HomeMy WebLinkAboutPermit Electrical 2005-11-15
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Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01612
ISSUED: 11/15/2005
APPLIED: 11/1512005
EXPIRES: 05/15/2006
VALUE:
. .
SITE ADDRESS: '2027 S A ST
ASSESSOR'S PARCEL NO.: 1703364207300
PROJECT DESCRIPTION:
Owner:
Address:
ROSBORO LVMBER CO
PO BOX 20
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
SECVRETECH INC
# of Vnits:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Springfield TYPE OF WORK: Electrical Work Only
Commercial
License
156618
BUILDING INFORMATION'
Expiration Date
08/0812007
Phone
541-521-2837
# 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:
nta
I DEVELOPMENT INFORMATION'
ATTENTION: Oregon law requires ycREQVIRED PARKING
Overla)f.(ji~t:v rules adopted by the Oregon \T~~~i:
# Stred~mreeSlRqd:Center. Those ruies are sCl'tliil'iiU:apped:
Paved iQrJ.v.eiRqd:~-001,-001 0 through OAR 95Ctriipact:
% of Le!J~9YlliJlge:laY obtain copies.of tr,e "J!r.
cailing the center. (Note: the 'l "
. ~ l h""L "
1'..' '~')' ,~. "" "", ....." ""::::l~" ~. . -J
I PUBLIC IMPROVEM,EN1iS,.s 1-800-332,2:, Hi
Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
,
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01612
ISSUED: 11/15/2005
APPLIED: 11/15/2005
EXPIRES: 05/15/2006
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
Fees Paid I
Fee Description
+ 100.10 Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$4.50
$3.15
$45.00
11/15/05
11/15/05
11/15/05
3200500000000000639
3200500000000000639
3200500000000000639
Total Amount Paid
$52.65
I Plan Reviews ,
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 Reouired Tnsnedions I
Low Voltage: Prior to cover.
By signature, I state aud 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 tbe 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 tbat 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, tbat each address is readable from tbe
street, that the permit card is located at the front of tbe property, and the approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
"Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2005-0 1612
COM2005-0 1612
COM2005-0 1612
Payments:
Type of Payment
CreditCard
11115/2005
RECEIPT #:
SP~
~
.. of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
3200500000000000639
Date: 11/15/2005
Description
Low Voltage ~ Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
TROY DERRICKSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
015632 In Person
Payment Total:
Page 1 of I
9:11:16AM
Amount Due
45,00
3.15
4.50
$52,65
Amount Paid
$52.65
$52.65