HomeMy WebLinkAboutPermit Electrical 2005-11-21
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CITY OF SPRINGFIELD
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01504
ISSUED: 11/21/2005
APPLIED: 10/25/2005
EXPIRES: 05/21/2006
VALUE:
SITE ADDRESS: 4531 Franklin Blvd Laundry
ASSESSOR'S PARCEL NO.: 1703344400301
Eugene
TYPE OF
Electrical Work Only
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Replace Panel in Laundry
Owner: SHAMROCK VILLAGE
Address: 4531 FRANKLIN BLVD
EUGENE OR 97402
'~U" lKACTO... ml'ulU,lATlON I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
Expiration Date
09/0112008
Phone
541-741-2236
I BUILDING INFORMATIONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
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 INFORMA TlON 1
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
IPUBLIC IMPROVEMENTS 1
ATTENTION: Oregon law requires you to
fr.llnw ",Ip'~ adopted by the Oregon Utility
Storm Sewer ~va"able: _ 1 rth
S . I I tr"nt;'i'rotlon Center, Those rule~ are set 0
peelS ns uct on:
in OAF: SS2-001-001 0 through OAR 952,001-
ongQ Ys" m2V obtain co~ics 01 the rules by NOTICE:
[' ,~. T- ("C~J: the telephone THIS PERMIT SHAll EXPIRE IFTHE WORK
". ..., ,...,........ .~~~NUI1ILtU UI1Utn InI~ rtnlVlI1 I~ I~UI
,I V aluation Descrinti~MENCED OR IS ABANDONED FOR
AN.Y 180 DAY PERIOD.
S Per Sq Ft Squarell'ootage
Tvpe of Construction It. Ii Bid Am t Value Date Calculated
ormu Ip er .or oun
Sidewalk Type:
~tf)\4
Street
DownspoutsIDrains
I.'
'.',
Description
1 of 2
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01504
ISSUED: 11/21/2005
APPLIED: 10/25/2005
EXPIRES: 05/21/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.F....s Paid I
,: Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$5.00
$3.50
$50.00
11121105
11121/05
11121105
1200500000000001741
1200500000000001741
1200500000000001741
Total Amount
$58.50
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.
Electric Service: Approval required prior to utility company energizing service.
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 wiD be made of any structure without permission ofthe 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 wiD remain on tbe site
at all times during construction.
Owner or Contractors Signature
Date
2 of 2
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225 Fifth Street
Sprinlifield, Oregon 97477
541-726-3759 Phone
a:~RI!'I_~~.1lLD ""."..' ~,._____. :~
Wic'
- ,.~ ,:
~~ '
".~.~, -
Cty of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
C.oM2005-0 1589
COM2005-0 1589
COM2005-0 1589
COM2005-01589
Payments:
Type of Paymeot
qeck
~!
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"
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:1
~
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:1
11/21/2005
RECEIPT #:
1200500000000001742
Date: 11/21/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Paid By
C & SELECTRIC
Received By
llh
I of 1
Item Total:
Lheck Number AuUlorizaljon
Batch Number Number How Received
12555 In Person
Payment Total:
2:51:16PM
Amouot Due
3.64
5.20
43.00
9.00
$60.84
Amount Paid
$60,84
$60.84