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Home My WebLink AboutPermit Electrical 2007-7-19 (2) , SPR..ItL.D ZON C (' / INITIALS "-, ""'- DATE '-1 - i c; --c 1 SOURCE rY\.f> &tlo Date 7- /q -0"7 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PfjRMIT APPLICATION City Job Number L(JD'v1'd--OlJ,- 010/7 f cONTiiA'CTORiINSTALLA:i:iONONLyi B. rs;':vices'or Feede'r~-2T~icilla1idn,Alteratioi1s ~r Rel~c:iti~n~~- 2.! J_.t.'.,.;::".'" c._.::.f....,"'r,,"'~:::,,,-."."J ~;._.;'j._;:"J~::',,;..:.;.~_""::;,"" ""':.:...~~~:"~' "';;.;:,.:..:'".' ,.," Electrical Contraclor -liz-1m t/ 7-/1 200 Amps or less $ 70.00 , _ I (""j n tOI Amps 10 400 Amps $ 83.00 Address 9.f't; 0 .5IiI. ) P''illf/Jr/j ;}helJl,t7(lJ MOl Amps to 600 Amps $138.00 60 I Amp5 10 1000 Amps $180.00 Over 1000 AmpsNolts $413.00 ReconneclOnly $ 55.00 /h, tp ~-j / c. 'lTerii;~~~;ys~r~:;~;;;;:F;;de~~~~:;-"~-~ -,)..:-",~~ -,' Dv,,-l.. C ~~",",:.l.-",,~'_^,,_ __......._. _____J~ r-------. ~""'_.f~"~ ~~M"-',---:'~,-T,,",-,-,,~-r'~'''I':\---::J. 1. ! L09A'I:10NOl'INSTA,P4T!QN:. .'\, iLlft/"'fi--kw~1-Zt}r''''->'.''~ LEGAL DESCRIPTION: (;/A..'~ "2.60 \'103 en-.. 0002.-3 cro JOB DESCRIPTION: V(l/(P f)A-?A-- I Permits are non-transferable and expire if work is nol started within 180 days of issuance or if work is Suspended for 180 days. cityJr;,/~,.;,,/lk 19,.ePhone t39-NIO fo, Boy $O') Supervisor License Number ~; if M Expiralion Dale 10- IJ I - ~ fl Constr, Contr. Number / i/ t;~:Z f5 Expiration Date Signature of Supervising Electrician Owners Name O~/I (?r~~ Ib!t~ Address /1'It./ ~-kM4'; L,<7<'1O - City .t;r.,,~r{. Ii Phone ' OWNER INST ALLA nON on property I own which r rent. Inspection Request: 726-3769 \'-\'55l..~ r'r:'-::-.--:--.,....,.~w-~{"-:-::'~.,,..,, ., __-,"""T'..'.,' ,..--'---:-~-'...,...--.<l.............,...-:~"':-.- 3. fCOMPLETEFEESCHEDULEBELOW;: ....: ;'::;;'! f . t:::~~~-'-~., n---:'::":-,:-~~k4NNED A. t~e~.:rR~S!~e.n~~~I::"_~!Qgl~:~I;'MjIlt~~~_~D,1ilrp.~~'Y~.I~hig u~it..~ 'J 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 .d Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps 10 600 Amps $ 55.00 $ 76.00 $110.00 Over 600 Amp5 or 1000 Volts see "B" above. ~",::--.~-~"":-;:<:"--:'--'--'Y'-----"':---;'~'-'-.'" .~ D. !Branch'''Gircuits" ,', \-,' '1::_:. ',",' !,-~~- ..._," ._..;;..~,'- '<,,', ' New Alteration or Extension Per Pane) One Circuit $ 48.00 Each Additional Circuil or with f1~ervice or Feeder Permit $ 4.00 E. ~'~i~n~ui!~lrriC~~"c~_;;g]~~i~4~;;GE~E~~-;;;;~tion': Pump or irrigalion $ 55,00 SignlOullin~~mION: Oreg"" la,.. .oqM~:!)~oll 'n Limited En~~flil.<a>Y'lldopted bv the Cfe~JOo Utility Limited EINtiWICsfuilfe,ICiaOter. ThGji:!l rules 5\5!{)6et~ M:nr~Bi~~~t;o:~!J:~'.t.l~1~~..'s1t~fb~i~8'~~i . ",,-~,.. :AfJS1'.i-fi~_~nteI0.(~Qte" the t~epho~ ' 6D 8% Stale SuflilUi'jli<9r for the Oregon UlilifyNCl,uIll;.:all"~.1fi) 10% Administrative ~nter is 1-800-332-234-t-" ~, CYV 5% Technology Fee ::2 .~'7J TOTAL b If() Shared Drive(f:)/Building FormslElectrical Permit ~pplication 7~7.doc . Status Issued 225 Fifth Street, Spriogfield, 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: 01119/2008 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 Buildiog: License 145828 Expiration Date 07126/2010 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 INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Selback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: SpeciallnslruCtiN'QT1Ce: E WORK IT SHAll EXPIRE IF TH Notes: THIS PERM UNDER THIS PERMIT IS NOT AUTHORIZED, _ I" ~"HlnnNED FOR COMMl:\'lvtU viI v. I.. ANY 180 DAY PERIOD. I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Paee 1 of2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: t ~"'IIITIO~Oregon law requires you. ,0 Ii 'lIsDoul$ ,.rains:d by the Oregon Utility To ow ,UI"" O....t'w t I rth Notification Center. Those rule OS ~ ::2~1. In OAR 952-001-0010 through I by 0090 You may obtain copies of the ru es _.';'M th.. ('Anter. ~ote: the telephone number for the oregon UUIIIY ..u..,...-v" Center is 1-800-332-2344). Value Date Calculated . . .. CITY OF ~r1(m~"lt,LD Status Issued 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 L.F..... p~~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid $5.00 $2.50 $4.00 $50.00 Date Paid 7/19/07 7/19/07 7/19/07 7/19/07 Receipt Number 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. IR"OIJ~ Low V oUage: Prior 10 cover. By signature, I state and agree, that I have carefully examined the compleled application and do hereby certify that all information hereon is true and correct, and I furlher certify that aoy and all work performed shall he done in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 of2 . 225 Fifth Street Sp,:ingfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2007-0 1 077 COM2007 -01077 COM2007-0 I 077 COM2007-0 I 077 Payments: Type of Payment Cash cReceinl1 RECEIPT #: -~'.OI!lIlLtl . LM.., ... ~ ~- . of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001167 Date: 07/19/2007 Description Low Voltage - Commercial Indus + 5% Technology Fe~ + 8% State Surcharge + 10% Administrative Fee Paid By AZIMUTH COMMUNlCA nONS lIem Total: Check Number Authorization Received By Batch Number Number How Received ddk In Person Payment Total: Page I of I 9:54:00AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 7/19/2007