HomeMy WebLinkAboutPermit Electrical 2004-1-26
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· 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
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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
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