HomeMy WebLinkAboutPermit Electrical 2007-2-27
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
I:LFCTnlC:.4_L PEflM ITAPPUC/l nON
City Job Number COoN'\. 'ZOO b' 0 I ;>7 ~-
M ;4/,.j'
LEGAL DESCRIPTIpN
/7031.b31 00/00
JOB DESCRIPTION 1000 sq, ft, or !C$TIE:N IIUh. I $106.00
"_1 ) I / Each8ddition~R9vft.ft..or u-;:,.............n.v\.f...lIoO)yuulU
firtr A-~ . f:'J. rflS l.~kol.:...( portionther~obtif' t..lJl"'C"adoPledbYlhe$lrw.gQlnUli~v
J ~ Ica Ion entel. I nose rules -
Permits are non-transferable and expire If work Is Each Manufal:el!ClJQtil~Q.r.OO1_001O t are set fo...
not started within 180 days or issuance or If work Is Modular D~Jl8tg. SfD'~cFrPc'iy obI . hroUg~<tp1~ 952-00'
Suspended ror 180 days. Feeder am "nr'~ v ill'e r'l' I
^' .'.. ,... ., . ... ".. ,calling !he center. {Note: the tele hUo ";
2. LI.'^ 1/.AC1 UJ1}f"'P M1..A 1 ION O.'o!~} ,B. Se""ccs orilr;pdltrfI!Jl\!h~:@M!1GI~l'IJ.\ii'W 1<~O\1~8~llli'w
Electrical Cont~actor L ~ S EI ecI-t Ie, ~200 Amps or less Center IS 1-80G-:~3~_~~€~).
P'D 0,,,,, \/ 1114'.....,' 201 Amps to 400 Amps $ 75,00
Address Pu A. 'f~ L- 401 Amps to 600 Amps $125,00
I 7/11 22. -,J 601 Amps to 1000 Amps $163,00
Ci e Phone 't - l:llo Over 1000 AmpsNolts $375,00
Reconnect Only $ 50,00
1. /.OC,1'IION 01" 1J\'8'/:,\tLU10N
J Z Z-C
"i:.l
Supervisor License Number ~s
, 10
Expiration Date / 07
Constr. Contr. Number
-.B~yq
--q I "Dt
Expiration Date
~Crvi;EI~
r~t........ ~1oM....E"
TiC" 'Z- 'Z'G
Phone ~ 8"5- ~d. (., (;.
-
Owners Name
)>0
City .I:!!IA. (,.-f:N t!'
Address
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
~~:~!i;
1-.-2.:,-01
Date
3. COMI'UiT/i F1W Sell [iOUl.E [J[iU) 11'
A. !XC'''' Uesidtillial -. Sil1gh~ or :\Iulti-F;linilf Pl'!' (lWi:l!int-: Hllie
Service Included
C. Tt.'mpurary Srrrires or Fl.'l'llers
Installation, Alteration 'or Relocation
200 Amps or less $ 50,00
201 Amps to 400 Amps $ 69.00
40 I Amps to 600 Amps $100,00
Ijl,I.t'fPa!!"ps or 1000 Volts see "B" above.
D'nllS''l1'Ff~m'~'HAll EXPIRE IF THE WORK
l'1t)nl!J'~rl~1l fm~i3~";'lS\'WI~e~~~h lS~l
~_~g,fJi1&l2u\~J.1MINDlJNtUt!"tlR . 0
AM1ce!MJI{eMe~fOOD. ,) - $ 3,00
l./J
Ir
E. i\'lisct:llolm'Olllt (s(.'),,'jn'/fC't"dcr nol incluil('d) -Fat'h InSllllbfiHI1
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50,00
$ 50,00
$ 25,00
$ 45,00
Minimum Electric Permit Inspection Fee Is $45.00 + Surchorges
4. _'iCR1'ODIL OF,.UlOV[;
5"5!:
qr;q
580l'z ,/0
7/.3'1
8% Stale Surcharge
10% Administrative Feels" 'Tu.i F'etr
TOTAL
Shored Drive(T:)/Building FonnsJElectricnl Permit ApplicDtion I-06.doc
.
. CITY OF ~nuNGFIELD .
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2006-01575
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/08/2006
08/27/2007
PROJECT DESCRIPTION: Fire alarm system
Springfield E T1YPE OF WORK: CommerciaL Miscellaneous
An N IUN:urt::gullldw ; "''lUll'"'' ,\1"'"
follow ruIEliY:Pl!C'e~~%Y tRfwOregon Uti"'~ommercial
Notification Center. Those rules are set fo,"
in OAR 952-001-001 0 through OAR 952-00 1
uu~u. YOU fllClY UUlCllI1 \.ov..,;g.,;) v; ~;..... . ...1.:..: '.
calling the center. (Note: the telephone
numberfOfthe Oro~on Utility Notification
("'""',,r j" 1.Ann-~~'-?:w41.
SITE ADDRESS: 1820 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363100100
Owner: HAMMER JOHN P
Address: PO BOX 2266
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Fire Contractor
Contractor
C & SELECTRIC
ADT SECURITY SERVICES INC
License
3849
59944
Expiration Date
09/01/2008
05/07/2009
Phone
541-741-2236
541-345-3616
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occu pa n t Load:
nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT IN~ION I E.XPIRE. IF 1\1E WUl\~
1\115 PEHNIII ~\1fo.L~ 1\1IS p~tlQ,WI'R1MA1ARKING
Overlay Dist: ~U1\10RIIEO UNOE fo.aro.NOOtoffi: fOR '
# Street Trees ~'MMENCEO OR IS Handicapped:
Paved Drive Rq ': \1 '\80 Ofo.'( PERIOO. Compact:
% of Lot Cover~~ll
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee I of3
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
+ 5% Technology Fee
+ 80/0 State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Fire Department Review
01/05/2007
.
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01575
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/08/2006
08/27/2007
Value
Date Calculated
Total Value of Project
li'pp< PIIYU
Amount Paid
Date Paid
Receipt Number
2200700000000000065
2200700000000000065
2200700000000000262
2200700000000000262
2200700000000000262
2200700000000000262
2200700000000000262
GRG
Plans Review: Submittal of
non.required fire alarm system for
,occupancy classification change.
System appears to meet fire code
requirements.
$25.18
$251.82
$5.80
$2.90
$4.64
$43.00
$15.00
1/17/07
1/17/07
2/27/07
2/27/07
2/27107
2/27/07
2/27/07
Note: Optional Safety factor used by
designer was only 1.1 versus the
usual 1.2. If additional applianccs
are required to be added to the
system, battery size may need to be
increased to meet tbe 24 hour
standby and 5 minute alarm
requirements per NFPA 72
standards.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Rough Electric: Prior to Cover
$348.34
I Plan Reviews I
01/05/2006
OK
Ueouiref'i In~nections I
Paee 2 of3
.
. Llll' OF ~rKlI~t.I'IELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2006-01575
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/08/2006
08/27/2007
Final Electric: When all electrical work is complete.
By signature, I state and 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 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
tbat NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety.
I 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 required inspections are requested at the proper time, tbat 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
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
<;Aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
I COM2006-01575
COM2006-01575
COM2006-01575
COM2006-0 I 575
COM2006-0 I 575
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
2200700000000000262
Date: 02/27/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Adminis1rative Fee
Paid By
C & SELECTRIC
Item Total:
(..;heck Number Authorization
Received By Batch Number Number How Received
ddk 12514 I In Person
Payment Total:
Page I of I
II :26:52AM
Amount Due
43,00
15,00
2,90
4,64
5,80
$71.34
Amount Paid
$71.34
$71.34
2/27/2007