HomeMy WebLinkAboutPermit Electrical 2006-9-11
225 Fifth Street
Springfi~ld, Oregon 97477
541- 726-3759 Phone
.
.. of Springfield Official Receipt
elopment Services Department
Public Works Department
Job/Journal Number
COM2006-01165
COM2006-01165
COM2006-01165
COM2006-0 1165
COM2006-0 1165
Payments:
Type of Payment
Check
Cash
Job/Journal Number
COM2006-01165
COM2006-01165
COM2006-01165
COM2006-0 1165
COM2006-0 1165
.
Payments:
Type of Payment
Check
Cash
,
cRcceint I
RECEIPT #:
10:11:24AM
2200600000000001259
Date: 09/11/2006
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
63.00
6.00
3.45
5.52
6.90
$84.87
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
OREGON ELE~TRIC SERVICE nJm
nJm
20028
$81.42
$3.45
$84.87
In Person
In Person
Payment Total:
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due.
63.00
6.00
3.45
5.52
6.90
$84.87
Paid By Received By
OREGON ELECTRIC SERVICE nJm
nJm
Item Total:
Check Number Authorization
Batch Number Number How Received
20028 In Person
In Person
Payment Total:
$81.42
$3.45
$84.87
Amount Paid
Page I of I
9/11/2006
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
. CITY OF SPRINGFIELD
Building/Combination PermU
PERMIT NO: COM2006-01165
ISSUED: 09/11/2006
APPLIED: 09/11/2006
EXPIRES: 03/11/2007
VALUE:
Receipt Number
2200600000000001259
2200600000000001259
2200600000000001259
2200600000000001259
2200600000000001259
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,
$6.90
$3.45
$5.52
$6.00
$63.00
9/11/06
9/11/06
9/11/06
9/11/06
9/11/06
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
$84.87
I Plan Reviews I
ReQuired InsDections .
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 ComIpunity 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
Page 2 of2
Date
/,
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01165
ISSUED: 09/11/2006
APPLIED: 09/11/2006
EXPIRES: 03/11/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3700 COMMERCIAL AVE
ASSESSOR'S PARCEL NO.: 1702311200700
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION:
New service and two circuits
TYPE OF USE: New Commercial
. u to
,f. (}'gcc:n law reql1lres yo .'
/... i .~, ',- :_ ,', ",--.:, : h,/ '(;'le Cregon Utility
\u .IV" .~.. . -hose rules are set lUI U \
Notification Center. I , OAR 952-001-
. AR 052-001-0010 through ,
In 0 oJ obtain copies of the rules by
0090. You may .. . L_. ~l~~ t.....lonhnnA
ca\linq tne cellllJl. \"~'u"i't Notification
I CONTRACTOR ll'oj"U~M^ln@IN)llthe.Oregon tl ~~344).
, Center IS 1-800-332
License Expiration Date Phone
161518 09/28/2006 541-343-1681
Owner:
Address: '
DIAMOND STREET INVESTMENTS LLC
PO BOX 783
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor,
OREGON ELECTRIC SERVICE
I BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft Ist Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: NOr. Sq Ft Basement:
Range Type: ',ICE. Sq Ft Garage/Carport
Energy Path: THIS PERMIT SH;,SSI F~Rther:: '
Sprinkled Building:AUTHOR,If!~D UNfPccup.fJt~olfa;rHE WORK
r'nAH......__ tli IHIS PJ:DAA'-r-.~ .,..
I DEVELOPMENT INFORMJ\,T'iQ~'~i~~ ~EH I~ ABANDONED 'FOR'vu,
:,' ,R/OO. REQUIRED PARKING
\!
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
, Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
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