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Home My WebLink AboutPermit Electrical 2010-4-15 (2) .Elec,trical Permit Application :CiTY'OF SpRINGFIELD, OREGON 225 Fifth Street. Springfield, OR 97471. PH(541)726-3753+ FAX(S41 )726-3689 ."0"1PEeJ\RrME'NiT:asEt0N'ThY,~!;r;;? ~_;'T-\i\\!-;{>0r'r:.7"~-'ii~'<fE_'__~"'5$mF4;"JtiB8T~!f'J<<~)' COW'\ "2-0 10 - 0 0 3 Cf~ Permit no.: Date: L{-{ 5 - ( C This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is uot started within 180 days of issuance or if work is suspended for 180 days. ~i~~:ii':~7~.:i;r0'C~1f:~GQMEBI>lMENtr'J~~~),;i!lI~~I!~~~~. Zoning approval verified? 0 Yes 0 No i~'!iB"4l\''''f.e'Al1E.G~QR;ya6~''~~Ns:tROGmIQI>l~1'~~~J_ D Residential I D Govemment . 1li!LU:ommercial 1Jij~l~iJ()I3'ii~I;ifE~IN1=0BMAtl()'NlrgNblillic>C~f;101>lk.~1.~1 Job site address: \ \ ~ ~ 0 \\..<: 'A ~ 'I r-(' ~.~I City:~ J();, /iri:..G . \ rf I State: DR. 'I ZIP: Subdivisi~n: J 7 e 3 Z 76 C Lot no.: ~ 762- 1fS!.~1filil!jJ$'ill'~QF~(.{RI~iiiONffc>~i/,WORR~'t.l1'r~' _ ---C",.::::,;tCA 1)., i=- fY\. - ':::)1j[) ~ ~Qf 0 V1/'. v .... l!'7Eb.8~_ ~tal'lii' ._ illil , "" ,_1~~,,}li-.~1!Ji~b::',:'0+f'!,DW\t_ ,~, __.~ .it.s!;m~ Residential, pe.- unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alt!!ration, reloc.ation 200 amps or less (2) $ 81.00 $ !j!llltIRR1tgj_i!lilfe~Qag~if~Y~~(:):WNER1iIil_~-1'.;S1~j~0:j~1 201 to 400 amps (2) $ 95.00 $ Name: 1M. c..lcJfv C~.-.~.;...( 401 to 600 amps (2) $158.00 $ Address: 76 ~+-"""",;..-( LI' :#.b 601 to 1,000 amps (2) $205.00 $ City: C1,)...-~e T State:CYL- I ZIP: '7 7'fo.l Over 1,000 amps or volts (2) $469.00 $ Phone: _ _ I Fax: _ _ ';'ii":. I ns't."I'I','.l.2n!X (2) $ 63.00 $ E-mail: Noti';( a~; i1wlJ:~ ~';~~llia.Y0I1~tion. alteration, relocation This installation is being made on residential or farm prope~~; ,,~:~~~=~r1lll:ose)ru,;~ :~~n Ulil~ $ 63.00 $ owned by me or a member of my immediate family. This uwO. 0 /llI4 !~h OAR 95?_n-;;~' property is not intended for sale, exchange, lease, or rent. OA~l/ing tne ,or tho 5 - $ 87.00 $ :~:n::~l) and479560(1): . . '. .. ... ., .. '. nUmb ~ r~~~~~cM:;;~::~~~:es or fee:~r~6~::tion :bove ~~t~~eQNiI1~c::if(::lR~rNs:rALHg~1i10N.~~~,!j:tf~:f,1it. Branch cir~~l!drPtion, extension per panel Business name: {'J6"'V'\l ; r\ rl U\ rl C:--V.o, tf\ ~(A a. Fee for branch circuits with purchase ofa service or feeder fee: Address: IS l . -:\. lIll""'- .c...L A n ~_ (} Each branch circuit $ 6.00 $ City: ~'Jn :,--, " ,; { ri I State: D Q I ZIP: q, U,9- b. Fee for branch circuits without purchase of a service or fccder fee, Phone:5<.11-=7( (-IllS -, Fax:75~/-7U)-06ln First branch circuit (2) $ 55.00 $ E-mail:Tlr.t/..lT1.-.Lt..-./....I~J./Vl/IU..l1/1 /).,( ',- Each additional branch circuit $ 6.00 $ CCB license no.: Lt:l,'?-J...) BCD license no.: J Miscellaneous ~ees: service or feeder not included Signing supervisor's license no.: L/U DS'L b i4- Each pump or.irrigation circle (2) $ 63.00 Print name of signing supervisor: :;')I.-eoh,., '" S:::'(n r(1 "" I r> , "'; Each sign or outline lighting .(2) $ 63.00 Signature of signing supervisor: T+: . n 1'YJ~....r /'\. il " Signal circuit or a limited-energy panel, t. $ 63.00 alteration, or extension (2) ~ -~~~~..," ~ ~OT'CE: ' ", o THIS PERMIT SHAll EXPIRE IF THE WORK ~ AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 440-2584-) (9/08/COM) ..-::;;-".' \!\\\. \0 ~.\~~ V--~ $ $ $lJ.?:'.p Each additional inspection: (I) .. '~P.F,!I,!I~~r.jBlILs (A) Enter subtotal of a.lmve fees (Minimum Permit Fee $58.00) (8) Entcr 12% su'rcharge (.12 x [A)) (e) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through C): $58.00 $ , $ lJ.. ~ ,C D $'7."5~o $6.