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Home My WebLink AboutPermit Electrical 2007-12-12 CITY OF SPRINGFIELD, OREGON . ,.. . , . ~ ZON C C/ INITIALS Nt--- DATEY.'-\2/r1\ SOURCE~ 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-J753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (\DvY\ ~ 1- D \ ~o( /.,?.h;:7 I I Each Additional Circuit or with ~ryy\' ~ P n d Service or Feeder Permit Owners Name -t / ,nil ~ ::1f ~ 1-:-0 ? AJ' .,- .' . - ., ...<. Add(JS M4t~~tii\1ci ~ 'I:;;/N q fit E.Miscel1,iioiOus (service/iee~~r~ot i~c!~Mdr;:E~:~h In,'!allation . City~. 1- Phone Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 OWNER IALLA nON Limited EnergylResidential $ 28.00 The inst~nJ~t ~W;9,~~J8p'frfY'ro~liwiii~ii .~ Limited Eft!fHiU9m~ercial / $ 50.00 SZ:;. 00 is not i'WtllWlblilfdNtl~~~~~fl\~~~r:~I~~e.~~, s,; Mlnl.~~,m E.1ec\i#l. ge. .M!.. ~M~\if,.~. ,l~~fflltg.O'F. t'HtW'fte&K owner~OAB.J~~2-o01-0010through O.~-'. '0. / ,_ 4.. ~U1ITO~1~NUER TH1SPER^nIT 1~'fOcl .!t~u ~~~~btarn caples of :""'.: ".' 8% StateS.Q.M~CED OR IS ABANDONE/] Fen -f. 40 ----." tli~ ~v'h~'. (I"""..'./le le;ol~' . 10% AdnfltlJSWtl)@my PERIOD ',5.00 number for the Oregon Utility NJtlli~"l.v, I 5% Technology Fee . ,:1. SV Center is 1-800-332-2344). ~ Inspection Request: 726-3769 TOTAL h! Shared Orive{T:YBuilding Fo~lectrical Permit Application 7-07.doc I. LOCATIONOF INSTALLATION: 3. -f~/f0 JAcJ~A' &/,1' PAl >>GAL~ESC'Y\'T10N: /7'03 ~'-f ~'f{)fb crO ~ /11 (71'1-f'/ /:-/71.Y i JOB ~CRIPTlON:.7 U ADT Job II: dfrf3 -O-Y.,fOI-/ Permits are non-transCerable and expire IC work is not started within 180 days ofissuance or if work is Suspended Cor 180 days. 2. CONTRACI'OR INSTALLATION ONLY Electrical Contractor ADT SecuI!1tv 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 Zf;2::/an Date 1),-10- a1 COMPLETE FEE SCHEDULE BELOW. ',"-ce' . .- - .....>c'.. "., , . '.'. ,"..'. '. ,.". '. . A. 'NewResldentlal-SI~gl. o(J\o(uiti~FaJiJily' per.dweiurigjnilt.. .. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each ManuCact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. . S~~i~"or':F~'d~~';i~~~tt{tj~n~ Ait~~iio~~1~rJi~lo~ij~n':' .0' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 70.00 $ 83.00 $ 138.00 $180.00 $413.00 $ 55.00 . . . . , C. 'Temllorary,Servicesor Feeders , ".., .'_"'C.'" '_'.' .'. ,~,..'. .,.C".~""--:H...~1'- .'.' .~, ).., ..,,~ ". , ~ :. 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. Brancb Circuits .. . New Alteration or Extension Per Panel One Circuit $ 48.00 $ 4.00 . &:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01807 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4446 FRANKLIN BLVD I ASSESSOR'S PARCEL NO.: 1703344401600 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Low voltage for alarm system Owner: BRING RECYCLING Address: PO BOX 885 EUGENE OR 97440 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: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I 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: Sidewalk Type: Storm Sewer Available: DownspoutslDrains: SpeciallnstrucMii"-ENTION' 0 . follow rUles ~d retgon law rG"';j-G~ :"0" ." Notes: Notification Cen~ e1h by the CJ, -. - J,I'. , I. NOTICE: In OAR 952_nn'-'1n~".cose rules 0 '<' THIS PERMIT SHALL FXPIRr:: II" Tl-Il: \MnDV uwu', You may obtain copi:~' ;1: .: . ","'U I HUKILED UNDER THIS PERMIT IS NOT calling the center. (Note: th: Valuation DescrlDtlOn OMMENCED OR IS ABANDONED FOR numb7r far/he Oregon Utili!, -,,' .' ANY 180 DAY PERIOD. Cento-'"J'. 1.",," ~ r ! '$'Per.Sq Ft Square Footage . Description Tvpe on:; nstruchon3~-~"4,,1 I' I' B'd A Value Date Calculated or ruu tip ler or I mount Paee I of2 . -=ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01807 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project fmP,.itll Fee Description + 10% Administrative Fee + 5% Tecbnology Fee . + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid $5.00 $2.50 $4,00 $50,00 Date Paid 12110/07 12/10/07 12110/07 12110107 Receipt Number 2200700000000001807 2200700000000001807 2200700000000001807 2200700000000001807 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. I Reou~ 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 tbe 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 Pa2e 2 of2 . \};.IIII'I.~~.. ~. ..~.. -,..,' ., , ," .."~"" '. '., Ciar Springfield Official Receipt D.opment Services Department Public Works Department 225 Fifth Street Springfieh}, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01807 COM2007-0 1807 COM2007-0 1807 COM2007-01807 Payments: Type of Payment Check cReceinll RECEIPT #: 12:47:59PM 2200700000000001807 Date: 12/10/2007 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 50.00 2.50 4.00 5.00 $61.50 Paid By ADT Item Total: L'heck Number Authorization Received By Batch Number Number How Received ddk 2628395 In Person Payment Total: $6 LSO $61.50 Amount Paid Page I of I 12/10/2007