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Home My WebLink AboutPermit Electrical 2007-10-25 ZON 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELEl.a.KlC# PERMIT APPLICATION City Job NumbeU.rn UJO? -- () / S 9Y Date B. u ",l~~',1d 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to I 000 Amps Over 1000 AmpsN olts Reconnect Only 1. 5~ "",d c; L~~LJRI~r~ l 4 { g JOB DESCRIPTION: ~C~ U C> l+~j S"e c.\.L1/' ~ {J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Ace.. eS S. CD t\+ro \ City 00 ~ox (o'-f 5 f 'f' l h ~ ft d d Phone 1 <{ { ,J 4 L/. 3 Address Expiration Date ~~ LE,A. { D I 0 \ l:l 00 g . . l~l 51( o!>-/o g Supervisor License Number Constr. Contr. Number Expiration Date ( Owners Name .I - 105 <;13(11 0 G SlO~ ? ' Address ...::>537<:1 mClLel\l-z..l0 l/i'l?v-.; ('A2- E. City0 )0 rl-.- 0 (U Phone q It.{t7 OWNER INST ALLA TlON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: .,/' ,.. ,./..-------- --~ ~,:octiOo Reqoe,': 726-3769~~ -------..---...,-,--.,....- .-." .",--- ::)tl7J7 3. 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 $ 21.00 $55.00 $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. Inst.J.I1i61ifrt1t~goiHb't~Wci9RMires you to r61fow rules adopted by the Oregon lJ,ti~tY. 20<NbwJ?~cWi6T1'tenter. Those ruJ.S-G a~e; seffOr't'flO 20ln\WllRt9&;@1b~~1 0 through nAI195~Qij>fQO 40lOitiiqJs Y<IDG00IWstain copies of the rufiiJlSV>O OJ a the ceB rv "110 . . Glle lhone ve s or 1 , , !fjQ .~: . D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servic,e,?r Feeder Permit .', t .'" ..,< $ 48.00 $ 4.00 pump{_ati~ED OR IS ABANDOI~EDi~o SignJQ\.Jt>Jipel~ PERIOD. $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial 'K $ 50.00 5 0 , LJV Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. 5 0, en) 8% State Surcharge d. ' '5 () 10% Administrative Fee "7 ' 6IJ 5% Technology Fee 5. o-<J UJ/, So TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-07,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01594 ISSUED: 10/2512007 APPLIED: 10/25/2007 EXPIRES: 04/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 831 52nd St ASSESSOR'S PARCEL NO.: 1702332101219 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Limited Energy for Alarm & Camera Owner: 1-105 SECURE STORAGE LLC Address: 35379 MCKENZIE VIEW DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Contractor ACCESS CONTROL UNLIMITED License 167571 Expiration Date 05/0112008 Phone 541-741-2443 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: n/a I DEVELOPMENT INFORMATION 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 I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 ,_"I Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01594 ISSUED: 10/25/2007 APPLIED: 10/25/2007 EXPIRES: 04/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 10/25/07 10/25/07 10/25/07 10/25/07 3200700000000000708 3200700000000000708 3200700000000000708 3200700000000000708 Total Amount Paid $61.50 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 b~ made the following work day. L Reouired 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 Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01594 COM2007-0 1594 COM2007-01594 COM2007-01594 Payments: Type of Payment CreditCard cReceint I City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200700000000000708 Date: 10/25/2007 8:34:31AM Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 50.00 2.50 4.00 5.00 $61.50 Paid By MICHAEL A GIROUX Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 000000 In Person Payment Total: $61.50 $61.50 Amount Paid Page I of 1 10/25/2007