HomeMy WebLinkAboutPermit Electrical 2008-6-20
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225 F1ITH STREET. SPRINGFIELD, OR 97477 . PII (541)726-37<;3 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number rJJYv\26V~ -()()C1.1 'd--
I LOCATION OF INSTALLATION:
:r IDt' ~eGi-i re ~+O f'a..q e
LEGAL DESCRIPTION J -I:
85! 501/1 oS,
JOB DESCRIPTION
5e Gu,,..,' f'1 e 'I/i.{/!1 WI en T
.
Permits are DOD-transferable and expire If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
2 CONTRACTOR INSTALLATION ONLY
Electncal Contractor AcLc:'?S CNdro ( U 11 It J.
~D ~t>~
Address
'toLl
Phone I L( 1- ,z q L/."5
CIty
sp+ld
ExpIratIOn Date
J.{:J. LEA
/ D I 08
/ fo I 57 (
Supervisor LIcense Number
Constr Contr Number
ExpIratIOn Date
l;)..-of?-Oq
4~r
Owners Name l-IO~u,,- 3~-c:..
Address
City "'" ,.... ......~, ,....., Phone _
J ~-' .:::-Jon law 'G~UII v,", y""'u lU
fG .' I "1,1<-" adopted by the Oregon UtIlity
OWNER INSTAcIJJ,7A1ileNThose rules are set forth
The ms!1lliftl~n91~i;gjJ~ 'r. Qa~ 6\1r6\lQal?rG.,y.I3~~gItL.
IS not .Ht/,i\~edYim illieY Ig ~\\t 9.9Ries of the rules by
calling the cen er (Note the telephone
Owners ~\IDl!itttfJor the Oregon Utility Notification
Center IS 1-800-332-2344).
InspectIOn Request, 726-3769
Date (rr;20 -or!;
3
r
COMPLETE FEE SCHEDULE nEWW
A New ResldentIal- Smgle nr MultI-FamIly per d"ellmg umt
ServIce Included
1000 sq ft or less
Each addItIOnal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$11700
$2100
$5500
B
ServIces nr Feeders - InstallatIon, AlteratIOns or RelocatIOn.
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70 00
$ 83 00
$13800
$18000
$41300
$ 55 00
C Temllorary Serv.'~ nr Feeders
InstallatIon, AlteratIon or RelocatIon
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 55 00
$ 76 00
$110 00
Over 600 Amps or 1000 Volts see "B" above
D Branch CIrcUItS
\ - ~~
New AlteratIon or ExtenSIOn Per Panel
One CIrCUIt $ 48 00
Each AddItIOnal CIrCUIt or WIth
ServIce or Feeder PermIt $ 4 00
E MIscellaneous (ServIce/feeder not included) -Each InstallatIOn
Pump or lITIgatIOn $ 55 00
SIgn/Outhne LIghtmg $ 55 00
LImIted Energy;NtGiJf~mt $ 28 00
LImIted Energy/CId/&tfefllilMlr SH~l~XP~fi.Orll[ u,
Mm:mum ~:IectrIc PMh~t-rDijj!:~~'tJ~ffil'~P~~ffi\'l''i~~:
4 : SUBTOTAL fii-mlg.~D OR IS ABANDONED FO~ D ---
, 12% State Surch~ie 180 DAY PERrOn If} .tJO
] 0% AdmmlstralIve Fee C:, 0lJ
5% Technology Fee ::J . ~
TOTAL
&;?:> ,SD
Shared Dnve(T )/Bulldmg FonnslElectncal PermIt ApplicatIOn 1-08 doc
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO, COM2008-00912
ISSUED, 06/20/2008
APPLIED: 06/20/2008
EXPIRES: 12120/2008
VALUE'
225 FIfth Street, SpTlngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
SITE ADDRESS 851 52nd St
ASSESSOR'S PARCEL NO 1702332101219
SpTlngfield TYPE OF WORK ElectTlcal Work Only
TYPE OF USE
Alter JtlOn
CommerCial
PROJECT DESCRIPTION L,m,ted Energy for secuTlty equIpment
Owner 1-105 SECURE STORAGE LLC
Address 35379 MCKENZIE VIEW DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Low Voltage ElectTlcJI
Contractor
ACCESS CONTROL UNLIMITED
LIcense
167571
ExpIration Date
12/08/2009
Phone
541-741-2443
BUILDING INFORMATION I
# of UOItS
PTlmary Occupancy Group
Secondary Occupancy Group
