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Home My WebLink AboutPermit Electrical 2004-11-23 225 FfFTJI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAi'>~1)726-3689 . ~. ~ ELECTRICAL.PERZlifIT APPLICATION "P-"~"f ,,::'1I9Pro CityJobNumberCOY"'ZCoc:>4- OIl.( 3)" Date I\n)w _ "f 0'0&8~CI"88 I 110~4TION OF INST.ALE-A TION' ,. 3 ::.~,','"C,",'.'....:O...,.',.,',',,_,'~,..'."..fP.,'..','...'...:".,."T...'.'..'E,.,.....,.,'~,',',',.',.'.::',.',V..,;F.~~~,'~.,",.,.. '.',','.....~o',n".,."..".. .,..,...','.'.',:..,..., ".O,_..,'.t.".",r,B"fI",..,,<;1.~,..,".,',.~.,.,....1>1,'.'. ~, .:}):.",\,c',.'.'.,:,.,i.'.8I~."...:;,,:.,.;.,:,.,,!,',.~,',.,'.,.,:,;,:,~",'.;,:.'.),.,'...,..:,:,.,:,:,!^,.~ ,',.,'.:....E.:..,::...".,.',',.,:,:,::,';,',:,: . [;.:::':.::.:,:=l::::;~,:~,,,.::':,:::.:;:~::,:~;:1~1:;lj;;:;~ii'0 '. - - <O)'co .. Jd'~Z1.",,,;," ., l~f,i!~~WO;20:r &:~?~~~~i~~~w~~ " Each additional SOO sq. ft. or 'I '-.... c..Ml-~ {J...cA--Oko. ...~ WtR... -t bA--+C- portion thereof $ 19.00 0.J/30/04 TIlE 14: 43 F.U 54172,63689 Permits are non...transfcTabJe and expire if work is not stilrted within 180 days of issuance or if work is Suspended for 180 days. 2. ~~fg~~~~:~~~iif~i4q~:im Electrical Contractor Sele.c..+V-CYl, l)'\l.. Address l'225 S\J h~^'\+r.. Kd City 'Hr,(+bv-J Phone 'Sb?:rl.?)t;.qLl2S-" (.: Supervisor Liecn,c Number C\'lt.-l L.F A ' ">, Expiration Date ID)\ IDS Constr. Contr. Number 1,,4-:':ll..\\ IO)IIDS Expiration Dare Signature of Supervising Electrician //' ' //~---- . / 4.--- /' ' OwuersName U.s.. Pi'f.,t)\ ~""LL__ Address ~i'4~ A~...uli'-V-.e\ City Euif-V\e _ Phone '5:>~ ~ ~ '3HS OWNER INSTALLATION The instal.lalion~is being made onl-'~ut'''''J.Lj I-m.vn which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ........~~ CITY OF SPRINGFIELD Gj'002 I :s?~nl.l:~~~ :'~:i::-~,,!I"~~:.'l.':!~; ..'~;;;~~~~i,~;::,:~~~~;~j~+l~~~~)~! "j;" 4al:fu ""...., :i~~~tw:.. ;#Jii?}J '.'-'~~'i1 Each Manufact'd Home or Modular Dwelling Service or 550.00 F eed.er ~ 1-.'..'..ii.:"'2'.,:~:' 5..<:.\I'::'~.:"'t.:,\.::':.7;:if.-i,::,':"iJ:i:.:;.';.::~.:;'.:.;;;:;t~:;:..;::: !i:.~;.;~:fI~ll"{."f,~;',~ t~f.~~:~i:.:~~,;11!.'r.~~:;..:;;..:;n.~.::;:;:;.;~;Hi'-.:';,'1:;:: r.::ill'~./E. ,\~. B. ;:;':~eYVicesAlr~Fccdtr-iS:;lri'sfuJJa'tion~';~~[' .ratiQnii'bt-Reloca'tiori:~::::j)i. i':.rJi:::~t;;~_:~~~"'::,~.:.;:;o;;;..:>!,~J.~~~';;:~,:~ ~i1;te:'i~~::.:~iIr":.:.;::;:::~~;;):..:;.'Jl;;{~.,. i'::::;.\:.J';'} -';',l..:,:.:i:i:,:tfjf;~i:~;:;;~:.i;;~:,::;~o.;;-~;::,:. 200 Amps or less $ 63,00 20 I Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $12S.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolIS I $375.00 Re_-'P:r'~ON: Oregon law reaulres y$lS~OO ''".;.,....;.lla'''',N'a'';~QP.~~u 1l),~"QI~ 9~".Y.~~~.."".""~"""""..,'.\",,., C :'"D~l;;/"'.'c,..b"'....'''',.. ~~. ......"1""'." . 'C,;"" . "'i""""~",~'.'.",,,,,,,, . ;c:~:~~;::~3{ril;~~h15!' R~5~~~0'1~::)i;,;;:~l~;,2jl:l~;;;} , Ins~"fcltJrm-llY'lll:fl.!liR'lI~uOU)f t e rules by zoo ~Im~e center. (Note: the t leP$15~.!l0 201AlWmb~Oregon Utility Nptlflf%~1(J3 401 Amps to 6Cil>>A1iljiJS.1-80D-3J,-,J4/'+J. SIOO.OO Over 600 Amps or 1000 Volts see "BOO abc ve. D. f2i~~n~1si[~~t~it?t~&1!~i~101~Jmt~~~~~ ~~1I~~mi;I~4t~~1~~~lS~~g!!1~~{rJi. New Alteration or Extcnsion Per Panel , One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 :f;;:;~,r.;.:',!E ::W~~7::~i~:'if.~;;'!.~,f;~;i~;;'8;~;~~:~:~~~i;~~;~~;?:~R,::;'l:;1~;1~:~Fi.~:';i(' ~0::::"i':~':,1;~~: ;;:~.,~,:;:;',.~.n;:.:..:;;.:~:::::::~~f~ ,q;P;;,",<;liTI E. 'j;'lVDScemuieO'u's':(Se6<icetfeeder!:liii(iiiCl udedl'-";EacI11Iistalla tioll." ......