HomeMy WebLinkAboutPermit Electrical 2005-5-10
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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
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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