HomeMy WebLinkAboutPermit Electrical 2010-2-8
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
UO-//tJ'V
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00060
Approval Code: 066434 2/8/2010 11:21 am
E-mailedTo:cindy@alarmsolutions.net
I 0 New Constructil?n
IKl Addition/alteration/replacement-
J 0 1 or 2 family dwelling 0 Multi-family [K] Commercial 0 Accessory
1j;,"","'!r;.:l\j;~'1'~il6B'.SITf'iN,,6RMAtI6NJAND'1l6CAi'i6N'\'lo~~~~: :'~f:
I Job Address: 4405 MAIN ST
I CityfStatefZIP: SPRINGFIELD, OR 97478
I Suite/bldg./apt.no.:
I Project Name: GUN PRO SUPPLIES
I Cross St"e~dlr.ot;ons to job site:
I Tax map/parcel no.: 1702323105300
INSTALL SECURITY AND CAMERA SYSTEM
'.
I Name: Cindy German
I Phone: 541-521-2837
I Emall:
Fax: 541-461-0734
I Eleclic. no.: CLE203 CCB lie. no.: 186378
I Business Name: ALARM SOLUTIONS INC
I Contact:
I Address: 6286 FER~HILL LP
I CltyIStatefZlrNfYft::eIE-~, OR 97478
I Phon.: 54168{"#;IS PERMIT SHAll EXP.tft~If,~111:, wunl\
I _J.\IIIHJJHU"HW~lJCI\ In,;) F~f..;TlttlCT
Em.II: RON(f!IA""RMS<Jl~.",,1OI"" . I!" -1:1
I CJ;ii1MEf4Cro OC Ie .\B.,NMNeti "F"_-__ .
Metro "0. nO':.^.NY 1 SQ t'.~V D~Qlnnclty "0. no.: ,,::_,
I Supervising Electrician's fie. no.: 3295lEA lI'
I Supervising Electrician's Name: RON M GERMAN
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_malled or faxed
within one business day, with Instructions on how to schedule your Inspection.
NOTE: ThIs Authonzatlon To Begin Wor1t expires withIn 180 days if a pennlt Is nOl ootained.
The local building department may determine that an Authorization To BegIn Wor1t is null and
void if It does not meet applicable land use laws and local ordInances.
Please ch~ck all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,006 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
I Description
: - '~'::lj:'~: .',Z
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
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 Recreational VehicieParks
o Supply voltage for more than
600 supply volts nominal
Qty. I Ea.
$58,00
$6.96
$2.90 I
$67.66 I
\LQ...
'L\~IID
I Stand-alone limited energy,
commercial
Subtotal
Slate surcharge (12% of permit
total}
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
C\ D - \ 19 'L
.._"';'.~ . _ .n ~
ATTEN110N: Oregon law requires you to
foUow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 1152-001-0010 through OAR 952-001-
0090. You may obtain copies of the NIeB by
calling the center. (Note: the telephone
IlUIllber for the Oregon Utility NotIftoaI/Oft
Cemer~1~~~~
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Inspections Phone: 541-726-3769
This Authorization To Begin, Work must be posted at the job 5:ite until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00162
. ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4405 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323105300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install security and camera system the commercial space.
Residential
Owner:
Address:
MARTHA JEAN FRANK REVOCABLE TRUST
2511 LILY AVE
EUGENE OR 97408
Contractor Type
Low V oltagc Electrical
I CON;.~GT?R INFORMATION I
Contractor License
ALARM SOLUTIONS INC 188378
BUILD~NG INFORMATION)
Expiration Date
10/19/2011
Phone
541-521-2837
# 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 Typ'e:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: 'Handicapped:
Side 2 Setbac"NOTICE: Paved Drive Rqd: Compact:
Rearyard Sctbackt- PERMIT SHALL EX RE IF T'U. nM.....,.f:overage: ATTENTION: Oregon law requires you.t.o
Solar Setbacks~ fir.::> PI n1: VVUftl\- . follow rules adopted by the Oregon Utility
AUTHORIZED UNDER TJ-!IS PERMIT. IS NOr. .' "_""M"M r..,nter Thnse rules ere set forth
COMMENCED OR IS ABAN4~ij*iYfMPR()vEMENTS Iln OAR 952-001-0010 through UAH \iO<:-UU ,-
ANY 180 DAY PERIOD . ., 0090. You m~ obtain copies of the rules by
Street Improvements:' ca'hil\~ diMmlr; (Note: the telephone
. . ", ""he f tt".J)r~gon Utility Notification
Storm Sewer Available: nU_{'~R~tl'fS7JTrf-'seb_332_2344).
Special Instruction: C~nter'ls
I DEVELOPMENT INFORMATION I
Notes:
Iyaluation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
, or Bid Amount
Value
Date Calculated
Pa2e I of 2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"}.;;;:\
CITY ,OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00162
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/2010
VALUE:
Status
Issued
Total'Valne of Project
Fees Paid J
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amount Paid
Date Paid
$6.96
$2.90
$58.00
2/8/1 0
218/10
2/8/10
Receipt Number
1201000000000000110
1201000000000000110
1201000000000000110
Total Amount Paid
$67.86
I Plan Reyiews I
To Request an inspection call the 24 hour recordi,ng.at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insp~ction~ requested after 7:00 a.m. will be made the following
work day. . . , "
Reouired Insnections I
Low Voltage: Prior to cover.
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 witb
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 Servkes 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, 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 con~truction.
Owner or Contractors Signature Date
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Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
I
Job/Journal Number
COM20 I 0-00 162
COM20 I 0-00 162
COM2010-00162
Payments: .
Type of Payment
ONLINE GIGS
cReceintl
RECEIPT #:
; ,~:)J
1201000000000000110
"...,
Description
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
Date: 02/08/2010
I :03:09PM
Amount Due
58.00
6.96
2.90
$67.86
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
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Page I of I
Amount Paid
ONLINE ALARM Online
SOLUTION
S
$67.86
Payment Total:
$67.86
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2/8/20 I 0