HomeMy WebLinkAboutPermit Electrical 2010-2-24
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00084
Approval Code: 092279 2/24/2010 8:46 am
E-mailedTo:jleatham@stanleyworks.com
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0 New Construction IRl Addilion/allerationfreplaceme nt
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0 1 or 2 family dwelling 0 Multi-family IZI Commercial 0 Accessory
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Job Address: 250 AST
City/StatelZIP: SPRINGFIELD, OR 97477
SuitelbldgJapt.no. :
Project Name: SPRINGFIELD UTILITY BOARD
Cross Street/directions to job site:
Tax map/parcel no.: 1703353202700
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LOW VOLTAGE ELECTRICAL PERMIT
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Name: KEVIN FRASER
Phone: 612-872-3462 Fax: 541-461-5681
Email:
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Elee lic. no.: 37-1054CLE eeB lie. no.: 161567
Business Name: STANLEY CONVERGENT SECURITY SOLUTIONS INC
Contact:
Address: 6000 NATHAN LN N STE 300
City/State/ZIP: PLYMOUTH, MN 55442
Phone: 6128723462 Fax: 6128723585
Email:
Metro lie. no.: City IIc. no.:
Supervising Electrician's lie. no.: 941LEA
Supervising Electrician's Name: STEVE MOREHOUSE ,
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 Authorization To Begin Work expires within 180 days if a permit is nol 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 local ordinances.
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Please check all that apply:
o A service or feeder beginning
at 400 Amps where ttie
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
D Hazardous locations
D A service or feeder rated at
600 arr:ps or more
D Buildings more than three stor
o Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
o Installation of a 150 twA or
larger seperately derived sys
D "AU, "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
"~;,:~ FEE:"SCHEDULE
'-- ,~ ,,~,',~,,~ ,,-',, ",,,,-,, "," ' ----
Qty,
Total
Description
~jITiii9~C!T~~ergy
Stand-alone limited energy,
commercial
Elec'ir)calPerl)1itF,ees. '.,,,
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
~
c$>~~-D
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$58.00
$696
$290
$67.86
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Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00242
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 08/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541'726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 250 A ST
ASSESSOR'S PARCEL NO.: 1703353202700
Springfield TYPE OF WORK: Electrical'Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Low voltage for alarm system
Owner: SPRINGFIELD UTILITY BOARD
Address: 250 N A ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA nON I
Contractor Type
Low Voltage Electrical
Contractor License
STANLEY CONVERGENT SECURITY 161567
BuiLDING INFORMATION I
Expiration Date
10/19/2010
Phone
612-872-3462
# 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: '
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Covera~e:
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I ON' oregon laW re~JI~~on U\iIi\Y
,t>.~tl,\ ' "'ed by tM r re set 10rt\1
to\loW'l\\'1~':Kf:i. ,hose ru~e~~R 95'2.-001-
Noti~~'WfLmaih\l;\rOUg 01 the rules bY
in OAR 9 - a obtain copies e telephOne
0090.. '{o~:e ~enter. (Not~~i~~Y NotilicatiOn
calling t\1e Oregon '2.344).
number lor ., 600-33'2.-
ter IS ':
Storm Sewer A vejlAWf' .' .,,"0 '.
Special Instructil,'nt~ ICE: ': "
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r; n nl=~1 . <: R^~!nmlJ:n J: Q
ANY 180 DAY PERIOD, I ~
Valuation Description I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
Status
, Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
Amount Paid
Date Paid
Total Amount Paid
$0.00
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00242
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 08/24/2010
VALUE:
Receipt Number
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. ,f,', ~
L Reou'ired InsDections M
Low Voltage: Prior to cover.
By siguature, 1 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
that NO OCCUP ANCY 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 frout of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signatnre
Paee 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Wi:~14
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000063
Date: 02/24/2010
10:06: II AM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Re~e.jved By Batch Number Number How Received
Amount Due
58.00
6.96
2.90
$67.86
Job/Journal Number
COM2010-00242
COM20 1 0-00242
. COM20 I 0-00242
Description
Low V ollage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
njm
ONLINE
stanley On line
security
Payment Total:
$67.86
$67.86
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2/24/2010