HomeMy WebLinkAboutPermit Electrical 2008-1-24
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225 FIFTII STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
Ciiy Job Number c...'O"'""'Zoo2-c::.c/C> 0 Date
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LEGAL DESCRIPTION: ' A. !i1'!:f~~i!!lliil~ti;!~:~lL~.!!!g!!;:~rlMt!!I.!~'!:!f.!!!!Iy;-"er,;il.!!:eUing'u'!it:
,/703zzz-0 0'700 Servicelnelnileil
200 Amps or less $ 70,00
20.1 Amps to 400 Amps $ 83,00
RJ "hzG 401 Amps to 600 Amps $138,00
601 Amps to 1000 Amps $180,00
Over 1000 AmpsNolts ~413,OO
Reconnect Only $ 55,00
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~"l'if.~,.\~s ~~ti8'!eA~~~~~~lj"tion
\O"?:N t~Ot\ C<!\l'&~f1\~~ 0\ \ile t~Ot\e $ 55,00
~O\l\~C~ 952.02oi~ l<Pfgo~~\~~iCa.\iOt\ $ 76,00
\t\OU90 '(ou ma'J, '~ps%OIiQlt~~~\ $110,00
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Pump or irrigation $ 55,00
. SigolOutline Lighting $ 55,00
OWNER INSTALLATION NOTIGE~ LimiteilEnep~~~~ $28,00
The installation is being made on property rw..IQ)WHicRMIT SH,\~l~i~ ~~~~f I $ 50,00 f)O
is not intended for sale, lease or rent. AUTHORIZED M:Wi'Ji~~IS .- ,\ .hi \ spection Fee is $50.00 + Snrcharges
Owners Signature: COMMENCED ~,' 50
ANY 180 DAY E 12% State Surcharge b
10% Administrative Fee Y
5% Technology Fee Z f"U
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JOB DESC_RJPT!ON:
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Permits are non-transferable anil expIre if work is
not starteil within 180 ilays of issnance or if wO,rk is
Snspenileil for 180 ilays.
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Electrical Contractor
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Address
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Ciiy
{'l (f )(AY\rA
, Pbone
s' ~ 5''7L{-"v''"1
Expiration Date
7,Q U/J.
OC+, 2010
Supervisor License Number
Constr, Contr, Number
/5"'201"1
o C+ 21>Oq
Expiration Date
Signature of Supervising Electrician
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;/t"V\r~A-~ LLC
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Owners Name
Address
'61(0
SPrl\
Phone
Ciiy
Inspection Reqnest: 726-3769
1000 sq, ft, or less
Each adilitional 500 sq, ft, or
portion thereof
Eacb Manufact'd Home or
Moilular Dwelling Service or
Feeder
$117,00
$21.00
$55,00
B.
New Alteration or Extension Per Panel
One Cir~uit .'
Each Ailditional Circuit or with
Service or Feeder Permit'
$ 48,00
$ 4,00
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TOTAL
Shared Drive(T:)JBuilding FormslElectrical Permit Application I-08.doc
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00100
ISSUED: 01/24/2008
APPLIED: 01/24/2008
EXPIRES: 07/24/2008
VALUE:
_~IilINI3,"'fm,:,l;lt"l!lIJ'
"':";1' .
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Status
Issued
225' Fifth Street, Springfield. OR
541-726-3753 Pholle
541-726-3676 Fax
541-726-3769 Inspection Lille
SITE ADDRESS: 3318 Gateway St
ASSESSOR'S PARCEL NO,: 1703222001700
Springfield TYPE OF WORK: Electrical Work Dilly
Commercial
TYPE OF USE: New
PROJECT DESCRIPTION: low voltage secllrity system
Owner: NEWGATE LLC
Address: 840 BEL TLINE RD STE 202
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type Contractor License
Low Voltage Electrical Sll')I\~~.S_ECURITY INC 152019
NOI!~w ~~/~~N: OrSt'''WILDlNG INFORMATION I
. in oM/cation C adoPted b . ~'lUlre8
# of Units: " OO~AR 952_0o~~ter. Thot';t~PS<<ieiJ~~~ ~O
Primary Occllpancy Grollrc~l!i YoU may o~01~ throlllf~si~~
Secondary Occupancy Gl'1lJfflbng the Cent tam cop ;QA~_oOrth
Primary Construction Type er for the oe;. (Note, ~Mtfr~II&'Ies ~1.
Secondary Construction Type: Center is 1 egon Utff;i#i~ne y
# of Bedrooms: -80o-aa2f.l~ ti1~
, Spn d Bu~ging; n/a
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:
NOTICE: I PUBLIC IMPROVEMENTS I
Street ImprovementsTHIS PERMIT SHA
Storm Sewer Avail~~.THORIZED UNDiL fXP/RE IF THE WaR
Special IlIstrllction~ IVtMENCED OR IS R THIS PERMIT IS Nof
Notes: NY 180 DAY PERIO;BANDONED FOFl
.' V ~Iuation Descriotion I
Description
Type of Cons'truction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page 1 of 2
Expiration Date
06/28/2008
Phone
503-574-2254
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Halldicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
__~"~~^f,~~_~I~1?,;;'~,J}J!WL~\l';t\!:
~ '
I; 1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00IOO .
ISSUED: 01/24/2008
APPLIED: 01/24/2008
EXPIRES: 07/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid.
Fee Description
+ 10% Administrative Fee
+ 12% Stale Surcharge
+ 5% Technology Fee.
Low Voltage - Commercial Indus
Amount Paid
Dale Paid
Receipl Numher
$5,00
$6,00
$2.50
$50,00
1/24/08
1/24/08
1/24/08
1/24/08
2200800000000000096
2200800000000000096
2200800000000000096
2200800000000000096
Tolal Amount Paid
$63,50
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 Reouired T nsoectu?ns I
,il. I I
Low Voltage: Prior to cover,
By signature, I slale and agree, that I have carefnlly examined the completed applicalion and do hereby certify that all
information hereon is true and correcl, and I further cerlify that any and all work performed shall he done in accordance wilh
the Ordinances of the Cily of Springfield and the Laws of the Slate of Oregon pertaining to the work descrihed herein, and
Ihat NO OCCUPANCY will he made of any strncture without permission oflhe Community Services Division, Building Safety,
I further certify thaI only contractors and employees who are in compliance with ORS 701,005 will he nsed on this project.
1 further agree to ensnre 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 fronl of the property, and the approved set of plans will remain on Ihe 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
COM2008-00 I 00
COM2008-00 1 00
COM2008-00 I 00
COM2008-00 I 00
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
"'~:...~."~f!II..,~~.,,~_ '_':'" ".~' '.:........
Wit.
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000096
Date: 01/24/2008
8:17:47AM
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
SIMPLE SECURITY INC
Amount Due
50.00
2,50
6.00
5,00
$63,50
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
011185 In Person
Payment Total:
$63.50
$63,50
Page] of I
1/24/2008