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Home My WebLink AboutPermit Electrical 2006-10-31 c\ ) zot-.' --1' \, l lY\u.e., lNITIAI,S -f\ ~ DATE \ \-,n"l.. -nC":) SOURC~I-'(' ~I~ \a.'3\' DLo 3. COMPLETE FEE SCHEDULE BELOW A New Re,idential - Single nr Mulli-FamiIy per dwclling \~- Service Included T 2. CONTRACTOR .INSTALLATION ONLY B. Service, or Fceder. -Installation, Alteration, or Relncation: . Ornlid & Swinney Fire ElectncalContractor Pr()rp~r; nn :::ann ~ecurityooAmpsorless 201 Amps to 400 Amp, 401 Amps to 600 Amps 601 Amps to 1000 Amps City Springfield Phone(541) 741-1775 OverlOOOAmJJ~~A\la08hHIII HO~ ~~rrmmfW SI tlO 03:JN3VH'VOJ ION SI ~JV'JTel.tp~.4t1t Sb1tm~.QFlllllGjilnV >ll:lOM 3Hl:J1 3l:lldX3 11\lHS IIV'Jl:l3d SIHl In,tallatinn, Alteration or R!~'lfO N 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amp, .' , CITY OF SPRI( ~\FIELD_ OREGON ' . '- ~ , .- :225 FIFTH STREET. SPRINGFIELD, OR CJ7477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Nwnber (' Ir<Y\Lrrn{", -C', ILl-IS Date 1. WCATIONOF lNSTALLATION: Lo\\ C1I(l'\r"'\ ~;V'\J~ LEGAL DESCRIPTION: C\llrn ~At'o.Apmu, oC' tt...~~ -+ ~ JOB DESCRIPTIbN: 1000 sq. ft. or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling SeIVice or Feeder "Ir\~d\\ ~'I"e A\nn'Y\ ~~lY) Permits are Don-transferable and expire If work is not started within 180 days of issuance or if work is Suspended for 180 day,- Address ...1.5..7 S, 4.2!:J:1 Str.,.,t Supervisor License Nwnber 510LEA Expiration Date 1 0 / 0 1 / 0 8 Constr, Contr. Nwnber 627 3 0 Expiration Date 1 2 - 1 5 - 0 7 $106.00 $19,00 $50,00 $63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. Signature of superv~'S E1eCtriCian!:- D. Branch Circuits 1:, 'It' ~7 -N'-f\(iQ-1 S' JaHJa'" "--"""1 New Alteration'or Extension Per P~ne\.unu h ,-- UO!I"OHC!.eiicG;'tl!ln UObaJO a41 JOI J~"~,,__ $ 43.00 , l-, auoEaihIAodiiionHilefrch;/ilN:;tl\ a4. --"~-- c:::::.rY?' ~q Sal1~i\1',orE""!IerJPe'riiiifqO Aew no). 06($J3,00 Owners ame,-1"~' ,lAYt '5:> \1n:n.::..- l 0-7.Sfi H'v'O 40nOJ41 0 ~OO- ~OO-C:S61:1'v'0 U! Address S-;),S M \ .l A 'S-t-. VI:';;;, .1?OI~~S~'.t'eJI.!!~\'Jl'!'J~'Iig>{(Ced<:! not!intliided)l-Each In,taUatinn .",,~ ~ ' ,{,lllllQ uooa.l.n atH Aq paldope galnJ MOllol C,......, b: L~ Pho.;j~ - -" (' ~ I _~ ',.,~J'",,~frm'j~~1l1 uo5aJO:NO:_'_,,:::', l't$ 50,00 SignlOlltline Lighting $ 50,00 OWNER INSf ALLA nON Limited EnergylResidential $ 25.00 The installation is being made on property [ own which Limited Energy/Commercial 1 $ 45.00 45 . 00 is not intended for sale. lease or rent. Minimum Electric Pennit Inspection Fee Is $45.00 + Surchargcs Owners Signature: 4. SUBTOTAL OF ABOVE 8% Slate Surcharge 10'10 Administrative Fee 5% Technology Fee Inspection Request: 726-3769 45.00 3.15 4.50 2.70 TOTAL $ 55.35 Shared Drive(T:YBuilding FonnslElcctrical Pcnnit Application 8-06,doc 225 Fifth Street , Springfield, Oregon 97477 541-'P26-3759 Phone Joh/Journal Numher COM2006-01415 COM2006-01415 COM2006-01415 COM2006-01415 Payments: Type or Payment Check cReceint I RECEIPT #: ~ .