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Home My WebLink AboutPermit Electrical 2006-4-26 (2) sp.._~ >0, c:'.~ ~61.;;- ~;~':Ww"''';;:'j ~ "fliT SOURCE ' Vh,"~b . ,~'~ ~_~... "",,' .""<-:'''''~:r.r:t-=....r.'Pf"7'!:!'.''''J'~:;-::;:-~''''Z~_- :~~_'" ~'7''Io: ". ~""';._r 3. ~.9.QllfE~Xr:;g!f$,9:r~D,r;g;,1!E.Lq~g.'i;;;}t ."1;: . ,.. .._~'"--.,-- -'-'....--..."'..-......-.. - 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 JOB DESCRIPTION 1000 sq, ft. or less ,r (I. I { A Each additional 500 sq. ft. or {,0c.,.I V tT ~ ~ - Culb Ie- ~...,.1..J.; -.ilortio~ 'tii'~~i:diregon law req , f\', f"'~':" - aGupted bvth UIr_~ yoU to Permits are non-transferable and expire if work is In 0 E~c~(Manufa,J;d Hpme ore Oregon Utl/'t not started within 180 days of issuance or if work is 00 /Mo'd(jllu:D':"'1JLin~Sb~icelobs are set t I Y $5000 Suspended for 180 days. 90F~edernay obt I lhrough OAR !J52 Orth ' (T' <'11~ -.n~~ -.~. ..... .,...,- ~'.lii ~""-~I-"1""'rv""'r'Vl'._-"'\ Call1gSfrJPt5t;ef:iFstl.j,g.fiR1?'t'if3s~-of'imp.:t+;b.;R~1~;:-t,<, ~-;,y;:r~""1;~.~;'~;~~ , 'cONTRAcTOR INSTALLAtIoN ON!3?' nlB,of'SeI:Vices orcFeede,!,~.In:stalIation~t'Alte""tions 'or Relncation:~ ,'I :'Ie::~:;'~:~::~"-' 0:=iJ~~.,;.~~~d :tx~iU;~:;~~~~~~i~~rc:~~'~';:::" -" ,.~, ., 201 Amps to 400 AmPs)' $ 75,00 /4/1 f?w~ 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 Over 1000 Amps/Volts $375,00 Reconnect Only $ 50.00 ELECTRICAL PERMIT APPLICATION City Job Number COIM"Z.OC> b - 00 L(' "3 t- '':-~.I..,'':.j'f",_....:c~ '''':. ~ ~ ."r"'~.:.- . . ~.~ .!:,<...,',....'l.....-):;,.._;.~;.C)~'i'.~l'~ I. ;, LOCATION OFINSTALLATION;~,,-;;>-,"'i : tt;."'-i .~..::.\.:'_'O::~H:_~.t"it:l"-.;::,:;..t$.._._....,.'i.~~i.....,;.:...Ly~~2':....~::.::~'*.._, sb , D M,4-(Af Sf LEGAL DESCRIPTION 17D)..., 33lf ( 0'3002 Address I c;/ () 0 <)v./ , City 8e.~ Phone ,t;tJ", L/fD'1 17M Supervisor License Number 9/? L F A_ Expiralion Date / 0 ~ /J.. (I (I "b Constr. Contr. Number 9'l!L'l1 0/2//J ~ Expiration Date :ZJ::4L Owners Name (..cy&,4Nk NA- tNc.. Address 5~ 5l"A-7r S T - ,ot '- '::L. City AlbA-... f)! Phone , , OWNER INSTALLATION' The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signaturc: Inspection Request: 726-3769 Date ,. ""r-q, "'~~., l,.'\;t',"~~iJ?!!!-~"~'::r.-->'1'!'t;;:':::"i-~r-'lf'~.5j~"" "i'!' ~- ~ :I~:~~ A. ~~~:~.~!.~~~~li:~i.ng~e.,o~!~I!~:F:a~~l~ly)ef~~,.1ie.. !~~..~~t&1hi Service Included $106.00 $ 19.00 ~"".:\",,'q:.:-:::t~~ "",_,"'~"'", ---..,....",'~"'!":' C. tt;-,qerrtp' ()ra rv:-Se~iCcs:'or:~\~,,'~ders::~ "'~~':;J.~~3,~~;:\ r{ff~~.~:~~'Z~}i'~.:~t~~~ !t.;i'<l,;.:.:_;...g.....,y~~.~,<i.....~,.:.s~~..t..;:_:..~,'e.iL.;;:.....~.;-.. ,.-,.' ,., t'i,;_w~t~ Installation, Alteration or Relocation 200 Amps or less $ 50,00 20 I Amps to 400 Amps $ 69,00 . 40 I AmpNto ~~~A\l1PS $100.00 . 9~e~~?.o~~~~~~@~l~\sd;,~~')I!s~~~~~il~~Rl":"l~7' D. ~~~~:~~~~~~~~6:~~~~~~ffDONtri~FO~PP;d';~'lf~;~ One Circuil\NY 1 BO Of\Y PI: U . $ 43.00 Each AdditionaI.circuit or with Service or Feeder~fermit $ 3.00 r:;:2 -~", "',:' :,~~,"";.ff'<8- ."~'I"E;rs'~:-:;:,,'"7';;:~";,:-:.:~':?~;~: ~Z.~ ?h~r.:""'<".! Z0;:.--:, E. i'Miscell:1l1ecius'(Service/feeder'llofincluded) -"Each Installation , ~':~~~.-a:1~~:..;..:r~~...~':':'__I~~~.:._..d..-j..:-:",':'::"--l' "'> ~'.~-c<,...'L:..1-oI Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited EnergylResidentiaI $ 25,00 Limited Energy/Commercial I $ 45,00 L{,)' Miniillum Electric Permit Inspection Fee is $45.00 + Surcharges ~:ff."'T.-::~7~~~"'--'-,,~,.... ,t, ",,,~-::,,~::-\:""~:,"':"":7i'~';~-:). 