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Home My WebLink AboutPermit Electrical 2007-1-17 L-M"4= I -:- 1\ -Or s..Afc!l{.}....c. .""'~.,Oj r~!\~ ~~A~...J t-::,J~:~-,-.:". 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(5,fl)726-3753 . FAX: (541)726-3689 1,.>/':. i. ~. Z~:: ELECTRlCAL?ERMITAPPLICATION '," ",.. ... "H ~h'"". City Job Number Cf)rnlrrtr7", (J007t. Date 1-/7-;) 07.J; .; .~. . . CIty OF-SrRINq'FIELD, (j~EdON. . U .. '; 1. fLOtATION oF: INSTALLATION .--~ '-<-~- .. ." ...=1 ~"" l:b:dext'bh Ai". LEGAL DESCRIPTION / !' 03 ~ JiSlW\ \'f\;...c.h ,)-er\/ JOB DESCRIPTION 03 d o()O God S SJt-l (0 'In~\\ 8Lce'So::' ('Dn-\-ru\ 5;../ s+e.vv- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for] 80 days. 2. I CONTRACTOR INSTALLA170NONLY I Electrical Contractor ,';., P~. \ h c... Address i22c:., "'" I \?-"-'h', t c\. ~J City ~v4-\?'vvl Phone $3..{,;?,G) Aq;,~ SupervisorLicense Number ~~ 1./ S- Le A ._~ ~()/t2 Expiration Date ,_ . ~ -r; "'- L - L.-/.. -:0.-- ~ Constr. Contr. Number 2Y'-llo O\l\OI -~~ Expiration Date Signature of Supervising Electrician ~ . "."'" -- . _-:b~~ J , Owners Name ~~~ m"".J..., ~J Address Q<;'1"\ \} .hd~'\r> 4'1. e.. ., City f, ,c;l"...<Ae... PhoneSid 1""9.:>1" H 1<';' 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. i COMHI;E;iEFEBSCmYD~jJ;EBd,W;'1J:.;~: :': :.':'". ,I A. ;' Nc..,: Rcsidcuti.ili- ~i~gkor ~luJtic.Fa~ily~p-~r~d'wellipg',~nit.~'_~~~1 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or ,Modular Dwelling Service or Feeder '., $106.00 $ 19.00 $50.00 B. ! ~er\'i~es'or Feeders_~ l~stailation,Ait~r;tio~.s'or..:~~Jj}cat1on: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only .1. _- $ 63.00 $ 75.00 $125.00 $163.00.......-- -~ ; _,'----- $375.00 . $ 50.00 ~ .---- --- " c. f 1;_emi)()'r3ry.S'~_~yi~~s"~r'~;eedifr.~_~::~:}'r:~i~~. "~"~ ~,.. ~~~- . Install~tion, Alteration or Relocation .- .-'200. Amps or less . 20.1 Amps to 400 Amps~. ... 40 I. Amps to 600 Amps . Over 600 Amps or 1000 Volts see "B" above. D. t Brai1ch(~'ii'c~itsi- .'.~-:.' $ 50.00 $ 69.00 $100.00 . ..1 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. I Mi;~ella nco,us - (Se~~c~deed~ r.{"n:or(~clude~)'_';~~'(:h:'!'~:~t~I!~tion' 'I Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergyfResidenrial $ 25.00 Limited EnergY/Commercial $ 45.00 '-IS .00 Minimum Electric Permit (nspection Fee is $45.00 + Surcharges 4. !simiO'l1r,1'li.qE~~P~@~"Z;~:'1:;~':';""':<":~ U.S..cD 8% State Surcharge ... 5~ Tn" F<<' ..0. <;<,C) .. 10% Administrative Fee (1.61. z,.~SJ .0<.-1. ~ TOTAL $SS ~ ~ .:c- Shared Drive(T:)IBuilding Forms/Electrical Permit Application I.06.doc . .ITY OF ~noNu....t,L1J Building/Combination Permit PERMIT NO: COM2007-00076 ISSUED: 01117/2007 APPLIED: 01117/2007 EXPIRES: 07/17/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2300 HENDERSON AVE ASSESSOR'S PARCEL NO.: 1803032000600 Engene TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Low Voltage - Install access control system Industrial Owner: PETERSON MACHINERY CO Address: 955 MARINA BLVD SAN LEANDRO CA 94577 , CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Contractor SELECTRONINC License 64341 BUILDING INFORMATION I Expiration Date 02116/2008 Phone 503-245-9988 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: ATIEN DownspoutslDrains: ..j"''''''~ yv....~" Special IntNJ~ii'J~~: follow rules adopted by tile Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set fOltl Notes: AUTHORIZED UNDER THIS PERMIT IS NOT . OAR 952-001-0010 through OAR 952-001 _ _... ._.. ___ __ ._ . _. ..__..~_ ~__ ~nnn Vnll m"lV obtain copies of the rules b' UUIVlIWIL,.I'\IUI...U VII IV ,.'UllI.U....".. U . L.I'L . h t r (Note'tnetelepltU"t: I 'Ialling t e cen e . . ANY 180 DAY PERIOD. Valuation Descriotion mber iorthe Oragon Utility Notification Center is 1-P.OO-"?2-2344). Description Type of Construction $ Perls.ql~t squBa.rdeAFootage Value Date Calculated or mu tip ler or I mount Page I of2 . .CITY OF ~rtOl~t:.t<1J1.,LD Building/Combination Permit PERMIT NO: COM2007-00076 ISSUED: 01/17/2007 APPLIED: 01/17/2007 EXPIRES: 07/17/2007 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 F..... P"irll $4.50 $2.25 $3.60 $45.00 1/17/07 1/17/07 1/17/07 1/17/07 Receipt Number 3200700000000000023 3200700000000000023 3200700000000000023 3200700000000000023 Fee Description + 1 00/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Total 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. L.R"?"ir..rl \Iw'..dion.. 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 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 without 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 each 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~Q"""'" , · Wir':~','.."'~.'..,,',','. '., j ,.. -'.- . .' j--- ., .,,,._. _.'-_ ._. ... -f ...,....,.,.,) . ......1 Job/Journal Number COM2007-00076 COM2007-00076 COM2007-00076 COM2007-00076 Payments: Type of Payment Check Check Job/Journal Number COM2007-00076 COM2007-00076 COM2007-00076 COM2007-00076 Payments: Type of Payment Check Check cReceiotl RECEIPT #: Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SELECTRON SELECTRON Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SELECTRON SELECTRON 3200700000000000023 Cwf Springfield Official Receipt ~opment Services Department Public Works Department Date: 01117/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received njm njm 59926 60047 l.:heck Number Batch Number Received By njm njm Page I of I 59926 60047 In Person In Person Payment Total: Item Total: Authorization Number How Received In Person In Person Payment Total: 10:45:37AM 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 1/17/2007