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Home My WebLink AboutPermit Electrical 2003-09-08FIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00865ISSUED: 09/08/2003APPLIED: 09/0812003EXPIRES: 03/0812004 VALUE: SITE ADDRESS: 470 S 2ND ST ASSESSOR'S PARCEL NO.: 1703353301000 PROJECT DESCRIPTION: Fire sprinkler alarm Springfield TYPE OF WORJ(: Miscellaneous TYPE OF USE: Addition Commercial Owner: Address: BORDEN CHEMICAL CO 180 EAST BROAD ST COLUMBUS OH 43215 Contractor Type Electrical Contractor OMLID & SWINNEY FIRE SPRINKLER License 62730 Expiration Date t2/15t2003 Phone 54r-741-177s CONTRACTOR INFORMATION {FORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: $ Per Sq Ft or multipHer Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains REQUIRED PARKING Total: Handicapped: Compact: Total Value of Project Page I of2 DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Valuation Description Description Type of Construction Value Date Calculated Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00865ISSUED: 09/08/2003APPLIED: 09/0812003EXPIRES: 03/0812004 VALUE: Fee Description + l0o/o Administrative Fee + 77o State Surcharge Low Voltage - Commercial Indus Total Amount Paid Amount Paid $4.50 $3.rs $4s.00 $52.65 Date Paid 9t8t03 9t8t03 9t8t03 Receipt Number 2200200000000001486 2200200000000001486 2200200000000001486 Plan Reviews To Request an inspection call the24 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. I Final Electric: When all electrical work is complete. 2 Low Yoltage: Prior to cover. 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.q 3-oV or Signature Date PaseZ of2 Hees l-fltn I Kequrreo rnspeeuons l 225 Fifth Street ( Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #z 22O1J2OO00000000 I 4E6 COM2003-00865 lrw Voltage - CorDmercial hdus 45.00 CoM2003-00865 + 7% slate swcharep 3.15 COM2003-00865 + 10% Administrativ€ Fee 4.50 Item Total:$52.6s Date:09/08i2003 l:30 :46PM Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard OMLID & SWINNEY lmp 000162 008374 In Person Payment Total: ss2.65 $52.6s 225 FIFTH STREET . SPRINGFIELD, OR97477 o E LECTRI CAL P ERM IT AP P LI CATI O N Ciry Job Number €p f(ZoO3- OO Date @1-oeb - o3 1. LOCA:TION OF INS'TALI-A7-ION 3. COXIPLE'rE PH:(541)726-3753 r F4ilk6fiC0[A6r,q6g9as submitted has the tollo-wi ii,"'irii,ltio"io"i not require specific land use no approval Zoning /\uthorized Signature+-lc>'g 'L*e 9rGe6T LEGAL DESCRIPTION A. New Residential - Single or Nlulti-Family per drvelling unit. -106'3i>7?lo (offiri"" rnctuded JOB DESCRIPTION Frre€FF{ N tfl{€Je Alt aYt Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address I 5-1 5.'{-l-rt* * City EFc,Phone t-t1ng Supervisor The installation is being made on properfy I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-37 69 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Limited $ s0.00 $ 50.00 $ 2s.00 $ 45.00-x-ZSso s 106.00 $ 19.00 , CONTRACTOR INST-ALIATONOAIII' B. Services or Feeders - Installation, Alterations or Relocation:z. At^.