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Home My WebLink AboutPermit Electrical 2003-9-23 ; . . . "' ~ . '0, CITY OF S.__...J~OFIELD, OREGON '0' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~0('54.i?91Yill!ll\ll9ssubmittedhasthefollowing lonlng, and does not require specific land use ELECTRICAL PERMIT APPLICATION approval ^ ~ City Job Number Com zo03 _00 9 S- I Date ? - 2:3 - 0" Zoning L~ ," . - Date' CI-M-O"3 I. . LOCA110NOFINSTALLATION 3. : COMPLETEFEESCHEDULEBELOW KvJ 1--- -~- _ .._ ~__.__ - _ _ __. _. Aurnonzed SIgnature ~O2. C. 4ATcWAY 'S/. LEGAL DESCRIPTION . 1703. 2200 02200 A. I New Residenti~l- Sing~e .or. ~ulti-Family pc: dwrlling .unit. Service Included JOB DESCRIPTION 1000 sq. f1. or less Each additional 500 sq. ft. or portion thereof Each Manufacfd Home or Modular Dwelling Service or Feeder $106.00 pe::t~nsf~' :[~:;work is not started within 180 days of issuance or if work is Suspended for 180 days. $ 19.00 $50.00 .---, - u,,_" .....'.._--. r.--------.--- _m.....__.._p. 2 ,CONTRACTOR INSTALLATION ONLY. B. ,. Services or Feeders -Installation, Alterations or Relocation: .t. ......__'~_.,.__ ___.__ _....__.__... __ .._.~. ._______ ______.________ Electrical Contractor f/oN~Y /AJ~l L 200 Amps or less $63.00 ~~.._ d /} 201 Amps to 400 Amps $75.00 Address /511'S 5w.~4Uv..40IAmpst0600Amps $125.00 "If /CJO / . 601 Amps to 1000 Amps $163.00 City r::1Y<r/N.1J Phone 5'.:.7'. <J~8. t:.Fc)d Over 1000 Amps/Volts $375.00 I Reconnect Only $ 50.00 J~ician ~::,:::=N":: _/ :!: LElI :~;:;~~~."==u_ ~'r'i~~\~O'6 ~~~~f ~ Op.t\ IJ (Il\&& t $ 50.00 . J).f)'Il f~ e QlInl~~~~~ \~ "r\Qr-e $ 69.00 ~O\\\\ce.\:~n1-~~\O~",~ \e\~:\\~o" $100.00 \'(~: 'IoU ~~~6~~.!lII~'2.~~e~ ':!3::~!>ove:______._ _ _ _ _, 009~\\~~~WJ~\.~~'2.' _ ___ __. _. _ . __ .' nu~~el ~~IAfl.ation or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit .. '1 , Expiration Date _/sot.2/ //3~/Z~ Constr. Contr. Number $ 43.00 Owners Name r;.~--Icw/ly ,.nA-1( ?~J..G/l.. '\ Address liD AI /..Jkka. )),....- $ 3.00 Inspection Request: 726-3769 i-- ~_'__'___U_"_,".___"_____" - ------- -- -- - _._~ ---~ E. i Miscellaneous (Service/feeder not included) -Each Installation, !_---.------- ---------.,---- --.-- ~---- ---- --_..- Pump or irrigation r \\-\~ 1/'J01$'fsO.OO . ..\Si~0ii!1ine Ligh1inll\. E~?I\\E E:",.li IS ~~~O.OO \.t':!m;t~EA~}lY~e~ide."iia'I\IS ?O~~~o 1'0\\ $ 25.00 '\ \"II" . - \) \~u'-" ~\) f'- Limiteg}Ellelli m",..rt:i?;f" L-- $ 45.00 45 IW \.. rt ,,",," . Mini:8~~I~t~ib~~~~~lrr~~e_~ti~ Fee iS$~~~OO+Surcharges 4. ~ S~BTOTAL OF ABOVE_4-5'" 40 7% State Surcharge '3.' SO 10% Administrative Fee 4.50 ( G)2.~.r TOTAL City ("' L\ '1uA-<? 