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HomeMy WebLinkAboutPermit Electrical 2005-11-21 (2) . . CITY OF SPRINGFIELD Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01504 ISSUED: 11/21/2005 APPLIED: 10/25/2005 EXPIRES: OS/21/2006 VALUE: SITE ADDRESS: 4531 Franklin Blvd Laundry ASSESSOR'S PARCEL NO.: 1703344400301 Eugene TYPE OF Electrical Work Only TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Replace Panel in Laundry Owner: SHAMROCK VILLAGE Address: 4531 FRANKLIN BLVD EUGENE OR 97402 '~U" lKACTO... mrulU,lATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 Expiration Date 09/0112008 Phone 541-741-2236 , BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Notes: IPUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires you to fr.llnw ",Ip'~ adopted by the Oregon Utility Storm Sewer ~vallable: _ 1 rth S . I I tr"n';'I'ro',on Center. Those rule~ are set 0 pecl1l ns uct on: in OAF: SS2-001-001 0 through OAR 952-001- ongQ Ys" m2V obtain co~ics 01 the rules by NOTICE: c .~. T- ("C~J: the telephone THIS PERMIT SHAll EXPIRE IFTHE WORK ". .... ........,"" .~~~NUI1ILtU UI1Utn InI~ rtnlVlI1 I~ I~UI ,I V aluation Descrinti~MENCED OR IS ABANDONED FOR AN.Y 180 DAY PERIOD. $ Per Sq Ft Squarell'ootage Tvpe of Construction It. Ii Bid Am t Value Date Calculated ormu Ip er .or oun Sidewalk Type: ~tf)\4 Street DownspoutslDrains I,' '.', Description 1 of 2 . . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2005-01504 ISSUED: 11/21/2005 APPLIED: 1012512005 EXPIRES: OS/21/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.FI'I's Paid I _: Fee Description + 10% Administrative Fee + 7% State Surcharge Service Reconnect Amount Paid Date Paid Receipt Number $5.00 $3.50 $50.00 11121105 11121105 11121105 1200500000000001741 1200500000000001741 1200500000000001741 Total Amount $58.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. Ail 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 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 wiD be made of any structure without permission ofthe Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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 wiD remain on the site at all times during construction. Owner or Contractors Signature Date 2 of 2 . 225 Fifth Street Sprinlifield, Oregon 97477 541-726-3759 Phone a:~RI!'I_~~.lIlLD ....."..' ~,._____. :~ Wic' - ..~ .: ~~ ' ".~.~, - Cty of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number C.oM2005-0 1589 COM2005-0 1589 COM2005-0 1589 COM2005-01589 Payments: Type of Payment qeck ~! 'i '. < :1 ~ ~I '. .< :1 11/21/2005 RECEIPT #: 1200500000000001742 Date: 11121/2005 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By C & SELECTRIC Received By llh I of 1 Item Total: Lheck Number AuUlorizaljon Batch Number Number How Received 12555 In Person Payment Total: 2:51:16PM Amount Due 3.64 5.20 43.00 9.00 $60.84 Amount Paid $60.84 $60.84