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HomeMy WebLinkAboutPermit Electrical 2007-12-26 , ~;. '~~':,,;m;fiY'QIf.SRRlN@FIEElr.OREQbN' -:';);'::1'=" ~i:":;:~h'; .~:tk ~ ~4_-t~. '/'':~~i<'' :"'. !',fi~. _:"":,~~ " ~\"";J~,._:""~ .;"."";.~:!;.:,",,,:~ WN (l C/ ~/.)t3/;)?r SOURCE mf'.!3.fl/7) IZ - Z( -07 225 FIfTH STREET. SPRlNGmLD. OR 97477 . PH (541)716-3753 . FAX (541)7Z6-J689 ELECI'RICAL PERMIT APPLICATION - CIIy Job Number ~ () j,04^ 'Z...O'o 7- c I 9 l... ~ Date I LOCATION OF INSTALLATION: 17;2(; xl Il ~ /I' C };-EGAL DESCRIPTION 17 O.J~ b! T 9f>t:t:> CA. New Resident",) - Smgle or MultJ..Faml1y per dwelling umt Ift~A)1Ji/' Iu/}~?. f(,-.CZt'1' Service Included JOB DESCRIPTION 1000 sq f\. or less $11700 Each addltJonal 500 sq ft or portIOn Ihereof 3. COMPLErEFEESLnIDJULE BELOW ADT Job II: .::2.f3 - {}41,ff - / $2100 Permits are ODD-transferable and expire d'work IS not started wrtbm 180 days oflssuance or of work IS Suspeoded for 180 days Each Manufuct'd Home or Modular Dwelling Service or Feeder $55 00 2 CONTRACTOR INSTALLATION ONLY B. Sen-lce5 or Feeders -Installation, <\IteratIOns or RelocatIOn Electrical Contractor ADT Secul!itv 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIV oils Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 Address 2815 SW 153rd Dr CtIy Beaverton OR Phone503-469-7100 SupervISor License Number LEA389 C. Temporary ServIces or Feeders ExplTatlon Date 10/1/08 ConslT ConlT Number 59944 Installation, Alteration or Relocation / -- too 1J1Ip1f'9f-less $ 55 00 , 201 AmP;' Io-AolP~~' srequlres '''' $ 76 00 'C-f I '1.0 ~I.IU 10 I'll 401 A.!'l~JP 6Op, '"" Oregon Ut. $11000 '''''1I1:o1't'-Il(1. Ii 'USif;f.i(/t> IlIly "OS c: 1'cft3v,9fa600rAlnPs<IlfGlTgh ~~~llflfClllillve call1l'Q.lh!}r~.(JPblIraUltlp,es of Ih 952'001. nUmber t.w. ".._nYer !NoJq, e rU'~~jlll . J, /. C:e."w'Jat~M1J(l.fistIilll:JfJlfOlfiJTl 11/6/'tI? OO!EitI/iult-800-3::l~,lty NOI'hC8I1Q/'J $ 48 00 , Each Additional CiTCtl'i?~)Ih ServIce or Feeder Pernllt $ 400 ExpIration Date 5/7 /08 SIgnature ofSupervlSmg ElectriCian .P~ ~hJ Owners Name iL .t+A~t,v Address ::r'o /$01< If J '-J E. Mtseellaneous (Service/feeder not mcloded) -Each InstallatIOn CIty 9A Phone Pump or lITIgatiOn $ 55 00 SlgnlOuthne Llghtmg $ 55 00 OWNER INSTALLATION L,mited Energy/ReSldentlal $ 28 00 The mslallatlon IS bemg made on property I own Wh";'lVO~'I',.I,-lmlted Energy/Commercial / $ 50 00 stJ 00 IS not mt.nded for sale, lease or rent TH UIi&:um Electnc Pernut InspectIon Fee IS $50 00 + Sorcbarges I PERMfB.QJ,u,H b Owners SIgnature AUTHdR/~~ ,s;;:~ ~ff!'rHE WO 5lJ, 0 COMME Stflt~rg/ilQhiillltS PER RK -f ~o . ANY 1 N 1'H1RnI@'A!lfKI~ MIT IS NOT .5 00 80 DAY~ ~lMuuNED FOR .t SO _ . 6/~ TOTAL Shared Dme(T )!Buddmg FormslElectncaJ Penmt Apphcatlon 7-07 doc InspechoD Request. 726-3769 -Wi:~ CITY OF SPRINGFIELD Building/Combination Permit Status 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lllle PERMIT NO. COM2007-01925 ISSUED. 12/26/2007 APPLIED. 