The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-12-17 - . ' ZON L-m 1.- I ~Il1I1fW~9~ I ~BP~ INITIALS 1\J/1-1 .A!. <. DATE 1'd.11! liYl 225 FIFTH STREET' SPRINGFIELD, OR 97477 , PH ('\41)726-3753 'FAX (541)726-3689 ...." "" SOURCE rYLf>S-aYLJ ELECTRICAL P~RMIT APPLICATION CIty Job Number ~rJYY7d..OV7 - 0(1((00 Date /d./;~/07 I ~~4//~~i{jNOF~AL~~__.J 3 rcOMPLETEFEEScHEDU~!i.~LOW - _.--= l kf' r i1J~ ~ h,rCl:b b~23 I LEGAL DESCRIPTION In'<l-a\l "Wt>~ c.arre~ JOB DESCRIPTION /70).,.3 0000 I 07:J"0 Permits are non-transferable and expire .fwork IS not started With," 180 days of,ssuance or If work IS Suspended for 180 days. 2 r CONTRACTOR INSTALLATION ONLY : Electncal Contractor Se.\c:.clYbY'\\ \ rL.. Address In,;:; f.,w "B.YI" k KJ CIty 11.(+hw-d DR. Phone~-%g SupervIsor LICense Number q-Jl..J - LEA ExpIratIOn Date 11:)) I J OJ{ Conslr Conlr Number ;;;l/a- I../Cf1C..L.{; ExpiratIOn Date 7~~-'~ Owners Name Lc.r.e.. (h1~ ~ J:<<~ Address .:::1,} Ib \).e.....c.e.. j)(w'l' CIty ~I~'(:'dol Phone OWNER INSTALLATION The mstaUatlOn IS bemg made on property I own whIch IS not Intended for sale, lease or rent Owners Signature InspectIon Request 726-3769 t~bt ~ wL-13~( ~ 0Jf(J L 2,11 Cf f z- ()O A I New ~e~ldenlIal- SIJI~le or MUIt~-Fa_~'~I;per dwell~g nlllt I Service Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof $11700 $2100 Each Manufact'd Home or Modular DwellIng Service or Feeder -J'.TTENTI0t\L -0reqon-Jaw-reOUlres YQu-to-. ul B I ServIce. ofctitm"fI'iIe!;nAll\YtJ!!!tI'{J~llfl1!l;!;n",\JU' ~litltYlOn I NotifIcation CenterThoSe rulesare sefforUj --- 200 Amps olrl~R 952-001-0010 throuah:(W{J1lI52-001. 201 Amps t&4OOlArt\p!;l may obtain caples $lll!toorules by 401 Amps to 6g61J\IMP~he center (Note It'@I5%lllFhone 601 Am s to I'\\lml;tElIjor the Oregon Ulllltj:',t.:i.\lRBc""UII p ~'~~nter IS 1 800 332.23illlh Over 1000 AmpsN olts $413 00 Reconnect Only $ 55 00 $55 00 C I Temporary Servrces~ Feede;;--- .- . ~ InstallatIon, AlteratIon or RelocatIon 200 Amps or less $ 55 00 201 Amps to 400 Amps $ 76 00 401 Aml!S ~frU:ps $110 00 Over 60~_~ROOt~~t't-'~m~~UHLWORK I D : Bran+3ffitlIf1ZED_UNDER_THISJ~ERMIT J~@L_.j New Altern~~!lI~~{J1!@1i1 /SlrMIIMDONED FOR. One Clfc!!,ltN 180 DAY PERlon $ 48 00 Each AddllIonal CIrCUIt or With Service or Feeder Penmt $ 4 00 E fM,scellaneous (Servlle/feeder not 1IIc1;;-ded) -Each InstallatIOn 1 Pump or ImgalIon $ 55 00 Sign/OutlIne Llghtmg $ 55 00 LimIted Energy/Resldentlal $ 28 00 Limited Energy/Commerclal \ $ 50 00 ~ CC:::. Mlmmum Electnc Penmt InspectIon Fee IS $50 00 + Surcharges q 4 ISUBTOT~0'ABOVE I <:=:D.c:D '("'~ C> 8% State Surcharge 1-/ d:J 10% AdmmlStratlve Pee '< r40S.00 5% Technology Pee '2,SD TOTAL GoI.~ Shared Dnve( r )/BUlldmg Forms/Electncal PenUlt Apphcahon 7-07 doc ( ~- 225 F~fth Street Sprmgfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2007-0l860 COM2007 -01860 COM2007 -01860 COM2007-0\860 Payments Type of Payment Check cReLemtl RECEIPT #: 2200700000000001852 Date' 12/17/2007 DescriptIOn Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Admllllstralive Fee PaId By SELECTRON Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received nJm 62109 By Mail Payment Total Page 1 of 1 I 35 34PM Amount Due 5000 250 400 500 $615U Amount Paid $6\ 50 $6150 12/1 7/2007 -ii..