HomeMy WebLinkAboutPermit Electrical 2005-01-25Building/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: COM2005-00099ISSUED: 0112512005APPLIED: 0112512005
EXPIRESz 07125/2005
VALUE:
SITE ADDRESS: 610 S 2ND ST
ASSESSOR'SPARCELNO.: 1703353300500
PROJECT DESCRIPTION: Low voltage - camera system
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Commercial
Owner:
Address:
Contractor Type
Electrical
Contractor
ADT SECURITY SERYICES INC
BORDEN CHEMICAL CO ETAL
180 E BROAD ST BORDEN INC CORP TAX DEPT
COLUMBUS OH 43215
License
59944
Expiration Date
05t07t2005
Phone
541-7364973
CONTRACTOR INFORMATION
m
PUBLIC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
req uires You to
# of Stories:tiOtvtheOrego
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo ofLot Coverage:
Floor:
Floor:
Occupant Load:
Downspouts/Drains:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
cen
l\)
D hun
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Type of Construction
Page 1 of2
Value Date Calculated
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Valuation Description I
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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: COM2005-00099ISSUED: 0112512005APPLIEDz 0112512005
EXPIRESz 0712512005
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ loh Stzte Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Amount Paid
$4.s0
$3.r5
$45.00
$s2.6s
Total Value of Project
Date Paid
u25t05
U25105
u25t05
Receipt Number
12005000000000001 14
1200500000000000114
r200500000000000r r4
ees Paid
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.
Low Voltage: 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.
Owner or Contractors Signature Date
Pase2 of2
$
Kequrreo rnsDeeuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
city of Springfield Oflicial Receipt
,velopment Services Department
Public Works Department
RECEIPT#: 1200500000000000114 Date: 0112512005 2:10:02PM
Job/Journal Number
coM2005-00099
coM2005-00099
coM2005-00099
Description
+ 7%o State Surcharge
+ l0% Adminiskative Fee
Low Voltage - Commercial Indus
Amount Due
3.15
4.50
45.00
Item Total:$52.65
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check TYCO FIRE AND SECURITY djb 31s90 In Person
Payment Total:
S52;65
-$s2i--
Uzs12005 Page I of I
City of Springfield
225 Fifth Street, Springfield, bFrh4f?- S4.t_726_3759 phone
541-12G3676Farx
June 30, 2005
BORDEN CHEMICAL CO ETAL
1 80 E BROAD ST
COLUMBUS OH 43215
-&
Job Number:
Location:
coM2005-00099
610 S 2ND ST
Project: Low voltage - camera system
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 610 S 2ND ST which is set to expire on
712512005. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration dpte, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building S afety Supervisor
: .i I .::i.,1
siIFn!I {:,rt E:- 5
ilqtV
per
s37s.00
cft-ti25 FIFTH STREET r SPRINGFIBLD, Ox-97477 o PH;(541)726-3753 io
ELECTRICAL PERMITAPPLIUTTON
Ciry Job Number o f o<>oQ./ / Date
l.
LECAL DESCRIPTION 11o'33f33
oo tl5 o
JOB DESCRIPfiON
'." io ceri.ti. * iiy p fr*4tr o w iil .:'i'''',3
A. ;iNbW Resir,lenti:rl - Stlfle.
Service Inclruded
1000 sq. ft. c,r less
Each additiornal 500 sq' ft. or
portion thereof
Each Manufitct'd Honre or
Modutar Dwelling Service or
Feeder
sl
$ 19.00
$50.00
$ 63.00
s 75.00
s125.00
$ 163.00
unit.
Permits are non-transferabte and expire if work is
not startcd within lEO days of issuance or if work is
Suspended for 180 daYs'
ri, I 1,'i!tFi'
2. ;.!,ij,.
Electrical Contractor
Address
city {PQtxB Ft€tT Phone L.
Supervisor License Number 7//H
Expiration Date
Constr. Contr. Number
Expiration Date
of Electrician
Owners Name CLu*.
Address o A\
City C D*o rhnon,
OTryNER INST
The installation is being made on properly I own which
is not intended for salc, lease or rent'
Owners Signature:
Inspection Request: 726-37 69
Installatiotr, Alteration or Relocation
200 Amps or less
201 Amps to 400 AmPs
Over 600 Amps or 1000 Volts see "8" above'
,."iili";riltil;*k'i"li,lliii;rnqBK :r ' ''.,'' ;' '
\{o$m;T{$\},S,-.qeli,'W$4300
, 'l'$fii$n$&oiqgfl**\.'u $ 3oo
' iltl ffi*1Ti':['rttl; "rr#"r no t Lct urr e d) -B a c rr Ins ta,a tro n
Pump or irriltation
Sign/Outline Lighting
Limited EneryY/Residential
Limited EnetgY/Commeroial
$ 50.00
$ 69.00
$100.00
$ 50.00
s s0.00
$ 25.00
$ 45.00X
Mlnimum Electrir: Pernrit Inspection F'ee is
'.-iriX'r:f ij: ': :' ;'i ' : ';r ' "tf'.-- 'i ' r'i " '
4. SUBToTA,OFABOVE .' -
fi1..: "i:.:: .i ' ''I
7o/oState SurPharge
I
lOYo Adminiitrative Fce
TorAL
i
L{f
S45.00 + Sttrcharges
t-l 5
3/f
q ro
lse eq
Shared Driv(T:/Building Fonns/Electrical Pcrrnit Application I -0J'doc
9961982rr9 XVd 90:20 nHr 90/tr/r0zooDuospT^BC fJBS
t?.41
IAX:
%'
:. ' .. : ''1 :!r
Attertlions or Relocation:
$ 50.00