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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 ". ~~jrt~1 o Addition/alteration/replacement I '<~"H.,<I 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..: II :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 ~ ''l.,C]'- F\:U ,,/ ~<tf ~ oOCt c{2- ('1m " This Authorization To Begin Work must,be posted at the job site until replaced by a Permit. " " 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 . '# ~'<: \}-..ty ~ l:\. ~V ^" V"0 Corn 2- tyO 0 1 - I ~oq 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 II 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 II 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 " . V ALUE: I' II 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 i' I.' Receipt Number 3200900000000000512 3200900000000000512 3200900000000000512 I, " !! 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 ~ " 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. II " 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 - . I: 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 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.' " 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 " 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 II 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