HomeMy WebLinkAboutPermit Electrical 2006-10-16
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SPRINGFIELD ,MGV{J5f'12-1"'~
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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
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I. }iEOeATION{OFJINSTAIiIIATION4:)J$.i:",.~.'?
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CiA-rEWllo./ C.~nrrL $I'.e/lf/C;~/E/!J
LEGAL DESCIuPTION/703 :;o..oood3of5
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JOB DESCRIPTION
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Permits are Don-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor ,ADT Security
Address
2815 SW 153rd Dr.
City Beaverton OR
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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
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ownerSN)lll'e~a....rF'.A'A1I.U1j ml-lt'L_
AddressrO. eo:l- (/;/-:7110 <5
citZhIf.a(;(() Phone
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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
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A. ,;NcwRcsidential~ Sitigleor MiIlti'F:iriiily,pcr',dwclJiiiguriit;:~;:i
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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
$50,00
D",__,:0"W",",""~" ," ;Ii"i\:l1i\1(\,O:}';fltJl;I~Wigl;I~"1IJ'!l'
B. ,;Se"vi~,'e,,.'S:'"o't~!ic~OOl msl1lll ib'tYo, ,:,i\lferi}!ions"oi'!Re,'localion:" ~
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\I~llrJj\DtI}~l:'ts\W ~oBNOn o::m~nl-l \ nV'$ 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
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" '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
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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
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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