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HomeMy WebLinkAboutPermit Electrical 2005-09-20Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01065 ISSUED: APPLIED: EXPIRES: VALUE: 0912012005 08/0s/2005 03t20t2006 v \ SITE ADDRESS: 136 4TH ST ASSESSORTS PARCEL NO.: 1703353105800 PROJECT DESCRIPTION: Three circuits for HVAC Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial Owner: Address: Contractor Type Electrical NESSCO INVESTMENT CO 91362 STALLINGS LN EUGENE OR 97408 Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12fiot2007 Phone 541485-0922 CONTRACTOR INFORMATION ) )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARIflNG Total: Handicapped: Compact: nla $ Per Sq Ft or multiplier Sidewalk Type: Downspoutsfl)rains: Ition Center. Those rules are set forth 9s2-001-0010 through OAR 952'001' /ou may obtain copies of the rules by for the Oregon Utility Notification enter is 1 -800-332-2344). Square Footage or Bid Amount I INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page 1 of2 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01065ISSUED: 0912012005APPLIED: 08/05/2005EXPIRESz 0312012006 VALUE: - Fee Description + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $4.90 $3.43 $43.00 $6.00 $s7.33 Total Value of Project Date Paid 9t20t0s 9t20t0s 9t20t05 9t20tos Receipt Number 2200s00000000001299 2200s00000000001299 2200500000000001299 2200s00000000001299 Fees Paid 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. 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 Ptee2 of2 Date Keourreo lnsDecttons I 2?,5 Fifth Street Springfie{d, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000001299 Date: 0912012005 3:06:25PM Job/Journal Number coM2005-01065 coM2005-0106s ccM2005-01065 coM2005-01065 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Adminishative Fee Amount Due 43.00 6.00 3.43 4.90 Item Total:$57.33 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received I C rleck BUILDERS ELECTRIC llh 92694 By Mail $57.33 Payment Total: ---Sffi 1 't 9/20/200s Page I of I tmalD Amount Paid