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Home My WebLink AboutPermit Electrical 2005-9-20 . .. CITY 01< ~nUl'unI'.LD Building/Combination Permit PERMIT NO: COM2005-01059 ISSUED: 09/20/2005 APPLIED: 08/04/2005 EXPIRES: 03/20/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4203 Jasper Rd ASSESSOR'S PARCEL NO.: 0000000000000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Remodel Public PROJECT DESCRIPTION: Power Pole on South East Corner of South 42nd and Jasper Road Owner: QWEST Address: 3050 N DELTA EUGENE OR 97402 Phone Number: 541-870-1403 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BillLDERS ELECTRIC INC License 4296 Expiration Date 12/10/2007 Phone 541-485-0922 BUILDING INFORMATION I # 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: nla I DEVELOPMENT INFORMATION I , Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: '" ' I PUBLIC IMPROVEMENTS I 1\1'''F!r.~, Street Improvements: . Sidewalk Type: THI;> PERi\1IT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to Storm Sewer AvaIlable: f II nownsnnutsID..1n." Oregon Ut'lll'ty "'." nUMIZED UNDER THIS PERMIT IS NOT 0 ow ru,..." U'''Vt-'''"'U vym_ SpeclallnstructlOn: . 'f' t' C t Th e les are set forth vUIVII,'IENCED OR IS ABANDONED FOR Notllca Ion en er, os ru Ai~Y 18Ci DAY PERIOD ' in OAR 952-001-0010 through OAR 952-001- . 0090. You may obtain copies of the rules by I ....1......"",.......... .....::~, 'I:' t!..... ':':':".~~ \". tP! '!!!I'll!!" ..~ , I V I t. D . t' 'umber for the Oregon Utility Notification a ua IOn escrlO IOn , 800 332 2344) Center IS 1- - - . $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Description Tvpe of Construction Value Date Calculated Paeeloc2 ~q . . CITY OF ~rKll"llj1'1J'.,L1J Building/Combination Permit PERMIT NO: COM2005-01059 ISSUED: 09/20/2005 APPLIED: 08/04/2005 EXPIRES: 03/20/2006 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.FI'I" PlIitl.l Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $4.41 $63.00 9/20/05 9/20/05 9/20/05 2200500000000001298 2200500000000001298 2200500000000001298 Total Amount Paid $73,71 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. I Rl'nuirl'tI In.nl'di'IiLI 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 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 octhe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 oc2 22."i,Fiftll Street Springfield, Oregon 97477 5H-726-3759 Phone Job/Journal Number COM2005-0 I 059 COM200s-0 I 059 COM200s-0 1059 Payments: Type of Paymeot Check ,^ " " 9/2012005 . RECEIPT #: alPR~'HQ.~~' ..._" '. ~! '. ~ ! ___ '.., i ""'-ity of Springfield Official Receipt .evelopment Services Department Public Works Department 2200500000000001298 Date: 0912012005 Deserlption Perm ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRiC Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 92394 By Mail Payment Total: Page I of I 3:05:53PM Amount Due 63,00 4.41 6.30 $73.71 Amount Paid $73.71 $73.71 , ..\i~ ~~:~~ EC 0059 r--. . Job Numbe[O'm-.. J:\S-()lf:fSi: ELECTRICAL PERMIT - CONTRACTOR INSPECTION LINE: 726-3769 p City of Sprlngtield Fax Line 541-726.3676 225 Fifth Street Electrical Inspector 541-726-3663 Springfield, OR 974n General information 541-72&.3759 [] Job Address: 4 L Il. '"" ,\('1" Q<> I) K d Owners Name: ~, f'S.t- - - , Do'.' \(1- q- 0':::> Description of Work: "20 Fli'n:> Y->n ) J' C P CDMMERCIALo;A RESIDENTI~Q. INDUSTRIAL Q PU~L1C Q ~ Electrical Contractor: rx 1JiE':;V) /-, I P('Tn c; Supervising Electrician Signature: . ') I:J,. c.... Supervisors License#:. "?::JQt'J,~_<; Expires: leJ~1 ,.,~ Construction Contractors Board #: 4'7 a l i!J Expire". THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE BEEN COMPLETED AND SIGNED BY THE SUPERVISING ELECTRICIAN PRIOR TO AN INSPECTIO~ BEING REQUESTED !INSPECTlONTYPE I TEMPORARY I UNDERGROUND I UNDERSLAB I ROUGH fSERVICE LOW VOLTAGE I MANUF HOME SERVICE I MANUF HOME CONNECTION I SIGN I I I FINAL ApPROVAL DATE INSPECTOR I ,q..... ,- , , , , I , - .)..... ~5 ,() . , Jl'...v , I I , I i , .li.(!)IB.E\REI\f1~ ~'iSl(!)N'~Y'B~BI!JII!IDINGI(!)"'F.lel~1!I