HomeMy WebLinkAboutPermit Electrical 2006-1-19
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CITY OF SPRINGFIELD
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Building/Combination Permit
PERMIT NO: COM2006-00038
ISSUED: 01119/2006
APPLIED: 01109/2006 ,,{) 'I
EXPIRES: 07/19/2006 ~\:,~ ~~. \~
VALUE: \j W
TYPE OF WORK: Electrical Work Only ~'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1625 HENDERSON AVE SPACE B2 Eugene
ASSESSOR'S PARCEL NO,: 1703344313302
TYPE OF USE: Repair
PROJECT DESCRIPTION: Upgrade from 100 amp feeder to 200 amp feeder
Residential
Owner: MIDWAY MANOR
Address: 7007 SW CARDINAL WAY STE 185
PORTLAND OR 97224
Phone Number: 541-726-7511
, CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
Expiration Date
09/0112008
Phone
541-741-2236
, 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'
Frontyard 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:
_ ATTENTION: Oregon I;;1W rl,P,VBI,J(:;.I~OVEMENTS'
"Street Improvefg~\\'t~ rules adopted by the Oregon Utility Sidewalk Type:
, NOI~lIcatlon Center. Those rules are set forth
Storm Sewer A~\I;\"I!m2-001-001 0 through OAR 952-001- NOTICEpownspoutslDrains:
Speciallnstru~t!!!'!:. You may obtain copies of the rules b THIS PERMIT SHALL EXPIRE IF THE WORK
N calling the center. (Note' the telephone y AUTHORIZED UNDER THIS PERMIT IS NOT
otes: number for the Oregon Uiility Notification COMMENCED OR IS ABANDONED FOR
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I Valuation Descriution
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated ~
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Paee 1 of2
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00038
ISSUED: 01/19/2006
APPLIED: 01109/2006
EXPIRES: 07/19/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
F..... Pairll
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$6.30
$5.04
$63.00
1/19/06
1/19/06
1/19/06
Receipt Number
3200600000000000021
3200600000000000021
3200600000000000021
Total Amount Paid
$74.34
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.
L...Peouired.J n.n....tiotU
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 descrihed 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 of2
225,Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00038
COM2006-00038
COM2006-00038
Payments:
Type of Payment
Check
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1/19/2006
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RECEIPT #:
""~A1.NQ"'~,__, '"
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.ty of Springfield Official Receipt .
Wevelopment Services Department
Public Works Department
3200600000000000021
Date: 01119/2006
Description
Penn ServIFdr 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
C & SELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 12953 By Mail
Payment Total:
Page I of I
3:17:31PM
Amount Due
63.00
5.04
6.30
$74.34
Amount Paid
$74.34
$74.34