HomeMy WebLinkAboutPermit Electrical 2008-2-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00226
ISSUED: 02/14/2008
APPLIED: 02/14/2008
EXPIRES: 08/14/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1611 J ST
ASSESSOR'S PARCEL NO.: 1703362103200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Burlar alarm
Owner: BRADY REX
Address: 1622 SAND TRAP LN
EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
Low Voltage Electrical
Contractor
ADT SECURITY SERVICES INC
License
59944
Expiration Date
05/07/2009
Phone
541-736-4973
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
,Downspouts/Drains:
An EJ\ITION: Oreoo1" law r?qUlres you to
fellow ! u~e~; adopt2Ci by the Oregon Utility
~otJflr,atlon Center, Those I ules are set forth
In OAR 952-001-0010 through OAR 952-001-
~~~i~iRMIT SHALL EXPIRE If THm~tion Descrietion IO;a~lmi~;,; ~~~t~;~"iN;;;;'ih~lt~I;~h~;eUY
'\UTHORIZED UNDER THIS PERMIT lumber for the Oregon Utility Notification
C::~BANDONED FQIf> S Ft S F t Center IS 1-800-332-2344).
Descrfp~~'h\llENCqq.Qf3~E struction erlt,ql' quBa.rdeAoo age Value Date Calculated
r\NY 180 DAY PERIO . or mu Ip ler or 1 mount
Notes:
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00226
ISSUED: 02/14/2008
APPLIED: 02/14/2008
EXPIRES: 08/14/2008
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--1
Fee DescriptIOn
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$5.00
$6.00
$2.50
$50.00
2/14/08
2/14/08
2/14/08
2/14/08
2200800000000000210
2200800000000000210
2200800000000000210
2200800000000000210
Total Amount Paid
$63.50
I Plan Reviews,
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.
Reouired Insoections ,
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 be 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 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I 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
Pa2e 2 of2
. City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:SPATE@ADT.COM
Receipt # EC525644
2/14/20082:36:51 PM
Check on status of permIt
By Phone: (541)726-3753 or EmaIl: permitcenter@ci.sprmgfield.or.us
I '
TYRE~P~'i~P~K
lliJ Addition/alteration/replacement
< I )
[ <<I I A ~, 11 """ I <I' III' ",'I'"PI'l, Ii""
, , ""JOI3,,~,!r~l~fORMATIONiAt-I,?~pCATION~,ii~iii,
[Job no 283-04831-1 IJOb address. 1611 J ST
[CIty/State/ZIP' SPRINGFIELD, OR 97477-4252
I SUlte/bldg./apt no.'
I Project name. EYECARE FOCUS
Cross street/directions to Job site.
tl,l\1
I,:"
I DeSCription
, Reside
atiach~'
<<1111 tv" ~
[1,000 sq ft or less
I Ea addl 500 sq ft or portion
I L,~~~t~~ ,
I-Limited energy, reSidentIal
(with above sq ft)
I-Limited energy, multifamily
reSidentIal (WIth above sq ft)
I-LImIted energy, commercial
(With above sq ft)
I - Stand-alone hmlted energy,
reSidentIal
I - Stand-alone hmIted energy,
multi-family
I - Stand-alone hmlted energy, $50001 $5000 I
commercIal
I S~rvicesiOR feeders i~~talllltion: alteratI9n, AND/OR 'relocatlOI]
1 200 amps or less
1201 amps to 400 amps
[401 amps to 599 amps
TEJYIP.qR~~Y services OR.fCis<le~s'installatIon,'IIlJe~atlOn,
AND/OR relocation "1", ,,[,, '
~ , d ' I
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
1 ~~nc,h circUits ~'NEW, a,I.te~ahon, OR extension, per panel
A Fee for branch CirCUits wIth
'I service or feeder fee, each
branch circuit
[ B Fee for branch CirCUits
[without service or feeder fee,
first branch Circuit,
[ each addl branch CirCUit
[ [MiscellaneOus"
[ [Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
Pump or lITIgatIOn Circle
FEE SCHEDULE
" '1, '] ~
I Qty I Ea I Total
NGtE~'OR'multi-fami(y dwellin'g umt Includes:,'
~ "11'1' ""lJdY " ""S'""'k\,I" I ';<':'/'1t,
l'-iIJdl
D New construction
i'i' (,\,CATEGORY ai:' CONSTRUCTION "''',+1'''''''/1111 "\',
~" ,", w ~ _ ,0' ~ I 'I ' I
D 1 or 2 family dwellmg D Multi-famIly [KJ Commercial/Industrial
[ SubdiVISion
Tax map/parcel no
I Lot no
, 'I,I
1703362103200
I'.: '''DESCRI~TION OF WORK, ,
"'"
BURGLAR ALARM
1",,\ '11'1"
'11,
, ,SI:TE CdNTACT
iill
<I'i
I Name. DR CLAUD BRIST
Phone (541) 726-5055
IFax
Emall
,~ONTRACTOR .
lEI. hc. no 26-209CLE I CCB hc no.. 59944
I Busmess Name ADT SECURITY SERVICES lNC
[Contact. KEN KRAUS
[Address 2815 SW 153RD DR
[City/State/ZIP BEAVERTON OR 97006
I Phone (503)4697212 !Fax (503)46971 J4
I Emall SPATE@ADTCOM
[ Metro hc. no . [ City hc. no..
I Supervlsmg electrlcmn's hc no.. 389LEA
I Supervlsmg electrlcmn's name KENNETH W KRAUS
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed wlthm one bus lOess day,
With IOstructlons on how to schedule your IOspectlon
NOTE ThiS AuthOrization To BeglO Work expires WlthlO 180
days If a permit IS not obtained
The local bUlldlOg department may determlOe that an
AuthOrization To BeglO Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
Sign or outlme hghtmg
Signal ClfcUlt(S) or hmIled-
energy panel, alteratIOn, or
extension
I
I
I
I
I
· CIty Of Sprmgfield
not offered onhne at thiS JUrisdictIon
"
"'. ELECTRICAL PERMIT FEES
Subtotal $50 00 I
State Surcharge (12% of penn It fee) $600 I
City Of Springfield fees · $7 50 I
TOTAL PERMIT FEE I $63 50 I
10% Local Admm Fee, 5% Local Technology Fee
ThiS AuthOrizatIon To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Sp'ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00226
COM2008-00226
COM2008-00226
COM2008-00226
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000210
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/14/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How ReceIVed
Paid By
ONLINE PERMIT CHGS
ddk
Page I of 1
ONLINE ADT OnlIne
SECURITY
Payment Total:
2:43:14PM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
2/14/2008