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HomeMy WebLinkAboutPermit Electrical 2006-6-27 ~ fold1/~mJG, sP~~~ . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~~~~~L~~~~~~;C~~~~ ~ 'f".yq__,....~~~~~.~y,~}~~. ~~.. .....___ 1. LOCATION.OEINSTALLATION.:'. ;.:.. 3. ,ICOMPLETEFEESCHEDULEBELOW .' ..'..'.,...,:.>..'......;,.:: ijif3l( mAII(( S1-" '.'. ~"., ., .," , -'. < - LEGAfDESCRIPTlON #31 ;111~' ..dr A. New Residential- Single or Multi. Family per dwelli.,j~ ';;~i~L" J 702. ~Z.OO""" 60C{O'Z Service Included '. , JOB DE~ON lJ /1 1000 sq. ft. or less $106.00 Each additional 500 sq, ft. or A1>rTOJ\ fI:.21'.3 -c>L/t(k:> 3 -CX portion thereof Permits are non-transferable and expire if work is, ~cpJM<gl!irp~!i~I!lioli}\:oi5FlS you ~o not started within 180 days of issuance or if work IsTTENTIOModular'Dwcllinge~01f1 Utility $5000 S d d' 180 d I II w rulecF~"dC\I)lbU Y' t f .... . uspen e .or ays. 0 0 . . ee er Those rules are se ~. .. -' "y.' ,.,., - -.'r-~-'.'~ Notilicatlon cente~",_':;fi'()'~'9n2-001."- '-- '-'-"-7;r~',n 2 ~\CON1.RftCTOR-INSTAILATION'ONtYrlAR 9~!!'Q'~i@'lfWJB~a~ts - nsta atio'b,...lterati~ns ~r Relo~j,tlon:.'\'. . . . ..',' '~T ~ ~.~ i' - - l~o~0.Youmay6btairiCOPleSOftl lep\:~e y. '"-''' ,0 .'. . Electrical Contractor ecur ty , h:UJB Aws o(lllisSe: the e e. $ 63.00 "a~~~r\JP!~S~~400\A\WPY Notifical,u.. $ 75,00 nu C.#lM\IlP$~8l6ll~~344). $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50,00 Address 2815 SW 153rd Dr. J , City Beaverton OR ~/UUO Phone 503-469-7110 Fax: 503-469-7114 Supervisor License Number LEA389 Expiration Date 10/1/08 Constr, Contr. Number 59944 Expiration Date 5/7 /08 Signature of Supervising Electrician h... ~ Owners Name !l-^o:L...cvV' ~J . Address (6r b At dc5-...r1.A-1 f-<r' ~I City h &6-1\1("'-- Phone O~RINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $ 19,00 c. r:T,~hr~bfrryts~~J~s~3~':Fecii~~ L' -- .' ""--..........- -- Instal!ation, Alteration or Relocation 200 Ainps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100,00 O",,~~~ "~~~~~O~O-;V~!~_~<;7.':~~::~!,ov~,:.. ~\}r.'1'lG?-~___ D. ~HranChlGlr~ult~S~,.jJ... jK\:.~r.~\~~~,,^\l~?!~gl.,J N;w'A1t;r:~h~~\.tro~lon 'i>~Dt'1l'I\\-\\S\("\{\~t.\) ~G\\ One Circuit \\-\\~un\\\lt.\) Ij f> \c; r>."r>.~'4j,00 Each Addition'!i.~ItCUit~\';\l.fi) G -,GtI. Service or Feed~" \\ \)r>.'l ?I'~ $ 3,00 . E. ~~~~i1'''~e),t'~~~i~l'ie~~;':iij;t.inclJ1;~d;~ifad;.;;;;;;JI1iii;;~~: ~"',""M"'k~~~.....::..:'I"'''.-_- ~_- - ,'d. ~ '.- :;.-;,;:.~_ _.~.....~ __~:-~"i~..i; Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial 1 $ 45.00 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. f'sf:}IiwrJitioF:A1JOVE. 45.00 :"'J.-. '~~"'f~'~Ji- ~~'4' ;'.+~' -....t;..t"~;...... ~ ~;, 8% State Surcharge 10% Administrative Fee 3.60 4.50 53.10 TOTAL Shared Drive(f:)/Building FonnsIElectrical Pennit Application l-06.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00794 ISSUED: 06/27/2006 APPLIED: 06/27/2006 EXPIRES: 12/27/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4434 MAIN ST ASSESSOR'S PARCEL NO.: 1702320000402 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Low voltage - security system Owner: ANDREW HEAD Address: 1616 ARDENDALE LN EUGENE OR 97405 Phone Number: 541- .,.. Contractor Type Low Voltage Electrical '':l'lllileS ~v-.\,~ I CONTRACT'oR,INFGRMAtI0N1 t\I;Olt" .,(\'I.\\V'" Q \e(\\J~" ' I"safe~"'\ ,. Contractor ::'~'O'i'J (IJ\e~a~ \~f, ,\"lOSe f't\~~952-qp~yiration Date ADT SECURITY S~gy'Ig,"SINC;;~ nrrlO \\"IfQIJ5)JM\\\e lule~~ 05/07/2009 \i~'BUlLD-ING:1NFORMAiIAr-rf \el~~{~;i.iOl\ OO\JU'. ,- n6 cen'"'' . n U\\\\\'I \'\0 C2#1?~~%1't'ieO(eg~O_332-'2.344). Lot Size: nuHe.ght, of\~r1Wi\f~ Sq Ft 1st Floor: Type l.ffieat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building, n/a Occupant Load: Phone 541-736-4973 # of Units: Primary Oceupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: C01l.~~tG?" % of Lot Coverage: C~: t.'/..I'I?r. W i I~ ~Oi \,\01\ . :\ S\-\f:>,\'\' I'tW.[I1i .' "f" DIOI1W11 . '"l\:c 1\-\IS . r" t:n?, I PUBLIC IMPROVE~~NTS"llltU Uo''R IS f:>,BMIUVI ~- . iil~C.t.O n C.ONlM\: n OSid~M\Prype: 'i ,8u r" M-4 Downspouts/Drains: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction I Valuation Descrintion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Pa~e I of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00794 ISSUED: 06/27/2006 APPLIED: 06/27/2006 EXPIRES: 12/27/2006 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 F",,< P.'lid I Fee Description + 10% Administrative Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid $4.50 $3.60 $45.00 6/27/06 6/27/06 6/27/06 Receipt Number 2200600000000000884 2200600000000000884 2200600000000000884 Total Amount Paid $53.10 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. Low Voltage: Prior to cover. By signature, I state and agree, that 1 have carefully examined the completed applieation 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and th~t 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 complianee with ORS 701.005 will be used on this project. I further agree to ensure that all required inspeetions 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 remain on the site at all times during construction. Owner or Contractors Signature Date Pa~e 2 of2 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .~- caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-00794 COM2006-00794 COM2006-00794 Payments: Type of Payment Check cReceintl RECEIPT #: 2200600000000000884 Date: 06/27/2006 Description + 8% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By TYCO FIRE AND SECURITY Item Total: Check Number Authorization Received By Batch Number Number How Received djb . 78673 In Person Payment Total: Page 1 of 1 9:18:00AM Amount Due 3,60 4.50 45,00 $53.1 U Amount Paid $53.10 $53.IU 6/27/2006