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Home My WebLink AboutPermit Electrical 2007-12-10 SPRINGF!ELD ZON C CJ ~ tii INITIALS t--Jl"'---- ., A>!. , " DATE W, -\~_-dl .." SOURCE ~ 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)72&-3689 ELECTRICAL PERMIT APPLICATION City Job Number (\DvY'l1-5-o 1- D' \(,Oc /~ New Alteration or Extension Per Panel I ;'L/ 7 ~ 7 One Circuit I Each Additional Circuit or with V. .. {} _ fI Service or Feeder Pennit Owners Name 1r-nY\Ii, ~~i'.vl ~')~ . Address ~o "h--a,-V\JU LV) 'f:;;/';' f\. _0 #f E. Miscellaneous (Se-rvice/fce~~r_ !lot inc~_~dedr-Ench Installation (j' NI:{ CityM~. 1- Phone Pump or irrigation $55,00 Sign/Outline Lighting $ 55.00 OWNER ~EMLATION Limited EnergylResidential $ 28.00 The inst~1i5w i<r~N: ~[fufi\on )8;Wrb~8~lifcti ,~ Limited E&!QTt/:t95~ercial I $ 50.00 st). 00 IS not llN/ltffihflifd~cl1t!"b~?J.,%Y' n v, Dc ( , Minimu",m Elec,lHtI8e~PlMfl"'8vr.ll,Retl-i,<;,1Sll.lIO'F+ ~urchar es er. i~ose rul0s "c." , . ' , LL CN'IM!: I HE W K owner~OABJ~~2-001-001 0 through O.i\;,'>;, J ,_ 4.$~TO~~DER THIS PER TO 6 !f.:'Vbu m~~~.btai~ copies 01:' l' ; J " . 8% State ~.QM~CED OR IS ABANDONEQ-f:0n ~ 40 -'llAg tile wd,w," ,#0,,,., Hie lel-!V . 10% AdnflIllMr4tB@DAY PERIOD v '$. 00 number for the Oregon Ul'lrty j'j0;liic.,L" 5% Technology Fee . .:2, SV Center is 1-800-332-2344). :2!2 Inspection Request: 726-3769 TOTAL 0/ Shared Orive(T:)lBuilding FormslElectrical Permit Application 7-07.doc ]. LOCATIONOFINSTALLATION: 3. ~~/fv ~(j~~' 4(;'C( #/-., / 7fOAL ?ESCI)IfTION: 17 p '3 ~ '-f q'i D n, (JO b1-.0v 1f-1 r? fJ;1.h/?'1.Y i JOB ~CRIPTlON: ' U ADT Job II: o?rf3 - O-'lfu / - / 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor ADT Secul!ity 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 ZfZ:/~ Date 1?--lO~aJ COMPLETE FEE SCHEDULEBELOW A. Ne,,, Residel1tial- Sit!gle or Multi.Yamily per dwelling unit. Service Included 1000 sq, ft, or less Each additional 500 sq. ft, or portion thereof Each M~ufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. SeITices-or Feeders--IDstaUation~ AJterationsOf_Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 AmpSlo 1000 Amps Over 1000 AmpsN oils Reconnect Only $ 70,00 $ 83,00 $138,00 $180,00 $413,00 $ 55,00 c. TemPl?rary S~rvices o~ _Fe~~er~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D. _Bll1ncb Circuits $ 55,00 $ 76.00 $110.00 $ 48.00 $ 4,00 _~"P,A fNql"l$';U..Q",'~,,','.,' ',.. ...). ' ':,' n, , '. . -- ".,.... .. Status Issued CITY OF SPRIl"HJl' lELD Building/Combination Permit PERMIT NO: COM2007-01807 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4446 FRANKLIN BLVD I ASSESSOR'S PARCEL NO.: 1703344401600 Engene TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Low voltage for alarm system Owner: BR]NG RECYCLING Address: PO BOX 885 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Low V oltage Electrical Contractor ADT SECURITY SERVICES INC License 59944 Expiration Date 05/07/2009 Phone 541-736-4973 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side I 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' Street Improvements: Sidewalk Type: Storm Sewer Available: Special InstrucMiT'.fNTION' 0 follow rules . d reg on law re('l'Ji-e,' :,," ." Notes: Notification C:n:te1 by the Ch. "'. ". NOTICE: In OAR 952-nnu)n~ n ~ose rUles"' , , , THIS PERMIT SHALL EXPIRI= 11= Tl-H: IMnDII UUl:lu.. You may obtain c~pj~~ ;Ir ., .' : . . jU 1 HUHllED UNDER THIS PERMIT IS NOT n~~mg the center. (Note: th~ .~aluatlOn DescrmtlOn ,OMMENCED OR IS ABANDONED FOR b~rcfor the. Oregon Utility to" , ANY 180 DAY PERIOD ente!do I-1'In', Ocr $ Per.Sq F.t Square Footage . Tyoe of'\:: ns ntelioJij""23~", It' I' B'd A t Value Date Calculated or mu lp ler or I moun DowllspoutslDrains: DescriPtion Pa2e 1 of 2 -7~.O~~~ ~, Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01807 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: 225 Fifth Street, Spring]ield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 ]nspection Line Total Value of Project FeesPaicll Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5.00 12/10/07 2200700000000001807 $2.50 12110/07 2200700000000001807 $4.00 12110/07 2200700000000001807 $50.00 12/10/07 2200700000000001807 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. I Re(]uired Insoections I Low Voltage: Prior to cover. By signature, 1 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 he 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. ] 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 Pa2e 2 of 2 ..~~; 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1807 COM2007-01807 COM2007-01807 COM2007-01807 Payments: Type of Payment Check cRcceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001807 12:47:59PM Date: 12/10/2007 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 ADT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid ddk 2628395 In Person Payment Total: $61.50 $61.50 Pa,ge I of I 1211 012007