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HomeMy WebLinkAboutPermit Electrical 2007-06-18Status Issued 225 Fifth Street, Springfield, OR 541-726-3153 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00883ISSUED: 0611812007APPLIED: 06/1512007 EXPIRESz 1211812007 VALUE: SITE ADDRESS: 3800 SPORTSWAY ST ASSESSOR'S PARCEL NO.: 1703153200200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Fire sprinkler monitoring system Owner: Address: Contractor Type Electrical CHAMBERS DEV CORP 2295 COBURG RD STE 2OO EUGENE OR 9740I Contractor OMLID & SWINNEY FIRE SPRINKLER License 62730 Expiration Date 12n5t2007 Phone 541-741-1775 )NTRACTOR INFORMATION reg ,ttofih \cairon e Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: UNDER THIS PERM COMMENCED OR IS ABANDONED FOR ANY 1BO DAY PERIOD Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: t' nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: AUTHORIZED RK OT Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Notes: $ Per Sq Ft or multiplierDescription Type of Construction Pase I of2 Value Date Calculated Valu atiqnlDe$riBllqn-.1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3616 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00883ISSUED: 0611812007APPLIED: 06/1512007 EXPIRESz 1211812007 VALUE: Fee Description + l0Yo Administrative Fee + 57o Technology Fee + 87o State Surcharge Low Voltage - Commercial Indus Total Amount Paid Amount Paid Total Value of Project Date Paid 6n8t07 6n8t07 6n8t07 6n8t07 Receipt Number 2200700000000000978 2200700000000000978 2200700000000000978 2200700000000000978 $4.s0 s2.25 $3.60 $45.00 $ss.35 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. red Insnections 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 Safefy. 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 Pase 2 of 2 Date q I ees rar(l I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone G+y of Springfield Official Receipt - 'elopment Services Department Public Works Department RECEIPT #: 2200700000000000978 Date: 0611812007 2:44:IBPM Job/Journal Number coM2007-00883 coM2007-00883 coM2007-00883 coM2007-00883 Description + 5olo Technology Fee + 8% State Surcharge + l0% Administrative Fee Low Voltage - Commercial Indus Amount Due 2.25 3.60 4.50 45.00 Item Totall $55.35 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check OMLID AND SWINNEY djb 33369 In Person Payment Total: $55.3 5 -ffi cReceint I Page 1 of I 6n812007 *FilXetlI&A SPEIl{GFTl.LO ZON INITIALS DATE souRCE ('n,-r-n r11 C-? 225 FIFTH STREET r SPRINGFIELD,OR97471 r PH:(541)72G3753 r FAX: (541)72G36E9 ELECTRICAL City Job Number PERMIT APPLICA /a,utzoo7-oc>Date (p-1 E.J TIONgK3 1. IT)CATION OF INSTALI,ATION: LEGAL DE )p3 3. COfuIPLETE FEE SCIIEDULE BELOW ld qzq:l U tq rtl -a A. Nerr Residential - Single or Multi-Family per dwelling unit. y P S.."icelncluded Permits are non-transferable and expire if not started within 1&) days of issuance or if work is Suspended for 1&) days. Address 1\7 s a'7l'h Sfreel ciry Springfield Sr:pervisor License Number 5 1 OLEA Expiration Date 10/01 /08 Constr. Contr. Number 627 30 Expiration Date 1 2-1 5-07 Signahre of C*Aacws \ev @P Phone ( 541 ) 741 -1775 Over l000Amps/Votts Recorurect Only l00O sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Drvelling Service or Feeder 1!00 Amps or less 201 Amps to 4tX) Amps 401 Amps to 60O Amps 601 Amps to l0O0 Amps C. Temporalv Services or Feeders ".elu\$;, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Ampsto60OArups $106.00 $ 19.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 e \e\YY,'.-^f;6CI.00 '' Notttt"-'u''* 2T4Ai.- $loo oo $ 43.00 $ 3.00 s s0.00 ^ r^,rfi[* < ott $50.00 2. gaNTRACTOR INSTALIATION ONLY B. Services or Feeders - Installation, Alterations or Relocation Omlid & Swinney Eire Electrical Contractor Prof cr-t i on anr:l Sar-ur]. D. o'a'aoo'hms Si &n eUE #1's- ubo.,". n}#i'ic*QiP,"" Alteration or Extencion Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Address LZ q { C-tKn Ot-" {2'b 4 ZsO *. Miscellaneous (service/feeder not included) -Each Installation city gl/L!fl€ ame Phone OWI\TER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rsnt. Owners Sienature: L*le Energy/Resid*F$brHttk ,],'I ," flPflo0 * r"#'* {. (sErBr{,f4*p,{-nmlr 4s.00 g&\st}t&suphqgu[rv.t' lffiftaUtirlirtl*itive Fee $%Yechnology Fee 3.15 $ ss. 35 Purnp or irrigation Sign/Outline LiChtinC Inspection Request: 726-37 69 TOTAL Shared Drive(T:/Building Forms/Eleckical Permit Application 8-06.dm ------r.30- 2J0