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Home My WebLink AboutPermit Electrical 2005-11-30 l;IY4 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfield.or.us November 30, 2005 Open Bible Standard Church 1116 K Street Springfield, Oregon 97477 Enclosed is a copy of the electrical permit for 1116 Centennial Blvd; Springfield, Oregon. When you obtained your permits, we neglected to properly validate them. I am enclosing a copy of the permit for you to keep for your records. Thankyou, and if you have any questions, please feel free to phone me at 726-3790. Sincerely, '~~ Lisa Hopper Building Safety Supervisor Encl , ~o JO.0 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (641)J-~o~689, 0- ELECTRICAL PERMIT APPLICATION , ~ / 1-~~~\Oo,\~ 1.-o{\\{\. '"' City Job Number C'5 - ,,/ ~~:L ' Date .1 ~/'- i:J,/{) 5...- ' \0 ~\'-b\-;t>,-.:;.\e ':3 07"/ <5 {l!NTfo ~' . Ires you to 10- / - ~ mh . at~Ul86i.taqfilJftliWxlt!fttGuIS@ORet6nMlMn , Ion C'ent~. Thbs J 'I'oTJ" ip, OAR 952-OfPP- fa ~h~'?lU es are set forth $ 50.00 /00 50 Cflf09O.. You mll, rens tb ~~b'S.~QAR 952-001 $ 69.00 7 /' 0 / calling the f \mJ~8gl)lj~t the rules b $100.00 -- -- 10 rn er: \Note: the alA Jh n~mber for m s. V( Us ~~eB" above. Cem New Alteration or Extension Per Pan !I One Circuit Each Additional Circuit or with Owners Name ~N /jJlIU.f'l2JtI}N!~tl-ervice or Feeder Permit Address ///&, K S-r E. City _~pJ Phone -" ... Owners Signature: NO TI C E : THIS PERMIT SHALL EXPIRE IF THE1W@P1KSurcharge AUTHORIZED UNDER THIS PERMln~inistrative Fee Inspection Request: qQM~NCED OR IS ABANDONED FM.TAL ANY 180 DAY PERIOD, Shared Drive(T:)/Building FonnslElectrical Permit Application I-D3.doc 1. ~ / t? CCAl / LV~A-{ ,fJ/.//). LEGAL DESCRIPTION 17/2~ ~ # /~7~ JOB DESCRIPTION / WtJ O!A'(!U/ rj , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address ~/O Wa..IIJ'~ 51. City ;; 4 c; e)"} e...- Phone 9-3 '1- /;; '/ 1/ " Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date .?~~ OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 I $ 43.00 $ 3.00 ~~ ~.d) Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4, 4lo~ 3. L I... ~QIJ ~-~ A~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01642 ISSUED: 11/30/2005 APPLIED: 11/28/2005 EXPIRES: OS/2912006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1116 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264410700 Springfield TYPE OF WORK: Church TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Two electrical circuits Owner: OPEN BIBLE STANDARD CHURCH Address: 1116 K ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor GOOD CONNECTIONS License 160508 Expiration Date 07/0112006 Phone 541-434-6491 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type << ' Water Type: Secondary Construction Type: Range Type: # of Bedrooms: NOTICE.:, Energy Path: THIS PERMIT SHALL EXPI~q;n~lWncR1(g: n/a AUTHORIZED UNUlf+Di\V'l?rJOPUt~rl~RMATION I COMMENCED OR 1~f"\uf"\~~~5 r8f( ANY 180 DAY PERIOD. Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: : Occupant Load: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS tis AI I t:1''1 IIUI....Ult:l~Vllla.. ...':1.... you ~o . follow rules adopted by the Oregon ufif~twalk Type: Notification Center. Those rules are se~spouts/Drains: in OAR 952-001-001 d through OAR 952-001 0090. You may obtain copies of the rules b_ calling the center. (Note: the telephone ;\;';rRBer fer t~9 t"\rognn Iltility Notification _Center is ~800-;j~~-~;:S .). ValUatIOn UeSCrI tlOn Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 , ' Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01642 ISSUED: 11/30/2005 APPLIED: 11/28/2005 EXPIRES: OS/29/2006 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. 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 $3.22 $43.00 $3.00 11/29/05 11/29/05 11/29/05 11/29/05 1200500000000001760 1200500000000001760 1200500000000001760 1200500000000001760 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. LReauired Insnections 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 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 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Nurnnber COM2005-0 1642 COM2005-0 1642 COM2005-01642 COM2005-01642 Payments: Type of Payment Check f'\_ 'C ( ~'. '\ L " 11/29/2005 RECEIPT #: ii:~ "ity of Springfield Official Receipt ~velopment Services Department Public Works Department 1200500000000001760 Date: 11/29/2005 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CALVARY OPEN BIBLE Item Total: Check Nurnnber Authorization Received By Batch Nurnnber Number How Received DLM 13344 In Person Payment Total: 1 of 1 11:29:25AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82