HomeMy WebLinkAboutPermit Electrical 2008-7-15
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CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED.
EXPIRES.
VALUE:
COM2008-01052
07/15/2008
07/15/2008
01/15/2009
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspecl1on Lme
SITE ADDRESS 333 58TH ST
ASSESSOR'S PARCEL NO 1702343200100
Sprmgfield TYPE OF WORK ElectrICal Work Only
TYPE OF USE New
Public
PROJECT DESCRIPTION Low voltage for camera system
Owner SPRINGFIELD SCHOOL DISTRICT 19
Address 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electncal
Contractor
SECURETECHINC
LIcense
156618
ExpIratIOn Date
08/08/2009
Phone
541-521-2837
BUILDING INFORMATION I
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary Construcl1on Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
Height 01 Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BuIldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupdnt Load
nla
I DEVELOPMENT INFORMATION ,.
Frontyard Sethack'
S.de I Setback
Side 2 Setback
Rearyard Setback
Solar Setbdcks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Handicapped
Compact
Street Improve'1fe}r'CE:
Storm Sewer AY:HI~/1'ERMIT SH
Special Instrucl'It'.,"iHORIZED UNAll EXPIRE IF THE WORK
DER THIS PERMIT IS NOT
Notes ACNO,MMENCED OR IS ABANDONED FOR
( 180 DAY PERIOD
I PUBLIC IMPROVEMENTS I
. , , I-\I"rENTJ@N ~rp.~on law reqUIres you to
follow rui~se~doptJtl'~y the Oregon Utility
Notlflcatll!lll@oSPllbtsliirraUJ;Lles are set forth
In OAR 952-001-0010 through OAR 952-001-
0090 You may obtain copies of the rules by
calling the center (Note the telephone
number for the Oregon Utility NOtification
I ValuatIOn DescflotlOn I
vttl~lQl 1;:1 1.uvv-vv-,---,-v-r-r1
DeSCriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01052
ISSUED: 07/15/2008
APPLIED: 07/15/2008
EXPIRES: 01/15/2009
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees PaId'
Fee DescnptlOn
+ 10% Admmlstrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commerc13llndus
Amount P did
Date Paid
Receipt Number
$500
$600
$250
$50 00
7/15/08
7/15/08
7/15/08
7/15/08
3200800000000000496
3200800000000000496
3200800000000000496
3200800000000000496
Total Amount PaId
$63 50
Plan RevIews I
To Request an inspectIOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00
a m. WIll be made the same workmg day, mspections requested after 7 00 a.m. will be made the following
work day.
I Re,m,l1red I nsne"ctlO~,S, I
Low Voltage Pnor to cover
By Signature, I state and agree, that I have carefully exammed the completed applicatIOn and do hereby cerhfy that all
mformatlOn hereon IS true and correct, and I further cerhfy that any and all work performed shall be done 10 accordance With
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure Without pel mISsIOn of the CommuDlty Services DIVISIOn, Buddmg Safety
I further certlly thM only contractors and employees who are 10 compliance With ORS 701 005 WIll be used on thIS project
I further agree to cnsure that all reqUIred mspectlOns are requested at the proper hme, that each address IS readable from the
street, thdt the permit card IS located at the front of the property, and the approved set of plans Will remam on the Site at all
times dunng construction
Owner or Contrdctors Signature
Date
Paee 2 of2
City of Spnngfield
Electncal Anthonzahon To Begm Work
E-maIled To ron@securetecheugene com
Receipt # EC533931
7/14/20084 07 52 PM
~
By Phone
Check on status of permit
(541)726-3753 or Emall permltcenter@usprmgfieldorus
I
I
I
I
I
I
I
,:~~CEC;rl~IC~L PERMIT FEES I
Subtotal $5000 I
