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Home My WebLink AboutPermit Electrical 2005-3-8 225 ru H' STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMJT APPliCATION ' ";>.'0 ' , , . . " . rf..o :~v,.-o City Job Number Co Nt. '2-aO S - oo7.-b ~ ,Date J - 7 - ~~-' ~. '<-,;,.: .t. _ _' ,_ _ <:II '(T"':'^,r.., 1. W.ii4tiON:?bEm~L.i"'f!f':4fiO~ 3. (eaMi>.ni;t~~~.lI"" ' . "'-~~~~~\::-~"..._:,:_'"'_7:_:; .'. _ft~ ,.".~ - - -__.>,~;..~,-, ;2650 m,tf,-J C;7 _ <;~,(.I..J~r;( II tJ,( " , ,o~~~,.:9, LEGAL DESCRIPTION \\ o.~ ':Sf:> 4.:\ 00 boef- eR:esiden.tUll " (;c..~t<1\J'" I(~ 7;....c 't Av-lo )(.(v,(c... Service Included JOB DESCR.IPTION 1000 sq. ft. or less Each additional 500 sq. ft.,or portion thereof' ' Each MaIiufuct'd Home or Modular Dwelling Service or Feeder B.I~~-S.~~~~ 200 Amps or less 201 Amps {() 400 Amps 401 Amps (() 600 Amps .f:) '0 +:- 60 I Amps {() 1000 Amps Phone 5'1/. 1<1(. $'Y,S':s" ~'0'\ Over 1000 Amps/Volts ~ '\",.:\ {:> 0. Reconnec( Only '~'\: ~ '<.'0" ci~ ,,\-<(:. (.'\) .- "",--=-","._-=,~""".__.~" Supervisor License Number ' 3'1/ b {.;.~ A, ", ,,~v C.'emp.!l 'Se!iY]ces:or.'Eeeder ~" ,,-"-' ~''\)- " / 10 \,,"i- ~~ ~~~ Expiration Date /0 (J/-:?I) fP:::.:,<::s r "i- '...~ '.~"". '0 '\).(\~ \V ~'\), ,(\' J''!; ~<c" "'''' c~ Constr. Contr. Numlier ,Cj,{, ,2,YJ<;Z) ~)v . '\\ '.,\'\'~ ~'""'- ~ . . '1"\ '/.(~u,!0..,........0 ExpU1lnon Date':d~ 'P.,' <--'--'---' ,",';:-\ I Signature of Supervising EI'::~cian Installation, Alieratio1JlO~ .Relocation :,\0 .~" t<' 200 Amps or less, ~0'" ~ ~>:;; ,o~ '"'- S 50.00 At>AS ",. 0' ~\) 201 Amps {() W~ps0 '!i X '0:'\ ,569.00 401 AmP\{l)~og~1~ ~OJ'0.s0"',.~ SIOO.OO "" ,'!-' ~'<> ",'f~ro ~ x\o' , ,,>'-' Over tli lor 1090 yolts,see :;J:l" above. D., ~ ", ur1f!~~~ ..<<-~'~~v.~~~n<o't' Eite~bl.tIll!~ Panel ' , " ' ~y ~"'Oaa~~(&'~'...~~" ~":J'l/ S43.00 ~ ~o ~.jz~ JVA,yffio#t0~t<V with ~ ~.~'(<"'~~*r)>3 S 3.00 ~.o O~~~"f:. . ~ ~~ 1o.'I? '''It)<::ji '" ~ _' ," .,(~ma~~li1ftf[,',,~~~ffir"i:ill-a 0 . ~ Pump or irrigation S 50.00 Sign/Outline Lighting S 50.00 Limited Energy/Re:iidentiaJ S25.00 Limited Energy/Commercial / S 45.00 4-5,00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges " 4.fSm~EF~~ 4-S.00 ~~~ii~'..' ... . s~~ \'.:;1~'- TOTAL, " '#. Shared Drive(T:YBuilding FonnslElcctrical Pennit Application l-oJ.doc I,.J~ /"If r """"t"- <.., i Permits are non-transferable and expire if work is ;. not started within ~80 days of Issuance or if work is Suspended for 180 days., ~"~"~-,'" '"'-,STA-Ft';t-'V.~"'" ,- ;GON'FRitw,J1RfLN ~MO ..' 2. "'.' ~..~...","..'" . _., ~ 14<..7(0,.) Loue.. F.....(r f,(oJ.....f~ ;T..JL 'Electncal Contrac{()r f Address SS2. S7'\.d.. fI,,( 'C.. City <;fJr<.'->~;:;( II ) IJ~ -Z ~ Owners Name .vA "" S J. '" ~... I c.. Address ;2 ,,.)~ J\'\ '" '''' <, I' City S~<L ,..../ ':'dl Phone -1'1(;. . Q'f71 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: - Inspection Request: 726-3769 550.00 S 63.00 S 75.00 SI2S.00 SI63.00 S375.00 S 50.00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00263 ISSUED: 03/07/2005 APPLIED: 03/07/2005 EXPIRES: 09/07/2005 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2650 MAIN ST ASSESSOR'S PARCEL NO.: 1703364100600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Install cameras. Owner: ScHMUNKS TIRE CENTER INc Address: 2650 MAIN ST SPRINGFIELD OR 97477 Phone'Numher: 541-746-8473 I CONTRACTO... mrvI<.MATION I Contractor Type Electrical Contractor "y,,'t- ACTION LOCK FIRE & ~!';CURJW INc -", ,. I, BUILDING,INFORMA TION I ~\\" <<'<-":<.