HomeMy WebLinkAboutPermit Electrical 2009-7-7
City of Springfield
Electrical Authorization To Begin Work
E-mail~dTo:spate@adt.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitccnter@ci.springfidd.or.us
10 NewConstruction
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o Addition/alteration/replacement I
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DM"ld-r,m;ly 0c"mm'~;'1 0"'''''''''' I
Dlor2fllmi,yctwelling
I Job Addr;ss: 5790 MAIN ST
I Cit}'fState/ZlP: SPRINGFIELD, OR 97478
Suitc/bldg.lupt.no.:
I Project Name: BIG LOTS #4547
I Cross Street/directions to job site:
I Tum'p/p."'loo I '1ot;o~~ O\~Oc) I
l~r~;;~~:;~:;,~;DE'sERI8,tI6NJ)F,lWOiK~:i:~Y~~I?~1?-2i.~'~~:,~~1
BURGLAR ALARM
Name: KEN KRAUS
Phone: 503"469-7212
Fax: 503-469c7l14
Emllil:spate@lIdt.cOm
Elee lie. no.: 26-209CLE
eCR lie. no.: 59944
Business Name: ADT SECURITY SERVICES INC
Contact:
Address: PO BOX 3042
City/St~tefZIP: BOCA RATON, FL 334310942
Phone: 503-284-3265
Fa:>:: 503-469-7114
Email: ~ellsticc@[\dt.com
Metrolic.no.: 1886
City lie. no.:
Supen'ising 'E1edridlln's lie. no.:
SUJlen.jsing Electrician's NlIme:
389LE^
KEN KRAUS
Number of inspections induded in paid sen'ices:
Residential Service: 4
Reconnect Only: 1
All QtherServices: 2
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 Authorization To Begin Work expires within 180 days if a
permit is not obtained.
The local building department may determine that an Authorization To
.Begin Work is null and void jf it does not meet applicable land use laws
and local ordinances
69600-BEL-09-00022
7/7/2009 9:10 am
Apll:roval Code: 067350
o...~y
Va..:
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:sL'~ .~:''''-~:;~'!~~~,PLANTREVIEW ~0~f~;;~~.~ ;:.
Please check all that a;y: .,~,~ []f;::dOUS Jocations
O A ;,~""'"' ',..d <, b .gm~'ng <, IIJ' A ser\'ic~ or feeder rJted Jl 600 amp'
,,;w ", _" c ;"";,,, ~
400 Amps where the available raull II or mor~
cunentexceeds 10,000 Ampsal IIJ
' Huilding5 more than thre~ storie~
ISO Vohs or less to ground
exceeds 14,000 Amps ror all olher DMarinas and boal yards
inslallalion, 0 . ..
, FloalmgbUlldmgs
DCornmercial.useagricullUtal
i buildings
Dlnslallationoral50KvAOrlarger
seperatelyderivedsys
O"A"."E".or"I-Z"lH"I-3"
tJR~Crealional Vehicle Parks
DSupply\"Oltag.ro'mo'~than600
II supply vohs nominal
$58,00
$6.96
$2.90
$67.86
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F\:U ,,/
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oOCt c{2-
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This Authorization To Begin Work must,be posted at the job site until replaced by a Permit.
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DFirepumps
o EmergencysySlems
DAddilionofanewmotorloador
JOOHPormor..
DSixornloreresidentialunilsinone
S!fUClure
DHeallhcarefacilili~s
IOesniPtioD
I Stand-alone limited~nergy,
commercial
Subto11l1
I State surcharge (12% of penn it
tOHlI)
.ITechll010gy j(>c (5% ofpcnnit total)
TOTAL PERMIT FEE
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I CONTRACTOR ~NFORMA TION I
Contractor License
ADT SECURITY SERVICES INC 59944
BUILDING INFORMATIONJ
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5790 MAIN ST
ASSESSOR'S PARCEL NO,: 1702334101900
PROJECT DESCRIPTION: Alarm System
Owner: POLEN DEVELOPMENT LLC
Address: 2197 OLYMPIC
SPRINGFIELD OR 97477
Contractor Type
Electrical
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
Springfield
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
CITY OF SPRINGFIELD
II
Building/Combination Permit
11
PERMIT NO: COM2009-00992
ISSUED: 0.7/07/2009
APPLIED: 07/07/2009
EXPIRES: 0'1/07/2010
VALUE: i;
!l
II
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TYPE OF WORK: Elec.trical Work Only
TYPE OF USE:
'I
I,
New.
I:
Commercial
Expiration Date
05/07/20 II
Phone
54 I - 736-4973
n/a
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if
I;
Lot Size:
II
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
u
Occupant Load:
I
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
:: REQUIRED PARKING
, Total:
.
" Handicapped:
I Compact:
I PUBLIC IMPROVEMENTS ,.irENTION: Oregon law requires you t.o
, ,u"DW rules adopted bylthe Oregon Utility
Notificati~iP~'.1:~,l~i!:lIp.~,;se rules are set forth
'In OAR 9<;..~_nn1-nn'tr>/D'~ri:"nh OAR 952-001-
'vownspou s . rams:
0090. You may obtain caples of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
,I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOiICE: L EXPIRE \~Vllfu~t~o%.\))escriDtion I
, 5 PERMIT 5\1I'1L PER\IJ\\\ I" "J.
, ,T\1\ ~,"'CJ:\-1 \I\\f'lER ')'\1\5 $d1en:~t Square Footage
DeSCrIptlOII ^\JTHtype.o'-coIlstfuctJOI)'NDOt~t\J 'I . I' . B'd
" NCED OR I::' f\Dn or mu IIp ler or I Amount
COMME D
I'INY 180 DI'IY PERIO . .
Page I of 2
Value::
Date Calculated
Status
Issued
CITY: OF SPRINlJJ:<l~LD
II
Building/C6mbination Permit
I .
PERMIT NO: GOM2009-00992
ISSUED: 07/07/2009
APPLIED: 0i?/07/2009
EXPIRES: 01/07/2010
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V ALUE: I'
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225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769Iuspection Line
Total Value of Project
$6.96
$2.90
$58.00
7/7/09
7/7/09
7/7/09
:,
II
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I.'
Receipt Number
3200900000000000512
3200900000000000512
3200900000000000512
I,
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Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amonnt Paid
Date Paid
Total Amonnt Paid
$67.86
I Plan Reviews ~
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To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. willi be made the following
work day. . Ii
I ~e~lni,~,~d Insnections I
Low Voltage: Prior to cover.
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By signature, I stakand agree, that I have carefully 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 he done in accordance with
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the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
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that NO OCCUPANCY will be made of any structure without permission of the Community Services Divisiou, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.'
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I further agree to ensure that all reqnired 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, aud the approved set of plans will remain on the site at all
times during construction. . . i:
Owuer or Contractors Signature
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00992
COM2009-00992
COM2009-00992
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Sprihgfield Official Rece{pt
Developme~t Services Department
"
Pu~lic Works Department
3200900000000000512
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Date: 07/07/2009
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT ~HGS
Item Totat:
Check Number Authorization i'l
Received By Batch Number Number How Received
njm
ONLINE adt security Online
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Paym~rt Total:
Page I of I
7:52:46AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
7/8/2009