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HomeMy WebLinkAboutPermit Electrical 2005-06-09F PRIN 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: COM2005-00702ISSUED: 0610912005APPLIED: 06/0912005 EXPIRESz 1210912005 VALUE: SITE ADDRESS: 1001 35TH ST ASSESSOR'SPARCELNO.: 1702304301700 PROJECT DESCRIPTION: Alarm install Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial ' Owner: Address: SUNDANCE LUMBER CO INC PO BOX 109 SPRINGFIELD OR 97477 Contractor Type Electrical Contractor ADT SECURITY SERVICES INC License 59944 Expiration Date 05t07t2009 Phone ilt-7364973 ffi # 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: Water Type: Range Type: Energy Path: Sprinkled Building: # of Stories: Height of Structure Type of Heat: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla to bllowrules adopted Notification Center' street rmpronu."${bAR 952-001 O01 0through OAR 952-001- Storm Sewer AvailODB0. You may obtai n coPies of the rules bY Speclal Instruction: Calling the Center.(Note: the telePhone number forthe Oregon Utility Notification Notes:Center is 1-800-332-23441. $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Square Footage or Bid Amount DEVELOPMENT II\ Description Type of Construction Pase 1 of2 Value Date Calculated P tr Valuation Description I 'o?-l}Ybuts'^i L EXPI R IH\S PERIOD. NUT F 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: COM2005-00702ISSUED: 06/09/2005APPLIED: 06/0912005 EXPIRESz 1210912005 VALUE: Fee Description + l0o/o Administrative Fee + 1oh State Surcharge Low Voltage - Commercial Indus Total Amount Paid Amount Paid $4.s0 $3.15 $4s.00 $52.6s Total Value of Project Date Paid 619los 6t9t05 619los Receipt Number 2200500000000000739 2200500000000000739 2200500000000000739 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Low Voltage: Prior to cover. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is Iocated at the front of the property, and the approved set of plans will remain on the site at all , times during construction. Date red Insnections Owner or Contractors Signature Pase2 oI2 I ees raid I 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200s00000000000739 Date:06/09/2005 8:14:52AM Job/Journal Number coM2005-00702 coM2005-00702 coM2005-00702 Description + 7Yo State Surcharge + l0% Adminishative Fee Low Voltage - Commercial Indus Amount Due 3.15 4.s0 45.00 Item Total:$s2.65 Payments: Type of Payment Paid By CheckNumber Authorizatlon Received By Batch Number Number How Received Amount Paid Check TYCO FIRE AND SECURITY djb 42928 In Person Payment Total: $s2.6s -M6t 6/9/2005 Page I of I atrHar33 I 06/02/05 THU 10:41 FAX 5417 3649 65 Gary Davidson @ ooz Lli St 225 Ciry Job Number 1 TH LEGAL DESCRIPTION t70z 30v3 OlToO A' JOB DESCRIPTION Electrical Contractor Address ciry Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signarure of Supervising Electrician P*lz(5411726-3153 r FAX: 641)726-36E9 t. i'corururrn t'nn i, xcrry Residentini - Singie or Mul Service Included 1000 sq. ft. or less er"U uiaitio"al 500 sq' ft' or portion thereof Each Manufact'd Houte or UoauU. Dwelling Service or CDtt^?,,o> o"'e' qr.gl 60g,l,rp: ii ,0gqr_Y,,ti,.Frs-9!'.P" "uov" ,,',1',,, ..::r '1,.' , ,'. P. lpr.glcliCircgitsl ':," j:"'' i Nerv Alteratiorr or Extension Per Panel $ 43.00 One Circuit Eaci'. .4.Cditicnal Circuit or with Service or Feeder Permit PuInP or irrigation Sign/Outtine Lighting Limited EnergY/Residential TOTAL $ 106.00 $ 19.00 $50.00 ch Installation $ 50.00 $ s0.00 s 25.00 ---q--( Co Owners Address CitY S P,=N Phone OWNERTNSTALLATION The installation is being made on property I own ruhiclt is not intendcd for sale, lease or rent' Owners Signature: Limited EnergY/Commercial v s 45.00 Fee is $45-00 * Surcharges Minimtrln Electric Pernrit Inspection.\:, . .. q. 'iistorAl oF ABoYP , t , ,tr. 77o State Surcharge l0% Administrative Fee L{ro /(NUutr Cl1ry OF'SI'RIN Inspection Request: 726-3769 Sharal Drivc(T:/Building Fonns/Elcctrical Pcnnit Application I -0J'doc a 2. $ 50.00 s 69.00 $ 100.00 OR a -(50 ru ADT {ect'Bt'rr- 4AA0 r"^ r'' -ET YAttr yhol,e {rt(l-fi {':117: / 6 r z <t-:4 ff-W;.W- Installatiott' 200 AmPs or less 201 AmPs to 400 Amps 40t AmPs to 600 AmPs '' '.'.: ! L EXPI ER 1HIS t\UN PERIOD.