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