\S, $/~\ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00395 ISSUED: 04/15/2010 APPLIED: 04/01/2010 EXPIRES: 10/15/2010 VALUE: $ 10,425.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1130 SHELLEY ST ASSESSOR'S PARCEL NO.: 1703270000902 Springfield TYPE OF WORK: Commercial Miscellaneous PROJECT DESCRIPTION: Install FM-200 systeri).':' 'l';;'~:, TYPE OF USE: New Commercial Owner: MCKAY COMMERCIAL PROPERTIES LLC Address: 76 CENTENNIAL LOOP STE D EUGENE OR 97401 Contractor Type Electrical Fire Contractor I CONTRACTOR INFORMATION I Contractor License OMLID & SWINNEY FIRE SPRINKLER 62730 OM LID & SWINNEY FIRE PROTECTION 62730 I BUILDING INFORMATION ~ # of Units: # of Stories: Primar: occupaniftlMlqN: Oregon law requiM5i~BL~tr~cture Se~ondary Occup riUlll~ adopted by the OreTh:lft'l9Mf,at. PrImary Constru ~ on Center. Those rules ~~~: Secondary Const~Pt'tl~ ~Ol-0010through O~911l!-lllJlI.: , # of Bedrooms: 0090. You may obtain copies of fl~f~: calling the center. (Note: the tii~d Building: n/a I I e 'dITI ~'l' ~1'M lIulllb.., V. l.u . ~1l.!.nj I I " I Iii Center is 1-800 3BEll PMENTINFORMATlON I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 'Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ , Expiration Date 12/15/2011 12/15/2011 Phone 541-741-1775 541-741-1775 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: .cJ"" NOTICE: ' " '. ! ",,::":ii.","f:<;\'i;:l}i,,:f~ifki~{J!o' ' THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT " COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD.. . :,i"~.. Notes: ~.\f 'Page I of 3 '{ . 'j "~.cJ I' Status Issued 225 Fifth Street, Springfield, OR 54\-726-3753 Phone 54\-726-3676 Fax 54\-726-3769\nspection Line I V~I~ation Description ~ Description $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Tvpe of Constrnction Total Valne of Project ~, . ,,', Fee Descriotion + 12% State Snrcharge + 5% Technology Fee Trame Signal - Panel Amonnt Paid Date Paid $7.56. $3.\5 $63.00 4115/10 4115/\ 0 4/\5/\0 Total Amonnt Paid $73.7\ I Plan Reviews ~ Fire Department Review 04/01/20\0 w~ 04/12/20\0 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00395 . ISSUED: 04/15/2010 APPLIED: 04/01/2010 EXPIRES: 10/15/2010 VALUE: $ 10,425.00 Valne Date Calcnlated Receipt Number 220\000000000000361 220100000000000036\ 220\00000000000036\ GRG FM-200 system by Omlid and Swinney 4/12/\ O-Fire Department plans review for clean agent suppression system for server room on hold pending fnrther informalion. Job #COM201O-00395. 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, inspecti!'.M'requested after 7:00 a.m. will be made the following work day. . ., . . 1 : ~'.i ~enllire'Unsnections ~ Low Voltage: Prior to cover. Paee 2 of 3 'WIE~~R'N,~"'~l-~ .. ., ',.,.......... .,' .,' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ',.{U, r~' ,~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00395 ISSUED: 04/15/2010 APPLIED: 04/01/2010 EXPIRES: 10/15/2010 VALUE: $ 10,425.00 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 Springlield 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, Buildiug 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 construction. Owner or Contractors Signature . ,I. ~;, Page 3 01'3 Date 225 Fifth Street S,?ringfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000361 Date: 04/15/2010 II :24:58AM Job/Journal Number COM20 I 0-00395 COM20 I 0-00395 COM20 I 0-00395 Payments: Type of Payment Check cReceintl Description Traffic Signal - Panel + 12% State Surcharge + 5% Technology Fee Paid By OM LID AND SWINNEY Item Total: Check Number Authorization Received By, Batch Number Number How Received Amount Due 6300 7.56 3.15 $73.71 Amount Paid djb In Person Payment Total: $73.71 $73.71 39800 . SI:t1' " i~ 1') .,"'" !.,i Page] of I 4/15/2010