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Home My WebLink AboutPermit Electrical 2007-7-18 ... 3. ZON INITIALS t-J fv\. ~. DATE'" - tq -0. I ~ ~OURCE ~~ 7;/~7 COMPLETE FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR ?7477 . PH:(541)726-3753 . FAX: (541)726-3689 ,": .t:;.: ';f)~;: Or~gon la:rUf)_qul~~~LYP.M~ E.. .:~?is:e!l4l;c\,l ~~ ~e~\sV 'tff~~ttfgtjff'OOm, -En ch I nstallatio II . <;'~;.;::ti:.:i)!i ',::6i':nSr. I hose rules are S9tfOttll .:1 f~~~%WW'.1~10through OAR 9620 ii'oO oo~&;.n~wNml~~n copies ofthe rules ys.OO ttilitiltiQIilhe:.tRerid~tt40te: the teleohon' 28.00 n~r~~ fm'e~~(Qfff1QMiUtility Notiflcatlonso.oo stJ. 0 () Minimum E&~~pJPnt'A\i9p_~l!l $50.00 + Surcharges 4. SUBTOTAL OF ABOVE S1J. 0 a 8% State Surcharge ~ dO 10% Administrative Fee 5. 00 5% Technology Fee ~ . SV Inspection ~:~~~~;~Mt:P~AlL EXPIRE IF THE WORKTOT AL (0 / ~ ..: Cn:Z::D UNDER THIS PERMiT IS NOT Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc . . I\,~::NCED OR is ABANDONED fOR i '; ~3J JAY PERIOD. ELECTRICAL PERMIT APPLICATION City Job Number rQM700 7-0 /0 bl - . 1. LOCATION OF INSTALLATI07'N' 1~470 miff;.) $7 - /l-/t/o z LEGAL DESCRIPTION: Wesr tJ,e E 4",(.) d/l'le /-Ie;tJ r T # JOB DESCRIPTION: c:lt.3 ~ 0 '17<1 s- - / .'--, /1_ .-" II" 14,.' ADT Job II: ,d,J '71 . /'rr:,p -- 07' 02:.-- 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 Electrical Contractor ADT Secul!ity Address 2815 SW 153rd Dr City Beaverton OR Phone503-469-7100 Supervisor License Number LEA389 Expiration Date 10/1/08 Constr. Contr. Number 59944 Expiration Date 5/7 /08 Signature of Supervising Electrician L~~ Ow",,,N,m, tfyt.-J ~!. Address ~ Z O.1C 7 K 6 -, City FU&6N'E Phone ;)~7 ~,,-lt. OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Date A. New Residential - Single or Multi-Family per 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 }1'eeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 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 Service or Feeder Permit $ 48.00 $ 4.00 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01061 ISSUED: 07/18/2007 APPLIED: 07/18/2007 EXPIRES: 01118/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4660 Main St Ste 100 ASSESSOR'S PARCEL NO.: 1702324200200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Low voltage security Owner: HYLAND BUSINESS PARK LLC Address: PO BOX 7867 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Low Voltage 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: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: ATTENTION: Ore@!lI'ft1a(l.~lteuVOt1to Energy Path: foll.~w r~les adoptSq! 0y<U1lbeeregon Utility Sprinkled BuildingNotlflcatIOlWa;enter.<i'dwf)9l'1tl!J&~G set forth In nll~ ar::l)_nn1_nn1n.......~'rg~ O.~R 7~~ 9~1 I DEVELOPMENT INFo~tn(!'JNIllay obtain copies of the rules by "'QIIIII~ u.t center. (Note:R~aetI&\lilIlVIIlQRKIN G number for the Oregon Utiljty ~otlficatlon Overlay Dist: Center is 1-80Q..332-~). # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT SHAll EXPIRE IF THE WORK Downspouts/Drains: ,UTHORIZED UNDER THIS PERMIT IS NOT . :OMMENCED OR IS ABANDONED FOR .' ,NY 180 DAY PERIOD. Notes: I Valuation Description 1 Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2007-01061 ISSUED: 07/18/2007 APPLIED: 07/18/2007 EXPIRES: 01/18/2008 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 7/18/07 7/18/07 7/18/07 7/18/07 2200700000000001149 2200700000000001149 2200700000000001149 2200700000000001149 Total Amount Paid $61.50 I Plan Reviews, 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. Reauired Insoections . 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 Str.eet .. . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1 061 COM2007-01061 COM2007-01061 COM2007-01061 Payments: Type of Payment Check cReceint I RECEIPT #: 2200700000000001149 Date: 07/18/2007 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ADT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2494632 In Person Payment Total: Page 1 of 1 10:12:45AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 7/18/2007