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Home My WebLink AboutPermit Electrical 2006-7-31 (~ . ""1_ 3/-2ro{,o ~;r:",i~~": 'D'~';'i:"f~~"';S;~lsPRINOP~~^ ,I . - 225 F;FTH ~;REET . SPRINGFIELD, OR 97477 . PH:(S4;;726-37~~.F~~;~~;~;~;:9 L~~t'2.~ ELECTRICAL PERMIT APPLICATION . ~ /., ~ . CilyJobNumber COV\o\Z-OOh- 0::"/."_:)7 .~ Date jrZ-8'/Ob ~' I. 1 LOCATION OF INSTALLATION-'''' ()~IIlJ~ COMPLETE FEE SCHEDULE BELOW _ ' _ J Ill,,) CL4t-s" ('~Ue -f;d""- t<eq;~ LEGAL DESCRIPTION /70 Z 334/' 03700 A. I New Residential- Single or Multi:Family per dwelling unit.: I f/".),I~ '10 INfo {!reIJ. (If!lb,'we. f- Service Iucluded JOB DESCRIPTION /IJe.J OA~ Ct}'r:Jles ,'N d.~k 1000 sq, ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or '-Modu lar"Dwelling'Service 'or Feeder ~ermit~ are Do~.transfera,bl~, a~d e~pire if work is 'not started'wlthln'180'day.-of issuauce'or If work Is Suspended for 180 days. 2. I CONTRACTORINSTALLATION ONLY I $106.00 $19.00 $50~OO- B. I.~ Servic.es or F~ders - Instali.atioo, A~teratioDS or Relocation: Electrical Contractor /f{j{JJ..,,.) CuWlI"'l UII!:CA+"~ t:M:200 Amps or less 20 I Amps to 400 Amps Address )3d,:).o S.v ~k'1 1't.L1 '-/1/ 401 Amps to 600 Amps 10 olf 60 I Amps to 1000 Amps, ,/OU'"'I''' . 1"\\)\1 ~ U\\\'\.1 ~L Phone 503 .6 3fl 90t,l0 Over 1'000 AmpS'ivOoltsr\O(\ .\o<\'\'\ ("In \..... \lJ";,:? e\. C~LlSo3 ~llglO ~<;5onfiect&nIYle ales _Or\\' (g' ..~ \0"" ~,,\eO ~ _" ,u\eS_ ,p. 9S'2. _ \~\1 '/lhf)J I~" :'<l.~z:.t.J, - j \. ,\\,,:' ....~~' ..l"l:j'" Supervisor License Number d '1 I t-C' f1 I '" ~ ~u c; rl)~I!1Poran\~.ervice~~OI:'.F.eede~.Oc ;' \0,,0 . (\ Of- O'\v" \e" J. ,C\I'V' I 1 n '\\CaIIO ($\\-0 " GO? '"e\e,e,:.o~\\O(\ 0101 Don ~oll n 9S?Installatio'u~Alteration or'Relocation . vl>-D ""a'l V-.~, ~I"V' t\I\'l I~~ 1(\ nO '{oU200 Amps.or lessi> \l I "0:,110.'). Oo:~. .v..~........ ('\"((=l:l\U nl1.?~" ~\'\'I(\020 I Amps.to 400,\'\.mps' Co. ...."Q{\.\'.'\~nv- .-<'\$,401 AmRs~o 600 Amps $100.00 (\UI" eel ". Over 600 Amps or 1 000 Volts see "B" above. D. I Brauch Circuits City v.><>s f t../,.',J "'i,Oepe Expiration Date Constr, Contr. Number 1117 S-t/{j , Expiration Date ~j'fo 7 ~;;~O;;;~g Electrician V Vr- $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with /l Service or Feeder Permit $ 3.00 Owners Name U )A!/1'U,vS (.(" . .' . Address SP:c '( Mil i,v s-l-- E. I Miscellaueous (Service/feeder not included) -Each Installatiou I CitY~fr,';JIi:{.<-[~ o'f. Phone .2!:LI 1:L(P 713)8 J 9NtB .' OVVNERINSTALLATION . $ 43.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial I $ 45.00 <I)..CO Minimum Electric Permit InspectiJn Fee is $45.00 + Surcharges The installation is being made on property I own which . is not intended for sale, lease.: or rent. Owners Signature:_ _ 4.:~SUBTOTALOEABOVE_,~ NOTICE: . '0 ,!;'or . "''InK TO"~ I1CD>^iT SH,!\LL EXf8%fState,Surcharge'l i'U"':'HORIZED UNDER THiio%fAdMiriis\fatitQFee COMMENCED OR IS ABAHW~tD FOR ANY 180 DAY PERIOD. . . I' ~~_...