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Home My WebLink AboutPermit Electrical 2006-10-16 '-, '\.. -r.-1.. ,.....,... . ' , ~Cp{ 1()11ft,lo~ SPRINGFIELD ,MGV{J5f'12-1"'~ .,,: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAl- PERMIT APPLICATION City Job NumbeMQI?12<:nf" - 0 13 :;> 8" Date /0/ / r.. / 'Z.I11J G ,<~lt;;"'q"1':-'-;',:",r',' <;"'; ,:;,<' ;~J.,..",.~,'<'0-""'~;"j j,.'v.;J.f"<<':'fu"'~P";;'~~6ti~'JJi:;::c.-'cy.;, I. }iEOeATION{OFJINSTAIiIIATION4:)J$.i:",.~.'? 1(),,1.'f'lflf1el.DWRi> '.'," ....co',,',","'" CiA-rEWllo./ C.~nrrL $I'.e/lf/C;~/E/!J LEGAL DESCIuPTION/703 :;o..oood3of5 '- i!. t1/ tV/LEt e.rs JOB DESCRIPTION /1])1' :rOA (/: ,:U,3- tJ.I/011-3 Permits are Don-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2 !l!6,0N., 'lFti,''W, 'Wfi!jW~ifl!A, ;1m!jNJb1lliT,}~ . ~~R~MC""',"'~ll~"IJ'~~~~~Mj>~:g.", ."'" Electrical Contractor ,ADT Security Address 2815 SW 153rd Dr. City Beaverton OR ':IIUUtJ Phone 503-469-7110 Fax: 503-469-7114 SuperVisor License Number' LEA389 Expiration Date 10/1/08 Constr. Contr. Number 59944 Expiration Date 5/7/08 ;csu:7~~ 9); )b ownerSN)lll'e~a....rF'.A'A1I.U1j ml-lt'L_ AddressrO. eo:l- (/;/-:7110 <5 citZhIf.a(;(() Phone ;:;rL.t_j) OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 . 3. ~c;gMiJMlflJllfUllQ#m;fw!lt~lff~~~.$~ffl ", ,:--;:~_,,', "'__ _,...... -:'" '.' '.:,~.::.~".':.,.',"~_'.f~,,:l A. ,;NcwRcsidential~ Sitigleor MiIlti'F:iriiily,pcr',dwclJiiiguriit;:~;:i . ";' ." -- .,". ;. '. ',' ',"-", ,,'.',""',",," ServiceInc1uded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each M~ufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50,00 D",__,:0"W",",""~" ," ;Ii"i\:l1i\1(\,O:}';fltJl;I~Wigl;I~"1IJ'!l' B. ,;Se"vi~,'e,,.'S:'"o't~!ic~OOl msl1lll ib'tYo, ,:,i\lferi}!ions"oi'!Re,'localion:" ~ '~~"''''''0>';';'''''-''''''''(f:!6'N3WWO~''J1''''''''_:''~'''''''' ',', \I~llrJj\DtI}~l:'ts\W ~oBNOn o::m~nl-l \ nV'$ 63.00 lON Slpl\k.'W>~tl,~bblA~p.sV'HS lIWU3: CIl-\l$ 75.00 )\t10Mllj\-&np~l\l:lio~p~ :jJIlONI25.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 , c. ll1'~futP.~r~~~~~~JI~R~1fi~tm~~~J.tt~i,~~,:'~:~~~;;r;\~t}~.,,~:'ieJ " '01890\ \ law I ;,'-ILl" "'~ Utility Install!,<<OliFMMIrIl'!lJi 'b" ~~\'l~~q"'e oregon et tortl 200AI/tp\l(I"'\le~\~ ad t~r. Those ruleS$15~s1J2 ,:,n1 , 201 #1Rsli611tio~~f~~~_0010t\1ro~!lhU'~~'0&J\"': h~ 401 J\A1w,lo"600'Ampl{ btain "DOles O$I'3~.oAJ -r on YoU may 0 ".. the telepnc.,.- Over 6oO'~s ~r 1~<1iI' l~~~.~B!:~bo"e'NO\itig~~n, illi!l D. m,~llmn~~;;..'~, f:e'~~~l\~.".\,k:~"~~~ft1, m~ef~U. .;' ,.. ~ro-;j'32",,,'_1~~ New Altrration o(Exll\i1sillil Pe~ , anel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3,00 E.lMl~r~~!~rdf;~]hiB~J[}1f~~)~ffi~~~iur;iktill~~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial 1 $ 45.00 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~SWt~"fOEm<t"~~,~;j';'''~Il!?~ 45.00 g%~""<i1' ;'~:. _' . ',. ""'''~ ...,::,;-- 8% Stat rcharge 13 . 60 10"Administra~'- 35 /4.50 TOT~ 1t.5 5. -- < 53.10 (:h'red D~~mUl:PPlk'I;OO I-06,doc 22~ FiftH Street Springfield, Oregon 97477 541-726-3759 Phone . 8!!~A'!".'!",_,.""'. _,,_ .. WiL'. , '." '. :,: , ...... -. r_ .