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Home My WebLink AboutPermit Electrical 2008-8-15 ZON (\1' ) INITIAL~ DATE ~.\ c::,.c:Y1-. SOURCE \.1 rtJ;(P- '\ '" ... Date ()~ )71-()Y 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRIC4f'ERMIT APPLICATION CIty Job Number Wrn21rDr- O/:J--/7 1 LOCATION OF INSTALLATION: ) cf-r:i / 1t) /7 PLk) pj/ U II LEGAL DESCRIPTION J } /03 '2...G, 7~'S 0 ? '2, 0"2.- JOB DESCRIPTION 3. COMPLETE FEE SCHEDULE BEWW' A New Resldenttal- Single-or M,ultt-Famlly per dwelling unit. ~ ,~ _~~"1""" ~ ~~~ ServIce Included Permits are non-transferable and expIre If work IS not started wltbm 180 days of Issuance or If work IS Suspeuded for 180 days ] 000 sq It or less Each add.tlOnal 500 sq It or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $12] 00 c c... l' V 1. f\~+W l\ c-:h::,.-, $ 22 00 $57 00 I 'r _ " --'" ~~~~~~~~1 ~ , 2 CONTRACTOR INSTAi.IAT~l)N ONLY: B. Sll.rr~ff~~~i'a~~~tW_f~~jr~~ji~~:ir~~I?ca~lOn. C- \ L ,I j.L .fodo"l ru (,') al '(L[I J l-~ ~ ~..!nr Ij,lllty ElectrIcal Contractor ::> [Jfe..\l \\)\I D vJ vOraye;li(20~~~%I~~I'. -, 'e I ~I' ,0 ~:c :::: SJ7lI100 , 20i\,..UPllHQ.,4.OQ~Allips~ ~ ~l' ~ \ ,\~~ ~%6-00 Address (d;l-j'8 L---\OSc.DYV\b S\- <,(2... 40IDOOUps'rlll16003&iips211,: - - 01":'$'1113'00 - . "o~l~n th,' "en,L[ (" "c . )re 601 ~ ~o 18Pa,~reJ1taG" ,_ , , _~~~6 00 CIty ~ \Q,W') Phone '37-1-))b-Gd.-l ') OverY ;ymiiYrO!!S1-f;uU-J:'_ 2..>~4) $42600 Reconnect Only $ 57 00 Supervisor License Number 34}d, - LEA C Te,!,p~;';'r5iServlces or Feede",( '- ExprratlOn Date Ilt~07[~W'-6 InstallatIOn, AlteratIOn or RelocatIon ItOF- ALJTIj&. tI-j,MJ,T S/;/ALL E 200 Amps or less Constr Contr NUnwlv'~(jEm 191'~::n r XPIRE IF TH[ lVrm Amps to 400 Amps ~~ tNCED DB IS A 111~ I-'tH :,/1 IS 40\l\.unps to 600 Amps ExprratlOn Date \'\ Mn)",.h '-" SA,VD", _ IVOT i;j. '"f7Lf>iNLof:!IJiJ '''''~u cuR Over 600 Amps or 1000 Volts see ':B" ahove SIgnature of Supervlsmg ElectriCian D. Branch- ClreUlts ~~ Each AddItIOnal CIrCUIt or WIth ~'\))( r A J J ,. Service or Feeder Permit Owners Name J -' ,~_IJ( / l.L.>-"' ,,,,,,,A Address ,~Of!:J _ ~~U, Hl Jr ~ \(..U'-E Mlscella,neous (~~rvl~e/feeder not included) -Eacli InstallatIOn City ~h\, ~W\L. QCu\!~ Pump oflmgatIOn $ 57 00 ~ ~ V SlgnlOutlme LIghtmg $ 57 00 OWNER INST ALLA TlON I Lumted EnergylRes.dentlal $ 29 00 The mstallatlOn IS bemg made on property [own whIch Lumted Energy/Commerclal $ 52 00 ,L)d c;--V IS not mtended for sale, lease or rent Mmlmum Electnc PermIt InspectIon Fee IS $52 00 + Surcharges "" , $ 57 00 $79 00 $11400 New AlteratIOn or ExtenSIOn Per Panel One CrrcUlt $ 50 00 $ 5 00 Owners SIgnature 4 SUBTOTAL OF ABOVE 12% State Surcharge 10% Ammmstrallve Fee 5% Technology Fee /;?_ &v .;2 &0 h.A4- ;:5 JQ & ~ 07' Inspecllon Request 726-3769 TOTAL Shared Dnve(T )/BUlldmg FormslElectncal PermIt ApplicatIOn 7-08 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I2I7 ISSUED. 08/14/2008 APPLIED' 08/14/2008 EXPIRES. 02/1412009 VALUE 225 F,fth Street, Sprmgfield, OR 541- 726-3 753 Phone 541-726-3676 FJX 541-726-3769 InspectIOn Lme SITE ADDRESS 1891 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO 1703262302302 Springfield TYPE OF WORK Electrical Work Only TYPE OF USE New Commercial PROJECT DESCRIPTION Vldeo/Securlty System Owner PK SALE LLC Address 3333 NEW HYDE PARK RD #100 NEW HYDE PARK NY 11042 I CONTRACTOR INFORMATION I Contractor Type Low V oltJge Electrical Contractor SUPERIOR LOW VOLTAGE LLC License 150766 ExpiratIon Date 03/24/2010 Phone 877-336-6213 BUILDING INFORMATION I #ofUmts Primary Occupancy Group SecondJI')' Occupancy Group Primary Con'tructlOu T) pI' SecondJry ConstructIOn T) pI' # of Bedrooms # of Storie, HeIght of Structure Type of Heat Water Type Range Type Energy Path Sprinkled Buddmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant LOJd nfa I DEVELOPMENTINFORMATION I REQUIRED PARKING Front yard Setback SIde I Setback, S,de 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd Paved Drive Rqd % of Lot Coverage .AT:[~ITlNI () , rr>('l')n I,...., ..