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Home My WebLink AboutPermit Electrical 2008-2-4 c...- ,I . <G'1J1J1fOO'~W~ ~ 'I ....~~ ~~ALS ~)~ 9 DATE ';:) -4 -u IS 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 II) ~ SOURCErn.'(l~) ELECTRICAL PERMIT APPLICATION _ /. / \ City Job Number (.0 W'\ z.. co 8 - oC:::> I b 0 Date 7' 0/" ,f I. rLociiioN OF INSTALLATION: i 3. I COMPLETE FEE SCHEDULE BELOW ,.- ._- -- ---------:::... - ----- --: --' ( ' ~,,,,,1.. SSS- J....~~[........A LEGAL DESCRIPTION: '70S / J''-l e,) A. I New R~~id;n'tial- Single or Multi-Family per dwelling unit. i 5~.s Ir"l~~~ D 07 0 0 Service Included I , 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or ' Modular Dwelling Service or Feeder $117.00 JOB DESCRIPTION: irf,-k\\ 'ff ""de.vs ~.\- ';,;::''fd. ldh Permits are non-transferable and expire if work is not started within 180 days ofissu8nce or if work is Suspended for 180 days. 2. rdOmMCTOR INSTAl,rATION ONLY! Electrical Contractor Se.\eL~, \ lAC. Address 1":2-:2-'; <:.W ~,h '7-J City 'U,<,,w"dv-J Phone '5:D:,-L,?''11l{1~g '\ ,\ Supervisor License Number L1ll-j LEA 1Dl dti2.' Expiration Date Constr. Contr. Number ~L\?J-\\ ;;l)llolDf~ Expiration Date Signature of Supervising Electrician ~ . / ,~~-- Owners Name SYHfA"",4L-. Address ZO"lOO sfFV~ City C.....QR\..4-,rr..o_ cArhone . $ 21.00 $55.00 B. f-Services or Feeders...., Installation, A~~~ations_ ~.~e~o~tion-; 1 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN oils Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. rr;~pora;:;.:Services or Feeders -=--:..__=-=_~~-~ = --==-J A TTENTI ONI.Q(atOO[llI\~W.IIMUil'Al%vcmAll:ation iUlluw rules 'lBRllled qy the Oregon Utility $ 55.00 Notificalion Cl:inY&."'ffiIfMe~8Ies are set fortI: ir. C'.'IR 952-0ap-b6I'lJ'ftl~Pl952-o01. $ 76.00 0090. You may>b~~p~me rules by $110.00 "'!ling the ~iJl)j~ bllEf~We "B" above. number fO{, thea9r~,gpjimili1Y'Notifjcation- ------ Cenfer-Is~ :~l'OO~~-~344) New Alteration or ExteD~ioo Per Panel One Circuit Each Additional Circuit or willi Service or Feeder Pennit --I I $ 48.00 Cof.( ~/c:... 15fvd $ 4,00 E. I Miscellaneous (Service/feedel' not included) -Each Installation 1 Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 OWNER INSTALLATION NOTICE: Limited Energy/Residential $ 28.00 The installation is being made on property 1 own UI.~PERMIT S/;lDd:lllli~FYflec/fitlfff!dNORI< I $ 50.00 t::;b. 00 is not intended for sale, lease or rent. AUTHORI~h\dJ.W/i)iRcTHdfN?i~fPlStl98l'ee is $50.00 + Surcharges COMMENC.f.D 9BIWMlMJ -----.-----~ ANY 180 DAY-I'FRlon--~NfAfOO _____J 'Sb~ \~DJt,~!;tat'e'Surcharge .!jJ ( b 10% Administrative Fee ' 130_. ) s 5% Technology Fee ., L Zlf"'" Owners Signature: Inspection Request: 726-3769 TOTAL . to '?;,2,Sf5 Shared Drive(T:)/Building Forms/Electrica\ Permit Application 7.07.doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00160 ISSUED: 02/04/2008 APPLIED: 02/04/2008 EXPIRES: 08/04/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 555 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154000700 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Install readers at Sara Lab TYPE OF USE: New Commercial Owner: SYMANTEC CORPORATION Address: 20300 STEVENS CREEK BLVD CUPERTINO CA 95014 I. CONTRACTOR INFORMATION I Contractor Type Low V oltage Electrical Contractor SELECTRONINC License 64341 ,BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: ATTENT' # ~~ Stories: fol/ow rUI~~t:;l!tStt,QW~~~Uires you to Notification ~ ofolli!u; the Oregon Utility . in OAR 952-{)[)~ t<f.~r'fY/Jelse rules are set forth 0090. You Ka C'~~rough OAR 952-001_ calling th~e't ~ples of the rules b number for rR~efr~t~~ ,t,:I~~honWl,Y I Dih7ittJ6PM\~~frmrl Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd:. % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 02116/2008 Phone 503-245-9988 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: Handicapped: Compact: Sidewalk Type: NO"'CE~ PlRt j\l~~ains: THIS PERMIT SHI\~~ ~IS PERMIi IS NOT I\UTHORIZED UNO,S I\BI\NDONED FOR COMMENCED OR - r" p!':Olfln ili;\' :~.. "h, - I Valuation Descriotion I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Page I of2 Value Date Calculated .~Ji:i;'I!~~~1ffi~~!~~lt ~)!il__, ~'}!"" lid &:....,,,. ...~.... .....r'.' .................. .... , ...; Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00160 ISSUED: 02/0412008 APPLIED: 02/04/2008 EXPIRES: 08f0412008 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 I Fee Description .+ 10% Administrative Fee .+ 12% State Surcharge .+ 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Nnmber $5.00 $6.00 $2.50 $50.00 2/4/08 2/4/08 2/4/08 2/4/08 2200800000000000/49 '2200800000000000]49 2200800000000000149 2200800000000000149 Total 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 Tnsnedions I Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed. application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I'fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. / further agree to ensure 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 front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fiftb Street Sprin~field, Oregon 97477 541-726-3759 Pbone Job/Journal Number COM2008-00 160 COM2008-00160 COM2008-00 160 COM2008-00 160 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000000149 Date: 02/04/2008 2:08:36PM Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 50,00 2.50 6.00 5,00 $63.50 Paid By SELECTRON Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb In Person Payment Total: $63.50 $63.50 62358 Page 1 of 1 2/4/2008