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Home My WebLink AboutPermit Electrical 2006-11-7 i...... I , >, CITY OF SPRING,.-,ELD, OREGON 225 F1ITH STREET . SPRINGFIELD, OR 'f/477 . PH,(54I)726-3753 . FAX, (541)726-3689 ELECTRIC4/- PERMIT APPliCATION' City Job NumllcrGOfv\ 2trt) (0 - n l4~ 1 1. I WCATIONOFINSTALLATION: I 3. ,j\ la\ ha-kwCLLt LEGAL DESCRIPTION: I \ '/ n <, d ;:~.'A.. N" -3) t"Tl"") JOB DESCRIPTION: SeLl-Ln-h..\ A\curY"> lns\-a, \ \ A. I New Residenlial- Single or Multi-Family per dwelling unit. Service Included 1000 sq, It, or less Each additional 500 sq, It, or portion thereof $106,00 $19,00 Permits are non~transferable and expire if work is Each Manufacfd Home or not started within 180 days of issuance or if work is Modular Dwelling Setvice or Suspended for 180 days. Feeder 2. ! CONTRACTOR INSTALLATION ONLY I B. I Services or Feeders -Installation. Alterations or Relocation: ElectricalContrnctor -P,~'\o('Q,1 ~n~1 200 Amps or less $63,00 C c-. (' .L 201 Amps to 400 Amps $ 75,00 Address d535 cJ' .'V'(ilrJ ()l 401 Amps to 600 Amps $125,00 1 I D 601 Amps to 1000 Amps $163.00 City LQJoCU\On Phone .54\ -l.\.S\ -l 33 Over 1000 AmpsIVolts $375,00 Reconnect Only $ 50.00 $50,00 Supervisoncicense.Number, \<",3<2> /q .. '-... .... 1 0 I~OOB LEA C. 'I Tempdrary SerVices or Feeders . ,1.),1"..1-, F:xpi~<io!, D.ate ,'.. .1.l",':,I.., t.j I aOO B .... ..,. ~~t~llaf_i9!l1 Alteration or Relocation 200 Amps or less 201 Aiiips to 400 Amps ," 401 Amps to 600 Amps $ 50,00 $ 69,00 $100,00 Expiration Date "c~~~:c;~~ N~b~~_h SGILt,' nl,-.v"I.:;::ir:1.r';[;r,:;' ";,, ,'Over 600 Ampsor, 1000Yolts see.'~B"'abi>V6,~.~ ' ID:llJJf-;J.'fI;"Cl~uitiid bv the Oregon Jtlf. ~, follow.rtltes--auup ":';:;:M r"les ale-set' 0,.,,--- " t"New'AlteratioD'o-r Extension Per.Pane"52_001 \-..10 1I1l.;C1UV11 - - gn Uf\n ;:] , gneG~uiJ01-0010throu . .L_ ''''sMJ,OO 'n Onf'hAdd" aI C' '''t-_n'th'''S 0, ...- I r..uC IUOO !l '-ITem or-WI h '<> ML, l) 1\ P 009's~i~';~F.'~"':Pemiit\ote: the telep or$'3.00 OWnersN~me l \ I OllllTQ\ () u\ t-l \,':<<.C\ "allinq tne l.o""\-'" Ut''''\I Notitlcatlon I 'J...J~, -lnG-OregvR. '=, - Address' '!J,':~ \l 0 \ (""Ct~'\ ,<Jji- 1 j EUI Isle'll,rn~ous (~_'A'iffii\S!!!!l'r<l\b14ilcluded) -Each InstaUalionJ -I ---'Center,!S- , . Ci..~t: '\ '"Phon.e 's4\-4OS- 4W Pumporirrigatio~' $5000 .~ Sign/OUtline Lighting $ 50,00 OWNER TALLATION Limited Eriergy/Residential $ 25,00 TheinStaIlation is being made on r'-r-':' I own which ' Limited Energy/Commercial I $ 45.00 4.'),O'D 1~..\19,t}~,\~~,~/orsa1e, lease or rent. .. .. Minimum~1mr:ermit Inspectio'0'ee is $45.00 + ~urcharges Owners Signature: ..''....__.'.._.m..___..'._ 4. [~Il'1lt~,P'FRM1f_~, ~'&,X, 1'.,IREJU'J:1E WOR~'OD <"""'"'' C""": ,",'!>" "',,- 8o/o'S,l.\'reS-urcharg~ 1~lnER THIS PERMIT IS NOT 3, (nO 1 O%IAlI\Iti&.~ve'F~' 4 ">D ~'!@{Il~IWmlMY~OR IS ABANDONED FOR J.: " 7. ,\ ,TcWXL180 DAY PERIOD. 5s-. 6 S- . > Shared Drive(T:)lBuilding FormslElcctrical Permit Application 8.06.doc ~irt.otsuP~~~~EleCtriCian. ".,' 'j)JitJ'~~ Ezb~ r.~r( f....::;).:1 ;" ~~.. ~--_.___ _, -. .._._u____.__.. "___.'__"h._ .___ :In.pection!~eques':,,7~6-3769'..'..... .,..,.......,.., "'-.., ";('~~:':-~";;;:'" ( ..... '."'. 225 Fifth Street Springfield, Oregon 97477 ..,... 