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Home My WebLink AboutPermit Electrical 2003-7-10 . . CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2003-00608 ISSUED: 07/10/2003 APPLIED: 07/10/2003 EXPIRES: 01/1012004 VALUE: Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 440 A St ASSESSOR'S PARCEL NO.: 1703353102800 Springfield TYPE OF Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Low Voltage for data communications Owner: MCKENZIE ENTERPRISES INC Address: PO BOX 806 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Owner Contractor License CASCADE COMMUNICATIONS SERVICES 1128011 MCKENZIE ENTERPRISES INC BUILDING INFORMATION I Expiration Date Phone 03/30/2004 541-736-0664 # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS 'DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Street Sidewalk Type: Downspouts/Drains Storm Sewer Available: Special Instruction: JTEN110N:uregon law requires you. 1,0 f~1I0W rules adopted by the Oregon Utility Notification Center. Those ru~e~:~ 9S;~.~~~ . OAR 952.ooHl010 throug b ~090 You may obtain copies of the rules Y cailing the center. (Note: the Ntel~~:~~n numberforthe Oregon Utility 0 I Center is 1-800-332-2344). I of 2 NOTICE: THIS PERMIT SHA AUTHORIZED UNDi~ EXPIRE IF THE WORK COMMENCED OR IS A;H/S PERMIT IS NOT ANY 180 DAY PERIOD. ANDONED FOR Notes: 'liiTji . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00608 ISSUED: 07/10/2003 APPLIED: 07/10/2003 EXPIRES: 01/1012004 VALUE: Status Issued 225 F:ifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.F..... Pair! I Fee Description . + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid $4.50 $3.15 $45.00 7/1 0/03 7/10/03 7/10/03 Receipt Number 1200200000000001738 1200200000000001738 1200200000000001738 Total Amount Paid $52.65 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. I Relluir..r! In.n..r.t.ilwLJ 1 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 Springfietd 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. ~~ (r;' Owner or Contractors Signature 7Ito/-:J., I Date Page 2 of2 ~ .- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ,"io9 \oilO" ELECTRICAL PERMIT APPLICATION b"'i\\OO"tz"\~=OO sO <Y 1/ / J . \ as SU neCI1IC City Job Number L)) rYl1bo::, -f::()dJ I) Date 10' .._",\09 ?IO\OC 0\ (O~uile s, I ,\ne v.... d OUt:lS f\ , !l aO 1. LOCA110N OF INSTALLA110N 3. COMj9~1SFEE SCR' E 0 . a toOi09 '1~,I' eft LEGAL ~E~~JP'~~ c)f(~e. +- A. Ncw R~fdcntial5ig'Watl!I@ ~Iling unit. 'r ~~t\~d. _'Tt:;)-f",' f'}t O(~(') n Service 1~c1uded JOB DESC)UPTION 1000 sq. ft. or less $106.00 ..J . . .~ch additional 500 sq. ft. or In~")-f~1 { u:;;rf-;:l, {('J/'Y1mUV7(C~i((.)(jillrtionthereof $19.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if ,.,'ork is Suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor (I~;;;v/~ (l()r'Y/ 1rOvc:.... .:S t- . t{-f<,'1Y" City C2,{';Jrrfs PASS Phone ,)Lf./- Lf7Lf.~! Address j5:( f' ;{ A /J(')l.J 1(' I L Expiration Date :(;n~ '1::fI::fD 10/ t../ I I:JWII Supervisor License Number Constr. Contr. Number Expiration Date s ) 0.5" , Signature of Supervising Electrician _M, ell 1 t Mn) G(' LA V-- Owners Name ."'if:rl~ or O{CJon Address tJl../.{) . A' ~-/ 6.~("'_f"""' City Y({f}5r;~ (r1 Phone OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or F d A'I ,-,..\I IIOI,,:uregul",IW ,,,quh~. $50.00 ee er .' Ut 'ollow rulGs adoptGd by the Oregon I B. S~QtifS~jtrrR.~~d$t:s:.tdnsfallati6n~'Altera~io.f~'t"?r' ~eloca tioll: . OArl 952.001-0010 tn:ou()il ,)AI \'b<:-(" 200 .\Cnps or,less ma" obt.,in copics oj tI$'63',dor, vU~U' ,........ .) 20 I AmpJ<]Ri~Q?tAl]1l's}nter. (Note: the le'$l.f.5'of 401 AI1)Pal\ql6.90'~pse Oregon U':Ii'\I WiiiS'OdC' __ _./o.~..' -: """"(\,"".1/ -n,'II\ 601 Amps to 1000-Amps'< ' $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over<<6~.or 1000 Volts see "B" above. D. Brmi~ rpflil{.lfT SHALL EXPIRE IF THE WORK New AUfmJPllmHIN'lJffi fF/J3''P'ERMIT~~~T One COOMMENCED OR IS ABANDONED . Each ~tt l6i . I'dif. Service or ~~erift~. $ 3.00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation Sign/Outline Lighting Li~ited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 I $45.00 L/.<)'OQ Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE Lf5 bO ~,IC; 0.50 S-;;'(6 7% State Surcharge 10% Administrative Fee TOTAL Shan..-'d DriVi.'(T:)/Building Fonns/Elcclrical Pennil Application I-OJ.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00608 COM2003-00608 COM2003-00608 Payments: Type or Payment CreditCard Wit~~.,',i, "_n.'. _ ,. , . , . , - , - -~'.. ~ -, , ~', " Receipt #: 1200200000000001738 Description Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Check Number Batch Number Authorization Number Paid By Received By CASCADE COMMUNICATIONS ddk 000117 010440 City of Springfield Official Recejpt Development Services Departm~nt Public Works Department, Date: 07/10/2003 8:48:42AM Amount Paid Item Total: 45,00 3,15 4,50 $52.65 How Received Amount Paid In Person Payment Total: $52,65 $52.65 . .