HomeMy WebLinkAboutPermit Electrical 2009-3-19
City of Springfield
Electrical Authorization To Begin Work.
E-mailed To: SPATE@ADT.C<?M
Receipt # RC54R525
:3/19/20096:59:13 AM
\,p'J.;
W?
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us .
I 0 Nl;:w construction
[K] Addition/alteration/replacement
I D 1 or ~ family dwelling
o Multi-family
[XJ Commercial! Industrial
IJob no.: 283-05099-] IJob address: 650 Q ST
I City/State/ZIP: SPRINGFIELD, OR 97477c2353
I Suitc/bldg./apt.no.:
Project IllIlIlC: JP MORGAN CHASE
. Cross street/directions to job site:
ISubdivision:
ITax map/parcel no.: 1703262405500
Itol no.:
SECURITY SYSTEM
I Description
11,000 sq. ft. or less [4)
I Ea. addl 500 sq. ft. or portion
not ofTered online at thisjurisdiclion
I
I
I
I
I
I-Limited energy, residential
(with above Sq, ft.)
I . Limited energy, multifamily
residential (wIth above Sq, ft.)
I ,- Limited energy, commercia!
{with above sa., n.)
I - Stand-alone limited energy,
residential
I - Stand-alonelimitl.:d energy,
Imllti-familv ~
- Stand-alone limited energy,
commercial
:Servjces;6I~JfeeaeriinstailutTo~rific.ration;~{N010I{'frefo~cationf;i :~~
""=~, "" "".,..".'. ...., .'<C_' _. ._.~.__._._,...,.;,..__,'...-",~"". ',c_.". ._~_m.,__,,=t;CC;:__m:~-=f ",,:'.',,""~._''-M- _~_ "".'
1200 amps or less [2]
120 I amps\(} 400 amps [2]
1401 amps to 599 amps'[2j
$32_00
132.00
1200 amps or less [2]
I 201 amps to 400 amps [2]
1401 amps to- 599 amps [2]
IName: KEN KRAUS
1 Phon",: (503)~69-7212
IEmail:
1 Fax: 469-7212
I EI. lie. 110.: 26-209CLE I CCll lie. no.: 59944
I Business Name: ADT SECURITY SERVICES INC
I Contact: KEN KRAUS
IAddress: 2815 SW 153RD DR
iCity/Sllllt.'/ZIP: BEAVERTON OR 97006
I Phone: (503)4697229 I Fax: (503)4697114
I Email: SPATE@ADTCOM
ll\letl'o lie. ilO.: 1 City lie. no.:
1 Supervising clcctridan's lie. no.:- 389LEA
ISupt.'n'ising c1cclridull's name: KENNETH W KRAUS
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Autho"zallon To Begm Work expires within 180 1\ ~ J ('\ CA.
days if a permit isnot obtained. ~ ~V
~~~
v:
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I A. Fee for branch circuits with
servIce or feeder fee, each
bmnch circuit
I B. Fee l"orbranch circuits
without service or feeder fee,
first branch circuit r21
I each add I branch cin.:liit
"
-I Service reconnect only. [2J
lEach manufaCtured or modular
dwellirlg, service and/or feeder
121
1 Pump or irrigation circle [2)
I Sign or outline lighting [2]
I Signal circuit(s)orlimiled-
energy panel, olleratlOl1, or
extension
"k ~..[~~9!~]_~t;~7~~.-~~ltiF,~-E_~?~f '"J;
Subtotal I
Minimum fee used instead of Subtotal
State Surcharge (12% of pen nil reel
Citv or Springlii.:ld rees *
l TOTAL PERl\HTFEE
.. City Of Springfield fees: 5% Technology Fee
(DeJau!! /lumber oJinJpeClions al/owedf".
CorY) 2 (51:)'1 - Cb?(c2-
3-)~ - d1
I
1
I
I
I
".[
:"'..
132.00 I
$5800 I
16.96 I
$~.90 I
167.86.1
This Authorization To Begin Work must be posted at the job site unti.1 replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00362
ISSUED: 03/19/2009
APPLIED: 03/19/2009
. EXPIRES: 09/19/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 650 Q ST
ASSESSOR'S PARCEL NO.: 1703262405500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Security System
Owner: METROPOLITAN LIFE INS CO
Address: PO BOX 35547
TULSA OK 74153
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ADT SECURITY SERVICES INC
License
59944
Expiration Date
05107/2009
Phone
541- 736-4973
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary fonstruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupaut Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drivc Rqd:
'Yo of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I. quires you to
ATTEN II,.)N: OSr"dee9wOnalkla.. ~,;r:e0rel'on Utility
Street Improvements: .. Ili}p" ~ th
I II W fI!'oS ac,vv. -- Y" \' are settor
o 0 .: . 'M Those rU e~ 1
Storm Sewer Available: Not'lficat\( 1 Ge'DownspoutslDrallls:, 952-00 -
..j 00lU \\"1'..1,::\" ........ b
Speciallnst[~j:.tU1llJ.iE'. in OAR [);2-00 '-, .'" ies otthe rules Y
NU! I,t.; 0090..\'OU may oDtaml~~ie: tile telephone
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK c2.''.[\9 ,he ~ttgp.~on Utility Notlllca\lOn
AUTHORI?Fn 11~lnFR THIS PFRMIT IS NOT nurnber .Ior .1:,_ 1 ~~nn_332-2344).
COf'm1ENCED OR IS ABANDullJtU ~Uli I VV'''-'
'.'v c ::.- ':j,'..)' PERIOD. Valuation Descrintion
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status' Issued
PERMIT NO: COM2009-00362
ISSUED: . 03/19/2009
APPLIED: 03/19/2009
EXPIRES: 09/19/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fm P~id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
3/19/09
3/19/09
3/19109
3200900000000000170
3200900000000000170
3200900000000000170
Total Amount Paid
$67.86
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be' made the same working day, inspections requested after 7:00 a.m. will be made the following
'work day.
Reouired Insnections I
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefnlly 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 describe~ herein, and
that NO OCCUPANCY will bemade ofauy strncture without permission of the Community Services Division, Building Safety.
I further c~rtify 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 ~c(luested at the proper time, that each address is readable from the
street, that the pernlit curd,is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signatnre
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477 .
541-726-3759 Phone
Job/Journal Number
COM2009-00362
COM2009-00362
COM2009-00362
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000170'
Date: 03/19/2009
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE ADT Online
SECURITY
Payment Total:
'Page I of 1
7:59:IOAM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
3/1 9/2009