12/26/2007 EXPIRES: 06/26/2008 VALUE: Issued SITE ADDRESS 1720 S A ST ASSESSOR'S PARCEL NO 1703363106200 Spnngfield TYPE OF WORK Electneal Work Only PROJECT DESCRIPTION low voltage bnrglar aldrm TYPE OF USE New Commercial Owner HARDY RICHARD JAMES & KATHIE K Address PO BOX 931 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Low Voltage Electncal Contractor ADT SECURITY SERVICES INC License 59944 I BUILDING INFORMATION I # ofUOIts ATTENTION Oregl1ilOlffi'tiftiOllilres you to Pnmary Occupancy Group follow rules adopteR~~Ilf1ijf-cglilii\ftlhlJtllity Secondary Occupancy Group Notification Center ~4Ifi!j,flre set forth Pllmary ConstructIOn Type In OAR 952-001-001 CW;\WlJ(jIy~J\H 952-001. Secondary ConstructIOn Type0090 You may obta'ltli~! the rules by # of Bedl ooms calling the center B ~lePhone number for the OregflA Yfllll'tlon nfa Center IS 1-8'60: - . I DEVELOPMENT INFORMATION I Frontyal d Setback SIde I Setback SIde 2 Setback Rearyal d Setback Soldr Setbacks Overlay Dlst # Street Trees Rqd P dved Dllve Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer AVdllable Specml InstructIOn ExpiratIOn Date 05/07/2009 Phone 541-736-4973 Lot SIZe Sq Ft 1st FloO! Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gdrage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact SIdewalk Type NOTICE: Rownspouts/Drams THIS PERMIT SHAll EXPIRE If THE WOR AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR I\I~ I I oUru,;u~LE:-:i&:>' I ValuatIon DescrmtlOn I Notes DeSCriptIOn $ Per Sq Ft or multIplier Squdre Footage or BId Amounf Type 01 ConstructIOn Page lof2 Value Dafe Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2007-0]925 ISSUED 12/26/2007 APPLIED ]2/2612007 EXPIRES 06/26/2008 VALUE: 225 FIfth Street, Spnnglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspecllon Lme Total Value of p, oJect Fees Palll I Fee DescnutlOn + 10% Admmlstrdllve Fee + 5% Technology Fee + 8% State Su, charge Low Voltage - Commeludllndus Amount Paid Date Paid Receipt Numher $500 $250 $400 $50 00 12/26/07 12/26/07 12/26/07 12/26/07 2200700000000001907 2200700000000001907 2200700000000001907 2200700000000001907 Totdl Amount PaId $61 50 I Plan ReViews I To Request an mspectlOn call the 24 hour recording at 726-3769 AllmspectlOns requested before 7 00 a.m, will be made the same workmg day, inspectIOns requested after 7'00 a.m, will be made the followmg WOl k day. I Re'llllred Tnsnection~ I Low Voltage Pnor to cover By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certlly that all mformatlon hereon IS true and correct, and I further certify that any dnd all work performed shall be done m accordance with the Ordmances of the City of Spnnglield and the LdWS of the State of Oregon pertaHHng to the work descnbed hel em, and that NO OCCUPANCY Will be made of dny structure without permiSSion of the CommuDlty Serv,ces D,vlslOn, Bu.ldmg Safety I fu.ther cerlIfy that only contrdctors and employees who are m comphance with ORS 701005 Will be used onth,s project I further dgree to ensure that all reqUIred mspectlOns .Ire requested at the proper lime, that each dddress IS readdble from the street, that the permit card IS located at the front of the property, and the approved set of plans Will remam on the site at all times dunng construction Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone 8~AINQFJBLD JlJiU' ,1I~U;j , ii("" City of Springfield Official Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2007-0 1925 COM2007-01925 COM2007-01925 COM2007-0 1925 Payments Type of Payment Check cRecemll RECEIPT #. 2200700000000001907 Date' 12/26/2007 DescriptIOn Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Pa,d By ADT Item Tot.1 Check Number AuthOrizatIOn Received By Batch Number Number How Received dJb 2611496 In Person Payment Total Page 1 of 1 2 00 OIPM Amount Due 5000 250 400 500 $6150 Amount Paid $61 50 $6150 12/26/2007