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Home My WebLink AboutPermit Electrical 2007-10-9 Cc INITIALS hll"-^- DATE \0 - \0 - Or SOURCE .b^ -r 3 ~-? ) ZON SPRINGFIEt-D 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT ~PLIC~TJ.9N City Job Number COIAA zt:>O 7 - () I !>_{.)-I Date \ 0,' (y~ - 0', 3. 1. 3 752. J:V ~/ltV !tft'{}v'AL ~.t: LEGAL DESCRIPTION: /703' 5 :s z.. t11ete./ (p, 0 II 00 JOB DESCRIPTION: A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 FA A t\k Vf~f t:'vJ,g .s Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $ 21.00 $55.00 B. 2. sC,.\~ PG1.6 AutJ {VI $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 2{)0 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps _ Phone 'Yj 'J- ~ffj - Lt S" b fo Over 1000 AmpsN olts . Reconnect Only ATTENTION: Oregon law requires you to 1...\ \\ L- A follow r~1 'D trl Notification ] Dc in OAR 954:..o.QJi~JOth~~u.9h OAfl.9~2-Q,01- .- I - 0 ~ 0090. YouWlsAroOlmli1!o~MW~ffhtef8fBY'MY calling th'S<Mnwt.or(~e: the telephollf' "/ b(('6'-1 number f@0n~~Wiiit, Notification Ctm4ef.."~ t8eOEGSa.~344). Electrical Contractor p~ /l; '01-. Il-l~i Address -> SOIIem City Supervisor License Number Expiration Date $ 55.00 $ 76.00 $110.00 Constr. Contr. Number 10 ~ IL.'- 07 Expiration Date Over 600 Amps or 1000 Volts see "B" above. D. Signature of Supervising Electrician ,/J/ /J / II.o.....J New ~lte~ation or Extension Per Panel Lk4V'1J. / ~~ One CIrCUIt , ~ ~ ::;It/I!!> Each Additional Circuit or with IA} ( O. "'_ ,~j.- .- _ L"" Service or Feeder Permit Owners Na e jJ16 ~ r Address ':pt:;) ~iJ,x II 7 Sc>8 E. City CIVL.o..OL:r~"'. -r~ Phone , .,.SOI\ OVVNERINSTALLATION $ 48.00 $ 4.00 Pump or irrigation $ 55.00 NOTI~n!Outline Llihti)(P\RJ; \f THE-Wrn~1( $ 55.00 THIS PEJfiMll ~pt~Al~I~ERMIT \S NOJ $ 28.00 AUTH~fJlAh~:18oIBW~tl~NED roat- $ 50.00 S"o,o,') C~~Q~ ~&.H'tnspection Fee is $50.00 + Surcharges AM! 5/). ,,')0 8% State Surcharge ~ {"\ 9 10% Administrative Fee .5 5% Technology Fee t 3~ /() ~/Y- ~ The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: TOTAL Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc otlJ ,:;.'" '* V~LV (,\,;\-\'V)rJ ,:, ~ ODD:> .0.:> ~~ '* . . .. totet.( J5y .00 -f ~VAL per""'l t- 4i l ~b...t'./ ~ \')'2.... e,.-..:;) - ~~I-' .-0ll' p~ ..{l.p vtt:vv" J(' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01520 ISSUED: 10/09/2007 APPLIED: 10/09/2007 EXPIRES: 04/09/2008 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3752 INTERNATIONAL CT ASSESSOR'S PARCEL NO.: 1703153201100 Springfield TYPE OF WORK: Commercial MisceIJaneous TYPE OF USE: New Commercial PROJECT DESCRIPTION: Fire alarm system Owner: MOTEL 6 OPERATING L P #418 Address: PO BOX 117508 CARROL TON TX 75011 I CONTRACTOR INFORMATION I Contractor Type Fire Contractor Low Voltage Electrical Contractor SALEM FIRE ALARM INC SALEM FIRE ALARM INC License 76884 76884 Expiration Date 10/12/2009 10/12/2007 Phone 503-364-4566 503-364-4566 BUILDING INFORMA TlON , # 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 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: SprinkledrBuilding'N' OreOOl.,./:::!lW reqlo.-<lN1p'~ ~ad: /-"" : t:l\i 11<:<1 '. :-,'~, l;:" ~k~ ,",_"n/,,\n 'Itility I DEVELOPMi&r~i:NjQi.{~1EJONhI~~ rules are set forth in OAR 952-001-001 U tnrou.gh OAR 952RiQ1,UIRED PARKING Y ay obtain caples of the rule~s6Y Overlay>IDlQt.:. au m. te (Note: the telephalflbll: # S roi".J;l\lln.@J.Iile can r. ., ..u'..-l' d treet l'reeS' R!~rdr the Oregon Utility NotlflCa.ll'UJtdCappe : Paved DAVPWliEUenter is 1-800-332-2344). Compact: % of Lot Covera'~e: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: '-NO~\<-. 'R~ \f 1\\t \S ~O\ ~O~~~~lA\'t $'ti~\$I'~~~~ .0\\ . \~'n\O~\lE{) U O~ \S ~~f\~{) ~O\'J\\'J\E~CE~ ~f.~\OO. ~~'l ~ coO {) Pa2:e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01520 ISSUED: 10/09/2007 APPLIED: 10/09/2007 EXPIRES: 04/09/2008 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 8,000.00 Value Date Calculated Description Type of Construction Total Value of Project $8,000.00 $8,000.00 10/09/2007 Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge FLS Safety Systems Review Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $124.50 $50.00 10/9/07 10/9/07 10/9/07 10/9/07 10/9/07 2200700000000001565 2200700000000001565 2200700000000001565 2200700000000001565 2200700000000001565 Total Amount Paid $186.00 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. Reauired Insoections I Low Voltage: Prior to cover. 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 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 Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01520 COM2007-0 1520 COM2007-0 1520 COM2007-01520 COM2007-01520 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001565 Date: 10/09/2007 Description FLS Safety Systems Review + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By SALEM FIRE ALARM Item Total: Check Number Authorization Received By Batch Number Number How Received djb 11454 In Person Payment Total: Page 1 of I 2:49:21PM Amount Due 124.50 2.50 4.00 5.00 50.00 $186.00 Amount Paid $186.00 $186.00 10/9/2007