~. C~f Springfield Official Receipt ~opment Services Department Public Works Department 2200600000000001544 4:38:14PM Date: 11103/2006 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OMLID & SWINNEY Amount Due 45.00 2.25 3.60 4.50 $55.35 Item Total: (;heck Number Authorization Received By Batch Number Number How Received Amount Paid ddk $55.35 $55.35 31684 In Person Payment Total: Page I of I 1113/2006 . ~ITY OF SPRIr"'t.t<lELD ' Building/Combination Permit PERMIT NO: COM2006-01415 ISSUED: 11103/2006 APPLIED: 11103/2006 EXPIRES: 05/03/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line __........ '................r1.'...::nAl(f-;.iiJllc:;;,...U\J.:loJ PROJECT DESCRIPTION: Low VoItllge Alarm System J-\11L-1..,......-.~ -,..._I"-.....~.....("\ronnnUtIIt1V to"OW rUlt1e Cl.....V,..~...- -~...I~r:~ Springfield tT,Y1P,E.OFeW0RKaElectiiciiFWofk Only NeJlIllCa lv' ",,,,. .. .. 'h- - hOAR 952-001 . OAR 01;2-001-0010 t roug In y'TYPE Of"USE: coNe'!:, of the rules IPublic 0090. ou may vUla,,' ....- ne IIin the center. (Note: the telepho . ca g. .~_ r\.Mnn Iltilitv Notification IIUlll"".... ...... ..-- - - ,.,,.,,., n"=l:A1.' Center is 1-BCPhone.Numl:ier: 541-747-3331 SITE ADDRESS: 611 MAIN ST ASSESSOR'S PARCEL NO.: 1703353109200 Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Low V oItage Electrical Contractor OM LID & SWINNEY FIRE SPRINKLER License 62730 Expiration Date 12115/2007 Phone 541-741-1775 BUILDING INFORMATION' # of Units: Primary Occupllncy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height ofStructufloTlCE" Sq Ft 1st Floor: Type of Heat: . Sq. Ft 2nd Floor: Water Type: THIS PERMIT SHALsq:IWmfelfieIHE WORK RlIoge Type: AUTHORIZED UNDE!,.qllfll~~r!!mA1i\rii91/110T Energy Path: COMMENCEn OR 1s"j\l~ARflt'JfijED FOR Sprinkled Buildin<<~V 1 RO n'f& PFRIOwupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Fronlyard Setback: Side 1 Setback: Side 2 Setback: Rearyllrd Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverllge: Total: Handicllpped: Comp"ct: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description' Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 IJ . a:ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01415 ISSUED: 11103/2006 APPLIED: 11103/2006 EXPIRES: 05/03/2007 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s P.'lid I 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 1113/06 1113/06 1113/06 1113/06 Receipt Number 2200600000000001544 2200600000000001544 2200600000000001544 2200600000000001544 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. Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully eXlImined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any IInd all work performed shall be done in accordance with the Ordinances of the Cily of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structure without permission of the Communily Services Division, Building Safely. I further certify that only contractors and employees who are in complillnce with ORS 701.005 will be used on this project. I further agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from the street, thllt the permit card is located at the front of the properly, and the approved set of plans will remllin on the site at all times during construction. 'I Owner or Contractors Signature Date Paee 2 of 2