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HomeMy WebLinkAboutPermit Electrical 2005-10-3 " . . CITY OF ~rK11'\jlj"'~L1J Building/Combination Permit PERMIT NO: COM2005-01347 ISSUED: 10/03/2005 APPLIED: 10/03/2005 EXPIRES: 04/03/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1404 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703253206300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Change out main panel. Owner: Address: STEWARD BILLY RAY & JUDY M 1404 PLEASANT SPRINGFIELD OR 97477 NOTICE: THIS PERMIT SHALL EXPIRE I~ THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT 12.Q~'lIiJEJjr-~ OR IS ABArM,H~tD FOR I CONTRACTOR INF~PERIOD. Contractor Type Electrical Contractor MNB ELECTRIC INC License 162191 Expiration Date 1111912006 Phone 541-726-860 I 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: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENTINFORMATION I ~QUI~~e PARKING ENTION' Oregon law require:; yo Overlay Dist: AT.T 'ted b the O;Ii!~!!1; Utility # Street Trees RljdPW rule!' adop Y I lla~icapjJedh . ' ' Center Those ru e~~, -- Paved Drive Rijd~lflcatton ' h 60l'll!1!ct:001- % of Lot Cove!:'l1ge:\R 952-001-0010 throug of 7he r~les by 0090 You may obtain copies , .~_ Mn'O' INnle: Ihe telephone I PUBLIC IMPROVEMiNiii,l~r 'for the Oregon Utility NOlIlll'dllUll Cen''lr is 1_1\00-332-2344). SIdewalk Type: DownspoutslDrains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e I of2 ,- . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01347 ISSUED: 10/03/2005 APPLIED: 10/03/2005 EXPIRES: 04/0312006 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~rr~ tiWU . Fee Description - + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 10/3/05 1013/05 10/3/05 Receipt Number 2200500000000001363 2200500000000001363 2200500000000001363 Total Amount Paid $73.71 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..iliWIWi~.lI&~If~~tions I 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 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 tbe 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 Pal/e 2 of2 ,. 2~5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01347 COM2005-01347 COM2005-01347 Payments: Type of Payment CreditCard o " 'C o ,( 10/312005 . RECEIPT #: ~l ....Qty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001363 Date: 10/03/2005 Description Penn Serv/Fdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By MIKE GOWINS MNB ELECTRIC Item TOlal: Check Number Authorization Received By Batcb Number Number How Received ddk 003628 In Per.;on Payment Total: Page I of 1 9:13:24AM Amount Due 63,00 4AI 6,30 $73.71 Amount PaId $73,71 $73.71