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Home My WebLink AboutPermit Electrical 2006-4-20 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01678 ISSUED: 04/20/2006 APPLIED: 12/0112005 EXPIRES: 10/20/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220001000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Feeder & Circuits to Pepsi Truck Owner: PEACE HEALTH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/2007 Phone 541-485-0922 BUILDING INFORMATION I # 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: nla I DEVELOPMENT INFORMATION I Frontyard 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: Street Improvements: I PUBLIC IMPROVEMENTS' Sidewalk Type: A6ITE!\: Ii:....;. . - '~'\ ,~ . ~ ~ ~ uL.: LV toIlO'}I.' R~~~~p~!!!JtP!aj?s;:~,~ C. ",~,,,, t t:'r:"V Notiiication CznLcr. -,-has 2 ru:..:"'~ ;~.,~ :~,,~i i'ulll" in OAR 9S2-QOi-CO'il t:'rourh O,\I~ f:j'~.'),J i 0090. You may obtain copies of tho rub; :) ., _ _ _.1>._.. ''''I_.a._. ...t....... .."'I........'........... Storm Sewer Available: SpeciallnstrlMlilibl C E: THIS PERMIT SHALL EXPIRE IF THE WORK Notes: AUTHORIZED UNDER THIS PERMIT IS NOT , ,_..~~~ nn 'I' ^O^~lnnf\lI:n FOR lJUIYIlYI...."vl........ ~.. .- ANY 180 DAY PERIOD. Description Tvpe of Construction .............::/ ...- ~_. ".. .. , . I Valuation Descrint"o Ilumber for the Oregon Utility Nolifloutlon I n Center is 1-800-332-2344). $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Paee I of2 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 + 7% State Surcharge Add, Alter, Extend Circ Ea Add . Perm ServlFdr 200 amps or less Total Amount Paid . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01678 ISSUED: 04/20/2006 APPLIED: 12/0112005 EXPIRES: 10/20/2006 VALUE: Total Value of Project [..1<....., PlIW Amount Paid Date Paid Receipt Number $8.70 4/20/06 1200600000000000520 $6.09 4/20/06 1200600000000000520 $24.00 4/20/06 1200600000000000520 $63.00 4/20/06 1200600000000000520 $101.79 I Plan Reviews I 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project. I further agree to ensure tbat 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 Date Paee 2 of2 225 Fifth Street . , Springfield, Oregon 97477 541-726-3759 Phone · 1Ii-~ City of Springfield Official Receipt eelopment Services Department ' Public Works Department Job/Journal Number COM2005-01678 COM2005-0 1678 COM2005-0 1678 COM2005-01678 Payments: Type of Payment Check cReceintJ RECEIPT #: 1200600000000000520 Date: 04/20/2006 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 93442 By Mail Payment Total: Page 1 of 1 12:16:41PM Amount Due 63.00 24.00 6.09 8.70 $101.79 Amount Paid $101.79 $101.79 4120/2006