HomeMy WebLinkAboutPermit Electrical 2007-11-20
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01702
ISSUED: 11120/2007
APPLIED: 11/20/2007
EXPIRES: OS/2012008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4660 MAIN ST 150
ASSESSOR'S PARCEL NO.: 1702324200200
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Alarm System
Owner: HYLAND BUSINESS PARK LLC
Address: PO BOX 7867
EUGENE OR 97401
I CONTRACTOR INFORMATION'
Contractor Type
Low Voltage Electrical
Contractor
ADT SECURITY SERVICES INC
License
59944
Expiration Date
05/0712009
Phone
541- 736-4973
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 INFORMA nON I
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:
Street Improvements:
I PUBLIC IMPROVEMENTS I ATTENTI.ON: Oregon law requires you to
foll.~~id~!r~'If1!90~?-d by the Oregon Utility
~otlfl~allon 'Cenl;fr. Those rules are set forth
1/1 OADO:wii'spIJut~t(1~bugh OAR 952-001-
0090.. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available:
Special Instru~l.!1JtTI C E:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes:
l,J~nVI!ViLI~\.JCU un 10 f-IOf-lllJl".::'\:::': :-:':11
ANY 180 DAY PERIOD. r Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or ,multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
GPSUNGPlllLO
~ 'i ,'-
~
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01702
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
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
11120/07
11120/07
11120/07
11/20/07
3200700000000000765
3200700000000000765
3200700000000000765
3200700000000000765
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 be made the following
work day.
Reouired Insoections ,
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
/"
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INITIALS N't-J\.
DATE \\\~?llY7
SOURCE ~ . ~/J")
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRIC~PE~IT APP'LI~ATION
City Job NumbeqrJ771? . (J)7!J ~
1. ;:~:,
4~iO #?/hitl 5T. 5v;'rc; If IS?)
LJ1:E~~ ~
JOB DESCRIPTION:
ADT Job II:. df3-{/~7g-7'-1
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 ADTSecuEity
,Address 2815 SW 153rd Dr
City Beaverton OR
Phone503-469-7100
Supervisor License Number LEA389
Expiration Date ' 10/1/08
Constr, Contr. Number
59944
Expiration Date
5/7/08
Signature of Supervising Electrician
~
~~ 11/6/07
I ,
O.wners Nam~~ -fu "')t~ D<d5
~.~ Sa,L"nq, ~-AG E.
,i .flR/ (f)) Phone
OW sii{L~TION .
The installation is being made on property I own which
is not intended for sale, lease or rent.
gwners Signature:'
,
Inspection Request: 726-3769
3.
Date
A.
Service Included
1000 sq. ft.~T1~T'ON' 0,.. .' . I' . -" $117.00
Each addi~sm~qq,~g'l>fta' 8ro etgOdYibavv reqUireS you to
. 1M ' . 1;:;, p e y the Ore""r>rn hl<."
portIOn t'/'lf1:ffificatlon Cent TI- . W':"e I.\JUI/tv
. p ":.:rj - er. IV;:'~ I Ules are set forth
Each MaH1~tt:av~~~~er: -001? through OAR 952-001_
Modularlf5W~I~ng...servJ\lS' 0ri:tam. ?opies of tt"$:5I5Ul~s bv
Feeder Cdllll1g the center. (I'I/O!''''' the t I h ..
~. Ci." e eo one
B.
200 Amps or less
201. Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
\
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
c.
Inl~J~ti~f;arl~JTa8oM9!!:[!{f:1~t-i~ IF TH .
2(D,.(Ll) ~~P3/1~~l) UNDER THIS PCm~/T~~~/.g~K
. M/\/I[i.^'r"obl"l.D. '- I VI. IIJClT
2(1I\~mps t0V40UILh.I'IJ~ IS ABANftON'""u' 6'.t'l\,Y
46\'~mpBa 60~Y~RIOD. c FPiijo.oo
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
Pump or irrigation' $ 55.00
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial I $ 50.00 ~. C) 0
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4.
,S1J.oa
"I ~o
5.00
,;l . SO
0/~
8% State Surcharge ,
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive("L)/Building FormsfElectrical Permit Application 7-07.doc
225 Fift... Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1702
COM2007-01702
COM2007 -01702
COM2007-01702
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200700000000000765
Date: 11/20/2007
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ADT SECURITY SERVICES
Received By
njm
Page I of I
Item Total:
Check Number Authorization
Batch Number Number How Received
j
065090
In Person
Payment Total:
10:44:l1AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
11/20/2007