4. ~SUBTOTAL:OFABOVE:"t~>~..'''ii:-:';'>',c.'''' f~';::~s.<';;<. '.'':~'i,;;::':~:;'~1:~~~::,I:i~..,,'"~~~.:':;:':o':.:,:'''':'c~'''L~.;.:~;~.'; L./f :J ~o \.{ JO ~1'O 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:}/Building Fonns/Eleclrical Pennit Applicntion l-06.doc . . CITY OF ~t'KlI"GFIELD Building/Combination Permit PERMIT NO: COM2006-00493 ISSUED: 04/26/2006 APPLIED: 04/26/2006 EXPIRES: 10/26/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 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 , CONTRACTOR INFORMATION I Contractor Type Low V o!tage Electrical Contractor COCHRAN INC License Expiration Date 72942 .,,\05/10/2009 BUILDING INFORMATION I ''=_~\.I\\\\\'l''!(I J \ \01' '. ' . ,.ese f\\. # of Stories: '. " \'.r::;" '(}:, cLol"Size: ,.., '-. ~\\ "'- \;)'l Heigbt of Structure , ,." r\(\ 0 Sq\FHst Floor: , ell", '!(Ie' ~ Type of Heat: ' , " ,,:, 'eS 0\' Sq'F.f2nd Floor: . J'V 9\ ~"\". ,(\ Water Type: . _ J\ v \a:\(\ CO , \\'1e \e ~~lfJ)Basement: Range.!ype:' ((\a'l 0'0 \.~o\~;t~i\'l \'I('~g Ft Garage/Carport EnergY',Patti: "ee(\WI.e"O(\ v \'_2'2>~Sq'Ft Other: ,..-f'-JI, ........ . O~ ~ n?)(.. Sprinkled\Bililding:,e \ ~\:lil/a Occupant Load: C'c,\'\' -~,.\O\ .' .',c. . Phone 503-367-1900 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: I PUBLIC IMPROVEMENTS I ~: I:. II' lt11:. '-NOR\<. fW' Ie-. 'Side,{alk'oT' ~~I'\R I:.R\-fIl1 \S \'l01 lt1\S I'\:R~'" IINO\:W \ tllS I' 1'01'1 f>,l.llt10RD&~nsO'?t'\~D"{Il,,,~DO\'l1:.0 CO\-fl\-flI:.\'lCOI:.~ 1'1:.\\100, f>,\'l'l '\80 Street Improvements: Storm Sewer Available: Special Instruction: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . CITY OF ~n~ll~'-'J<IELD Building/Combination Permit PERMIT NO: COM2006-00493 ISSUED: 04/26/2006 APPLIED: 04/26/2006 EXPIRES: 10/26/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project [..Ff'f'S Pfclirl I Fee Description + 100/0 Administrative Fee + 10% Administrative Fee + 8% State Surcbarge + 8% State Surcharge Low Voltage - Commercial Indus Low Voltage - Commercial Indus Amount Paid Date Paid $4.50 $4.50 $3.60 $3,60 $45.00 $45.00 4/26106 4/26/06 4/26/06 4/26/06 4/26/06 4/26/06 Receipt Number 1200600000000000553 1200600000000000555 1200600000000000553 1200600000000000555 1200600000000000553 1200600000000000555 Total Amount Paid $106.20 I Plan Reviews I 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. 1 Rf'?lJirf'rlln~ 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 bereon is true and correct, and I further certify that any and all. work performed sball be done in accordance with the Ordinances of the 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 without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project. I furtber agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from tbe street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on tbe site at all times during construction. Owner or Contractors Signature Date Pace 2 of2 225 Fifth Street Springl'ield; dregon 97477 541-726-3759 Phone . ':J~'~~~ Wi:.., - Giaof Springfield Official Receipt _Iopment Services Department Public Works Department JoblJournal Number COM2006-00493 COM2006-00493 COM2006-00493 Payments: Type of Payment Cred itCard cReceinl1 RECEIPT #: Date: 04/26/2006 1200600000000000555 Description + 8% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By BRY AN HARRIS Item Total: L'heck Number Authorization Received 8y Batch Number Number How Received djb 035681 In Person Payment Total: Page I of I 1:42:IOPM Amount Due 3,60 4,50 45,00 $53.10 Amount Paid $53,10 $53.10 4/26/2006