HomeMy WebLinkAboutPermit Electrical 2003-10-22Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54l-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-01076ISSUED: 1012212003
APPLIEDz 1012212003
EXPIREST 0412212004
VALUE:
PROJECT DESCRJPTION: Low voltage
Owner: BORDEN CIIEMICAL CO ETAL
Address: 180 E BROAD ST BORDEN INC CORP TAX DEPT COLUMBUS OH 43.
SITE ADDRESS: 610 S 2ND ST
ASSESSOR'SPARCELNO.: 1703353300500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Residential
10
CONTRACTOR INFORMATION
Contractor Type
Electrical
Contractor
ADT SECURITY SERVICES INC
$ Per Sq Ft
or multiplier
o
shl
Square Footage
or Bid Amount
Phone
s4t-7364973
REQUIRED PARI(NG
Total:
Handicapped:
Date
\
o\\l.e
o \\$
\\,e lst Floor:
Ft 2nd Floor:
Ft Basement:
Sq Ft Garage/Carport
w Sq Ft Other:
\o(\s Impervious Surface Area:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
#
R-3
VN
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
1
\t
Type:
Total Value of Project
Pase I of2
Description Type of Construction Value Date Calculated
Valuation Description I
F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2003-01076ISSUED: 1012212003APPLIEDz 1012212003EXPIRESz 0412212004
VALUE:
Fees Pa
Fee Description
+ l0%o Administrative Fee
+ 7o/o State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Amount Paid
$4.s0
$3.1s
$4s.00
$s2.6s
Date Paid
10t22t03
10t22t03
10t22t03
Receipt Number
1200200000000002359
1200200000000002359
1200200000000002359
Plan Reviews
To Request an inspection call the 24 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 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
Pase 2 of 2
Kequtreo tnsBeeuons l
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #: 1200200000000002359 Date: 1012212003 l:34:28PM
coM2003-01076
coM2003-01076
coM2003-01076
+ 7Yo State Surcharge
+ l0%o Administrative Fee
Low Voltage - Commercial Indus
3.15
4.50
45.00
Item Total:$52.6s
Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check ADT djb In Person
Payment Total:
$s2.65
$s2.65
City of Springfield
225 Fifth Street, Springfield, Ox^97477
541-726-3759 Phone
541-726-3676 Fax
March 22,2004
BORDEN CHEMICAL CO ETAL
180 E BROAD ST
COLUMBUS OH 43215
Job Number:
Location:
coM2003-01076
610 S 2ND ST
Project:Low voltage
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 i80 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
412212004. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify 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 date, 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,
Building Safety Supervisor
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753
itted has the lollowing
specific land use
ELECTRICAL P ERMIT APPLICATION
City Job Number Git4 Zac-J,O/ O4 Dare
1. LOCAT',ION OF', ilttsl',eI'r-AT.roN
670 .tif* JrtrO :FtrT-
LEGAL DESCRIPTION
,7Q_S_3S 3'3 o<> stc)
JOB DESCRIPTION
E,ALoi.+tl- fi@
7
/ ,rr*o /,ur*t
approval.
] Zoning
ate
Service Included
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
I
L Na.;
T.
3.
A. Net' Rcsicleutial - Single or illutti-Famili' per drvelling unit.
--Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$106.00
$ 19.00
$s0.00
Electrical Contractor
Address
601Amps
City '1" " nua Phone :Sc(t.-796-flT73 Over 1000
Reconnect
Supervisor License Number a 7/1eA
Expiration Date
Constr. Contr. Number rqq +
Expiration Date
Signature of Supervising Electrician D.
B. Services or Feeclers - Installation, ,tlterations or Relocation:
$ 63.00
$ 75.00
$125.00
$ 163.00
$37s.00
s s0.00
t
h
\r
3sz
s s0.00
s 69.00
$100.00
.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with 1$EService or Feeder
owners Nu-" -Bc a&zw CJ,-,-ri"-[
Address t8o { VgnA{ =f,
City Cu[u,^D..= 0ftp6o,,"
OWNER INSTALLATION
The installation is being made on properry I own which
is not intended for sale, lease or rent.
Owners Signature
0s $ s0.00
s 50.00
$ 25.00
Limited Energy/Commercial s 45.00 L(
Minimum Electric Permit Inspection Fee is $45'00 * Surcharges
loh State Surcharge
10% Administrative Fee
TOTAL
4. SUBTOTAL OF ABOW L/ )
3/,,/'to
SZ 6'
Inspection Request: 726'37 69
Shared Drive(T:)/Building Fonns/Electrical Pennit Application l-03'doc
ONLY
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-Each lnstallation
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