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Home My WebLink AboutPermit Electrical 2010-1-21 _G,f!RI,N,<lili!lilLO,' ..,,. ~__ tj,' ,. .-," j Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00089 ISSUED: 01/21/2010 APPLIED: 01/21/2010 EXPIRES: 07/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ...,,;~ . SITE ADDRESS:, 1486 18TH ST ASSESSOR'S PARCEL NO,: 1703253403900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Move Commercial PROJECT DESCRIPTION: Low voltage - Security System Owner: Address: MERCURY DIME, LLC PO BOX 26125 EUGENE OR 97402 I ,CONTRACTOR INFORM~TlON I Contractor Type Electrical Contractor ADT SECl!RITY SERVICES INC License 59944 Expiration Date 05/07/2011 Phone 541- 736-4973 ~UILDING INFORMATION' # 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: RangeType: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of bot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ' quires you to " , N ~regon laW re Ut'\'ty St I t .",,"''''''0 : fl\1I' "''''T'm-., ',Oregon II reet mprovemen s: ", 1 OC" I ~"''''') 1'1" th folloW rules a v e ules are set lor Storm Sewer Availa~I.!': Notilication CeD~flU\o'1.g~fi'i}I,s.R 952,001- Special Instruction:"'!.;:: . OAR 952,001-001, tIlr pies 01 the rules by , ~r r' In y ay obtain co \ hone . '" 1"':I1IVIIT SHALL 0090, ou m (Note: the te ep , Notes: ','tlCRI7CD UltD EXPIRE IF THE WORK calling the center. on Utility Notiticatlon , "'-~ ~ ER THIS t the Oreg ) , ,rr.ric^,::,:::: C' PERMIT I" ^'':'T number or "01'11'1,1"2,2344. ',./180 n 1011t3ANDOIVW tOR, .' I \,,"""v' ,- DAY PERIOD, ValUlifion De~criDtion Description Type of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value , --'Date Calculated Paee I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid Amount Paid $6.96 $2.90 $58.00 $67.86 .,.' ~ .!,. ,,: 'Total Value nf Project F~e.s P,id I I Plan Reviews , Date Paid CITY OF SPRINGFIELD Building/Combination Permit' PERMIT NO: COM2010-00089 ISSUED: 01/21/2010 APPLIED: 01/21/2010 . EXPIRES: 07/21/2010 VALUE: Receipt Number 1/21/10 1/21/10 1/21/10 3201000000000000022 3201000000000000022 3201000000000000022 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. Low Voltage: Prior to cover, ( Ren'u'ired .Insnectionsl 1111_ 1r '.,1 ',' By signature, 1 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspections 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 Cqntractors Signature ...! 't'. Paee 2 01'2 Date City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-Y26-3753 Email: permitcenter@ci.springfield:or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00034 Approval Code: 048864 1/21/2010 10:07 am E,mailed To: spate@adt.com IR] Addition/alteration/replacement Please check all that apply: o A service or feeder beginning at 400 Amps where the available faull current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Multi-family [KJ Commercial o Accessory 1 or 2 family dwelling "JOS'SITE,IN;:!ORMA Tf6NAND~l!QC;6.JION,~~:"."'t::a-:~ Job Address: 1486 18TH 5T CitylStatefZIP: SPRINGFIELD, OR 97477 o Fire pumps o Emergency systems o Addilionof a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Suite/bldg./apt.no. : Projecf Name; NJGHTSTALKER TACTICAL SOLUTION I Cross StreeUdJrections to job site: Tax'map/parcel no.: 1703253403900 o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards o Floating buildings o .Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1,2" or "1,3" o Recr~ational Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Description Ea. Total {}o/J'12L;/O _ 0C70,/7 )//YJ /_C)/-/0 SECURITY SYSTEM AOT JOB# 283-05298-1 I Stand-alone limited energy, commercial Name: ADAM HART I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE Phone: 541~653-9266 Fax: Email: I Elee lie. no.: 26-209CLE Business Name: ADT SECURITY SERVICES INC 59944 CCB lie. no.: Contact: I Address: 2815 SW 153RD DR. I City/StatelZ1P: BEAVERTO~, OR 97006 I Phone: 5034697100 Email: SPATE@ADT.COM " Fax: 5034697114 Metro lie. no.: City lie. no.: Supervising Electrician's,lic. no.: 389LEA Supervising Electrician's Name: KENNETH W KRAUS Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services' 2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and tocal ordinances. "il I $58 DO I $58,00 I $6961 $2,90 I $67,86 I Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the jOb site until replaced by a Permit 225 Fiftli Street Spriii~field, bregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00089 COM20 I 0-00089 COM20 1 0-00089 Payments: Type of Payment ONLINE CHGS cRcceiotl RECEIPT #: ii.'~ 3201000000000000022 Description Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/21/2010 Item Total: Check.Number Authorization Received By Batch Number Number How Received NJM Page I of I ONLINE ADT Online Payment Total: 1O:29:47AM Amount Due 58,00 6,96 2,90 $67,86 Amount Paid $67,86 $67,86 1/21/2010