~-. luspectiou Request: 726-3769 ~. \PV_ 4- hD ~~.lD , " Shared Drivc(T:)/Building Fonns/Electrical Permit Application 1..o6,doc ';0 . CITY OF ~rKlI~ld<l~LD Building/Combination Permit PERMIT NO: COM2006-00957 ISSUED: 07/31/2006 APPLIED: 07/28/2006 EXPIRES: 01/31/2007 VALUE: . Status Issued 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5807 Main St ASSESSOR'S PARCEL NO.: 1702334103700 Spriugfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: New'data cabling in photo TYPE OF USE: Addition Commercial Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND WA 98033 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Contractor ALLPHIN COMMUNICATIONS INC License 107548 I. BUlLDlNGrINFORMA TlON I ATTENTION: L,,-~ the Oregul' v....-, # of Uuits: \0\10'1'1 rules adoPtecJlL:?~~I,OJ,i!~:are s:~ \orth_ Primary Occupancy Group: N t'\'\oa\'IOn Center. 1Height,ofStructure-001 01 10 'nlQu ... -. by Secondary Occupancy Group.: OAR 952-001-00 .'!'~P~o~!~!:.~t;.1e rules Primary Construction Type \n You may obtalWater J'ype:elephone . 0090. '1\\"tP d ,0;:;; ~ , Secondary CoustructlOn Type: II' the center.Range'Type:"o'\\icat1on f ca Ing -......... \ It"ll\' I ' # 0 Bedrooms: b lor the OrIEnergy.'ra.th:44). num er s''''7\ .{0.)..J-:l. . Center is 1 prlOkled BuJldlOg: uta I DEVELOPMENT INFORMATION' Froutyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: ' r,IMT"r'...... -~-. 'U~. THIS PERMI; S:\ PUBLIC IMPROVEMENTS I AUTHORIZED UNDER THIS' 'Pt I Nt WORK COMMENCED OR IS ABANDO RMIT IS NOT ANY 180 DAY PERIOD. NED FOR Phone Number: 541-726-8358 Expiration Date 07/14/2007 Phone 503-638-9000 Lot Size: . Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Olher: Occupaut Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: { Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Coustruction Paee I of2 Value Date Calculated . . Lll i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00957 ISSUED: 07/31/2006 APPLIED: 07/28/2006 EXPIRES: 01/31/2007 VALUE: Status Issued 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P.'Iirl I Fee Description + 10% Administrative Fee + 8% State Surcharge Low Voltage - Commercial Indus Amouut Paid Date Paid $4.50 $3.60 $45.00 7/31/06 7/31/06 7/31/06 Receipt Number 2200600000000001073 2200600000000001073 2200600000000001073 Total Amount Paid $53.10 I Plan Reviews , To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I Re'l"irerllnsn~ Low Voltage: Prior to cover. By siguature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true aud correct, and I further certify that any aud all work performed shall be doue in accordauce 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 ofauy structure without permission of the Community Services Division, Building Safety. I further'certify that ouly coutractors aud employees who are in compliance with ORS 701.005 will be used on this project. I further agree to eusure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the frout of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .../ . .e, · iii~ C&of Springfield Official Receipt .Iopment Services Department Public Works Department RECEIPT #: 2200600000000001073 Date: 07/31/2006 8:37:38AM Job/Journal Number COM2006-00957 COM2006-00957 COM2006-00957 Description + 8% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paymenls: Type of Payment Check Paid By ALLCOM Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5092 In Person Payment Tolal: Amount Due 3.60 4.50 45.00 $53.10 Amount Paid $53.10 $53.10 cReceintl Page I of I 7/31/2006