HomeMy WebLinkAboutPermit Electrical 2005-5-10 .' Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00383 ISSUED: 05/10/2005 APPLIED: 04/04/2005 EXPIRES: 11/10/2005 VALUE: 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line rl SITE ADDRESS: 563 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274305805 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add Two Circuits Owner: CENTENNIAL SHOPPING CNTR LLC Address: 7831 SE STARK ST STE 103 ' PORTLAND OR 97215 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 t # 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: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: NOTICE: Total: # Street Trees Rqd: THIS PERMIT SHAL Handicapped: Paved Drive Rqd: AUTHORIZED UNDE L Ee7Hrif)iCi:THE WORK % of Lot Coverage: COMMENCED OR IS RAT~I,S PERMIT IS NOT ._, _.. /HVY 180 DAV Pl:DI~n Bf-i{IJOONED FOR .--V. I PUBLIC IMPROVEMENTS I ~ Street Improvements: Storm Sewer Available: Special Instruction: Notes: AI I t;NTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules by calling me (''"'' ....., '.'''' lOr; ~:'v ~J.~~:-::~: number for th :rVa'ltrafi6HiD'e~1 rn.tho Sidewalk Type: DownspoutslDrains: Ce.nter t~ i -G\.JU-~hJr- -'--V""" . Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00383 ISSUED: 05/10/2005 APPLIED: 04/04/2005 EXPIRES: 11/1012005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 5/10/05 1200500000000000600 $3.22 5/1 0/05 1200500000000000600 $43.00 5/10/05 1200500000000000600 $3.00 5/10/05 1200500000000000600 Total Amount Paid $53.82 I Plan Reviews' 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 Insoections I 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pae:e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-126-37.59 Phone rity of Springfield Official Receipt lvelopment Services Department Public Works Department Job/Journal Number COM2005-00383 COM2005-00383 COM2005-00383 COM2005-00383 Payments: Type of Payment Check 5/10/2005 RECEIPT #: 1200500000000000600 Date: 05110/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 91737 By Mail Payment Total: Page 1 of 1 9:39:02AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82