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Home My WebLink AboutPermit Electrical 2007-12-26 ~ , 3 ---jiJ '" .liIlLe, _~ INITIALS N'M. A!. DATE I~I 0-) ...." SOURCE l~tC'-"'" /V~0 ' COMPLETE FEE SCHEDULE BELOW ;J.1'.,I~ :.(!;ITY,QESPRINGEIEI:D n 'ON"~),;~~ .7::-1"~';trJI:-r..:_. .,~'-,"K,.i:.:-~-&:..nJ:J"._'"l ~.~ ~~'.,<'... ~"'-/'"":9f.'.:'::=0<4~r"} 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH (541)726--3753 . FAX (541)726-3689 1 LOCATIONOF INSTAllATION: /S07 U<)'nyOM-_,fr '17-'177 LEGAL DESCRIPTION /70J Z)' ~ ( 07(Ob A New ResldentUlI-Slngle or Mulo-FamIly per dwelling UUlt. ~ VI M'" 't:/a.d .tJ8f, '; f-JC/'7r!'l;:;. Service Included JOB DESCRIPTION (/' (M((~ 1000 sq ft or less Each addItional 500 sq ft or portIOn thereof AT',' 'T/O C Temporary ServIces or Feeders .vl" I e'~dOregon law requires YOu~ "'nt'''M'" ~C Offlstii\lIllidlli.&llD~-""1 ocallon ,:m eni Ii Y<fUIT VI In OAR 952-001. ~~ U~ are setforth 0090 Ynll may 0 1:/11 ~tt914~li2-001- calling the cent~pI c \~t~6\! <<.1llp~les by number for the QDl/fIQifI~ ~iWB~1t, see "B" above Center fill1iP.llraae1f84l19. a i'(ih /7/,/7 ELECTRICAL PERMIT APPLICATION CIty Job Number rOVV''Z.OOr - 0 ( 0, L'1 ADT Job II: ..2,f' 3 _ c9 -'Ii /3 -/ Permits are non-transferable and expire If work IS not started Wlthm 180 days of ISsuance or If work IS Suspended for 180 days 2 CONTRAC70R INSTALLATION ONLY Electflc.1 Contractor ADT Secueitv 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 ~O;?=ctflclm (! o,vrl'h'.7 /7)/1J SLIlC!.er Owners Name Address CIty PhoneS0' - 7.2 r;.. J:/ t{i OWNER INSTALLATION The mstanatlon IS bemg made on property I own which IS not mtended for sale, lease or rent Date $11700 $ 2100 Each Mmufact'd Home or Modular Dwelhng ServIce or Feeder $55 00 B Sen'lces or Feeders -InstallatIOn, Alterations or Relocatton 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNoIts Reconnect Only $70 00 $ 83 00 $13800 $180 00 $41300 $ 55 00 $ 55 00 $ 76 00 $11000 New Alteration or ExtenSion Per Panel One CircUit Each AddItIOnal CirCUIt or wIth Service or Feeder Penmt $ 48 00 $400 E Miscellaneous (Sen Ice/feeder not mcluded) -Each Installation Pump or lITIgatIOn $ 55 00 Slgn/Outhne Llghtmg $ 55 00 LImIted EnergylRestdentlaI $ 28 00 LImIted Energy/Commercial I $ 50 00 stJ 00 Mm,mum ElectriC PermIt InspectIOn Fee IS $50 00 + Surcharges NOTICE: 4 SUBTOTAL~({.~'\W. 5Z'J 06 I ni3 ?ERM\T SH"l~~t.t l$ NOT t :~ /i.UTHORIZED UNDE~"'B<l'iMl9@MffitO"R ..2 SV COMMENCED OR \ // ~ NY 180 DAY PERlm>rAL (0 A Shared Dnve(T )!BUlldmg FormslElectncal PermIt ApplIcatIOn 7-07 doc Owners SIgnature InspectIOn Request. 726--3769 -iii CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01924 ISSUED' 12/26/2007 APPLIED. 12/26/2007 EXPIRES: 06/26/2008 VALUE: Status Issued 225 fIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIDe SITE ADDRESS 1807 OL YMPIC ST ASSESSOR'S PARCEL NO 1703253107100 Spnngfield TYPE OF WORK Electncal Work Only TYPE OF USE New Commercial PROJECT DESCRIPTION Low voltage hurglar alarm Owner LANGAN ROSE MARIE Address 2180 WESTERN HEIGHTS LOOP NW SALEM OR 97304 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electncal Contractor ADT SECURITY SERVICES INC License 59944 ExpiratIOn Date 05/07/2009 Phone 541-736-4973 BUILDING INFORMATION I #ofUmts Pnmary Occupaucy Group Secondary Occupaucy Group Pnmary CoustructlOn Type Secondary CoustructlOn Type # of Bedrooms # of S.t~rp!