61.36 $61.36 6/5/2006