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Home My WebLink AboutPermit Electrical 2009-6-16 225 Fifth Street. Springfield, OR 97477+PH(54t)726-3753tFAX(541)726-3689 li~!(R~~,!~;rrm1i~i!cm~i.l I Perinit no; C cr - 8 bb I I Date: /- L6 -tJi I Electrical Permit Application This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1_I!P.G~I!IGP;~ERNMENiT1ir~eB.RQ.V~L,~. I Zoning approval verified? 0 Yes 0 No 1~~~~C~m.l;G(:j~~di.PF..J!.tC:Q.N$jlj~l!J.Gml(!)Nli.~"~ I Residential, per unit, service included: I 0 Residential 1 0 Government I ;&1Commercial 1~Q.eI!SJmE~INIi(:j~MP,.ml(:jN\\'Jl:Nli>]1E(:jc'AiliI0N~1!'11 11,000 sq. ft. or less (4) I -, f I I Each additional 500 sq. ft. or portior;! Job site address: S 'i 'J 1'1 fen"J ,'(J",o I W d 1/ thereof , $ 25.00 $ I City: c;ov:~o (;,Ir) I State: of.. r ZIP: ""if 7+11 Limited energy (2) $ 32.00 $ 1=~;~~E$C~I~i1iIQ.NJ[(:j"L\W~,~~~~~~ '~~~~I:::;'S~~~~':~~ fe~~~r (~)odu1ar $ 63.00 $ I r d J I I Services or feeders: installation, alteration, relocation ~)ck., '5W1tl/t'. r},'~Prf~v IU;";"f OW/-, f" 1~1f~~g~~'~~~4~'1tW~R~~~~~Qi~~1;~J I ~:~ ::~oo::: ;~; : ::::: : 1 Name: -j;"~AM 1...,-' I 401 to 600 amps (2) $158.00 $ I Addr I .,. J. f I I I 601 to 1,000 amps (2) $205.00 $ ess: "i? iJ .2. VI rrr V/d /tJt4,Y Wu,!/ I City: 7,fri"'yf,'flr! I State: tJf-. I zip: 11if7'1-1 I Over 1,000 amps or volts (2) $469.00 $ I Pbone:'5ill-1fS~ %" I '7 I Fax: I Reconnect only (2) I $ 63.00 $ I E-mail: I Temporary services or feeders: ins{allation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This I 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). I 401 to 600 amps (2) $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above ii:~"'~""!f,~~C.0"N. "'."""C,,r;0','RliIN' SM"'i,i!i'''r't10''N. ~l_,,,,,,,'t-"'.'iii~,,,",'" I Branch circuits'. new, altenat,.on, extensl.onperpanel xwl~~L. ..' JIlr;v:\,jIL_,_A____ jlfl;'\L:.:I..:.::I;'\]I]. __ . !i~.~:i'"';k~,,-?llii 1 Business name: /'l \. I I a. Fee for branch circuits with purchase of a service or feeder fee: .) ,'fI/lAPY7 I Address: '1 0 ~ I () If/{ '1'1 I f' Y CO/J Y 1- 1 I Each branch circuit I $ 6.00 I $ I City: ,.:i._.:.;, 'r I / I State: If) I!, I ZIP: t/ J trl1tl I b. Fee for branch circuits without purchase of a service or feeder fee: I Phone: ",,; ~~/~- we ;' 1,/:< I Fax: )4/- $0<.- r'5 'i ~ I First branch circuit(2) I $ 55.00 I E-mail: 'leu-v ( ,-t(q",clt'Y- g 5/t~('n( I "'-01/1., Eachadditi~nalbranchcircuit, $ 6.00 $ I CCB license no.: i.? '!?O '1/ I BCD license no,: 4366/ E A- Miscellaneous fees: service or feeder nol included I Signing supervisor's license no.: I.J ~,6r; I C /I I Each pump or irrigation circle (2) $ 63.00 I Print name of signing supervisor: ;;::" vI -; P 10 '" elpy I Each sign or outline lighting (2) I $ 63.00 I Signature of signing supervisor: f / ;fj., A' I Signal c, ircuit or a limited-energy panel, $ 63.00 $r '00 P"'/ // alteration, or extension (2) b" . -VV'I...