HomeMy WebLinkAboutBusiness License License 1995-3-14
o RENEWAL
~
LICENSE TYPE
,...
,. ...
CITY OF SPRINGFIELD
BUSINESS LICENSE
CONTROL COPY
LICENSE NO
AMOUNT REC'D
DATE
# OF UNITS
940640
$40.00
3/14/95
ALARM SYSTEM
EXPIRES
INDEFINITE
BUSINESS NAME CLUB TAVFRN
OWNER/EMPLOYEE T C ^ M
NAME L~I _ I T NllBERG
APPROVED
PO: ~Q.ll1J::; J) I cj.. rn frdl- C1 ~
OS: F:DU..re.n lu m/ffJ, tjs
BUSINESS
LOCATION
CITY, STATE, ZIP .
PHONE NUMBER
420 MAIN STREET
SPRINGFIELD OR 97477
MAILING
ADDRESS
420 MATN c;TRFFT
CITY, STATE, ZIP
SPRINGFIELD OR 97477
747-4466
747-4466
PHONE NUMBER
LICENSE APPROVAL
COMMENTS
DATE
DATE
DATE
DATE
r
DATE
I
~
.
ALARM SYSTEM PERMIT - $40 FEE
CITY OF SPRINGFIELD
DEVELOPMENT SERVICES
225 FIFTH STREET
SPRINGFIELD OR 97477
~
DATE: "\6,- 1 ,~ ~
IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS
LOCATION?
RESIDENTIAL
BUSINESS
~.~
If a residentially installed system, please complete questions
1 through 6. If the system is being installed at a business
location, please complete questions 7 through 13.
1. Name:
2. Address:
City:
State:
Zip:
3. Phone Number:
4. Date of Birth:
5. Is the system being installed by the homeowner? Yes No
If no, then indicate the company that will be installing the alarm
system:
6. Date of installation:
- - - - - - - - - - - -
7. Business name (only if system was installed in business):
c: L. \A ~ ~ \~ \J a e,~
8. Owner Name: L \ ~ 'A- M, I '- V\ ~ {2.. eo \7 Co\.
p. -, ~
9. Owner date of birth: \~ \ 9> - ~ '-\-
10. Business address: L\ d- C \''\ 'A- \ ~\\ ~ T.
. r "\ ~ ' 00 "'" tI"
Clty: ~ ~RAM} \""'-\;'aL-\') State: \\ Zip: ~l') "1 ~
11. Phone Number: , L\ I"" l\ L! \t(ln
12. Company that installed alarm system: ~ ~ \'
13. Date of lnstallation: -:S.- 1- t1 ~
ELECTRICAL PERMIT, REQUIRED
IT1 0 >- 0 ';0 I
I >- 3: >- IT1 ......
fTl -j 0 -j () ()
() IT1 C IT1 IT1 IT1
-j :z: ...... :z:
;;0 >- -j ;;0 -0 Vl
...... -0 IT1 -j IT1
() -0 ;;0 ()
>- ;;0 IT1 IT1 :z: :z:
I 0 () ........ c c
<: IT1 <: 3: 3:
-0 IT1 ...... IT1 OJ OJ
IT1 0 <: 0 IT1 IT1
;;0 .. IT1 .. ;;0 ;;0
3: 0
......
-j
:z: ~~'-~
0
. . ~~~'~
.~ ~~V)D
~ ~~';'
\" -~ 'S
~ '
\J\
....J
lI\
..
" .. ~
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD OR 97477
(503) 726,3753
FA>( (503) 726'3689
6 March 1995
Club Co
420 Maln Street
Sprlngfleld OR 97477
Dear Buslness Owner
~ecently an electrlcal permit was taken out In your name for the lnstallation of
an alarm system located at 420 Maln Street, Sprlngfleld OR. The City of
Springfleld requlres'all alarm users to obtaln an alarm system llcense.
Springfleld City Code Sectlon 8-15-3 states In part" that "no person shall be an
alarm user wlthout obtainlng a llcense". An alarm user is defined as "any
person or buslness who has control of an alarm lnstalled on premlses". The cost
for thls llcense lS a one-tlme fee of $40. I have enclosed a copy of the alarm
system code for your reference.
The alarm systems are llcensed and regulated by the Clty in an effort "to reduce
false alarms to the Clty of Sprlngfleld pollce Department caused by human error,
neglect, poor technologlcal deslgn, lmproper lnstructlon or improper
lnstallation." The owner lnformatlon lS utillzed by our Police Department In
case the alarm lS actlvated. In an emergency situation this lnformation can be
vltal and helps reduce r~sponse tlme considerably.
Please complete the enclosed appllcatlon form and return It along wlth the $40
llcense fee to:
Clty of Sprlngfleld
BUSlness Llcenslng
225 Flfth Street
Sprlngfleld OR 97477
If I may be of any asslstance to you or If you have any questlons, please call
me at 726-3735. My offlce hours are Monday and Thursday 8 am to 5 pm and
Tuesday 8 am to 12 pm.
,Slncerely,
f)+ela~ OtMJC'^-
Melahle Dawson
Buslness Llcense Speclalist
Enclosures
...
-". -....
225 FIITH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 !/. C. 0
INSPECTION REQUEST: 726-3769 City Job Number VI "j L.-7 S
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF ~STALLATION
!ld-IJ ~M -1:L
. LEGAL DESCRIPTION
17D~30~ l 075W
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
JOB DESCRIPTION
ALARM SYSTRM
1000 sq. ft. or less
Each additional 500
sq. ft or portion .
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ;;t~'l6 B.
.~
Services or Feeders
Installation, Alterations
or Relocation:
Electrical Contractor ADT SECURITY
Address 703 NE Hancock
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Ci ty PDX 97212
Phone 284-3265 ext 41
Supervisor License Number 518
Expiration Date 10-1-96
Constr Contr. Number 59944
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
..
C. Temporary Services or Feeders
Installation, Alteration or Relocation
, 200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
e 4-1-915
Supervising Electrician
~
~;.:..
Owners Name CLitAa _ ..~ /) ~JJ!'~~ D.
Address 0 tJ J'i? Iil-n /)p
Ci ty -!!tf.J.. Phone '71f7-tfr,/(,,&;
O~ INSTALLATION
~ .h';:; ...,. :J .t>
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm $ 36.00 36.00
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ?:> - 2-. q 1:7
RECEIPT~: J W CJ 9-<-t
RECEIVED BY: ' /J,,;\ /\^ n
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
.J~. () 0
/, 3'0;
It 0 I
.~ ~, y y