HomeMy WebLinkAboutPermit Electrical 2004-3-19
225 FIFfIl STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (~l\72n..~hR'
ELECTRICA4tERNl.mw~TION '
CityJobNumber ~~W'O.V Date ~ ~01l4-Do3i)O
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JOB DESC~TION e>t.s-W~- '""..l.JJ c..aY ' LOOO sq, ft or less $106.00
lo.-lJ 1_\,. _ n '-'-- . E.cJ: .dditional500 sq. fl or
,0 -;y-, )(,...._"T<.d' poraon thereof $ 19.00
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Supervisor License Number ~.s -.J L,-, . :~;:~~~itq~?ji~:~$.;m~/;~~;,~t~~~~~~~c~31)}~~ :lli~~~t1f~~~~~~;'!~~:~:f~~~
Expiration Date 10 (0 J 10S Installation, Alteration or Relocation
200 Amps or les, '\ $ 50,00
q ~fo.!f.-r1::l\ITi()N:Oregor2il1VAmp"ib'4'OO~~lo . $ 69,00
d ' t',~ O'o-^n utility f
follow rules adopte 401 Amps to'6oo Amps. rt' $100.00 '
Ex' , Date 'T"" e rilles are Set 10
pltlluon :;:;~:~'::,~:M rO'1ter, '~~r 609 AmPso1i1QQQN,olts see "11" ab lYe.
, OAR 952..001..001 nD bl.lm1"\-i~~1--~1';;~iE&~'9;~i~~~i!:L'5iJT~1..:~~?f';'ig,?l.c, 1;}~~~;:ifr~~~~~Wf}.'-,c:"~;"1f;;:;'
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o y may 0 ,,~,,~., .-"- ,_.,,,.....,...._,'.. .....,.,...,,~-, ~."..h..,.
009 "I' oOul~_ ~_..' _, \';\/ewrAJti:r~ti5rtfo?lEife'nsion Per Panel
C~ In pL' ...:;;;. n...... .' -. . . . . -
.. " _, ,__ "I'? OregQne'OitCii[t Notllicatlon $ 43,00
C-/ "~'''~-'''':~:,:..,_ i..nEach:AddLtiOria1~Cjrcuitorwith $ 3,00 I
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,93/11/04 TBlI 12:56 FAX 541111r689
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CITY OF SPRINGFIELD~
PermitS are non-transferable and eJ:pire if work is
not dorted within ISO days of issu:!nte or if ~QTk ill. .
Suspended for 180 days,
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Each Manufact'd Home or
Mod\llarD.wclling_Seryice or _
Feeder
--- -$50,00
'Electrical Contractor c:Q., Il ol..,.,t ~ ~
Address ""?p &,,, I ~ B:3.
200 Amps or less
20 I Amps 10 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV olts
Reconnect Only
$ 63.00 i
$ 75,00
$ 125,00
$163,00
$375,00
$ 50,00
City I:>rtlL~
Phone J -S'o-S- .:13 'J - 59.> P
Constr, Contr, Number
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~ 002 J
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City ~}:I'JIN.lJo'; ILL Phone Pump or irrigation $ 50,00
~ Sign/Outline Lighting $ 50,00
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OWNER INSTALLA'nON Limited Energy/Residential $ 25,00
The installation is being made On property I own whicb Limited Energy/Co~CTcjo.l II $ 45,00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is ~5'OO + Surcharg
Owners Si aturc. N 01.1 C E: . ~:;)~.~:;:/~-~:,~;~;~r:~~-~6i$~)i~r%~~~i~~1a~];f~:'~~~~;;;':~~ '~l~Sj~R~f,'ff
gn , THIS PERMIT SHALL EXPIRE 1~-t"li8:~';?,',\i!~;!;~-:h'iii'",;:'i~l',-t,\~~:;:e;,,~,~1"iti[t'1
AUTHORIZED U_ND~R THIS PERMI1J.&.~t9!=barge J 5
vUIVIIVIWl,CU un Iv ABANDONEDIFoOl{Adminis" ' F
ANY 180 DAY PERIOD, "lrauve ee
Inspection Request: 726-37690 ~~ )\ TOTAL
~ v- '\'J~\:.a ,Sh=lDrive(T:)lBuildin;formslEleetric: PcrmitApplicotion 1'()
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CITY OF SPRIr~ul'l1!,L1J
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00300
ISSUED: 03/18/2004
APPLIED: 03/18/2004
EXPIRES: 09/18/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phoue '
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4124 MAIN st
