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
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