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Home My WebLink AboutPermit Electrical 2007-12-28 ,-~' .../ ~..~ ...;. ;;./..... . " ~'" " ~.J..i.-~.~;t,... "'-"'-:'"',r,cnYoQp.'sf'RINGFlEILD" OREGON "." 'i)''*' "~~i':",';~.": '~'...,"- ~';;l": . ~_ _._.,:;_ ~.:.. ;.}.k!,,:;. -.).', ....:;~. ~~{: ~~ 225 FIFTH STREET. SPRlNGFIELP. OR 97477 . PH (S41)726-3753 . FAX (S41)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CoW1 2-007 -0 / ? z ., Date I LOCATION OF INSTALlATION: 3 COMPLETEFEESCHEDULE BELOW !/;)~ JitdJJlJmM ~(JO-i') cJuh /2.6 LEGAL DESCRlPTION if I A /703 ZZOO 02..300 ZON CC~ INITIALS }.Sry'" DATE ~ }O-( SOURCE ~ ServIce Included New Resldential- Smgle or Multi-Family per dwelhng uuit. JOB DESCRIPTION 1000 sq ft or less Each addItional 500 sq ft or portIon thereof Each Manufact'd Home or Modular Dwelhng ServIce or Feeder ADT Job II-~}.q - /) /-,fj h-tV ,. 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 CONTRACTOR INSTALLATION ONLY B Services or Feeders -Instalint'on, -\IteratIons 01 RelocatIOn. 200 Amps or less 20] Amps to 400 Amps 40 I Amps (0 600 Amps 601 Amps to 1000 Amps CIty Beaverton OR Phone503-469-7100 Over 1000 AmpsNolts ATTENTION Reconnect Only tollow rul Oregon law r!~gulres SupervISor LIcense Number LEA:Hl:lt'fl",,,t e~ adoPtedCby t1iIl"O'Ilff!5Y,lIa\lvtQ,s or Feeders In OAR g"Jtl ellter Those rul \I n Utility 0090. Vn~.~Ol-001O thr~~~7~HlfUh or RelocatIOn callln h...'lljrobfam ComiM\~1 -001- 599'w"mb g f a canfer. (N)t...U...."" I1Ills by Constr Contr Number "IV ar fo. tt!e-ore ll'\ihte/t!pffi9rMnPs 5/7/08 Centar IS l-io~~ 2~2~3"*4A tlfI6W!J6;pps ~--~ ~. Over 600 ~mps or 1000 Volts see "8" above SIgnature of SupervlSmg ElectrICIan D Branch C.lrcUlts ~ J_/ , j / New AlteratIOn or ExtenSion Per Panel . /J/U. / ~ /1 , Ld ~ /.;)/20/ C 7 One CIrCUIt - . L Each AdditIOnal CirCUIt or WIth / .Jj _ A II I( 0,. ServIce or Feeder Penmt Owners Name ('r1J-I "",V,,,",, ,/VI"- {'loll- ... . J ~ Address //0 AI t..!~ DiL E CIty cAt uI r 0 /-f Phone Electncal Contractor ADT SecUlntv Address 2815 SW 153rd Dr ExpiratIOn Date 10/1/08 $]]700 $ 2100 $5500 $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 $ 55 00 $ 76 00 $110 00 $ 48 00 $ 400 M,scellaneous (Servlce/feeder not meluded) -Each InstallatlOlI Pump or lITIgatIon $ 55 00 SIgn/Outline Lighting $ 55 00 L,m,ted Energy/ReSldenttal $ 28 00 LImIted Energy/Commerctal I $ 50 00 stJ 00 MlJllmum Electnc Permit InspectIOn Fee IS $50 00 + Surcharges OWNER INST ALLA nON The installation IS bemg made on property I own whIch IS not mtended for sale, lease or rent 4 SUBTOTAL OF ABOVE StJ 0 C ~'Q'1"r~r=.: 8% State Surcharge 14 ~o THIS PERMIT SHAL 10% AdministratIve Fee $. 00 L EXPIRE IF mE W6liI14ogy Fee .:l SO AUTHORIZED UNDER THIS PERMIT IS NOT /1 $!. ';(2Q}MMENCED OR IS ABANDONED WJ1tL CO ANY 180 DAY PERIOD. Shared Dnve(T YBulldmg ForrnslElectrlcal Permit Appilcallon 7.07 doc Owners SIgnature Inspection Request -~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01929 ISSUED: 12/28/2007 APPLIED 12/28/2007 EXPIRES. 06/28/2008 VALUE. 