---- I Each additional inspection: (1) I $58.00 $ I 'Y 1~~~AgF!jgfO"Ai'Jj';i't!J.SE~~~l~~1 . ^ tI P ~ \ ~ 0/ r-,C\ ,/ (A) Enter subtotal of above fees $ ~0\)\7\ ~\ :~: V (Minimum Permit Fee $58.00) ~'\\ W ;\ I (B) Enter 12% surcharge (.12 x [A]) ~~ \\9' \J I (C) Technology Fee (5% of[A]) I TOTAL fees and surcharges (A through C): $134.00 $ $ $ $f~1 $3~ $'?3 :tJt 440-2584-1 (9J08/COM) CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00866 ISSUED: 06/16/2009 APPLIED: 06/16/2009 EXPIRES: 12/16/2009, VALUE: $ 1,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726'3769 Inspection Line SITE ADDRESS: 555 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154000700 Springfield TYPE OF WORK: Om'ce TYPE OF USE: Alteration PROJECT DESCRIPTION: Extending two low voltage circnits for fire alarm and horn strobe. Owner: Address: SYMANTEC CORPORATION 20300 STEVENS CREEK BLVD CUPERTINO CA 95014 , CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor GARY SELANDER License BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: B Height of Structure S-1 ~J)e of Heat: . t v1JTENTION: ~'fH-O fla\'{ reqUires you .a follow rules 0 fee. 'the Oregon Utility Notification c~r~"r ~~~ rules are set forth in OAR 952-00 -'tll5~~ 1ffi\J\i~h. OAR 952-001- 0090. Youma W\\liW<t~I.\\!~I!lgthe rules ~s call1~H'\.~lI'-' ..'.....JJl..., I.~\"'.. 1:''-' ~'"'l........:,......... L DE~Ei,OPMEl'i;i liIl'Fp~1!IDNlI num~'" r 11\lIii Ili~,'Iii~',,,,,,. Center is 1-BOO-~~2-2~''f4J' Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: . % of Lot Coverage: Front yard Setback: Side I Setback: Side 2 Setback:. Rearyard Setback: Solar Sethacks: I PUBLIC I~PROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Industrial Expiration Date Phone 541-914-9347 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft .Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING . . Total: Handicapped: Compact: Sidewalk Type: NOTICE: EXPIRE IF THE Wo~wnspoutslDn;ins: THIS PERMIT SHAll AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ."1.1'1 ~ r~ ~^V O1=P1nn I Valuation Description I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa2e I 01'2 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR - 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 Total Value of Project Fees Paid I Fee Description Amount Paid Date Paid Total.Amount Paid $0.00 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMiT NO: COM2009-00866 ISSUED: 06/16/2009 APPLIED: 06/16/2009 EXPIRES: 12/16/2009 VALUE: $ 1,000.00 1,000.00 $1,000.00 $1,000.00 06/16/2009 Receipt Number To Request an inspection call the 24 hour recording at 726-3769. All inspections requ~sted 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 Ins\7~~!j~~s I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield aild the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strncture without permissiou of the Community ServiCes Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure 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 front of the property, and the approved set of plans will remaiu on the site at all times during construction. -~~~ :d ~ owne:7ontrac ors Signature Page 2 01'2 ;(/rl / () q , Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00866 COM2009-00866 COM2009-00866 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Traffic Signal - Panel + 5% Technology Fee + 12% State Surcharge Paid By GARY L SELANDER City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000677 Date: 06/1612009 Item Total: Check Number Authorization Received By Batch Number Number How:Received 070286 In Person Payment Total: Page I of I 9:08:05AM Amount Due 63.00 3.15 7.56 $73.7] Amount Paid $73. 71 $73.7] 6/16/2009