HomeMy WebLinkAboutPermit Electrical 2004-08-06Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa'x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-0097 4ISSUED: 0810612004APPLIED: 08/0612004
EXPIRESz 0210612005
YALUE:
SITE ADDRESS: 1611 18TH ST
ASSESSOR'S PARCEL NO.: 1703253107701
PROJECT DESCRIPTION: Add Circuits.
Owner: MCKAY INVESTMENT COMPANY LLC
Address: 2350 OAKMONT WAY EUGENE OR 97401
Springfield TYPE OF WORI(: Electrical Work Only
TYPE OF USE: Alteration Commercial
Contractor Type
Electrical
Contractor
CHRISTENSON ELECTRIC INC
License
4s8
Expiration Date
0st0u2007
Phone
54r-688-6r21
CONTRACTOR INFORMATION
m
# 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:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sq
6
{so
Type:
Downspouts/Drains:
PARI(NG
#of
Path:
Sprinkled Building:nla
Overlay Dist:
# Street Trees
Paved Drive
oh of Lot
\o\
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
\6
Description Type of Construction
Total Value of Project
Value Date Calculated
\
$
Valuation Description I
F
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00974ISSUED: 0810612004APPLIED: 08/0612004
EXPIREST 02106/2005
YALUE:
Fee Description
+ l0oh Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$4.60
$3.22
$43.00
$3.00
$53.82
Date Paid
8t6104
8t6t04
8t6t04
8t6to4
Receipt Number
2200400000000001019
2200400000000001019
2200400000000001019
2200400000000001019
Plan Reviews
To Request an inspection call the24 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.
Reouired Insnect
By signaturer l 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 OCCUPAITCY 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
Page2 oI2
Fees rard
.225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200400000000001019 Date: 0810612004 3:12:13PM
Job/Journal Number
coM2004-00974
coM2004-00974
coM2004-00974
coM2004-00974
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0o/o Administrative Fee
Amount Due
43.00
3.00
3.22
4.60
Item Total:$53.82
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check CHRISTENSON ELECTRICAL JMP 1070 In Person $53.82
Payment Total:
-5il67
81612004 Page I of I