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Home My WebLink AboutPermit Electrical 2007-6-25 r City of Springfield Electrical Authorization To Begin Work E-mailedTo:SPATE@ADT.COM Receipt # EC513076 6/25/200710:53:02 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New construction [K] Addition/alterationlreplacement I Description Qty. Ea. Total o I or 2 family dwelling o Multi-family [iI Commercial/Industrial 1,000 sq. ft. or less I Ea. add! 500 sq. ft. or portion J I-Limited energy, residential (with above sq. ft) I-Limited energy, multifamily . residential (with above Sq ft.) . I SerViCeSOR;f~e~'l?~~~lIa!iOn,-alteraIi~'~;~/~~relocatiO!1.s' . 1 200 amps or less 1201 amps to 400 amps 401 amps to 599 amps I Job no.: 283-04734-1 I Job address: 4660 MAIN ST / City/State/ZIP: SPRINGFIELD, OR 97478-6087 Suite/bldg./apt.no. : Project name: WINDOW WORLD Cross street/directions to job site: UNlT C-450 I Subdivision: I Tax map/parcel no.: 1702324200200 I Lot no.: 200 amps or less 201 amps to 400 amps 140 I amps to 599 amps 18ranch:Ci.;cl\i~ t~~W,alteiatioil;O~~~ten~ionFperp~n~1 A. Fee for branch circuits with above service or feeder fee, each branch circuit. B. Fee for branch circuits without service or feeder fee, first branch circuit; each add I branch circuit BURGLAR ALARM Name: SANDY JACKSON I Phone: (541)741-7112 IEmail: I Fax: EI. lie. no.: 26-209CLE I CCB lie. no.: I Business Name: ADT SECURITY SERVICES INC I Contact: KEN KRAUS IAddress: 2815 SW 153RD DR I City/State/ZIP: BEA VERTON OR 97006 I Phone: (503)4697212 I Email: SPATE@ADTCOM I Metro lie. no.: 1 Supervising electrician's lie. no.: I Supervising electrician's name: 99 WEST REALTY LLC 59944 Service reconnect only I Each manufactured or modular dwelling. service and/or feeder 1 Pump or irrigation circle I I Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. $50.00 $50.00 I not offered online at this jurisdiction I Fax: (503)4697114 I I I I · City Of Springfield I City lie. no.: Subtotal $50.00 State Surcharge (8% of permit fee) $4.00 I City Of Springfield fees. $7.50 I TOTAL PERMIT FEE I $61.50 10% Local Admin Fee; 5% Local Technology Fee NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. ') (-<<) I .~ rf)q3 8" COM:,C2l,., 'I I . . . :.~tnJ{- t I ~ RCPT #- \ 02 .-7;.5- O~ DATE PROCESSEI?=\ ' . QiYJ{fr _(Y\J PROCESSED BY~- I \ I \ U This Authorization To Begin Work must be posted at the job site until replaced by a Permit. . \ 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. 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. 225 Fifth Street r Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200700000000000819 Date: 06/25/2007 1l:21:13AM Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 50.00 2.50 4.00 5.00 $61.50 Job/Journal Number COM2007-00938 COM2007 -00938 COM2007-00938 COM2007 -00938 Description Sign - Outline Lighting Each + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Amount Paid ONLINE CHGS ONLINE PERMIT CHGS njm ONLINE ADT Online SECURITY Payment Total: $61.50 $61.50 cReceintl Page I of I 6/25/2007 /. -A Y /'\ LA' u' V~:~J CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00938 ISSUED: 06/25/2007 APPLIED: 06/25/2007 EXPIRES: 12/25/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4660 Main St Ste 450 ASSESSOR'S PARCEL NO.: 1702324200200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Unit C-450 Owner: Address: HYLAND BUSINESS PARK LLC PO BOX 7867 EUGENE OR 97401 I CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor ADT SECURITY SERVICES INC License 59944 Expiration Date 05/07/2009 Phone 541- 736-4973 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA nON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: : IflJ..-" \' "1 I l-o Storm Sewer Ava.i1able:\TION: 01 Gr:'.on law reet:, ~-- .. - ,:. 1-\ I ! L.l' I - \" ~ _ _ r ".; , 1 " ' Special InstructiPcmOV\I rules a:k \_ _c-~' ';,;'~~8 ,<' . '..,:.._ ~ '.. .,-l-.......,~rl\lr.:'l( No',i\i:';8..~ion '",er'l01. : ,,,-~ -, -,. ",i- . n'\,:, '>0_o:r,-C:";Ol,.OUS"'- '_, In\.~' J'-- \ "\ oJ.... - 4 .' _ '. - . _ _._~ ,.~.. "",-.\1 nh::'1Ir! c~. ;'~:" C. " ,- . - -)' . .~ide,.. )':'~I!<- Type: , '," I', '. ',9('."" T L Dow.nsp,out$/Drains: I il5 t"tlilVIII ~HALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COfv1lviEf~CED OR IS ABANDONED FOR 11 f\1 V i Q n n 1\ v 0 r: 0 Inn Notes: Description vu...,V. ....,-- J .",' _._. - calling tile C8:lter. (:':r)~(;V ". n .. I f the OreQCil U ,:\-\aluatlOn'HescnptlOn number or '-" r 0, .' Cent'" I is 18CO-302 ~v-'-'I T f C Vt t" $ Per Sq Ft Square Footage ype 0 ons ruc IOn " " " . . or multiplIer or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00938 ISSUED: 06/25/2007 APPLIED: 06/25/2007 EXPIRES: 12/25/2007 VALUE: 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 + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 6/25/07 6/25/07 6/25/07 6125/07 1200700000000000819 1200700000000000819 1200700000000000819 1200700000000000819 Total Amount Paid $61.50 I Plan Reviews I 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. I ReQuired Insoections I Sign Electrical: After connection is made but prior to energizing 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 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, 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 Date Pa!!e 2 of 2