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HomeMy WebLinkAboutPermit Electrical 2007-10-1 . EC 0063 .. Job Number~-o1J ff.1? ELECTRICAL PERMIT - CONTR~R INSPECTION LINE: 726-3769 City of Springfield 225 Fifth Street Springfield, OR 97477 [I Job Addre..'+7 ( Jt ownersName:Lf')(' MS3ibL-r Date:e'-30~~ Description of Work: :z.. -lJea-lf'A L't/l.cLiJ"\ "' Fax Line Electrical Inspector General information 541-726-3676 541-726-3663 541-726,3759 COMMERCIAL CI RESIOENTIAL CI INDUSTRIAL CI PUBliC CI ~ Electrical Contractor: -~)i~~ ,- Supervising Electrician Signature: t , ~ ~ u/,. L Supervisors License#: ~qt)- S EXPires:/t?~/- C> 7 Construction Contractors Board #: 12.91 fJ Expires: ~r?-. J(j{'f} THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE BEEN COMPLETED AND SIGNED BY THE SUPERVISING ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED I INSPECTION TVPE I TEMPORARY I UNDERGROUND UNOERSLAB ROUGH I SERVICE I LOW VOLTAGE I MANUF HOME SERVICE 1 MANUF HOME CONNECTION 1 SIGN I I I FINAL ApPROVAL DATE INSPECTOR _e. . .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01l88 ISSUED: 09/20/2005 APPLIED: 08/31/2005 EXPIRES: 03/20/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 421 A ST ASSESSOR'S PARCEL NO.: 1703353105400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add two Circuits Owner: MCKENZIE RIVER MOTORS INC Address: PO BOX 640 PLEASANT HILL OR 97455 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/2007 Phone 541-485-0922 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: SDlar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Description Type of Construction I PUBLIC IMPROVEMENTS I ATTENTIO/Sidewalk Type: " uregon law requires YD t follow ruJe~ DliwnspoutsJDrains: U 0 "JoFf/cation Cent~~ - Th ~ Y ,..", ,VI egon Utility ~~~R~952'O_01-001O t~r~~~uh e~:~e9~~_60o~~ . ou may obtarn copies of the rules b caltJ'1f'" thp f"'ont,.--.. '" I _ . .. y . ' - .~. .. '.... lCIC'l-Jllune I "u.. '-," for the Oregon U . . . . Valuation Descrintion Ct. tlllty NotlflcatiDn en er IS 1-800-332-2344), $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Street Improvements:, ,. :-cu dL.:: Storm Sewer A.':~il.:!~lfRi,'i1T SHALL EXP:RE IF THE WORK SpeciallnstrucAl~~:rlORiZEO Ui~GtR THIS PERMIT IS NOT CO,YIi,iENCED OR IS ABANDONED FOR Ai;'Y 180 DAY PERIOD, Notes: ~~, Paee 1 of2 ; I . . \.-11 l' OF ~t'KlNGFIELD Building/Combination Permit PERMIT NO: COM2005-01188 ISSUED: 09/20/2005 APPLIED: 08/31/2005 EXPIRES: 03/20/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fp.p.~ P,llid J Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 9/20/05 9/20/05 9/20/05 9/20/05 Receipt Number 2200500000000001301 2200500000000001301 2200500000000001301 2200500000000001301 Total Amount Paid $53.82 I Plan Reviews I To Request an inspection caU the 24 hour recording at 726-3769. AU 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.Rp.I1nirp.d ~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 225,Fifth Street " . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1188 COM2005-01188 COM2005-0 1188 COM2005-0 1188 Payments: Type of Payment Check ". 9/2012005 . RECEIPT #: .~ 1IliL, 2200500000000001301 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Received By lIh Page 1 of1 J;,j.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 09/20/2005 Item Total: (;heck Number Authorization Batch Number Number How Received 92394 By Mail Payment Total: 3:08:04PM Amount Due 43,00 3,00 3,22 4.60 $53.82 Amount Paid $53,82 $53.82