HomeMy WebLinkAboutPermit Electrical 2009-8-25 (2)
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Status
Iss u ed
CITY OF SrKll'l"'J'IELD
Building/Combination Permit
PERMIT NO: COM2009-01251
ISSUED: 08/25/2009
APPLIED: 08/25/2009
EXPIRES: 02/25/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 223 A ST
ASSESSOR'S PARCEL NO.: 1703353203000
. Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Disconnect and reconnect roof top units
Owner: SPRINGFIELD UTILITY BOARD
Address: 250 NORTH A ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical.
Contractor License
NEW WA Y ELECTRIC INC 51088
. BUILDING INFORMATION:!
Expiration Date
06/27/2011
Phone
541-686-2365
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: .
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive R,qd: .
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Sidewalk Type:
ATTEBwO'~'rJI~~cfr~il'~w requires you to
loilow 'rules adopted by the Oregon U~i:ity
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
(\(\()(\ VJ"\ll rn~\1 nhtJ:l.in rnnjpc::; of thp. rtJ!P.!=; bv
NOTICE' I I cailing the c'enter. (Note: the telephone
. SHAll EXPIRE IF THE'll OV,liluation Description ~ number for the Oregon Utility Notification
THIS PERMIT ER THIS PERMIT IS NU I Center is 1"800,332-2344).
^r IJH.nRIZED ~ND $ Per Sq Ft Square Footage
Des'crmtlOn CEO Yr!I'i<!lf,{lpoystnfff!@)FOR.lt'I'B'dAtvalueDateCalculated
COMMEN n v n "Ni:J' or mu 'p .er or I moun
ANY 180 DAY PERIOD,
Pa2e I 00
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01251
ISSUED: 08/25/2009
APPLIED: 08/25/2009
EXPIRES: 02/25/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$55.00
$3.00
$2.16
$0.90
$t8.00
8/25/09
8/25/09
8/25/09
8/25/09
8/28/09
8/28/09
8/28/09
2200900000000000962
2200900000000000962
2200900000000000962
2200900000000000962
2200900000000000981
2200900000000000981
2200900000000000981
Total Amount Paid
$88.92
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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: .
I Reol ired Illsnections I
,11..'111 ,
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 ~ompleted 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
~:;:::'dt:r:n h::n:rZ2;i:t~:r~ is located at th. e front of the property, and the approved~set Of0Plans will remain on the site at.all
!p' / 7 cPi tJ9
~i/; '^- 1'Z-?' zf; I
Own~r or Contract~rs Si~nature - . . Datt .
Paee 2 of 2
tiF~.~
225 Fifth Street .
Springfield,. Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0125 I
COM2009-0t25t
COM2009-0 125 t
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200900000000000981
Date: 08/28/2009
Description
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ t2% State Surcharge
Paid By ,
NEW WAY ELECTRlC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJffi
208t?
In Person
Payment Total:
Page I of I
1:35:38PM
Amount Due
18.00
0.90
2.16
$21.06
Amount Paid
$21.06
$21.U6
8/28/2009