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Home My WebLink AboutPermit Electrical 2007-04-09Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line CITY Building/Combination Permit PERMIT NO: COM2007-00517ISSUED: 0410912007 APPLIEDz 0410912007 EXPIRES: 10/0912007 VALUE: SITE ADDRESS: l0r 30TH ST ASSESSOR'S PARCEL NO.: 1702310005100 Springfield PROJECT DESCRIPTION: Low Voltage for Security/Alarm System TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial Owner: Address: Contractor Type Low Voltage Electrical GOODWILL IND OF LANE COUNTY 855 SENECA RD EUGENE OR 97402 Contractor SALEM FIRE ALARM INC License 76884 Expiration Date 10n2t2007 Phone 503-364-4566 CONTRACTOR I] # 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: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: $ Per Sq Ft Square Footage or multiplier or Bid Amount Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARKING Total: Handicapped: Compact: /t Date Calculated VIENT INFORMATION Description Type of Construction Pase I of2 Value l, U ILI-'I1\ U 11\ T L,KIYTryJ Type: i:e; F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00517ISSUED: 0410912007 APPLIEDz 0410912007 EXPIRES: 10/0912007 VALUE: Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Low Voltage - Commercial Indus Total Amount Paid Amount Paid Total Value of Project Date Paid 4t9t07 4t9107 4t9t07 4t9107 Receipt Number 2200700000000000508 2200700000000000508 2200700000000000508 2200700000000000508 $4.50 $2.25 $3.60 $4s.00 $55.35 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. 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 Paee2 of? Date r?1 I ees raro I l(eourreo lnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C't of Springfield Official Receipt - relopment Services Department Public Works Department RECEIPT #: 2200700000000000508 Date: 0410912007 l:16:52PM Job/Journal Number coM2007-00517 coM2007-00517 coM2007-00517 coM2007-00517 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Amount Due 45.00 2.2s 3.60 4.50 $55.35Item Total: Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check Cash SALEM FIRE ALARM BRIAN B llh llh 10827 ln Person In Person Payment Total: $s3. r 0 s2.2s $ss.35 Job/Journal Number coM2007-00517 coM2007-00517 coM2007-00517 coM2007-00517 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + l}Yo Administrative Fee Amount Due 45.00 2.25 3.60 4.50 $55.35Item Total: Payments: Type of Payment Paid By -- eheck Number Received By Batch Number Authorization Number How Received Amount Paid Check Cash SALEM FIRE ALARM BRIAN B llh llh 10821 In Person In Person Payment Total: $s3.r0 s2.2s $5s.3s cReceinl I Page I of I 41912007 c-u sPsl {LB; t AJ.%w ZON DATE SOURCE225 FIFTH STREET . SPRINGFIELD,OR|T4TT e PH:(541)726-3753 r FAX: (541)726-3689 ELECT:RICAL City Job Number 3. S?rtn\hetA.o(. LEGAL DESCRIPTION A. g _r-07 1. o Date 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 to 1000 Amps Amps/Volts Only $106.00 $ 1e.00 $s0.00 D\+.,,&t(Y JOB u)r DESCRIPTION: ,-?oo1- Ot Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. ) Electrical Contractor Seutrr\ f-A{ *iACr". . lht Address ? o ilo 0 ciry S*r-slt^ Supervisor License Number Expiration Date lO' l' Const. Contr. Number -l bB 8\ Expiration Date f0-tL-o*7 Signature of r $ 69.00 $ 63.00 $ 7s.00 $12s.00 $163.00 $37s.00 $ s0.00 $ 43.00 $ 3.00 Relocation 200 Amps or $ s0.00 201 Amps to 400 Amps 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Brnneh {'ircuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Perniit Owners Name Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Sign/Outline Lighting Limited Energy/Residential $ s0.00 $ s0.00 $ 25.00 E. Limited Energy/Commercial t $ 4s.oo qt, DC) Minimum Electric Permit Inspection Fee is $45.00 * Surcharges {{roo 8% State Surcharge 10% Administrative Fee 5% Technology Fee < {. z{Inspection Request: 7 26-37 69 4. TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06.doc CITY or'OREGOhI r" boq..io ^zi B. Sovicts or Feetlcrs * Installatiot, Alterations or Relocation: 0q or Fecrlers not included) *Each lnstall*tiorl I