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Home My WebLink AboutPermit Electrical 2009-9-23 (2) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01413 ISSUED: 09/2312009 APPLIED: 09/23/2009 EXPIRES: 03/23/2010 VALUE: 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3.769 Inspection Line SITE ADDRESS: ' 175 W B ST ASSESSOR'S PARCEL NO,: 1703353201601 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New' Commercial PROJECT DESCRIPTION: Dental office remodel Owner: ISLAND PARK DEVELOPMENT LLC Address: PO BOX 7009 EUGENE OR 97401 I CONTRACT,OR INFORMATION I Contractor Type Electrical Plumbing Contractor GMD ELECTRIC INC . BAXTER PLUMBING & ROOTER LLC License 162191 169028 Expiration Date 11/19/2010 03/13/2010 Phone 541-726-8601 541-935,6696 I. BUILDING INFORMA TIONI # 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORM~TION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS 1 Street Improvements: . Storm Sewer Ayaila!Jle: ION: Oregon law requires you to Special InstruCtion:v rules adopted by the Oregon Utility Notification Center, Those rules are set forth Notes: in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: NOTICE: WOR~ ~~~H6~~~\6 ~~~~~ ~~~~~~~~TEIS NOl COMMENCED OR IS ABANDONED FOR ANY i 80 DAY PERIOD. Page 1 on Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 12% State Surcharge + 5% Technology Fee' Add, Alter, Extend Circ 'Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee 1st Appliance Fixture Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit P,ERMIT NO: COM2009-01413 ISSUED: 09/23/2009 APPLIED: 09/23/2009 EXPIRES: 03/23/2010 VALUE: I Valuation Descriotion I' $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project I J{ftm P:litlJ Amount Paid Date Paid Receipt Number $7,32 9123/09 3200900000000000665 $3.05 9/23/09 3200900000000000665 $55.00 9/23/09 3200900000000000665 $6.00 9/23/09 3200900000000000665 $11.76 9/25/09 2200900000000001094 $4.90 9/25/09 2200900000000001094 $79.00 9/25/09 2200900000000001094 $19.00 9/25/09 2200900000000001094 $186.03 I 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, l..Jl.eo II ire'\. T n ~mprt.ilwi.l Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover and including required testing, Final Plumbing: When all plumbing work is complete. . Paee 2 00 . Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01413 ISSUED: 09/23/2009 APPLIED: 09/2312009 EXPIRES: 03/23/2010 VALUE: 225 Fifth Street, Springfielll, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ofthe 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 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. //M' (( A5 ,;,-.- -- v Owner or on tractors Signature 9-d~-:'OJ Date Paee 3 of3 225 Fifth Street Springfield, Ore~o~_~2~2~_____ 541-726-3759 Phone -.---- Job/Journal Number COM2009-0 1413 COM2009-01413 COM2009-0 1413 COM2009-01413 Payments: Type of Payment CreditCard cRcceintl. RECEIPT #: Description 'Ist Appliance Fixture + 5% Technology Fee + 12% State Surcharge Paid By BAXTER PLUMBING 1f4~~~j4 IlL, .. City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001094 Date: 09/25/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 009435 In Person Payment Total: Page I of I 10:44:5IAM Amount Due 79.00 19.00 4.90 11.76 $114.66 Amount Paid $114.66 $114.66 9/25/2009