The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-3-31 ~~~SE!r~~!1I?'t.~~r ;;"._,' -~; ~. L\' 1 h ... CITY OF SPRINGFIELD' .,. Status Issued Building/Com~ination Permit PERMIT NO: COM2005-00368 ISSUED: 03/31/2005 APPLIED: 03/31/2005 EXPIRES: 09/30/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 525 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274305805 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Low Voltage - Data System Owner: Address: CENTENNIAL SHOPPING CNTR LLC 7831SE STARK ST STE 103 PORTLAND OR 97215 Contractor Type Electrical Contractor JEANNE MASSER law requires you,~O ATTENTION: Oregon tile Oregon UtIlIty I_,,\a~ ~dopted by . I_~ ,.,rp ~et 10rth iU!lv".- t r Ino~';.; ,''',-- 2-001- I CONTRACTORCINF0ljAilQff).0 ~;',ro~gh ~~~e9r~les by In Uf"'\' \ ~ roa obtdin cOpIes 0 I hone 0090. ,Yo~ic~g~fer. (\tiiJ'i,~~tW~~8ffion Phone ,~~I:~:~~xt17~~, oregon_~!~;t~/}~6 503-580-7500 BUILDING INFORMA TIONlfr IS 1-8UU # 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 I~~e:'CE.. Sq Ft Basement: Range !~f.~' . 1 SHALL EXPIRE~~ ~f-i~li.r,ilgf(~arport Energy p.ath:PERM\ . S pSg ~\tOtheI:i:JT . .,.""'17cDUNDEBJHI rrd.lllul> SprmkIed iBuddmg:~ nta Occupant-Load: '''::':~. nn'r' r:n (\Q I~ ARANDllNtU run I d IIVI\\/IL-I"~-- I DEVELOPME~fIi,JN:R~~~ l'l!Jl~uf' 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: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 ._~~e'lNg~lllii~., J~, t .~" . -t Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00368 ISSUED: 03/31/2005 APPLIED: 03/31/2005 EXPIRES: 09/30/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project . LFees paidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid $4.50 $3.15 $45.00 3/31/05 3/31/05 3/31/05 Receipt Number 3200500000000000114 3200500000000000114 3200500000000000114 Total Amount Paid $52.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day.' L Reouired Insoections I Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. /)" )'i?~ " Jf'~ U-'r o;-~~otraclors Slgoo!ore ~j3 /;;~ Date Paee 2 of2 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAf PERMIT APPLIc;ATfON > / /0./ City Job NumbeUJrr) W 5 -Q75 ~:/ Date J3 / ~ {;~R.s- ~ -", v~ 3. Sci1l{~MtEI:.;~~~SFf~,~l}~f()lY ~ /" d . (,~o... . ~-:). ,o&d' g,~C' . , .F.'. .,'. 1!:i i,/~,'. ~';;('<$\>..,T>.. .., ~ se:~:::~:al ~~.,e""!-~!~ti~~~~.~~,~'~~~liIlg~IIli!~i .~ n ~O' 1000 sq. ft. or less .\Il \. &{'I :t>; 06.00 Each additional 500 sq. ft. or\ ~~ ''6 ~ ~& portion thereof '\..J\ '\. $~if<e& Each Manufact'd Home or '\. ~~ "lS'tll ~~ Modular Dwelling Service or . \(~ ~O.OO feeder '\ New Alteration or One Circuit Each Additional Circuit or with <, L - Service or feeder Permit ~Y7 (;rPf24?t~ Address 7g ~ / S c::" SJl:kz-K- s r ~ /\f.2E. City f(;.-:? f (11'J1t:i..- Phone 9bl - OWNER INST ALLA Tio'/./5 ".';""....'........"....'...,. ...,...,.....'-... 1. ,LOCATION OFINSTAiUTION':' .5?::, 2> tu ~ 1'7 Ie n /7 /d ( LEGAL DESCRIPTJ"ON 3//,t.--~ ij k/ / , , JOB DESCRIPTION 9' 7}?? 7 ("4S#C:~ LJ/:) I~ tUJrL-n C/ Permits are non-transfera~nd expire if work is i- not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor ~ 5!zJn7 -;:; 1LrL/YJ Address ~7ts h.xlru./77 (7/.:5C City-7,({ & rn Phone {5lJ3 )SlItt--7.5ZJtJ / 9 7.}c ~ Supervisor License Number d~ - 397 CLe:- 7//h~ Expiration Date Constr. Contr. Number /,,;( 7 7 5 ~ Expiration Date ~ /;< 7 ~. ~ Signature of Supervising Electrician CY tL-#LA.P //n~4 C:", Name (;, rrillr>LJj ~ j The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 SPRIIIIOi"IELD r:: :;';:;:,-_:"-'="-':~:'" :',,'<?,':',,-:":,.-::::;:: B.~i~lt~~tio~: follow rules adopted by the Oregon Utility 200 AmPl\Rftm~tion Center, Tr"co rlllos$Jie.~t forth 201 AmPM<dR~~lt)01-001 0 thrnlloh ~~@52-001- 401 Amp~)\?s699~~ay obtain cODies ofSl~JOOes bv 601 Amps to::;1:000~center. (Note: the $tt~lPne Over 1000 n\1m'P~01ls1r the Oregon Utility ~g.~tion Reconnect Only Center is 1-800-332-23f~))..00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1 000 Volts .s~e~'J?7 D, $ 50.00 $ 69.00 $100.00 Per Panel $ 43.00 $ 3.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 71's .fJtJ / Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 7% State Surcharge 10% Administrative fee 4:S < 6V -::;' ./5 , "l,So Jf 6';;;>-. &5 TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03,doc 225 Fifth Street ,Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt lelopment Services Department Public Works Department Job/Journal Number COM2005-00368 COM2005-00368 COM2005-00368 Payments: Type of Payment Check j] 3/31/2005 RECEIPT #: 3200500000000000114 Date: 03/31/2005 Description Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By CUSTOM TELECOM Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 2734 In Person Payment Total: Page 1 of 1 8:52:24AM Amount Due 45.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65