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Home My WebLink AboutPermit Electrical 2005-11-21 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01512 ISSUED: 11/21/2005 APPLIED: 10/26/2005 EXPIRES: OS/21/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 755 HARLOW RD ASSESSOR'S PARCEL NO.: 1703220003000 Springfield TYPE OF Electrical Work Only TYPE OF USE: Addition Public PROJECT DESCRIPTION: Add two circuits Owner: SCHOOL DISTRICT #19 . Address: 525 MILL ST SPRINGFIELD OR 97477 Phone Number: 541-744-6391 I CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/2007 Phone 541-485-0922 I BUILDING INFORMATION' :. # of Uni1s: Primary Occupancy Group: Secondary Occupancy JTrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled 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' REQUIRED PARKING , Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: . Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of LOt Coverage: Total: Handicapped: Compact: . .. Street IPUBLIC IMPROVEMENTSI ~~~ Sidewalk Type: Storm Sewer Available: . ou to Speciallnstruj;tioD:TION: Oregon law requires YUtilitY AI1 t:1~ db the Oregon NOTICE: Notes: lollow rules adopte Th~se rules are set lorth THIS PERMIT SHALL EXPIRE IF THE WORK Notilicat~~~ ~~~t~~, n thrOuqh OAR 952.0~1: AIIT'10R1ZED UNDER THIS PERMIT IS NOT In V"" ~-- - . les C' ...- ......,,". MENCED OR is ABANDUNI:U ~UK o y u may obtain cop I ,~h~"" '''1M 009 '. 0 center. (Note: th 'V:a)1,JatJ1?~,' Descriotio8 'IY 160 DAY PERiOD. calling the Utility ','J""U""- D . t' numTher 10fr tche Otre~'t~~ ",22 .'~ $ P~r Sq Ft Square Footage V I eSCrlll IOn vpeo \ ODS rue Ion It. Ii . Bid Am t a ue \....ICI w, .- or mu Ip er or oun Downspouts/Drains Date Calculated 1 of 2 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01512 ISSUED: 11/21/2005 APPLIED: 10/26/2005 EXPIRES: OS/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.Fees Paid I 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 11121/05 1200500000000001743 $3.22 11121/05 1200500000000001743 $43.00 11121/05 1200500000000001743 $3.00 11121/05 1200500000000001743 Total Amount $53.82 I Plan Reviews I To Request an inspection can 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. win be made the following work day. ~irptfI~ 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contracton 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 wiD remain on the site at all times during constructiolL Owner or Contractors Signature Date 2 of 2 225 Fifth Str.~et Springheld, Oregon 97477 541-726-3759 Phone . ., J,~b/Journal Number COM2005-01512 COM2005-01512 COM2005-01512 COM2005-01512 Payments: Type of Pa)1llent Check .. ",I; :' ., .,. ". J .1 .." ., 11/21/2005 RECEIPT #: 8~i ~ -I J!l!ititjty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001743 Date: 11/21/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Item Total: LhecK Number Authortzmion Received By Balch Number Number How Received IIh 921686 By Mail Payment Total: I of 1 2:52:0IPM Am...nt Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82