~;m()N 0 Lot Size He.gI!.Mfl~llJl~l$'~ed regon law reqwr&!l"WfbFloor Typelort'!\\Mun Cen:ted by the Ore~JUtftl\~ FloOl W,,",(ljlYP~S2-001-0; Those rules arliq;hH~l'Mment Ra6~(f'y~u may obt~~ through OAFSlI5l!lt~tdge/Carpol t Energ}llllllt}11he center n copies of thSqtJf~~r SprrRkl~dElN!l~w~ 0 (Note/athe te'~llllnt Load ~. reg on OM!" ^'''',f.__..._ I DEVELOPMENT lNFbR~H~-2344). "'." REQUIRED PARKING F.ontyard Sethack SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved D,.ve Rqd % of Lot Coverage Total Hand.capped Compact I PUBLIC IMPROVEMENTS I Stl eet Improvements Storm Sewel Available Spec.allnstructlOn Notes NOTICE: THIS PERMIT SHALL EXPIRt'lrffi'E'WBlW's AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD S.dewalk Type I ValuatIOn DescriDtlOn I DeSCriptIOn Tvpe of ConstructIOn $ Per Sq Ft or mulllphel Sqnare Footage or BId Amount Valnc Ddte Calculated Paee I of2 -~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED' EXPIRES, VALUE: COM2007-01924 12/26/2007 12/26/2007 06/26/2008 225 FIfth Street, Spnnglield, OR 54] -726-3753 Phone 54]-726-3676 Fax 54] -726-3769 InspectIOn LlOe Total Value of Project Fees Palll I Fee De~cnptlOn + 100/0 AdmIDlstratJve Fee + 5% Technology Fee + 8% Stdte Surcharge Low Voltage - Commercl3l Indus Amount PaId Date Paid Receipt Numbe. $500 $250 $400 $50 00 12/26/07 12126/07 ]2/26/07 12/26/07 220070000000000]906 220070000000000]906 220070000000000]906 220070000000000]906 Total Amount PaId $6] 50 I Plan ReVIews I To Request an inspectIon call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7.00 a,m. will be made the same working day, mspectlOns requested after 7.00 a m will be made the following work day, I ReqlllrerllnsnecttonsJ Low Voltdge Pnor to cover By SIgnature, I state and agree, that I have carefully examlOed the completed apphcatlOn and do hereby celtIfy that all IOformdhon hereon IS true and correct, and I further cerhfy thdt any and all work performed shall be done 10 accordance WIth the OrdlOances of the CIty of Spnngfield and the Laws of the State of Oregon pertalOlOg to the work descnbed herelO, and that NO OCCUPANCY will be made of any structure Without permISSIOn of the CommuDlty ServIces DIVISIOn, BulldlOg Safety I furtber cerhfy that only contractors and employees who dl e 10 compliance With ORS 70] 005 WIll be used on thIS project I further agree to ensure that all reqUired IOspectlOns are requested at the proper hme, 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 remalO on the SIte at dll times durmg constructIon Owner or Contractors Signature Date Paee 2 of 2 225 Flfth'Street Springfield, Oregon 97477 541-726-3759 Phone !~#t4 ,~ '* iii; ~ ~ CIty of Sprmgfield OffiCIal ReceIpt Development Services Department PublIc Works Department Job/Journal Number COM2007-01924 COM2007 -01924 COM2007-01924 COM2007 -01924 Payments Type of Payment Check cRecemtl RECEIPT # 2200700000000001906 Date' 12/26/2007 Description Low Voltage - Commercl3llndus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ADT Item Total Check Number AuthOrizatIOn Received By BJ.b.h Number Number How Received dJb 2633309 In Person Payment Total ~ Page 1 of I I 55 26PM Amount Due 5000 250 400 500 $6150 Amount Paid $6150 $6150 12/26/2007