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Home My WebLink AboutPermit Electrical 2004-7-20 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00900 ISSUED: 07/20/2004 APPLIED: 07/20/2004 EXPIRES: 01120/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 633 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703264201904 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Two Branch Circuits u 10 law ,oqlureS yo __;'~Ir"'\l\\. nrpoon _ .,;1,-,/ 1'\111-'.. ...l .....torllJyu...; ~'-~- Owner: f~IfJilRSJ\JN'PETER:v._~_o nIle'; ;;.re ,:;[ In..'' Address: <NM'k~M~ST-r. SPRIN~~~'&._Q, QF-,9.7477 _ _"n "",-nOlO Ihlo.J .. _ _..I~c h\l Inun~'~- oblain cop'"'' v' ..:- .,._" '" 0090. .,<ou ma~enler. (Note: Ih'f COONTRACTOR INFORMATION I calhngthe th oregonUtilit'f"~'" Ir.,O "" "I Sf:A~l EXPIRE I~ '" Q Contractor 1lJImber ''<:on~J:lI''t9!O-332-2344). j,ij I LicenseJ U.,....xPirationJ>ar~TE PRon~ . cente{\:i T . - '-- I'it!...., r r 110 r-~NJ~'J IS NOT ~?~f\~ENr.Fn nQ II: ^O^"')';{:::E fCf, BUILDING INFORMA'I'IONl DAY PERIOD. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of "eat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I 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 Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: 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 Paeelof2 . . CITY OF ~rKlj"\jlJt<lELD Building/Combination Permit PERMIT NO: COM2004-00900 ISSUED: 07/20/2004 APPLIED: 07/20/2004 EXPIRES: 01120/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fl'l'~ tlWU Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Aller, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 $3.22 $43.00 $3.00 7/20/04 7/20/04 7/20/04 7/20/04 2200400000000000947 2200400000000000947 2200400000000000947 2200400000000000947 Total Amount Paid $53.82 , 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 Rl'ouirl'tJ In~rl'ction'LI Final Electric: When an electrical work is complete. Rough Electric: Prior to Cover 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 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 Paee 2 of2 . .P.~"~I~Q....,~~"- -" l. ~ I' ,. "._ I , , , ~ . ~;. -' -,------. ,. . Aty of Springfield Official Receipt "IIIIffevelopment Services Department Public Works Department 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00900 COM2004-00900 COM2004-00900 COM2004-00900 Payments: Type of Payment CreditCard 7/20/2004 RECEIPT #: 2200400000000000947 Date: 07/20/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ROB LAWLER Item Total: Check Number Authorization Received By Batch Number Number How Received njm 000446 020627 In Person Payment Total: Page 1 of I 12:52:47PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82