\Ut D 9r.llppf.4 Electrical Contractor $ 63.00 $ 7s.00 $ 125.00 $ r 63.00 $37s.00 $ s0.00 License Number 5t o l-€R C. Temporar,v Sen ices or Feetlers Expiration oate (b - \- og Installation, Alteration or Relocation Constr. Contr. Number 200 Amps or less 201 Amps to 400 Amps Expiration Date lz-\S -oB 401 Arnps to 600 Amps Over 600 Amps or 1000 Signahrre of Supervising Electrician s D. Branch Circuits New Alteration One Circuit Each Additional or Name .a Service or(o.;s Address tgo E. crty cautrtne ,\ Pump oK\O OWNER INSTALLATION Limited $ 3.00 -Each Installatiolr Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. STJB:TOT:ALAFABAVE 7%o State Surcharge I 0% Adrninistrative Fee TOTAL 45.o g-( 5 4,5o 52.bs J N^F Shared Drivc{T:)/Building Fonns/Electrical Pennit Application I -03.doc CITY OF OREGON .ran $s0.00 $ 50.00 s 69.00 $ 100.00 UASo .00 CCB - Find A Licensee - Resl,"- Find A Licensee - Results LICENSE NUMBER: NAME: ADDRESS: WORK PHONE NUMBER: LICENSE STATUS: EXPIRATION DATE: Active 12115t2003 DATE F]RST LICENSED: Page I of3 OMLID & SWINNEY FIRE SPRINKLER SYSTEMS INC $7 S 47TH SPRINGFIELD OR 97478-OOOO 5417411775 FIJLT corporation LICENSE Specialty CATEGORY: Contractor/All BOND COMPANY: 12t1511989 EMPLOYER STATUS: DEVELOPERS INSURANCE INSURANCE CO-MERGED COMPANY: rNTO #429 INSUR.ANCE AMOUNT: INSURANCE EFFECTIVE TO: Non-Exempt (Has Employees - Must Have Workers' Comp Coverage) AMERICAN CASUALTY CO OF READING PENN $ 1000000 9t112004 BOND AMOUNT: BOND EFFECTIVE TO: $ 10000 12t15t2003 Associated Name lnformation License Number 62730 62730 Entity Type CPO CPO Name OMLID, O JAY SWINNEY, STEVE Description Corporate Officer Corporate Officer Bond lnformation License Number: 62730 company Name: 281 - DEVELOPERS INSURANCE CO - MERGED INTO #429 Bond Number: l2325lc Bond Amount: $10,000 Bond Effective Date: 1211511999 http://ccbed.ccb.state.or.us/new_web/asp/new_search-resultsgint.asp?regno:62730 9t812003 62730 CCB - Find A Licensee - Rest"'' Cancellation Date: Page 2 of3 License Number: 62730 Company Name: 281 - DEVELOPERS INSURANCE CO - MERGED INTO #429 Bond Number: l2325lc Bond Amount: $5,000 Bond Effective Date: 1211511992 Cancellation Date: License Number: 62730 Company Name: 74 - OHIO CASUALTY INS CO Bond Number: 2824504 Bond Amount: $5,000 Bond Effective Date: l2ll5ll989 Cancellation Date: lnsurance lnformation License Number 62730 62730 62730 lnsurance Company 7 - AMERICAN CASUALTY CO OF READING PENN 207 - TRANSCONTINENTAL INS CO 239 - NATIONAL FIRE INS CO OF HARTFORD 239 - NATIONAL FIRE INS CO OF HARTFORD 170 - TRANSPORT INS CO 170 - TRANSPORT INS CO Poticy Number fflL%- AFS2502933697 1000000 TCP1029048828 1000000 BUA1029049073 1000000 TCP1029048828 1000000 1029048828 500000 1029048828 500000 62730 62730 62730 Effective From 9t112003 9t1t2002 8t3112001 8t31t2000 8/31/1999 8/31/1996 Effective To 9t112004 911t2003 813112002 8t31t2001 B/31/2000 B/31/1999 Specialized Training lnformation Name No records returned. Description http://ccbed.ccb.state.or.us/new_web/asp/new_search_resultsjrint.asp?regno:62730 91812003 CCB - Find A Licensee - Resr'''^Page 3 of3 DISCLAIMER: lnformation concerning contractor credentials and specialized training has been obtained by the Construction Contractors Board (CCB) from contractors who want this information noted in their licensing records. The contractor must also notify the CCB if the credential has expired or terminated. As a result, the CCB does not warrant or guarantee the existence or accuracy of the information about the credentials or specialized training. SIC Codes SIC Code 1623 1711 1731 1799 Description Water, Sewer, Pipeline Communication And Power Lines Plumbing, Heating And Air Conditioning ElectricalWork Special Trades, Not Elsewhere Classified Clainrs Information No records retumed. http://ccbed.ccb.state.or.us/new_web/asp/new_search_results1lrint.asp?regno:62730 91812003