HomeMy WebLinkAboutPermit Electrical 2005-11-15 (6)
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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