541-726-3759 Phone .;J7~;:~ ~ City..Springfield Official Receipt De_ment Services Department Public Works Department Job/Journal Number COM2006-01434 COM2006-0 1434 COM2006-01434 COM2006-0 1434 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 11/09/2006 2200600000000001566 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DEL FERRIN Item Total: Check Number Authorization Received By Batch Number Number How Received njm 009402 In Person Payment Total: Page I of I 1I:53:06AM Amount Due 45,00 2,25 3,60 4,50 $55.35 Amount Paid $55.35 $55.35 11/9/2006 . .TY OF SPRINtJl'u'LD' Building/Combination Permit PERMIT NO: COM2006-01434 ISSUED: 11/09/2006 APPLIED: 11/08/2006 EXPIRES: 05/09/2007 VALUE: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3161 Gateway St ASSESSOR'S PARCEL NO.: 1703222003100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Secnrity Alarm Installation Owner: BENTON PROPERTIES LTD Address: 980 WILLAMETTE ST EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Primary Contact Contractor PROFESSIONAL SECURITY ALARM MOUNTAIN VALLEY PIZZA I BUILDING INFORMATION I License 56147 Expiration Date 04/04/2008 Phone 541-451-1330 541-905-4500 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Heigbt of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Otber: Sprinkled Building: / "" n/a Occupant Load: '- .\:,jU.II.L.{....U.....!lldNr~~",'.'-'.. ,.,...,. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INF:ORMATION=ropted by the Oregon Utility , ~,ter. Those ruIREQUlRED~ARKING , InOAR952-001-0010throughOAg952~' /" Overlay Dlst:0090. You may obta'ln c ,Total: 001 S oples ~T "," ...,~, b\ # treet Trees Rqf!:!Iing the cente (N t' H, andlcapped: , . r. 0 e th~c'nJ~~. 'l Paved Dnve Rq~..:mber for the Or '.. oml!~ct: ne % of Lot Coverage: . egon Utility Notification Center IS 1-800-332-2344). I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: NO Downspoutsmrains: neE: THIS PERMIT SH AUTHORIZED UN;~L EXPIRE IF THE WORK COMMENCED OR IS ~ THIS PERMIT IS NOT ANY 180 DAY PERIOD,BANDDNED FOR Paee 1 of2 . 4l:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01434 ISSUED: 11109/2006 APPLIED: 11108/2006 EXPIRES: 05/09/2007 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value Date Calculated Total Value of Project Fees tiWU Fee Description + 10% Admiuistrative Fee + 5% Tecbnology Fee + 8% State Surcbarge Low Voltage - Commercial Indus Amount Paid Date Paid $4.50 $2.25 $3.60 $45.00 1119/06 1119/06 1119/06 1119/06 Receipt Number 2200600000000001566 2200600000000001566 2200600000000001566 2200600000000001566 Tolal Amount Paid $55.35 I Plan Reviews , 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, IRf'~ Low Voltage: Prior to cover. By signature, 1 state and agree, that I have carefully examined tbe completed application and do hereby certify that all information hereon is true and correct, and I furtber certify tbat any and all work performed shall be done in accordance with the Ordiuances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to the work described herein, aud that NO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety. I further certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project. I furtber agree tn ensure tbat all required inspections are requested at Ihe proper time, that eacb address is readable from the street, tbat the permit card is located at the front of tbe property, and tbe approved set of plaus will remain ou tbe site at all times during construction. Owner or Contractors Signature Date Page 2 of 2