HomeMy WebLinkAboutPermit Electrical 2008-7-18
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: C0M2008-01086
ISSUED: 07/18/2008
APPLIED: 07/18/2008
EXPIRES: 01/18/2009
VALUE:
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 165 S 22ND ST
ASSESSOR'S PARCEL NO 1703364205900
Sprmgfield TYPE OF WORK Electrical Work Only
TYPE OF USE
New
ReSIdential
PROJECT DESCRIPTION Burglar Alarm
Owner TTT RANCH IV LLC
Address PO BOX 2121
JASPER OR 97438
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ADT SECURITY SERVICES INC
LIcense
59944
ExpIratIon Date
05/07/2009
Phone
541-736-4973
BUILDING INFORMATION I
# of UOIts
PrImary Occupancy Group
Secondary Occupancy Group-
Primary Construction Type
Secondary Construction Type
# of Bedrooms
# of Stories
HeIght of Structure
Type of Heat
Water Type
Rauge Type
Euergy Path
Sprmkled Bulldmg
Lot Sue
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION'
Frontyard Setback
S,de I Setback
S,de 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd
0/0 of Lot Covera2e
REQUIRED PARKING
Total
HandIcapped
Compact
"\' .{......... .... "~I .............""\0
. ./. ,\..,.........., \ I 1oo"....,1.J,
I PUBLIC IMPROVEMENTS I
ATTESiItewalkcType '.
follow M '" .
ow pouts/Drams
Notlflca 1011 'eenlcl I
In OAR 952-001-001 L ,,' J
0090 You may obtalll co~'o~ Oil, c~ 0
calling the center (Nole tha tslr 'A,u, Ie Y
uumhcr f,.". .....~-""-- . j..I t ..
..., ."- --.. I .................UVII
I I Center IS 1-800.332-2344).
ValuatIon DescrmtlOn
'.-
, 'r>
Street Improvements
r -...... nf'"
Storm Sewer Available.:
Specl3llnstructloii ~.~r\"T SHALL EXPIRE IF THE WORK
,11.\ILtD UNDER THIS PERMIT IS NOT
,:.. ,r ~cNCED OR IS ABANDONED FOR
"
Notes
DescriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multiplier
Square Footage
or B,d Amount
Value
Date Calculated
Pal!e I of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01086
ISSUED: 07/18/2008
APPLIED: 07/18/2008
EXPIRES: 01/18/2009
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
Total Value of ProJect
L-Fp.". P""I I
Fee DescrIPtIOn
+ 10% AdmmlStratIve Fee
+ 12% State Surcharge
+ 5% Teehnology Fee
Low Voltage - Commerclallodus
Amount PaId
Date PaId
$500
$600
$250
$50 00
7/18/08
7/18/08
7/18/08
7/18/08
ReceIpt Number
3200800000000000511
3200800000000000511
3200800000000000511
3200800000000000511
Total Amount PaId
$63 50
I Plan RevIews I
To Request an InspectIOn call tbe 24 bour recordIn~ at 726-3769. AllmspectJons requested before 7:00
a.m. wIll be made tbe same workIng day, InspectIOns requested after 7:00 a.m. wIll be made tbe following
work day.
~fi~ 1n<'1r~
Low V olta2e Prior to cover
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIon and do herehy certIfy that all
mformatlOn hereon IS troe and correct, and I further certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty ofSprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permISSIon of the Commumty ServIces DIVISIOn, BuIldmg Safety
I further certIfy that only contractors and employees who are m complIance WIth ORS 701 005 wIll be used on thIS proJect.