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1126 Gateway Lp Ste 126 ASSESSOR'S PARCEL NO 1703220002300 Sprmgfield TYPE OF WORK Electncal Work Only TYPE OF USE New Commercial PROJECT DESCRIPTION Low voltage burglar alaI 10 Owner GA TEW A Y MALL PARTNERS Address 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 I CONTRACTOR INFORMATION 1 Contractor Type Low Voltage Electncal Contractor ADT SECURITY SERVICES INC License 59944 ExpiratIOn Date 05/07/2009 Phone 541-736-4973 BUILDING INFORMATION 1 # ofUmts Pnmary Occupancy Group Secondary Occupancy GI oup Pnmary Constl uctlOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones HeIght of Structnre Type of Heat Water Type Range Type Energy Path Spllnkled BUlldmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft GaragelCarport Sq Ft Other Occupant Load nla Frontyard Setback S,de I Setback S,de 2 Setback Rearyard Setback Solal Setbacks I DEVELOpr~Obl'!~J"~kMi\ffON 1 0"" Of99"d'b'l t"e U'lgf~ set lort.. ~~\e9 ~dO\l ~~61lr~~B 952-00~:, ~1I0Vl ncente h'ti~~P'f9r ~lu\eSJ "'ot\f\ca~~~2.00\.O ''"'''''tljR~~t>h\e\l"o"e of'.f' "" 0 )\'\:1"- ,\:""".. a\IO" \n '(oil flIa.'1 Ye\Qf~\}t\b~I(~~ge\l\IC OO:illn9 \M ~~'Olego"O_332-23AA) ,_",fnf\ ..ol\ tlu.. -- ~l3tic IMPROVEMENTS I REQUIRED PARKING Total Handicapped Compact Street Improvements Storm Sewer Avadable Special InstructIOn SIdewalk Type Downspouts/Drams Notes DeSCrIptIon Tvpe of ConstructIOn t~~TI~~~ I ValuatIOn DescnotJon lH'S PERMIT SHALL EXPIRE IF THE WORK UTHORIZED UNDER THIS PERMIT IS NOT $ Pel Sq Ft Square e~MfNCED OR.J~ ABANDONgO F2~ I or multlpher or B,d _~BO DAY PERm'tf. ate a cu ated Pa2e I of 2 -i.:~ CITY OF ~nul~tJl'lJ<,LD Status Issued Building/Combination Permit PERMIT NO' cOM2007-01929 ISSUED. 12/28/2007 APPLIED. 12/28/2007 EXPIRES: 06/28/2008 VALUE 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of P,oJect Fees Pallj 1 " Fee DescnptlOn + 10% AdmmlStrallve Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - CommerclJllndus Amount PaId Date PaId ReceIpt Number $500 $250 $400 $50 00 12/28/07 12/28/07 12128/07 12/28/07 1200700000000001532 1200700000000001532 1200700000000001532 1200700000000001532 Total Amount PaId $6150 I Plan ReViews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspechons 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 work day. I, ~en,JlIred T nsnecllons I Low Voltage Pnor to cover By SIgnature, 1 state and agree, that T have carefully exammed the completed apphcatlOn and do hereby cerllty that JII mformatlOn hel eon IS true and correct, and 1 further eel hfy that any and all work performed shall be done m accordance WIth the 01 dmances of the CIty of Spnngfield and the LJWS of the State of Oregon pertammg to the work descnbed herelD, and that NO OCCUPANCY wIll be made of any sh ucture Without permISsIOn of the Commumty Services DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 will be nsed on thIS project I further agree to ensure that all requIred mspectlOn. Jre requested at the proper hme, that each address IS readable from the street, that the permIt cJrd IS located at the front of the property, and the approved set of plans will remam on the SIte at all times dUring coush uctWD Owner or Contractors Signature Date PJge 2 of2 225 FIfth Street Springfield, Oregon 97477 541-726-3759 Phone SPA'HQ~ELD ~ Job/Journal Number COM2007-01929 COM2007-01929 COM2007-0 1929 COM2007-01929 Payments Type of Payment Check cRecemtl RECEIPT #. CIty of SprIngfield OfficIal ReceIpt Development Servtces Department Pubhe Works Department 1200700000000001532 Date' 12/28/2007 Descnptlon Low Voltage - CommercIal Indus + 5% Technology Fee + 8% State Surcharge + 10% AdminIStratIve Fee Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received dJb 2645716 In Person Payment Total PaId By ADT Page I of I 2 II 47PM Amount Due 5000 250 400 500 $6150 Amount Paid $61 50 $6150 12/28/2007