HomeMy WebLinkAboutPermit Electrical 2006-12-27
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Date
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INITIALS N ("\
DATE J d--)-yj /1...( rn~
SOURCEQJa~/JJ
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~ CITY OF SPRIN<<"'--"'JELD, OREGON
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
,City Job Number ~ ~ &, - () lIP ~ '1
_<0' _..~....., .
.'..::_9,~~i!ers.fiaA~eTELt-L- A!!-f ~ Sled .. "..
. .1 I'IIIIVI~'-"""';""'::J...n..""'" I-'.--/~
'_ ~"'~~A.d~iess',.~f1 ~a:.:;1 b:I!V€vreqon Utility E. L~~~c-"~~~~UNsO(STerl'C'icEe~.~ee,~e~,no,t included.l -~, ach Ins!~~tio~ ,
" ' 'otifi at~'o Center. Those rules, are set fort'
'.:'" ~..~.lty,:' , ~'p ^",'. ..Boone ~.&J'.(~j~?-001 Pump or irrigati(), n,"IS PERMIT SH^L_I_ c_v. P, ~tOl90THE.wnRK
III ,....r, - ~ v...J". U-ulvlf.._-.:J - .. . -1. .
,.: ..'.' , . 0090. You may obtain copies of the rules b, S'gnlOuthne L,\\h0'?riORIZED u~~::;U\ ;! :I~ ~lf9,qv11: 1~ ~1fJl:-
:" !:",,,,OWNER I~~Ml,} t~;p"q,l1Ilte,r. (Note: the telephone' Limited Energy~e~i9ential'E' 0 on '^ ''1' ~$'2S.00D cnq
. ;:,I ... ", f'r.o . UMMtl\JL II IU rU.l,lIlUOI'4t :.b. -;-,'.
""'~"'~The install!'ILql)l~lb.eiQg iinlde':'6n;~}UpehYIIIQWn wliich1tlOf'l Limited Energy~~Ij'ercial AYPr-~ I (jr, , $ 45,00 :tI' 'i"S', -
'. "-';;:;iil.~",not,mtended for s~\:;r!~~,grirentn"'~:'l?-?344), Minimum Electric Permit 1R}/,M:tion F'ee is $45,00 + Surcharges
[..,...- ".."..-- -.--' ~ " '-----"'- ----\.1,
4, 'SUBTOTAL OF ABOVE .' " i'1r ~ ~
L_,____~,_.. _'.._"n'____ '
8% State Surcharge .11. 3, (" 6
10% Administrative Fee i. >4 ,SU
5% Technology Fee ... 61,;;'~
4> 6l.J,35
L LOCATION OF INSTALLATION:
~tl1 #e.vw.li'o.J Mlr
LEGAL DESCRIPTION:
I? (J2, n::s rl. rl7:.D I '=to
JOB DESCRIPTION:
;:;'d~ //~tf/l#? U,P(;LAt:>'€'
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
:, Elec,~ri,cal Contractor Ik.LT.'C..,4( ue::r?.Joi...k:'P.
...A.dd,ess .:1'>.:z.~ ,[l,;;deLVI ST'
,Cit)': SftthJ6;:;'C.L'b
Phone .SYL,J..:Y!{ 3~1
S~pervisor License Number r1iJ//~'i?:r
,~..g!,pjration Date /tY /tJ / /..7 /VI 9
',', <;:.o.!'.str, Co~tr. Number . /S" 22 '7C
': _ ~ J
E~p'ir~tion Date _ _' /-
'.'O~ers Signature:
q-...{'j
etB; ~llnl2;.DD~
Inspection Reqne~:.\769
~
3. COMPLETE FEE SCHEDULE BELOW
A, ' New Residential- Single or Multi-Family per dwelling unit.
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. ( Sen'ices or Feeders - ~ns~~l!~~ion, Altera!~o~s ~r Rel~~~~~~:_. 0__
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNollS
Reconnect Only
$ 63.00
$ 75,00
$125,00
$163.00
$375.00
$ 50,00
f .". .' "
c. : Tempo~:.ry Services. or !~~d,ers
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50,00
$ 69,00
$100,00
Over 60~ Amps or 10QO V o~lS see~B:' .".bo~e,.. ... ... '__
D. j Branch Circuits
L.._..__-"; __..c.. ____.._~_._, ___~ __ -.---- _.-
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
SerVice or Feeder Permit
$ 43,00
$ 3,00
r-- -.--.------"- --->- --..-----
TOTAL
Shared Drive(T:)/Building Fonns/Elcctrical Permit Application 8-06.doc
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2000 HENDERSON AVE
ASSESSOR'S PARCEL NO.: 1803032000190
Eugene
PROJECT DESCRIPTION: Fire alarm Upgrade
Owner: FARWEST STEEL CORPORATION
Address: PO BOX 889
EUGENE OR 97440
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01657
ISSUED: 12/27/2006
APPLIED: 12/27/2006
EXPIRES: 06/27/2007
VALUE:
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Industrial
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ADT SECURITY SERVICES 1NC
BUILDING INFORMATION I
# 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:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
ATTENTION _.m._'
Storm Sewe~Available:' !:Iv11ICll/\I !t:l.jl,hl~;::" you [u
Specialln~t:J~I%LYlecS adopted by the Oregon Utility
~~ullllcallon enter. Those rules are set fortI
Notes: In OAR 952-001-0010 through OAR 952-001
0090. You may obtain cODies of thl> ."Ia~ h.
"QUllIY IIJI:j cemer (Note' the 1 .
. . 1"l:jfJnonl> ' I
numberforthe Oregon Utility ~ ^V:aluation Descrintion
Center is 1-800-332-234.1)
. . . $ Per Sq Ft Square Footage
DeSCrIptIOn Tvpe of ConstructIOn I' I' B'd A
or mu tip lef or I mount
Paee 1 of2
License
59944
Expiration Date
05/07/2009
Phone
541-736-4973
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
I\lU'I:.iL.
THIS PERMIT SHALL EXPIRE IF THE WORI,
AUTHORIZED UNDER THIS PERMIT IS NO'
r.nMMFNr.m nR IS ARANOONED FOR
ANY 180 DAY PERIOD,
Value
Date Calculated
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01657
ISSUED: 12/27/2006
APPLIED: 12/27/2006
EXPIRES: 06/27/2007
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
Fe~~ p~W
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$45.00
12/27/06
12127/06
12/27/06
12/27/06
Receipt Number
2200600000000001752
2200600000000001752
2200600000000001752
2200600000000001752
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.
IRp.n\1'~
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 Signatnre
Date
Paee 2 00
i225,FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
<Aof Springfield Official Receipt
_lopment Services Department
Public Works Department
Job/Journal Number
COM2006-01657
COM2006-01657
COM2006-0 1657
COM2006-0 1657
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200600000000001752
Date: 12/27/2006
Description
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 8% State Surcharge
+ 5% Technology Fee
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
DON MILES/ADT SECURITY Ikw 092880 In Person
Payment Total:
Page I of I
8:24:25AM
Amount Due
45,00
4.50
3,60
2.25
$55.35
Amount Paid
$55,35
$55.35
12/27/2006