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HomeMy WebLinkAboutPermit Electrical 2004-1-26 . · CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00I02 ISSUED: 01126/2004 APPLIED: 01126/2004 EXPIRES: 07/26/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1250 Rainbow Dr ASSESSOR'S PARCEL NO.: 1703273402602 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Reconnect electrical service only Owner: RAINBOW VILLAGE INC Address: 1250 RAINBOW DRIVE SPRINGFIELD OR 97477 Phone Number: 541-746-8958 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MITCHS ELECTRIC INC License 146745 Expiration Date 01118/2005 Phone 541-747-4483 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 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 Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Front yard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street IJ!.'m~pu:I.J!~:. Sidewalk Type: 1'1 IIUN:Ofegon law require t NOTICE' StormlSJjlvw~fl!lelUt1o t d S you 0 . Downspouts/Drains: SPeCillbInMmWI\,\:;ent:r ';-h by the ~regon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Not"J~~~~952-09,1-00'1~ t~~:~~uh ~A~e9~~~~rf ~~~~E~~~~ ~~D,~~T8HA/S PERMIT IS NOT ~~;,,_ o~L~ay obtain, copies of the rulos l ANY 11ln ndv DCOln NDONEO FOR nUffibe~i- -h-"'~" ,..u,,,. Hie 18f1;;r,.:..." I .~~ ,.; or t e Oregon Utility Not'fiY.ahmtion Descriotion ....,.;~ '-Qn"-1C12-2344). . $ Per Sq Ft Square Footage Description Tvpe of ConstructIon It' I' B'd A t Value Date Calculated . or mu Ip ler or 1 moun Total Value of Project Pa~e 1 of2 . . CITY OF SPRtr\jtJt<l~LD Status Issued Building/Combination Permit PERMIT NO: COM2004-00102 ISSUED: 0112612004 APPLIED: 0112612004 EXPIRES: 07/26/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fl'l's PlIidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Service Reconnect Amount Paid Date Paid Receipt Number $5.00 $3.50 $50.00 1/26/04 1/26/04 1/26/04 2200400000000000059 2200400000000000059 2200400000000000059 Total Amount Paid $58.50 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 Reouirl'd Insnections I 1 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 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 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 during construction. Owner or Contractors Signature Date Pa!!e 2 of2 225 Fifth Street" Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00102 COM2004-00102 COM2004-00 102 Payments: Type of Payment CreditCard "il" Receipt #: 2200400000000000059 Description Service ReCOIUlect + 7% State Surcharge + 10% Administrative Fee Paid By MITCH'S ELECTRIC Received By llh Check Number Batch Number Authorization Number 000283 012463 of' City of Springfield Official Receipl Development Services Department Public Works Departmen.t Date: 01/26/2004 9:43:52AM Amount Paid Item Total: 50,00 3.50 5.00 $511.50 How Received In Person Payment Total: Amount Paid $58.50 $511.50 . .