I further agree to ensure that all reqUIred IDspectIons 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 remam 00 the sIte at all
hOles durmg constructIon
Owner or Contractors SIgnature
Date
Pa!!e 2 of2
City of Spnngfield
Electncal AuthonzatIon To Begm Work
E-ma,led To SPATE@ADTCOM
Receipt # EC534233
7/18/2008644 11 AM
ii
By Phone
Check on status of permit
(541)726-3753 or Emall permltcenter@C1sprmgfieldorus
I D New constructIOn
~,TYPE OF WORK':"
[XJ AddItIOn/alteratIOn/replacement
CATEGO'RY OF CONSTRUCTION
10 lor 2 fdmlly dwellmg
I
o MultI lamtly
[K] Commercial I Industnal
JOB SITE INFORMATION AND LOCATION
I Job no 283 04945~ I I Job llddre!l!l 165 S 22ND ST
I City/State/ZIP SPRINGFIELD OR 97477-5065
I Sudelbldg I.lpt no
I Project name COMPLCTI:: WOODWORKS
Cross street/directions to Job !lite
I SubdlvlMon
I lax map/parcel no
ILot no
I
BURGLAR ALARM
1703364205900
DESCRIPTION OF_WORK
SITE CONTACT,
IName
I Phone
l....m.lIl
ADAM $ALENE
(541) 736,9909
IFax
CONTRACTOR
I EI he 110 26 209CLf I CCB he no
I BU!lJness NAme ADT SECURITY SERVICES INC
I Contact KEN J\.RAUS
I "ddrts~ 2815 SW 153RD DR
I City/State/LIP BEAVl:RTON OR 97006
IPhone (503)4697212
IEmall SPATE@ADTCOM
I Metro he no
I Supervlsmg electnclJ.n'!l hc no 3891 EA
I Supervlsmg e1ectnclan's n'lDle KENNFTH W KRAUS,
59944
[Fax (503)4697114
1 CIty he no
Upon review and approval by your local JUriSdiction, your
permit will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
NOTE ThiS AuthOrization To Begin Work expires wlthm 180
days If a permIt IS not obtained
The local bUilding department may deterrmne that an
AuthOrization To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordmances
I I FEE SCHEDULE "
II Descnphon I Qty I Ea I Totdl
I RCMdl'ntl tI SIN9~I::~O~~ultl~rJ.md} :dwel1hng umt lnclu,des
j .atbu..hed garage /r}~~ ~ 'j, "
111,000 sq ft or les~
I Ea addl 500 sq ft or portIon
I i LimIted energy
I I LImIted encrgy resldent18!
I (WIth above sa ft)
I Lllmted energy, multIfamIly
I residential (\\Ith above sa ft)
I I - Llmlted energy commercia-I
(WIth above sa ft)
I ~ Stand alone IlImled energy
resldentlill
I ~ Stand atone hmlted energy I
multl~tamlly
I ~ Stand alone hmlted em.Tg) II $50001
commerual
1 Services OR feLder.. lO'\talll1tlOlI, alterahon;7AND/OR reloeJ.hon
1 200 amp~ or le~~ I I
I 20 I 'mps to 400 amps II I
40 I amps to 599 amps
T~ MPORARY !lervleL'1 OR fCt..>der!l
AND/OR reIOc.'1tlOn
1200 amps or less
I 20 I dmps to 400 amps
1401 amps to 599 amps
I ~I!I ancb~ c~rcl!lbj - NEW, alteratloll, OR extensIOn, per panel
I A Fcc for branch CIrCUIts WIth
servIce or feeder tee each
branchurcUlt
I B Fee for branch CIrCUIts
WIthout servIce or fceder fee
firs! branch cIrCUIt
I each addl branch ClrLUlt
[MIscellaneous
I Service reconnect only
I EaLh manufal.tun:d or modular
dwelling, servIce andlor feeder
1 Pump or IrrigatIOn CIrcle
I SIgn or outline Ilghtmg
I SIgnal ClrCUlt(S) or hmlted~
energ} panel alteratIon or
extenSIOn
$5000
I
I
I
Subtotal $5000 I
Stdte Surcharge (12% of per mIl fee) $600
I CIty OfSprmgfield fees" $750
_ l 'T'NT"l PlJIUIIT PEI'J $6350
.--.., :.94 Of~n.fwldTeb~c~Adm," Fee 1,. Locallechnology
COM~ nf', ~v I .
not offered onhne at thIS JunsdlctlOn
ELECTRICAL PERMIT FEES
..s~()l} lY- 6//
RCPT#
'--1// r-(J!5
DATE PROCESSEIJ':
PROCESS~:~t~~
ThiS AuthOrization To Begin Work must be I~ J~ ~_ rWctl.c,,<:;J uy d Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 I 086
COM2008-0 I 086
COM2008-0 I 086
COM2008-0 I 086
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #,
3200800000000000511
Date 07/18/2008
DeSCription
Low Voltage - CommercIal Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlmstratlYe Fee
PaId By
ONLINE PERMIT CHGS
Item Total
Check Number Authorization
Received By Batch Number Number How Received
ONLINE
ADT Online
Payment Total
NJM
Page I of 1
7 47 06AM
Amount Due
5000
250
600
500
$63 50
Amount Paid
$63 50
$63 50
7/18/2008