__, . C... of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1328 COM2006-0 1328 COM2006-0 1328 COM2006-0 1328 Payments: Type of Payment Check Cash Job/Journal Number COM2006-01328 COM2006-0 1328 COM2006-0 1328 COM2006-01328 Payments: Type of Payment Check Cash cReeeintl RECEIPT #: 1200600000000001528 Date: 10/16/2006 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ADT SECURITY GARY DAVIDSON Item Total: Check Number Authorization Received By Batch Number Number How Received njm njm 78743 In Person In Person Payment Tolal: Description Low V ohage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ADT SECURITY GARY DAVIDSON Item Total: L'heck Number Authorization Received By Batch Number Number How Received njm njm 78743 In Person In Person Payment Total: Page I of I 8:47:44AM Amount Due 45.00 2,25 3.60 4.50 $55.35 Amount Paid $53.10 $2.25 $55.35 Amount Due 45.00 2.25 3.60 4.50 $55.35 Amount Paid $53.10 $2.25 $55.35 10/16/2006 -~AI~GF,la.o -~_., ~, Status Issued 225 Fifth Streef, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01328 ISSUED: 10/16/2006 APPLIED: 10/16/2006 EXPIRES: 04/16/2007 VALUE: SITE ADDRESS: 1024 HARLOW RD ASSESSOR'S PARCEL NO.: 1703220002305 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Low Voltage for burglar alarm Owner: GATEWAY MALL PARTNERS Address: PO BOX 617905 CHICAGO IL 60661-7905 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Contractor ADT SECURITY SERVICES INC License 59944 Expiration Date 05/07/2009 Phone 541-736-4973 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ' # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: S3 Ft 2nd fJR9r: Water Type: 'aOltl3d 'sV(CFPiJdsttJlle'bt: Range TypeO:! 03NOaNVSV SI t10 (Sq3{~illl/l:I/gea:arport Ene.rg~~J{'SUJWtl3d SIHl \:l30Nn ~'!I~M.'1W SprlU ~~mX'!rA~g~1 =1HldXf/rWHS BWW:f8':h1fid: I DEVELOPMENT INFORMATION I :3:JIlON REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Covera~iTENTION:Ulegon law requil8S you. ~u follow rules adopted by the Oreg().n _~~I~I:~H ... "on lienter. IIIU.:)'Q .....,....... -" - - I PUBLIC IMPROVEM~'f~l 2-001-0010 through OAR 952-001 ~090" y;~ ~~CJ>:lilkilfype";lies of the rules b\ . . h ~"n'"r (Nnte' the telephone calling t fDown.wouts/Dralu~:y Notification number for the Uregon UlIlI Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . CITY OF SPRINGFIELD' . Building/Combination Permit PERMIT NO: COM2006-01328 ISSUED: 10/16/2006 APPLIED: 10/16/2006 EXPIRES: 04/1612007 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 Fp.p.s tiWU Fee Description + 10% Administrafive Fee + 5% Technology Fee + 8% State Surcharge Low Volfage - Commercial Indus Amounf Paid Date Paid $4.50 $2.25 $3.60 $45.00 10116106 10116106 10116106 10116106 Receipt Numher 1200600000000001528 1200600000000001528 1200600000000001528 1200600000000001528 Total Amount Paid $55.35 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. 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 thaf any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein,'and thaf NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety. I furfher certify that only contractors and employees who are in compliance with ORS 701.005 will he used on fhis project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on fhe site at all times during construction. Owner or Contractors Signature Date Paee 2 of2