HomeMy WebLinkAboutPermit Electrical 2007-7-9
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01007
ISSUED: 07/09/2007
APPLIED: 07/09/2007
EXPIRES: 01109/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1981 Mohawk Blvd
ASSESSOR'S PARCEL NO.: 1703251300500
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Low Voltage
Owner: M & M LAND COMPANY LLC
Address: 36986 CAMP CREEK RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Low Voltage Electrical
Contractor
ADT SECURITY SERVICES INC
License
59944
Expiration Date
05/0712009
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 INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Spec~IW~,!&.!ion: ATTENTION: Oregon law requIrea you to
f\H lLH I ,t, t follow rules adopted by the Oregon Utility
Notel:HIS PERMIT SHALL EXPIRE IF THE W Notification Center. Those rules are setfortlt
AUTHOR/7Fn ""IDER lHI ' ORK In OAR 952-001-Q010through OAR 862-001.
COMMENCED D ft:f,1v1If I ~ J ~U:fJ ',\:,,,, lIIal ",L,UJ.. '^'.n..v; d........"
ANY OR IS ABANDONED F IfI aluation Descri ti I 9 the center. (Note: the telephone
180 DAY PERIOD. er for the Oregon Utility NotIfIoaIIon
$ Per Sq Ft Square FooS!Qter Is 1-800-332-2344).
Description Type of Construction It' I' B'd A t Value Date Calculated
or mu Ip ler or I moun
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01007
ISSUED: 07/09/2007
APPLIED: 07/09/2007
EXPIRES: 01109/2008
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 J
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$4.00
$50.00
7/9/07
7/9/07
7/9/07
7/9/07
2200700000000001099
2200700000000001099
2200700000000001099
2200700000000001099
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.
LReouired InsDections 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 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
Paee 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:SPATE@ADT.COM
Receipt # EC513680
7/9120079:44:31 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I:
I 0 New construction
, TYPE OF WORK
IX] Addition/alteration/replacement
II
I Description
FEE SCHEDULE, '
Qty,
OR multi'-famHy,(Jw.e1l
Ea.
Total
, I' CATEGORY OF CONSTRUCTION "
":''-'>1'\
o I or 2 family dwelling
o Multi-family
[XJ Commercial/Industrial
',:)O~SIT~ INFORMAT!,9N A~~LOCATION
IJObno.: 283-0473]-1 IJobaddress: ]98] MOHAWK BLVD
I City/State/ZIP: SPRINGFIELD, OR 97477-None
1 Suite/bldg./apt.no.:
I Project name: T-MOBILE USA
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: ] 70325] 300500
I
BURGLAR ALARM
I Lot no.:
Ci,~lrE'CpNTACT,
IName: KEN KRAUS
I Phone: (503)
I Email:
I
I EI. lie, no.: 26-209CLE I CCB lie. no.: 59944
I Business Name: ADT SECURITY SERVICES INC
IContact: KEN KRAUS
IAddress:
I City/State/ZIP: BEA VERTON OR 97006
I Phone: (503)4697212 I Fax: (503)4697] 14
I Email: SPATE@ADT.COM
I Metro lie. no.:, 1 City lie. no.:
I Supervising electrician's lie. no.:
I Supervising electrician's name: 99 WEST REALTY LLC
I Fax:
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 local ordinances.
11,000 sq, ft, or less
lEa, addl 500 sq, ft, or portion
I-Limited energy, residential
(with above sq, ft.)
I-Limited energy, multifamily
residential (with above s,q, ft) ,
. serVices OR:fee4ers,in~tallation!aiteratio'n':~l'Jl)jOR relocation
.. ,,',.. " - __ ,n' '_ _ .<" __
200 amps or less
20] amps to 400 amps
1401 amps to 599 amps
T
1200 amps or less
120] amps to 400 amps
140 I amps to 599 amps
Branch:circuits"~ NEW, alte'ratiori;OR extenslon,per panel,
+~0~01*,%\,'ii1' \'-_}'"'_',n",^', --~,: _^'. :,":'''i>,-oo,-oo-",>>:",>,,@,;,"i. "i"JI"'':'I'!:_"",,:,,- ,,:_-_i\:,',",i-:,__-~_' "- ", ',;;.-'-'~'""::>>N,',,, \<:,,' ~,~ l'
-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
MIscelia~eOus. ' .'
c~~~ 2
I Sign or outline lighting 1 _, ~ I I & \
Signal circuit(s) or limited- ~. . \1 '" II $55,00 ~
energy panel, alteration, or --..J '\j
extensIOn,
IEi.;~GT~ICALI?ERNII"'FEE~t, I
I Subtotal $55,00 I
I State Surcharge (8% of permit fee) $4.40
I City Of Springfield fees. $8.25 I
I TOTAL PERMIT FEE $67,65 I
;,. City Of Springfield ]0% Local Admin Fee; 5% Local Technology Fee
~IS6
Service reconnect only
I Each manufactured or modular
dwell ing, service and/or feeder
1 Pump or irrigation circle
r-VJ Q~~aaHS=O~
I ...n l :iliIssa~)(nld &lVO
, l- Q..(rL - VJ-J-
/'\~ .#lA>1I
lobO r - L<p-/"-'-
L 0-0 I 0 - L. a.O €. .)tOO .
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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41526E67 -1 068-462E-B654-00863BOADOFE
07-09-200714:27:01
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City
I
L
i State/Province
~ Postal Code
197301 --~
: Country
l
i E-mail Address
! Phone
i Shipping Information
, Ship to Company
1.__.,.-..
Ship to First Name
Ship to L.ast Name
: Ship to Address 1
Ship to State/Province
, L._~_______
L..__
I
L._.. ,._.....__...._....__.._.,...
L_.._~_.._
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Ship to Postal Code
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225 Fifth. Street
. '
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0] 007
COM2007 -0] 007
COM2007-01007
COM2007-0] 007
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
2200700000000001099
Date: 07/09/2007
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE adt security Online
Payment Total:
Page] of I
11 :37:06AM
Amount Due
50,00
2,50
4,00
5,00
$61.50
Amount Paid
$6].50
$61.50
7/9/2007