-'0 \~ # of Units: ~~ <;;; '(00 ~,'of S(orles: Lot Size: Primary Occupancy Grol'e:. ~ SY:o~\)\-~ '\ 'S>,?--~\j Height of Structure Sq Ft 1st Floor: Secondary Occupancy:\G!olip:~ '0~ \S ~ Type of Heat: Sq Ft 2nd Floor: Primary constructi~h\ryP:.f~~'\.\-'\) '0<(... '0.'0\). Water Type: ,0 Sq Ft Basement: Secondary construct!!l.}T{:pe: ~,,\-'0 ~ <<\-<(:. Range Type: r:o '\O~ ~~ t!S' Sq Ft Garage/Carport # of Bedrooms: ,?--'0 ~~~ ~ '\)~ Energy Path: ,;;0 ;:.~ :0..,0 RI'l.Sq Ft Other: "l0 '" \'0 Sprinkled Buildin2:\'2o~ ~'2oCiJO w:-- rz;\S -&fcupant Load: .. '" .,'i\ 0 01: 0.'6 ,Co, , DEVELOPMENT INFO~Al'JOO''''2o \'V~o"':o<:O 1.), n,_ OJ .,... 0' ''2o~ -QOJ REQUIRED PARKING -". R'" ,\"0 O~. r:o ,'20' 'l\'v- .()'- ,?-'O ~ ~ R,e ~'2o _'0-:$ Ove~a>:J>ist:~'2o' 'I.'Cl <:,0 0''11,::\ '"' ~. ~.str~et'~tee~~'ijl!:~'" ~o'll -v~'11 n,,,:>tJ< ~ Rav1!IiPflv~RQdf> .p\' ,..0'" n.":>'/; 'C" f'n ?'..I- ",,\ ....,v n", ",J '%~~ '~<-s(eral\ll: O\V !O'Cl" ~o O'?' 4,0 ~'2o ~'2o .r:," .,(\. ^~'. ro.. LO\ ....\ ~ I PUBLIC lMNtQ~TS I '" License 162132 Expiration Date 11/16/2006 Phone 541-342.8455 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: . Handicapped: Compact: Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction SPerSqFt. or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 /j " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid . Amount Paid $4.50 $3.15 $45.00 $52.65 Total Value of Project Ff'f'S~ Date Paid I Plan Reviews I 3/7/05 3/7/05 3/7/05 . CITY 01' ~rKll'ltJ1'lJ<..LD. Building/Combination Permit PERMIT NO: COM2005-00263 ISSUED: 03/07/2005 APPLIED: 03/07/2005 EXPIRES: 09/07/2005 VALUE: Receipt Number 2200500000000000257 2200500000000000257 2200500000000000257 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. ~irf'd Insoections I By signature, I state and agree, that 1 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 that 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 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, that each address is readable from the street, (hat 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. ~x~ Owner or Contractors Signature Paee 2 of2 ']-7-0 ~ Date 225 Fifth Street Springfield, Oregon 97477 '. 541-726-3759 Phone Job/Journal Number COM2005-00263 COM2005-00263 COM2005-00263 Payments: Type of Payment Check 3/7/2005 . RECEIPT #: 8_"~RI~,",'F1~'_,',..~ ",. Wir' j. i .",~. ,I ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000257 Date: 03/07/2005 DescripUon Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Alarm Business - 1.0000 @ $80.0000 Paid By ACTION LOCK FIRE & SECURITY, INC. Item Total: Check Number Authorization Received By Batch Numher Number How Received jmp 553 In Person Payment Total: Page I of I 12:00:53PM Amount Due 45.00 3.15 4.50 80,00 $132.65 Amount Paid $132.65 $132.65