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HomeMy WebLinkAboutPermit Electrical 2005-11-15 (6) "i . . CITY OF SPRINGFIELD. Building/Combination Permit Status: Issued PERMIT NO: COM2005-01612 ISSUED: 11/15/2005 APPLIED: 11/15/2005 EXPIRES: 05/15/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2027 S A ST ASSESSOR'S PARCEL NO.: 1703364207300 Springfield TYPE OF WORK: Electrical Work Only Owner: Address: ROSBORO LUMBER CO PO BOX 20 SPRlNGFIELD OR 97477 TYPE OF USE: New Security and Sprinkler Monitoring System NnTlr!:. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OB t~ ARANrVl}Ill:n 1:01 ~~v HIP. DAV Pf~1&(\ _. I CONTRACTOR INFOR ATlON I Commercial PROJECT DESCRIPTION: Contractor Type Electrical Contractor. SECURETECH INC License 156618 BUILDING INFORMATION I Expiration Date 08/08/2007 Phone 541-521-2837 # 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: n1a Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I ATTENTION: Oregon law requires ycREQUIRED PARKING Overlayf'Disf:V rules adopted by the Oregon \T~i~i: # Stretl1l<1lreeslRqd:Center. Those rules are SfJ'i~';jdiCapped: Paved iQrol\:eIRijd:2-001-001 0 through OAR 95Ctrii~act: % of Lg!J!il9y~rJlge:lay obtain copies.of tr.8 ,,[Ie, ., calling the center. (Note: tile t( 0, ~ . ,,"'~ , Street Improvements: Storm Sewer Available: Special Instruction: l...'...... ..-, ')." "", ......,":::J~.. -. "-J I PUBLIC IMPROVEMElfliS'ls 1-800.332.2:, H) Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . . CITY OF SPRINGFIELD' Building/Combination Permit Status: Issued PERMIT NO: COM2005-01612 ISSUED: 11/15/2005 APPLIED: 11/15/2005 EXPIRES: 05/15/2006 VALUE: 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 + 100/0 Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 11115/05 11115/05 11115/05 3200500000000000639 3200500000000000639 3200500000000000639 Total Amount Paid $52.65 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. ~ Reouired I"s"ectio"s I Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inform~tion 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 on 225 Fifth Street "Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-0 1612 COM2005-0 1612 COM2005-01612 Payments: Type of Payment CreditCard 11/15/2005 RECEIPT #: ~. ~ ~., AY of Springfield Official Receipt Wvelopment Services Department Public Works Department 3200500000000000639 Date: 11/15/2005 Description Low V oltage ~ 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 1 9:1I:I6AM Amount Due 45,00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65