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Home My WebLink AboutPermit Electrical 2011-3-14 y/ell-orl!' Ad jJ[;:,m;; 'Electrica Permit A lication &Jj/Y:77J ffJ3-'/ :ar>i;llNCr.HO:LO rSl:;;.~~1# DEPARTMENT USE ONLY Permit no.: 5({ -:-Lf I J Dat?//'Ij I 225 Firth Street+Springfield. OR 97477+PH(541)726-3753+FAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits" expire irwork is not started within 180 days of issuance or if 'York is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION Commercial ec tFSS ADT JO", Name" LLL- City. Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange. lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: ADT Security Address: 2815 SW 153rd Dr FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service includ~d: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited.encrgy (2) $ 32.00 $ Ie.. Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or Jess (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60110 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnecl only (2) $ 63.00 $ Temporary services or feeders: ins/allation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) . $126.00 $ Over 600 amps or 1,000 volts., see services or feeders section above Branch circuits: new, alteraJion, extension per panel a Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circtiits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, I $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ APPLICANT USE (A) Enter subtotal of above fi:cs $ 63.00 (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [Al) $ 7. 5 6 (C) Technology Fee (5% of [Al) $ 3.15 TOTAL rees and surcharges (A through C): $ 73.71 \ , ' W" City.: Bea v e rto n ZIP: 97006 Phone: 503-469-7206 Fax: 503-469-7114 E.mail: spa te@adt.co.m CCB license no.: 59944 0 license no.: 26 - 209 C l E Signing supervisor's license no.: 38 9l E A Print name of sibYf1ing supervisor: Ken K r a u s Signature of signing supervisor" ~ ~\~.ll fb' 440-2584-J (9/08/COM) CITY OF SPRINGFIELD S~~~N_~~~ i1i!'(,~ "::,+" OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-00413 IVR Number: 811145827404 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/14/2011 03/14/2011 03/14/2011 EXPIRES: VALUE: 09/10/2011 $0.00 SITE ADDRESS: 2800 GATEWAY ST, Springfield, OR 97477-7708 ASSESOR'S PARCEL NO: 1703220002219 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Alarm system wiring Phone Number: OWNER: ADDRESS: GATEWAY MALL PARTNERS PO BOX 617905 CHICAGO IL 60661-7905 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie No Lie Exp Phone # of Units: o BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Occupancy Group Construction Type M Type IIIB ~ # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition=... Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition:. Structural Specialty Code Edition: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: .\1'~TION' Oregon law requires youto F\ .' . do ted by the Oregon Utility !i:lHQW rUle6 a t p Those rules are set forth ~i:l~~~~~~.o~~.~~'i 0 through OAR 95~-OO~" "OliO You may obtain caples of the ru es _ y " . h ter (Note: the telephone M\II~g ~ e f:~ oiegon Utility NotificatiQo !\"\1\,,\\rC~~ter is i -800-332-2344), Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils ,Report Required: Springfield Building Permit 3/14/2011 2:46:43PM NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED 'FQR,)T" ANY 180 DAY PERIOD. Page 1 of 3 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00413 IVR Number: 811145827404 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 03/14/2011 ISSUED: APPLIED: 03/14/2011 03/14/2011 EXPIRES: VALUE: 09/10/2011 $0.00 SITE ADDRESS: 2800 GATEWAY ST, Springfield, OR 97477-7708 ASSESOR'S PARCEL NO: 1703220002219 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Alarm system wiring DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Descriotion Amount Paid State of Oregon Surch~~!!,,-\.!_2% of applicable fees) $7.56 ~~tr'.'l!'~___ ______ __$6300... 2:."-chnol~gx~ee i.5'0 !?!J>:!~it '''.tal) $3.15 Total Amount Paid $73.71 Date Paid Reciot # 03/14/2011 2011000476 03/14/2011 2011000476 ~~._.- -------,-- 03/14/2011 2011000476 Springfield Building Permit 3/14/2011 2:46:43PM Page2of3 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00413 IVR Number: 811145827404 permitcenter@ci.springfield.or,us PROJECT STATUS:, STATUS DATE: Issued ISSUED: APPLIED: 03/14/2011 03/14/2011 EXPIRES: VALUE: 09/10/2011 $0,00 03/14/2011 SITE ADDRESS: 2800 GATEWAY ST, Springfield, OR 97477-7708 ASSES OR'S PARCEL NO: 1703220002219 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Alarm system wiring Plan Review ~ Deoartment Permit Issuance Received Due Date 03/14/2011 03/14/2011 Comoleted 03/14/2011 Result Issued Reviewer Chris Carpenter ~~~:~~;lV2~~~fo~~~i!2;~r=~t:t m~.,""",,,,~, '" ,."c."'" .,'~~; ,. -, ""..." ..<-~".,.;e~~~"""-",.1;c't?' Initial Review 03/14/2011 03/14/2011 Comments: Over the counter permit tZC~~O'\r~~9:~~:~~;/Lc: ;~~1.4~;~:~;i~:~~~~~!~~l':1~~1t!:;-:~tt::e11~~~;:::}.~~rl~:c:~e~t7tl~;~~~ ~ :~":;;, . ;".:~ . INSPECTIONS REQUIRED ~ Inspections 4550 Limited Energy 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 or 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. 3;;~ho Da!. /1 I Springfield Building Permit 3/14/2011 2:46:43PM Page 3 of 3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St SpringfjeJd,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00413 2800 GATEWAY ST permitcenter@ci.springfield.or,us RECEIPT NO: 2011000476 RECORD NO: 811-SPR2011-00413 DATE: 03/14/2011 lbesCRIR.TION,,::',l;, """,''1':;~ii.;,!,: ';"~:;';;~#;3s'i;;,;;:1;:2;:::;;;k';:~-Att()UN'rft6be"L2L.:;:;:JJl~'AM()UNJd)UE' ,";~." ';1 Security Alarm 224-00000-426102 _ ________ 63.0~__,.~__ SIaIe 01 Oregon Surchar.!1~J12% 01 applicable feesL_____------.?21-0000O':215004___,_~________,___,_7.:~~___,___ __~hno'ogy fee.!.5% o~p.ermit total) _______120.:92.900-42560~___,_"__ 3.15 _____ __ TOTAL DUE: 73,71 CE~YMEN-r-'rYRE ::""t~RA,Y.QR;r>,:cAsHiER:CcARPEifrER;~i;\,'(-i:,;;COMME'Nf..~;.{?:'k~;",!T:::'~ ;:::':~~MOU"NIPAID c, ",' ,0,' -,.,}J Check Tyoc 73.71 120336 TOTAL PAID: 73,71