State Surcharge (12% ot pennlt tee) $600 I
City OrSpnngfieJd fees" $750 I
T..[''T41 PI,,'u.. 171,,.,, $6350 I
COM: ~Rpn.!lo/-fe1VrsJb~ Admm FeelS'/o Local Technology
RCPT#.~2(JD K"" .:qCJ(d
\
DATE PROCESSED: ~ 7 ~)S -0 ;(
PROCES~AJUrr- , '
This Authorization To Begin Work must bE ~t_j ;-;~[L ",L, _j", "",<._...:1 _ J ",'Permit
TYPE OF WORK
I 0 New constructIOn
lliJ Addltlon/alteratlon/replacement
CATEGORY OF CONSTRUCTIOIi
I D 1 or 2 family dwellmg D Multl famlly IX] Commercia] / Industndl
I 'JOB SITE INFORMATION ANg:LgCATION
IJob no I Job dddrc!o!t 333 58TH ST
IClty/St,lte/ZIP SPRINGFlbLD OR 974786959
ISUlh.Jbldg I)pl no
I Project name
ero!..... ....treet/dlrectlons to Job site
I ~ubdlvlslOn
ITa'( map/p.uce! no
ILot no
I~
1702343200100
OESCRIPTION OF WORK: ~
Camera ~ysteITI
SITE CONTACT
IName
Irhone
IEmad
I
Ron German
(541) 521-2837
I",
CONTRACTOR
ICCBhc no
156618
! ~I he no 20-476CLE
1 BUSIDt'ss N.lme Sl Sr:CURETECII INC
I Cont.lct Ron Gemuln
IAddress 6286 l'ERNHILI LP
IOty/StaterL.IP SPRINGfIELD OR 97478
IPhone (541)5212837
I Emlld ron@securetecheugene com
I Metro hc no
I Supervising cllctrlClan's he no 3295LI::A
I SUplrvblDg t'llltrlCI tn'S lIame RON GI::RMAN
I'" (541)4610734
IOty hc no
Upon review and approval by your local JUriSdictIon, your
permit will be e-malled or faxed wlthm one busmess day,
with mstructlons on how to schedule your inspection
NOTE This Authorization To Begm Work expires Wlthm 180
days If a pennlt IS not obtamed
The local bUilding department may determine that an
Authorization To Begm Work IS null and vOid If It does not
meet applicable land use laws and local ordinances
FEE SCHEDULE
I Description I Qty I Ea I fotal
I Res~d~!lt!:'I~ ~~9LE- OR mulh-fanlll) d'\\clhng uDlt:~~udes
attac!iectgarage '" '4
11 000 sq ft or less
I :ea add] 500 sq ft or portion
n~~l~ed ~llergy
I Lnmted energ) resldentml
(With above SQ ft)
I LIITIlted energy, ITIultlfmmly
reSIdential (WIth above sq ft)
I L]m]ted energy, commercia]
(with above Sq ft)
I Stand-a]on\.. llmlted energy
reSIdential
I Stand-.:t]one limited energy
mult] fdmlly
I Stand-alone IHnrted euefg},
commerc131
I Servlec~ OR feeders Iwns~allatlOn, alterntlOp. A~D79R relOCAtion
I 200 amps or less
I 201 amps to 400 amps
1401 amps to 599 amps
11J~!\1POJ!?RY scrvlce~ OR feeders mstallatJo~:~I~eri!lo!l,^,'t
ANDlgR~reloclltloll ;j:::<",z~=~ ~ ~~"",
I 200 amp~ or less
120] amps to 400 amps
1401 amps to 599 amps
I BrJnch clrcUlh - NI:.W, AJi~rJtlolI, OR extensIOn, per p,mel
I A Fee for branch clrcuJt~ wIth
service or feeder fee each
branch C]rCult
I B rec for branch cm"Ults
without servIce or fceder fee
first branch Circuit.
i tach add] branch ClrCllIt
IMls5ellaneous
I ServIce reconnect only
I Fach manufactured or modular
dwell me service and/or ft..eder
I Pump or IfftgatlOn clrc]e
I SIgn or outlme IIghtmg
I SIgna] clrcllll(s) or i1mlted-
energy pane] alteratlOn or
extensIOn
$50 00
$50 00
not oflered onlme at this JUrlsd]ctlOn
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
r~~Q~SLD jlJ
.~.. "II
~
Job/Journal Number
COM2008-0 I 052
COM2008-0 I 052
COM2008-0 I 052
COM2008-0 I 052
Payments
Type of Payment
ONLINE CHGS
cRecelotl
RECEIPT #.
3200800000000000496
DescnptIon
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of SprIngfield OffiCIal ReceIpt
Development ServIces Department
Public Works Department
Date: 07/15/2008
Item Total
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
PaId By
ONLINE PERMIT CHGS
NJM
Page I of I
ONLINE SECURE Onlme
TECH
Payment Total
7 24 06AM
Amount Due
5000
250
600
500
$63 SO
Amount Paid
$63 50
$63 SO
7115/2008