__ Total HandIcapped Compdct , - ,lJU (0 ~ 1 PUBLIC IMPROVEMENTS I. ' , , ",OIlUCllity NqT;Cr.: ," 0, 'sale tf Street Ihllr,oXeq1~ls..'fJ.LL Ey,,'~r IF ~'~ \' CiRK c' - " 'J, : '),~;hde1':alk.T_~pe sa orth T,1IS Pc, '", I :JH ' " . ~, u, _ "J"U"H 952-001_ Storpl,~ef0[o1:y.dJI'll',I<t:f i I r':S :'1:.11,,", IS ,.OT c.' C'~l~r D~'Wn."O:u1liDI'lIJD~S by Spe<;lal nstructl/l~ OR IS ABA,~DOI~ED FOR ~c,nWLI '01 the CJ (0," the telephone vJ 'I: 'cl~l,CU regon Ut,litlf N f Note'gNY 180 DAY PERiOD Center IS l-BOO_332_234~tlloatlon I V aluatlOn Des~rlDtlOn I DeSCrIptIOn Type of ConstructIOn $ Per Sq Ft or multiplier Sq uare Footage or BId Amount Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01217 ISSUED 08/1412008 APPLIED' 08/14/2008 EXPIRES: 0211412009 VALUE' 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691I1spectlOn Lllle Total Vallie of Project Fees Paid I Fee DeSCriptIOn + 10% AdmllllstratIve Fee + 12% Stdte Surcharge + 5% Technology Fee Low Voltdge - Comlllercl3llndus Amount Pdld Date PaId Receipt Number $520 $624 $260 $52 00 8/14/08 8/14/08 8/14/08 8/14/08 1200800000000000872 1200800000000000872 1200800000000000872 1200800000000000872 Total Amount Paid $66 04 I Plan ReViews I To Request an mspeetlOn call the 24 hour reeordmg at 726-3769. All mspeetlOns requested before 7'00 a m Will be made the same workmg day, mspeetlOns requested after 7,00 a.m. will be made the followmg work day I Relllllred Insneetions I Low Voltdge PrIOr to cover By slgndture, I state and agree, that I have carefully eXdmllled the completed dpphcatlOn and do hereby certIfy thdt all IllformatlOn hereon IS true and correct, and 1 further certify that any and all work pertormed shall be do lie III dccordance with the Ordllldnces of the CIty of SprIngfield and the Laws of the State of Oregon pertallllllg to the work descrIbed herelll, and that NO OCCUPANCY wIll be made of any structure without permissIOn of the Commulllty Services DIvIsIOn, BuIldlllg Safety I further certIfy that only contrdctors and employees who dre III comphance With ORS 701 005 wIll be used on thIs project I further agree to ensure that all required IllspectlOns dre reqoested at the rtoper tIme, that each address IS redddble from the .t<:r. r' I~,,) ^ I street, that the permIt cdrd IS locdted at the front of the properry, and the.. proved'se 1\fpIlfljSlM1ilI'f(ll:/JfIdl1 on the sIte at all tImes dUrIng constructIOn fc ' ,- ~.,.' .C '_:' t~8 Oregon Utrhty ~, c},', Co ~ I nuse rules are set forth In u"h 8.,2-001 OJ10 through OAR 952-001- OOSO You may obtain copies of the rules l;lv C, ,I ~ the c8IJ~~r (Note the telephone Owner or Contractors SIgnature numlJer for th.rOfegon Utrhty Notification Center IS 1-800-332-2344). Pa!!e 2 of2 225 FIfth Street Sprmgfield; Oregon 97477 541-726-3759 Phone "~,!!!,Q"'-E4' ~ ".h ~ 1IIi:.~ . .. -< ~ -' CIty of Sprmgfield OfficIal Receipt Dcvelopment ServIces Department PublIc Works Department Job/Journal Number COM2008-0 1217 COM2008-0 1217 COM2008-0 1217 COM2008-01217 Payments Type of Payment CredltCard cRccelOtl RECEIPT # 1200800000000000872 Date: 08/14/2008 Descnptlon Low Voltage - CommefCIallndus + 5% Technology Fee + 12% Stdte Surcharge + 10% Admmlstratlve Fee Paid By MARCOS A APODACA Item Total Check Number Authorization Received By Batch Number Number How Received nJm 016153 In Person Payment Total Page 1 of 1 1050 54AM Amount Due 5200 260 624 520 $66 04 Amount Paid $66 04 $66 04 8114/2008