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Home My WebLink AboutPermit Electrical 2006-4-26 Date /" ' , CITY OF:c.. ,{INGFIELD. OREGON " / 225 FIITH STREET. SPRINGFIELD, OR 'Y7477 . PH:(54I)726-3753 . FAX: (541)726-3689 .I ELEp'RICAL PE~rr ~PUCA1:JON ,~ltobNumber (.o."V'zoo6-o.<? 49'3 ,-- -~._._.- ----- ----~ -~ -----~ I. LOCATIONOFINSTALLATION . 5~q O' h7wnc Sf,S(Jn1JRdd / L~GAL DESCRIPTION I?O~.s3CfI 0'500Z JOB DEkCRIPTION ':~~:!~~n~~i:;:~iS not started witbin ISO days of issuance or if work is Suspended for ISO days. 2. lCONTRAcroR INSTALLATI()NONLY' i B. I-s.~ice~or F;;'ders -Inslallalion, AI~eral;;'ns o~ Relocalion: . ~J' ~__~_.,_~ .______._____ ~_ __ ___'..____ . l__...___ ____.___~__.~._.__~____.__~_____ Electrical Contractor _R~d.11 VI u elecfr1c., 200 Amps or less $ 63.00 I,C I 20 I Amps 10 400 Amps $ 75.00 Address (0;)10 cSt. ~CLt.n \...J. NOTlC1!l;1 Amps 10 600 Amps $125.00 c,'ty ':Cl... r\ I ^ ',..,d c:>e sreI 1.'::,./ I THIS P~M\'l~i~L<LlXf~I!'FnE IF TH: ',\'C;;i\ $163.00 TUY"HlJ..v, Phone 23LfIlT ll1'")AUTHOR/'l[DO(ljlI..1IT!IIfY~11S PERMIT 0 . $375.00 COMMcReconnec .Only '0 "U I $ 50.00 cl~vtU uH 1:5 ABANDONED rUH Supervisor License Number 3Lt\.ft $ ANY b~OJell~~rvice~();j~~~':;~-- ~'~=__~'. _ . u~ IDII/or . 12'11f~ s /'O/Ocr Expiration Date Constr, eontr. Number Expiration Date Signature of Supervising Electrician ~~ Owners Name k:r-::-v ,7 Jrl'l /C. f Address S4 c:::;. "f'.A. rr S-r City ~, L"AV\ ~ Phone I OWNER INSTALLATION NA. IAtC 9.ft... The installation is being made on C'-C-"J I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3.COMPlJ!l'EFI'~ ~Cl!l}pU1!' BEJA)W__ __.J r-- -- n n__ --- --. - --- .__.~ --, A. New Residential- Single or Multi.Family per dwelling unit. I ~.._--~- -'.-- ---..- -._.- -'-' -- -_._~- --- -- --. --' Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder :',::* $50.00 InstaUation, Alteration or Relocation 200 Amps or less $ 50.00 20 I Amps to 400 Amps $ 69.00 401 Amps 10 600 Amps $100.00 Ov~ 600 A,!,ps ,?".I000 Volts see.~B"lli!<>v,,=--__ _ D. ~B,:"nch Circ~ib. n' _ ._._ __ ----~-. I New A1teralion or Extension Per Panel One Circuit Each Additional Circuil or with Service or Feeder Permit $ 43.00 $ 3.00 r- -~--~-_..__. --- -----~ --~,-- -~._~ '_' ,=L E. !.~sc~lI~neous_(Se...ice/f~eder nOI~nclud~.-~acb Installalion~ 'syouto __On. Pum~ or irrigation on law requIre . .."" $ 50.00 Arso;'~rO'(irt\I'~: CJL":;;;:' the Ore\ju.. ~...8$ '0'" me .""llOglY _. '-r .50.00 f \\_,....q\nc:.aOuIA....."" - \esa\t;.;:t....~.-~" O.l!,iin!~"'I;~~~~esidentjilIrU _ ^"" 1'\($,25.00 Nc,'I5''''t2.. E Ie. - """"On Of..,. .. ~'Z- $ LJi"'" . ., Intt,~, -!1'f!8Y~ _'ommercJ~' j - '- _ ~ ,Ioc;. \, j45.oo ^-->- ..--: OhH ....:;~ . I.+~: r:oOle? 0 ~"....- M~~,??vu,"l~!~n~ pe~if1ln~IWlb'l~J~:$4S;oo + ~urcbarges 4. i(SUBroTAtO~~()vEd\lty NO\IIIe;""v.1. II r-- I '!.t.o.l.I.,1it'V'-~' 11t)_1/l) ~0~ \I""""'" .. -:- ~1I00c:rsc""'~-' - -. 8"IoStatl;SGif.r~e 3 bO 10% Administrative Fee I-t, S?) TOTAL 53 10 Shared Drive(T:)lBuilding FormslElectrica.I Permit Application 1-06.doc . