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Home My WebLink AboutPermit Electrical 2007-7-19 ZON C (' ./ INITIALS f\J v---.... DATE '-1 -l q ~() I' SOURCE fY\.;p 8)?O 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL Pf<~IT APPLICATION City Job Number l(JOv1 g..O?Jf" 0 10/7 Date 1. LOCATION OF INSTALLATION: ,I ;' <tot/old;- "k,~~~ LOrJAJ · ~EGAL'DESCRIPTION: 7 ~1.A..k-/ 2.(!)O \'103 ~ 0002..,30-0 JOB DESCRIPTION: ~ V&/(f? f)A-tll- I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY 3. . COMPLETE FEE SCHEDULE BELOW A. New Residential- Sil!g_le or Multi-Family )ler dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21. 00 $55.00 B. Services or Feed.ers - Installation, Alterations or Relocation: .ll2:.;/YJ!/ 7-/1 200 Amps or less _ ("'/ n t01 Amps to 400 Amps .5lv. J IYq~Jr)] v'7UJVt11J4 f'WJl01 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only Electrical Contractor $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 Address q 5't; 0 CityM/~p'I!i .9,.ePhone t39-~IIO ft). /3e> y 50} Supervisor License Number tiff V -tt1 /h. It'yi L c. ,Temporary Services or Feeders Expiration Date IO-!) I - tJ 3 Constr. Contr. Number .L'iS'l?:2 tf)' Expiration Date Signature of Supervising Electrician Owners Name ~~tJ-11 /?rr~l.-- Jb~~ Address /I'IL./ M-k WfI- ~ Loe'/.) City ~ f'e Ii Phone ' OWNER INST ALLA nON Inspection Request: 726-3769 \L\ '5f3~~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Il J Service or Feeder Permit {lll~l/Nd' E. Miscellaneous (Service/feeder not included) -Each Installation $ 48.00 $ 4.00 Pump or irrigation $ 55.00 Sign/Outlin~~"fJON: Orage'"! ,,,,l,'lWeqSi?M)~OlJ '0 Limited En~~tst~<adopted bv the OB'a~J{)o :.Jtmty Limited Ert'tirg.~c~ICJa{lter. "fh~ rui~ SG~Njiet!~ Minimu.m EI"'tl;\). r.. ~et.'~;~.~.lo~..i.a..1-.1..i;&~~. gt9.~~'.lN~~~ 4. SUBTOTAtr:ffi~~~nter.. (Note: the telephoriJfZ) .6D 8% State suRMffilg;r fer the. Oregon Utility NOllTlcatRJQf-. rfi) 10% Administrative ~nter IS 1-800-332-2344}. c;'", OV 5% Technology Fee ;2:t:'D TOTAL 0 /.f(J Shared Drive(T:)lBuilding Forms/Electrical Permit Application 7-07_doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1144 Gateway Lp ASSESSOR'S PARCEL NO.: 1703220002300 Springfield PROJECT DESCRIPTION: Low Voltage for voice and data in Suite 200. Owner: GA TEW A Y MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01077 ISSUED: 07/19/2007 APPLIED: 07/19/2007 EXPIRES: 0111912008 VALUE: TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Contractor AZIMUTH COMMUNICATIONS INC. 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: License 145828 Expiration Date 07/26/2010 Phone (503) 639-0110 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMA nON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setl~ack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: SpeciallnstructiQl1ftTICe* WORK NU . HALL EXPIRE \f THE Notes: TH\S PERM\T ~NOER TH\S PERM\T IS NOT AUTHOR\ZEO _ ~ If': ~g ^ I\InnNED FOR COMMt:N\"tU vn U ,- ANY 180 DAY PERlOD. I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!e 1 of 2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: . t J:lI=NTIOtt.Oregon law reqUires you..o ~ffo;jJslill%~/lid'8~d by the Oregon Utility Notification Center. Those rUleOsAa~ ::J.~~~ In OAR 952-001-0010 through 0090 You may obtain copies of the rules by ..,....\;logJb~ (l~r,~r. (Note: the telepho~e number for the Oregon Utllny l'lluull\,lGlIV" Center is 1.a00-332.2344). Value Date Calculated Status Issued CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2007-01077 ISSUED: 07/19/2007 APPLIED: 07/19/2007 EXPIRES: 01119/2008 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 I 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 7/19/07 7/19/07 7/19/07 7/19/07 2200700000000001167 2200700000000001167 2200700000000001167 2200700000000001167 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. Reouired 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 Pal!e 2 of 2 225 Fifth Street Sp~ingfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01077 COM2007-01077 COM2007-01077 COM2007-01077 Payments: Type of Payment Cash cReceintl RECEIPT #: 2200700000000001167 Date: 07/19/2007 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By AZIMUTH COMMUNICA nONS Item Total: Check Number Authorization Received By Batch Number Number How Received ddk In Person Payment Total: Page 1 of 1 9:54:00AM Amount Due 50,00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 7/19/2007