_ r~;Lffi'tt:~:;'!,2'!:fr:!L:i~~;~':::";J;:,r,!:,;::~:k:;;:;.:,,~::,'.a1';\')'i:~:,,,;': ;'::.~' ;:;;o1;~;j';; ::":.~~: ";:',:;.,!,', ;::~~~<," :::..:,'lJ'.:.~,I~~ .:~I PjIf1:Ip:;or!..ifiga!iomHALL EXPIRE IF TH : W$'Jioo Si!!li/Ollililie"fF,litiil.vER THIS PEKMIIII~ s'.J50Too ,0...,.._. .'_ 0 ;::I LOo'''. 'd"E'.".'.r;n ""d ,C'. ^jBANDUNtU I-URS?5 00 J]l!Jte , ner:gy/Aesl entia 1 _ _ L.. ""dIE'" ""c' DCQlnl:l. ' IJ $" - 00 "=, '"' .' onlte nerilyl omml:rb!aJ, :4~. ,-L) ,'-'-' Miniln~m Electric Permitlnspe~pon F~~ is 5~~'O~:'~'S~charges .... 4. ~~~]!~~ig~~Rjl:fJ~A,;[~li~rM~l~!~~[~~f: l4~'~ ' 7% State Surcharge 10% Admini,trati vo F"I: :, ,\'3 '-1.5D :52.!oS TOTAL Status Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01435 ISSUED: 11122/2004 APPLIED: 11/22/2004 EXPIRES: 05/22/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3148 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703222003200 Springfield, TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: Low voltage card reader at west vehicle gate Addition Commercial Owner: US POSTAL SERVICE Address: ADDRESS UNKNOWN SAN BRUNO CA 94066 Contractor Type Electrical , CONTRACTOR INFORMATION I Contractor SELECTRONINC License '64341 BVILDlNG INFORMATION I 1\1 '" . . u&.o. Expiration Date 10/21/2005 Phone 503-245-9988 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: THIS PERMIT SHALL 1'tI00tSii.:- THE WORK Height of StruCt!ireiORIZEDUNDER l~q :gt~r~H~\~~r;.3 NOT Type ofHeat: COMMENCED OR IS A~R:~~t,q~c.~Ofr:r1 Water Type: ANY 180 DAY PERIOD Sq Ft Basemen'!': Range Type: 'Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description I DEVELOPlI<'''l'. mrvNVlATlON I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: ATTENTION: 0 Paved Drive Rqd: regonNo1 ~Mll"flglt.to follow rules adopted by the Oregon Utility Notification ('.o".... TIo.^~^ -:':3 :.-.: ':_1 :~.;I In OAR 952-OO11UU1SI!.OOlUlJij'~I...'bii~!iis \, 0090 Youmay' ..",. . .. \ 1 '. C.........'l;;Op'8S or tne rules by calling the center. (Note: the telephone RUmbar for the Oregon Utility Notification Center Is 1-800-332-2344). Sidewalk Type: Downspoutsmrains: , Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Total Value of Project Paee I ofl . . CITY OF ~rK1NGFIELD ' Building/Combination Permit PERMIT NO: COM2004-01435 ISSUED: ll/22/2004 APPLIED: ll/22/2004 EXPIRES: 05122/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fee~ Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Low V oUage - Commercial Indus Amount Paid Date Paid $4.50 $3.15 $45.00 11/22/04 11/22/04 11/22/04 Receipt Number 1200400000000001642 1200400000000001642 1200400000000001642 Total Amount Paid $52.65 I Plan Reviews .1 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 Reouired \Iw1ection~ 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 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 witbout 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 eacb 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 225 Fifth Street Springfield, Oregon 97477 541-726-1759 Phone . 8.P~}"~FI~ "_.CU_'"",. u..' ~tii lIIIIilty of Springfield Official Receipt .velopment Services Department Public Works Department ,- RECEIPT #: 1200400000000001642 Date: 11/22/2004 9:24:47AM Job/Journal Number COM2004-0 1435 COM2004-0 1435 COM2004-0 1435 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Payments: Type of Payment Paid By Check SELECTRON Item Total: Check Number Authorization Received By Batcb Number Number. How Received djb 54567 In Person Payment Total: Amount Due 3.15 4.50 45.00 $52.65 Amount Paid $52.65 $52.65 11122/2004 Page 1 of 1