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.