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HomeMy WebLinkAboutPermit Electrical 2005-6-17 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00757 ISSUED: 06/17/2005 APPLIED: 06/17/2005 EXPIRES: 12117/2005 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1701 SA ST ASSESSOR'S PARCEL NO.: 1703360000600 Springfield TYPE OF Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add 100 amp service Owner: SPRINGFIELD UTILITY BOARD Address: 223 A ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor NEW WAY ELECTRIC INC License 51088 Expiration Date 06/27/2005 Phone 541-686-2365 I BUILDING INFORMATION. # of Units: # of Stories: Primary Occupancy Grou~TTENTION: Oregon lilteiglqldfes you to Secondary Occupancy follow rules adopted by1JYpetilffl!pt:Utility P'rimary Construction Typ,e.ification Center. ThoM'"~,,,iJ)!py:set forth Secondary Construction in OAR 952-001-001 0 thrB!!ggjl{J):P.~52-001- # of Bedrooms: 0090. You may obtain c~"i!1:Yflffith~ules by calling the center. (N(,~Il~,~~9Iephone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla lIUilIUc;1 lur lilt'. "J~"l"" .".,." :'........;...;;~t..\. Center rDEv,ELOPMENJ:INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: [~iJT!CE: . IPUBLIC IMPROVEMENTS I THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Downspouts/Drains Notes: I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 . . CITY OF 1)rKll~ld<IELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Building/Combination Permit PERMITNO: COM2005-00757 ISSUED: 06/17/2005 APPLIED: 06/17/2005 EXPIRES: 12/17/2005 VALUE: Total Value of Project Fees~ Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $4,41 $63.00 6/17/05 6/17/05 6/17/05 1200500000000000864 1200500000000000864 1200500000000000864 Total Amount $73.71 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. AIl 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. ~retlr~ By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and r 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 wiD 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 wiD remaIn on the site at all times during construction. Owner or Contractors Signature Date 2 of 2 225. Fifth Street 'Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00757 COM2005-00757 COM2005-00757 Payments: Type of Payment CreditCard " 6/17/2005 . RECEIPT #: ~ .Iflty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000864 Description + 7% State Surcharge + 10% Administrative Fee Penn Serv/Fdr 200 amps or less Paid By NEW WAY ELECTRIC Received By djb 1 of 1 Date: 06/17/2005 Item Total: Lheck Number Authorization Batch Number Number How Received 007640 In Person Payment Total: 3:20:43PM Amou ot Due 4.41 6.30 63.00 $73.71 Amount Paid $73.71 $73. 7I