0 fl Phone / . OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: Shared Drivc(T:)/Building Fon11S/Electncal Pennit Application 1-03,doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-0095I ISSUED: 09/23/2003 APPLIED: 09/23/2003 EXPIRES: 03/23/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3026 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Alarm system Owner: GATEWAY MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 A TTN PROPERTY TAX ADMIN CHICAC 60606 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor HONEYWELL INTERNATIONAL INC License Expiration Date Phone 612-951-3974 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN BUILDING INFORMATION I ~\O ~eS fl~\\\Wj # of Stories: ~ (eQ.U\ (jIuO({*,~ Height of Structure~o(\ \e: <<09 O(~t~~l~.Floor: Type of Hea~.O(e e6 'O'l {U1IJ9 Jl.~~l~loor: Wate~~ eOO9'/ "'('C\ose ~~'(\O lEF+'iJ1!fment: ~1e ~Sce~e(''10t'to ~e'OO\ :ardlll"Carport K-alJl\ '1'J:fJ e\t\ (j)~ . ~e :b{\'flOl~er: ~L 9~~" o'O\J ~O\?~\\'t'l Jlt1l1ervious Surface Area: \' ~lI.P I C't\"" _""t. .^ U' ...'1A"1 , DEVELO:l1MsNI'iNooRMA "'~~'" ~ ."... (' ~~'"'UJ - (;<>' r->' ,." ' ~'Oe f\\9( Overlaf'~ist: ce # Street Trees Rqd: Paved Drive Rqd: REQUIRED PARKING SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: . ~"t: \)Ij()Il-~ I PUBLIC IMPROVEMEl'!:J;S., \\r>.\..\.. t.'f,.?\\'<~~~~\i \'0 ~\l' ~\l' . - t.\'<NI\i ~idewaJk1f\\'Oe: ()~t.\l r()1l- i\\\'O I' t.\l \.l\W-c, r>.i~\"\) r>.\\i \\0\'<\\, t. '8<<LWn~poutslDrains: c.ONlNlt.~ Qr>."{ 1't.1l-\0\l. r>.~"{ Ii'll) Notes: I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00951 ISSUED: 09/23/2003 APPLIED: 09/23/2003 EXPIRES: 03/23/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fl'l's Pairl J Fee Description + 10% Administrative Fee + 7% State Surcharge Low V ollage - Commercial Indus Amount Paid Date Paid $4.50 $3.15 $45.00 9/23/03 9/23/03 9/23/03 Receipt Numher 1200200000000002196 1200200000000002196 1200200000000002196 Total Amount Paid $52.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Rl'llllirl'rl Insn~ 1 Low V ollage: 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 tbat 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 Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~.""!~~'-"'.1 ~.~"'~, ., Job/Journal Number COM2003-0095I COM2003-0095I COM2003-0095I Payments: Type of Payment Check Check Job/Journal Number C0M2003-0095I COM2003-0095I COM2003-0095I Payments: Type of Payment Check Check . Receipt #: 1200200000000002196 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage. Commercial Indus Paid By STEVE MOREHOUSE STEVE MOREHOUSE Received By djb djb Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By STEVE MOREHOUSE STEVE MOREHOUSE Received By djb djb l:heck Number Batch Number Authorization Number Check Number Batch Number Authorization Number City of Springfield Official Receipt. Development Services Department Public Works Department ~ Date: 09/23/2003 3:23:47PM Amount Paid Item Total: 3.15 4.50 45.00 $52.65 How Received Amount Paid In Person In Person Payment Total: $0.90 $51.75 $52.65 Amount Paid . Item Total: 3.15 4.50 45.00 $52.65 How Received In Person In Person Payment Total: Amount Paid $0.90 $51.75 $52.65 .