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Home My WebLink AboutPermit Electrical 2005-07-14Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676F.ax 541 :7 2637 69 I nspection Line Buildin g/Combination Permit PERMIT NO: COM2005-00753ISSUED: 0711412005APPLIEDz 0611712005E)PIRESz 0111412006 VALUE: SITE ADDRESS: 125 21st St ASSESSORS PARCEL NO.: 1703364202700 PROJECT DESCRIPTION: 200 Amp Service for Victory Outreach Springfield TYPE OF TYPE OF USE: Electrical Work Only New Commercial Owner: Address: Contractor Type Electrical PARAMOT]NT CENTER LLC PO BOX 26125 EUGENE OR 97402 Phone Number: 541-232-lll7 Contractor C & S ELECTRIC License 3849 Expiration Date 09/0u2008 Phone s4t-741-2236 CONTRACTOR INFORMATI ON # of Units: Primary Occupancy Group: Secondary Occupancy Ptimary Construction Type Secondary Construction # of Bedrooms: Frontyrrd Setbaclc Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacla: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Street Storm sewer AvafrIEENTION: Orego n law requires You to Special Instructidollow rules adopted by the Oregon UtilitY Notification Center. Those rules are set forth Notes:in OAR 952-001-0010 throug h oAR 9s2-001- btain co of the rules bY calling the center. ( number for the Oregon Center is 1-800 Type of Construction Sidewalk Type: Downspouts/Drains REQUIRED PARIflNG Total: Handicapped: Compact: $ Per Sq Ft or muhiplier Square Footage or Bid Amount )EVELOPMENT I NFORMATION PUBLIC IMPROVEMENTS Description lof2 Value Date Calculated a Status: Issued 225 Fifth Street, Springfietd, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I ns pe ction Line Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-00753ISSUED: 0711412005APPLEDz 0611712005 E)PIRESz 0111412006 VALUE: Fee Description + l0%o Administrative Fee * 7o/o Sttte Surcharge Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $6.30 $4.41 $63.00 $73.71 Total Value of Project Date Paid 7lt4l05 7n4t05 7n4105 Receipt Number 1200500000000001006 1200500000000001006 1200500000000001006 Paid 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. Electric Service: Approval required prior to utility company energizing service. ' 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 wrk described herein, and that NO OCCT PAI\CY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff that only contractors and employees who are in compliance witlt 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 lirom the street, that the permit card b locaGd 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 2of2 Date Reouired Inspections I 225Fifth Street Springneta, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT#: 1200500000000001006 Date: 0711412005 2:54:34PM Job/Journal Number coM2005-00753 coM2005-007s3 coM200s-007s3 Description Perm Serv/Fdr 200 amps or less + lYo State Surcharge + l0o/o Administrative Fee Amurnt Due 63.00 4.4t 6.30 Item Total:$73.71 Payments: Tlpe of Paprent Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check C & S ELECTRIC llh 6929 By Mail $73.11 Payment Total: $73.71 711412005 I of I *Ixarila