~ CITY OF SPRI~hHJ'.LD Building/Combination Permit Status Issued PERMIT NO ISSUED: APPLIED' EXPIRES. VALUE' COM2007-01860 12/18/2007 12/17/2007 06/17/2008 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3110 PIerce Pkwy ASSESSOR'S PARCEL NO 1702300001000 Spnngfield TYPE OF WORK Electncal Work Only TYPE OF USE New Industnal PROJECT DESCRIPTION Low Voltage for web Cdmera Owner Address STATE OF OREGON MILITARY DEPARTMENT PO BOX 14350 SALEM OR 97309 J CONTRACTOR INFORMATION I Contractor Type Low Voltage Electncal Contractor SELECTRONINC License 64341 BUILDING INFORMATION. ExpIratIOn Date 02/16/2008 Phone 503-245-9988 # of Ulllts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIon Type Secondary ConstructIon Type # of Bedrooms # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BUlldlllg Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCdrport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Total Handicapped Compact Frontyard Setback Overlay Dlst SIde I Setback # Street Trees Rqd SIde 2 SetbaclA'TTENTION Oregon law reqUires y~il'Y!Jd Dnve Rqd Rearyard Sel;\!~<;.~~ rules adopted by the Oregon ~lqfyLot Coverage Solar Setba<llls~lflCatlDn Center Those rules are set forth ::. ':'....~:'~... -:':'~ '::":~I_,~:._;t, ~"'~::1 E~1 0090 You may cbtaln caples cjlP.U:IlIIuI0sIMPROVEMENTS I callm,g the center (Note the """fJ' 'v, ,e! ' Street Impro),"il\\~Bl!1 for the Oregon Utility Notification Storm Sewer Avadatli<enter IS 1-800-332-2344) SpecIal InstructIOn SIdewalk Type DownspoutslDralns Notes DeSCription Type of ConstructIOn NOTICE: Lj<; rcnlVll1 :JMALL t:XPIHE IF THE WORK I ValuatIOn Descrinti&'.\1 HORIZED UNDER THIS PERMIT IS NOT L,UIV MENCED OR IS ABANDONED FOR $ Per Sq Ft squ?refoot""pAY PE It I B'd"A 'UIY RI09~lue Date Calculdted or mu Ip ler or I moun Page I of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO. COM2007-01860 ISSUED 12/18/2007 APPLIED' 12/17/2007 EXPIRES: 06/17/2008 VALUE 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of ProJect Fees PaId I Fee DescnptlOn + 10% AdmmlstratIve Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - CommercIal Indus Amount PaId Date PaId ReceIpt Number $500 $250 $400 $50 00 12/17/07 12/17/07 12/17/07 12/17/07 2200700000000001852 2200700000000001852 2200700000000001852 2200700000000001852 Total Amount PaId $61 50 I Plan ReYlews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7 00 a.m. will be made the same workmg day, mspections requested after 7:00 a.m. wIll be made the followmg work day I, Re"lIired Inspections I Low Voltage Pnor to cover By signature, I state and agree, thdt I have carefully exammed the completed applicatIOn and do hereby certify that all mformatlOn hereon IS true and correct, and I further certify that any and aU work performed shaH be done In accorddnce with the Ordmdnces 01 the CIty of Spnngfield dnd the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY wIll be made of any structure wIthout permISSIon of the Commulllty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m complIance wIth ORS 701 005 wIll be used on thIS project I further agree to ensure that aliI eqUlred mspectlOns are requested at the proper tIme, that each address IS readable from the street, thdt the permIt card IS located at the front 01 the property, dnd the approved set ot plans WIll remam on the sIte at all times durmg constructIOn Owner or Contrdctors SIgnature Ddte Page 2 of2