HomeMy WebLinkAboutPermit Electrical 2005-07-14Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-36768ax
541:726-37 69 Inspe ction Line
OFS
Building/Combination Permit
PERMIT NO: COM2005-00679ISSUED: 0711412005
APPLIEDz 0610712005E)?IRESz 0111412006
VALUE:
SITE ADDRESS: 143 21ST ST
ASSESSOR'S PARCEL NO.: 1703364202700
PROJECT DESCRIPTION: Add 7 Circuits for Glory Days
Springfield TYPE OF
TYPE OF USE:
Electrical Work Only
Addition Commercial
Owner:
Address:
Contractor Tvpe
Electrical
PARAMOUNT CENTER LLC
PO BOX 26125
EUGENE OR 97402
Contractor
C & S ELECTRIC
License
3849
Expiration Date
09i01/2008
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Se1p5t'519fi&[d:Oreg on law req uires You to
Special I"f&rU[lqUtes ad o pted by the Orego n Utitity
n center.Th ose rules are set torth
Notificatio
01-001 0 through OAR 952-001'Notes:in OAR 952-0
es of the rules bY
calling the center. (Note:
numb er for the Oregon UtititY
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkhd
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Vo ofLot Coverage:
Sq Ft
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
DownspoutMDrains
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Center is 1-800-332-
Tvpe of Construction Square Footage
or Bitl AmountDescriptionor muhiplier
I of 2
Value Date Calculated
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OF SPRIN
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
Buitding/Combination Permit
PERMITNO: COM2005-00679ISSUED: 0711412005
APPLIED r 0610712005E)GIRESz 0111412006
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount
Amount Paid
$6.10
$4.27
$43.00
$18.00
$71.37
Total Value of Project
Date Paid
7n4t0s
7fi410s
7n4l0s
7tr4t05
Receipt Number
1200500000000001007
1200s00000000001007
1200500000000001007
1200s00000000001007
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.
Reouired fnsnections
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 certiS that any and all work performed shall be done in accordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPAI\CY will be made of any sfructure 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 wil remain on the site
at all times during construction
Owner or Contractors Signature
2of2
Date
saLIllD
LL-
r ees ralo I
225 Fifth Street
Springfieid, Oregon 97 477
541-726-3759 Phone
city of Springfield Official Receipt
,velopment Services Department
Public Works Department
RECEIPT#: 1200500000000001007 Date: 0711412005 2z55z22PM
Job/Journal Number
coM2005-00679
coM2005-00679
coM2005-00679
coM2005-00679
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ llYo Adminishative Fee
Amount Due
43.00
18.00
4.27
6. l0
Item Total:$71.37
Payments:
Tlpe of Payment
unecKNumD€r Aumonzauon
Paid By Received By Batch Number Number How Received Amount Paid
Check C & S ELECTRIC uh 6929 By Mail $71.37
Payment Total: $71.37
'1
7/14/2005 lofl
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