The URL can be used to link to this page

Home My WebLink AboutBusiness License License 1994-7-5 JUL 5 JULi ~~ . ~ .. '. 'li ~ . ~ . a . - .'li 1: . ~ ... 1: . ~ ... .. 'li '~ ,- ~ ,- , -- jl; , .. "" . '. ;a '. to . -;a '. "" ~ to .' ... ,. ~ . . DATE BUSINESS LICENSE SUPERVISOR ~;re "" THIS LICENSE IS NONTRANSFERABLE .1...II'illViI....I...lfie.'i.I'i"'itIV"Vll'i..fAYA,.*ii_I.*I.. . BUSINESS LICENSE FINANCE CONTROL COPY [j RENEWAL CITY OF SPRINGFIELD ltCENSE TYPF" ALARi~ SYSTEM EXPIRES: INDWNITE BUSINESS NAME: SMITH'S HOME' FIJRNISHINGS ONAWMNEE:RIEMPLOYEE SMTTH I S HOMF ____ FIIRN$SH I Nf,S BUSINESS LOCATION: _ 3660 GATEWAV ROAD MAILING AOORESS: _ 3660 GATEWAY ROAD CITY, STATE, ZIP: SPRINGFIELD OR 97~7 CITY, STATE, ZIP:.......sPRINGFIELD OR 97477 PHONE NUMBER:, fil1l1- fil100 PHONE NUMBER: 688-6800 LICENSE APPROVAL A:~~OVEROUTED DS: ROUTE.D COMMENTS: DATE DATE DATE APPROVED J U L 7 1994 ,\. , ...,. " " ALkIDt '-S!~TtM.'PERMIT - "$40 FEE,. CITY OF SPRINGFIELD DEVELOPMENT SERVICES 225 FIFTH STREET ' SPRINGFIELD OR 97477 DATE: t - ';;...j- <?..j . IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS LOCATION? RESIDENTIAL BUSINESS x 1. Name: 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. 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 ~/>">d-i/, (only if system was installed in business): M,r'h'7IT - '. r:-'~JC ;v;{/fli~( 8. Owner Name: 9. Owner date of birth: 10. Business address: ,Jt;h() ,Gafl:. {))O..y-J3d. ' City: --r/&I~~J;.j State:. On 11. Phone Number: I tit. troo Zip: '97</77 12. Company that installed alarm system: d-",.lFVf 10./1[' // I 13. Date of installation: &> ' -<of- C;-'-I ELECTRICAL PERMIT'REQUIRED p ~-h .4,~ " ...... " ~ ~j} " ~. .- . Sign~ture of Supervising Electrician' Ov/lY II - .. J.i..L' D.' Branch Circui ts owne~s NameUl'; J tw ' Address ~(),Q>.n. ....<ZxJ ),~ o/Y1J1t.J Ci t~ti flfuhone ~A.l).,. ?f}.,~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REOUEST: 726-3769 CPPICE: . 726-3759 SMITH'S HeME ruRNISHINGS. 1. LoCATION OF INSTAI.4U~ 3660 ~[[ ,.. -''l.(;~1Lt...''Y1~ J!l~~~ON n~\ JOB DESCRIPTION ALARM SYSTEM ?ermits 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 Electrical Contractor HONEYWELL Address 15495 SW Seouoia Pkwv St... 100 CitY-EQrtl..nr1 Phone...9."'Il_ ~~"\I:> Supervisor Licen~e Number 527JLE Expiration Date 10-1-96 Constr Contr. Number 57824 Expiration Date 1-27-95 O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DATE~---------~~~-~~----------' RECEIPT I:, I>> ," '\\\~ lll',r.ruVllO BY: yt\.\~~ \ GO 'd ....r~ -,.- .'- J City Job Number 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Singl~ or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Hanuf'd Home or Hodular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation; Alterations or Relocation; 200 amps or less S 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 2Q1 amps to 400 amps Over 401' to 600 amps' Over 600 amps or 1000 $ 40.00 $ 55.00 S 80.00 see lIB" above voJ.ts New, Alteration or Extension Per Panel One Circuit Each Addit ional Circuit or with Service or Feeder Permit S 35.00 s 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting S 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm l S 36.00 36.00 5. SUDTOTAL ,OF AIlOVE 5% State Surcharge TOtAL 36.00 lotlU 17__AO 65:8 IH3 ~6-~G-Nnr -; . . r' A-l~ .(~ 0+ClfP(p SPRINCFIELD .', . Signature of Supervising Electrician O~// . owne-rs Nam_~:t::'fi)~, 'D., Branch Circui ts , i:&"'t' ~<Z.,"'::C;~"""~n""7~1I') 'New, Alteration or Extension Per Panel '.Addr'1i.'1J,\I"~~iii;~X~",<)Q:V~Y.a.,C/ ,~ ' , ,. ....iw.4!4/al,""I.'4"" j) n n ~"'f!8 .:One Circui t . Ci~~..K'lmlWhone~<y)rJ\ oEa7h A~dition~l. , . . " , , .: ClrcUl t or Wl th SerVlce '.OIINER INSTALLATION' - or Feeder Permi t 225 FIFTH STREET SPRINGFIELD, OREGON 97477, INSPECTION REQUEST: 726-3769 OFFICE: . 726-3759 A:""j!1'i'n.~-;:HEtifE::FUJllitESH. INGS. i 1.~;;~r~0~6F,-i~~i'C ~ 1f)~~~ON OS\O\ , . JOB DESCRIPTION . ALARM SYSTEM ,'0-. _ _'. .' 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 Electrical Contractor HONEYWELL Address 15495 SW Seauoia Pkwv Stp 100 Ci ty Pnrtl ;mrl Phone -9.hR- ~~nr\ Supervisor License Number 527JLE , Expiration Date 10-1-96 Constr Contr. Number 57824 Expiration Date 1-27-95 The installation is being made on property I own'which is not intended for sale, lease or rent. Owners Signature: , . " " ~:. . # . DATE~---------~.ILf~~1\--~-=------, RECEI~_ ~:. I~. ~<~ :J~ ELECTRICAL PERMIT APPLICATION City Job Number Q4.D\L\::) 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit, Service Included: Items Cost Sum .: 1000 sq. ft. or less $ 85.00 Each additional 500, sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40,00 B. Services or Feeders Installation,' Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 6QO amps or 1000 $ 40.00 $ 55.00 $'80.00 see "BIt above volts $ 35.00 ~, $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation .Sign/Outline Lighting Limited Energy/Res .. :.' Limi ted Energy/Comm 1 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 36.00 l.tlU 37.RO