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00493 ISSUED: 04/26/2006 APPLIED: 04/26/2006 EXPIRES: 10/26/2006 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541.726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5690 MAIN ST ASSESSOR'S PARCEL NO.: 1702334103002 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install camera cabling Owner: KEYBANK NA INC Address: 54 STATE ST-9TH FLOOR ALBANY NY 12207 I CONTRACTOR INFORMATION I ~\:)~~!,-icense _ "(y,,~ ~ ~\72942 .,# l..' -::. hi I BUILDING'INEOR\",A'fJON I ~\.. y' ~'" \ - ~v' # of Units: \rv~' ~ SY-~ It.wiior!es?~ Primary Occupancy Group: v.'\:;'\ '?~~~ ~\) \J~~\o;jgtlJ>'.;f Structure Secondary Occupancy Group: ,\y-\S \)~\t x.\) \:)\!y'~S~f Heat: Primary Construction Type 'r-\J\~ Ic.~c; ~ ,?~Ier Type: Secondary Construction Type: rv\:)*~ <Q\l \)'r' Range Type: # of Bedrooms: 'r-~--l, \ Energy Patb: Sprinkled Building: Contractor COCHRAN INC Expiration Date 05/1 0/2009 Phone 503-367-1900 Contractor Type Low V oUage Electrical LOI Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Olber: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING ~'- O I D. ~'l0 .....:,,--11 vef ay 1St: ~\'<..e';;} \j"o"t~, t\\ # Street Trees Rqd: ~ \eOl. \e9,O<;\ ",l:!an~~c!lPped: Paved Drive Rqd: 0<;\\0 oiS'e 0 '" ~e ~6mpacl: % of Lot Coverage: ~ Qle'0 eO '0'1 e \\)\e O~~ ~\)w'" v> ~\O '00<;>'1 "\'005 0\)9,<;\ 0\ oiS'e x;o.o<;\e <;\ ...c~ . _c.. ~ ..r.>'(. ~Y\'<.. .....c. . ....\e'Q ~,\o 1 PUBLIC IMPROVE'MEN'iS ,-,e':\' J:f:i\", A (:,OY'e"~"\\O :.\o\\\\v '0..' .. \:J\:J ~'O-\\' ~\o'l '~'I\~" '~\V- b" ,,'0 (\~ \ \'i.~\ 'b~~" ~o\\ "'~ g \\,'O-'ISidewalk(fYl'e:z:'" , Or -(O\) c,e\"()\e'!J ,<;\_~:> \<;\ \:J'!J\:J. ,,\'0e Downsl'oiftslDrains: \:i ~\\<;\..." \ \0\ ,. \'''' ' . c, ~e <;\\e ~\\' Ge <;\ Fronlyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Speciallnslruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . .ITY OF ~n<ll~\JrlELD Building/Combination Permit PERMIT NO: COM2006-00493 ISSUED: 04/26/2006 APPLIED: 04/26/2006 EXPIRES: 10126/2006 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P"irl I Fee Description + I 0% Administrative Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $4.50 $3.60 $45.00 4/26/06 4/26/06 4/26/06 1200600000000000553 1200600000000000553 1200600000000000553 Total Amount Paid $53.1 0 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, , Reonirerl Tn.,n~ Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do bereby certify tbat all information hereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance with the Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project. I further agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from the street, tbat tbe permit card is located at tbe front of tbe property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fiftb Street Springfield, Oregon 97477 541-72~T3759 Pbone . J7A~ wr. " C.f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-00493 COM2006-00493 COM2006-00493 Payments: Type of Payment Check cReceilltl RECEIPT #: Date: 04/26/2006 1200600000000000553 Description + 8% State Surcharge + 10% Administrative Fee Low Voltage. Commercial Indus Paid By COCHRAN INC DBA BROADW A Y ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 8698 In Person Payment Total: Page I of 1 10:07:5IAM Amount Due 3,60 4,50 45,00 $53.10 Amount Paid $53,10 $53.10 4/26/2006