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