PTlmal) Construchon Type
Secondary ConstructIOn Type
# of Bedrooms
# of StoTles
"eIght of Structure
Type of "eJt
Water Type
Range Type
Energy Path
SprlDkled BuIldlDg
Lot S,ze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENTINFORMATION I
Front yard Setback
S,de I Setback
SIde 2 Setback
Rearyard Setback
Solar SetbJcks
Overlay Dlst
# Street Trees Rqd
Paved DTlve Rqd,
% of Lot Coverage
REQUIRED PARKING
Total
"andlcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
SIdewalk Type
Storm SewerM\fdillllilDN Oregon law requires you to Downspouts/DralDs
SpecIal Insttl1clitihfUles adopted by the Oregon Utility
Notification Center Those rules are set forth
Notes In OAR 952-001-0010 through OAR 952-001- NOTICE:
0090 You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK
""""'y '''t vt"'t' \,"Ult lilt' '~'~{'''''''~ tUTHORIZED UNDER THIS PERMIT IS NOT
numb8r for the ""JrcqO~ ,~t~l~ iIJcV'llrulli'iOn DescrtotlOn 'OMMENCED OR IS ABANDONED FOR
c..enter l~ 1 80 r~,jc.:: t::::3'i I ~
$ Per Sq Ft Square F~tA~gt80 DAY PERIOD
DescTlptlOn Tvpe of ConstructIOn It I B d A Value Date Calculated
or mu Ip ler or I mount
Paee I of2
-~~
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO. COM2008-00912
ISSUED. 06/20/2008
APPLIED. 06/20/2008
EXPIRES 12/20/2008
VALUE:
225 F,fth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees P31d I
Fee DescriptIon
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amount PaId
Date PaId
ReceIpt Number
$500
$600
$250
$50 00
6/20/08
6/20/08
6/20/08
6/20/08
2200800000000000954
2200800000000000954
2200800000000000954
2200800000000000954
Totdl Amount PaId
$63 50
I Plan ReVIews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspecttons requested before 7 00
a,m. will be made the same working day, mspectlOns requested after 7'00 a,m WIll be made the followmg
work day.
I RellUlred Insnechons I
Low V oUage PrIor to cover
By slgndture, I state and agree, that I have carefully exammed the completed apphcallon and do hereby cerllty that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shdll be done m accordance wIth
the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY WIll be made of any structure wIthout permISsIOn of the Commumty ServIces DIVISIOn, BUlldlllg Safety
I further certIfy that only contractors and employees who are m comphance wIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that dll reqUIred mspecllons are requested dt the proper lime, 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 remam on the SIte at all
times dunng constructIOn
Owner or Contrdctors Signature
Date
Pa2e 2 of2
225 FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
T~~~; ~
~ -
CIty of Sprmgfield OffiCial Receipt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-00912
COM2008-00912
COM2008-00912
COM2008-00912
Payments
Type of Payment
CredltCard
cRecemt 1
RECEIPT #:
2200800000000000954
Date- 06/20/2008
DescriptIOn
Low Voltage - CommercIal Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrallve Fee
Paid By
MICHAEL A GIROUX
Item Total
Check Number Authorization
Received By Batch Number Number How Received
ddk
666945 In Person
Payment Total
Page I of I
30221PM
Amount Due
5000
250
600
500
$63 50
Amount Paid
$63 50
$63 50
6/20/2008