ASSESSOR'S PARCEL NO,: 1702323201200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Low Voltage CCTV
"-:j
Owner: TRUAX HARRIS ENERGY LLC
Address: % ACCOUNTING PO BOX 607 WILSONVILLE OR 97070
Contractor Type
Electrical
I. CONTRACTOR INFORMATION I
Contractor License
QUADRANT SECURITY INC 96806
BUILDING INFORMATION I
Expiration Dlte
05/3112001'1
~1.~'~
Phone
503-234-5558
# or Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Coustructiou Type
Secondary Construction Type:
# or Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Impervious Surface Area:
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I DEVELOPMENT INFORMATION .
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I law requires you to
.. ~ ' AI 11::1'1' ,~, ,:Ore90n I' "'e90n Utility
Street Improvemlllll$TlCE' I s ado~~td_ew,!lk T.ype: f rt
li~"~ . follOW ru e Thn~A rulAS are set 0
Storm Sewer Ava l,al>le,oERMIT SHALL 'otification centeDownspo"utsW[,"AQS.:952_00
Speciallnstructicl'tClTHORIZEO UNO EXPIRE IF THE W(JFfitAR 952-001-0010 thrO~~s of the rules l
COMMENCED 0 ER THIS PERMIT I $wo, You may obtain core, the telephone
Notes: ANY 180 DAY PE~!~~BANDONED FO~ call~~_ ~~~ :;,et>n~:~~~~ Utility Notification
........- - . ... .,""n~'..(."/-r-,,)""""'.
I Valuation Descriotio;r-- -
'...
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value or Project
Pa2e I of2
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CITY OF SPRING1<lJ!.LU
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00300
ISSUED: 03/1812004
APPLIED: 03/18/2004
EXPIRES: 09/18/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspectiou Liue
I Fee~ ~
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Amouut Paid
Date Paid
Receipt Number
$4.50
$3,15
$45.00
3'18/04
3/18/04
3/18/04
2200400000000000264
2200400000000000264
2200400000000000264
Total Amount Paid
$52.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requesfed 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.
L-Renuired In~nedinn~ I
1 Low Voltage: Prior to cover.
By siguature, I state and agree, that 1 bave carefully examiued tbe completed application and do hereby certify that all
information bereon is true and correct, aud I furtber certify tbat any and all work performed sball be done In accordance witb
the Ordinances of the City of Springfield and tbe Laws of the 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, Buildiug Safcty,
I further certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this projcct,
I furtber agree to ensure tbat all required iuspections are requested at the proper time, that eacb address is readable from tbe
street, that tbe permit card is located at tbe front oftbe property, aud the approved set of plans will remain on tbe site at all
times duriug construction.
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Owuer or Contractors Signature
Date
Pa~e 2 of2
225 Fifth Street -~,
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00300
COM2004-00300
COM2004-00300
Payments:
Type of Payment
Cbeck
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-A!:'
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'-...., - .......,/
Receipt #: 2200400000000000264
Description
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
lkw
l:heck Number
Batch Number Authorization Number
Paid By
QUADRANTSYTEMS
14514
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/18/2004
lO:55:21AM
Amount Paid
Item Total:
45.00
3,15
4,50
$52,65
How Received
In Person
Payment Total:
Amount Paid
$52,65
$52.65