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Home My WebLink AboutPermit Electrical 2007-11-2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:SPATE@ADT.COM Receipt # EC519870 11/2/20072:02:23 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I I D New construction IX] Addition/alteration/replacement 11,000 sq. ft. or less I Ea. addl 500 sq. ft. or portion I-Limited energy, residential (with above SQ. ft.) I-Limited energy, multifamily residential (with above SQ. ft.) I~S~~iC'~UIi~e;;ders'installifihn;/alteration;AND/OR' relo~ation . 'r/^"nttKXh0KW'M{:":';::'AY}f "- ,:-':,,':0_ P -.' (;: - i::,~-':' .'- :";. ":." -'::', t<^^." ;"i:,,"':'''' ,,,,"~:' x,',: :"~~ ',^' _<,~ 'i:""":^':,'-',:.:Y-'< <"". l'" c.".,.'~ _ _ 1200 amps or less I 20 I amps to 400 amps 140 J amps to 599 amps D I or 2 family dwelling D Multi-family [XI Commercial/Industrial I I Job no.: 283-04784-1 I Job address: 1126 GATEWAY LP I City/State/ZIP: SPRINGFIELD, OR 97477-7723 I Suite/bldg.lapl.no.: I Project name: FARMERS INSURANCE Cross street/directions to job site: Subdivision: I Lot no.: 1200 amps or less 1201 amps to 400 amps 40 I amps to 599 amps '~ra~ic~~~~~~!!S\~;NE",~lI\tmtihW, ~O\R;~.x~~~$liln;"plr;p~~el' A Fee for branch circuits with above service or feeder fee, each branch circuit B. Fee for branch circuits without service or feeder fee, first branch circuit; I each addl branch circuit Tax map/parcel no;: 1703222002413 BURGLAR ALARM I Name: JOHN I Phone: (541) 726-9999 IEmail: I I EI. lie. no.: 26-209CLE I CCB lie. no.: 59944 I Business Name: ADT SECURITY SERVICES INC I Contact: KEN KRAUS IAddress: 2815 SW 153RD DR I I City/State/ZIP: BEA VERTON OR 97006 I Phone: (503)4697212 I Fax: (503)4697114 I Email: SPATE@ADTCOM I Metro lie. no.: I City lie. no.: ! Supervising electrician's lie, no.: IFax: I Service reconnect only I Each manufactured or modular dwelling. service and/or feeder 1 Pump or irrigation circle I Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. I I I $55.00 I $55.00 not offered online at this jurisdiction I-'i: 'tnk%?'::~<;':'S<<M:>'"'!"" \ ,::,< I I I I * City Of Springfield ElECTRICAL5PERMITFEES..'.J. I Subtotal $55.00 I State Surcharge (8% of permit fee) $4.40 I City Of Springfield fees * $8.25 I TOTAL PERMIT FEE $67.65 I 10% Local Admin Fee; 5% Local Technology Fee Supervising electrician's name: Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. COM: d (J7J 7 - ()J 0..5, 0 RCPT #: 3:2.Jl:su 7 - 73..1/ , DATE PROCESSED: 1/ /C'2.)Ch PROCESSED BY:~ 1 . This Authorization To Begin Work must be posted at the job site until rtplaced~~ Permit. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1126 Gateway Lp Ste 110 ASSESSOR'S PARCEL NO.: 1703220002300 PROJECT DESCRIPTION: Burglar Alarm Owner: NA THAN R PHILLIPS Address: 30169 LEBLEU ROAD EUGENE OR Contractor Type Electrical Springfield CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01636 ISSUED: 11/02/2007 APPLIED: 11/02/2007 EXPIRES: 05/02/2008 VALUE: TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial Contractor ADT SECURITY SERVICES INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I CONTRACTOR INFORMATION I License 59944 Expiration Date 05/07/2009 Phone 541- 736-4973 BUILDING INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm stAJ"e1~h~~ie9regon law requires you. ~O Special fQYfPNc'ii~R:S adopted by the Oregon Utility Notification Center. Those rules are set forth Notes' in OAR 952-001-0010 through OAR 952-001- . 0090. You may obtain copies of the rules by .:..:.:{;-,; it;.: 38FltSF. (~I:,~:" ."'i-W1~rh..ftft number for the Oregon Utility Noti I~llon . . Center is 1-800-332-2344), Valuation Descn # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Description Type of Construction REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AIITI-InRI7Fn IINnER THIS PERMIT IS NOT LlUIV ENCED OR IS ABANDONED FOR t 80 DAY PERIOD. $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Pa!!:e 1 of 2 Value Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01636 ISSUED: 11/02/2007 APPLIED: 11/02/2007 EXPIRES: 05/02/2008 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 Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $5.50 $2.75 $4.40 $55.00 11/2/07 11/2/07 11/2/07 11/2/07 3200700000000000734 3200700000000000734 3200700000000000734 3200700000000000734 Total Amount Paid $67.65 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. LReouired Insnections I Sign Electrical: After connection is made but prior to energizing 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 Paee 2 of2 225 Fifth Street Spr~pgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1636 COM2007 -01636 COM2007-0 1636 COM2007-01636 Payments: Type of Payment ONLINE CHGS cReceint] RECEIPT #: Description Sign - Outline Lighting Each + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 3200700000000000734 Date: 11/02/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE ADT Online Payment Total: Page 1 of 1 3:45:23PM Amount Due 55.00 2.75 4.40 5,50 $67.65 Amount Paid $67.65 $67.65 11/2/2007