HomeMy WebLinkAboutPermit Electrical 2007-9-27
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
CityJObNumber~ - OlS7Cf
1. LOCATION OF INSTALLATION:
3. COMPLETE FEE SCHEDULE BELOW
_'\.~ I S GA-\..ew~..s+- Sp,~.,~:(J.D
LEGAL DESCRIPTION: A. New Residential- Single or Multi-Family per dwelling unit.
r"103 J::\ ~ CCF1 0 \ Service Included
200 Amps or less $ 70.00
201 Amps to 400 Amps $ 83.00
40] Amps to 600 Amps $138.00
/'0-7 6Qf~E':1000Amps PIR[ I~ T\-\t~.6Q<.
Phone S'O")-bIOCI ~ Lf If 0 ~~{ W~~~h\All EX ~1U-l ~~~(ibl
RddOhii:fo\:{rltD UNDER lH\S t~R.ED ~,OO
.AU1H .. 0 OR \S ABANuul~
c. . t6I~M~~G,EhiPt~~~ers
AN'l 180 ti~'t
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
JOB DESCRIPTION:
CAUdf~ L,'Sht,;J5 (.A.fS~
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 ~"'\ L~~ J2. ~ L.\-n.i l ,rJ c..
Address Po ad 'j...
City ~a..l UC;
. .-
Ol\.e q)c)O~
J~d-r
Expiration bate
'3 Lfd If ..s
I 0 ... 0 \ - &0' D
137()()~
4- 09- O~
Supervisor License Number
Constr. Contr. Number
Expiration Date
S~,zaJgEt_ciM
Ownerr~e . @b [1~1t---:b1.t1U
Address(U ~7).~ 1 ~q ~
Ci& \( ~ eJ)ri Phone
OWNER IN~JATION
The installation is being made on property f own which
is not intended for sale, lease or rent.
Owners Signature:
ATTENTION: Oregon law r&qufres you to
follpw r~les adopted by the Oregon Utility
.Notlflcatlon Center. Those rules are set forth
Inspectu.(JJm~-aa~fXWo through OAR 952-001-
0090.. You may'obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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 Feeders -Installation, Alterations or Relocation:
$ 55.00
$ 76.00
$110.00
Over 600 Amps or ] 000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit J
Each Additional Circuit or with .-,
Service or Feeder Permit !
$ 48.00
$ 4.00
Lfrc/P
;)Kd (1
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
jfoc}9
, 6rif
'7 bV
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4. SUBTOTAL OF ABOVE
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T: )/Building FormslElectrical Permit Application 7-07 .doc
225 Fifth Street
Sprhigfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-01579
COM2006-01579
COM2006-0 1579
COM2006-0 1579
COM2006-0 1579
Payments:
Type of Payment
Check
cReceiot 1
RECEIPT #:
3200700000000000654
Date: 09/27/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
+ 5% Technology Fee
Paid By
BOYLES ELECTRIC, lNe.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
15886
In Person
Payment Total:
nJm
Page 1 of 1
2:50:14PM
Amount Due
48.00
28.00
6.08
7.60
3.80
$93,48
Amount Paid
$93,48
$93.48
9/27/2007
Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01579
ISSUED: 12/11/2006
APPLIED: 12/11/2006
EXPIRES: 03/27/2008
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 FllX
541- 726-3769 Inspection Line
SITE ADDRESS: 3375 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 170322200Q901
Springfield
TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - wall sign for Jacksons / service station
Owner: CHEVRON USA INC
Address: PO BOX 1392
BAKERSFIELD CA 93302
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
YOUNG ELECTRIC SIGN CO
YOUNG ELECTRIC SIGN CO
License
69308
69308
Expiration Date
09/26/2007
09/26/2007
Phone
503-612-6672
503-612-6672
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:
~ange Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
DownspoutslDrains:
Storm ~dnr8H"bUl' I
. M'I"Cm~<;;;frv. oregon aw requires you to
Specll~~rY~Y:adopted by the Oregon Utility
~otJflcatlon Center. Those rules are set forth
Note$n OAR 952-001-0010 through OAR 952-001-
0090" You may obtain copies of the rules by'
calltng the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-80D-332-2344).
NOTICE: XPIRE IF THE WORK
THIS PERMIT ~~~i~ ~HIS PERMIT IS NOT
AUTHORIZED OR IS ABANDONED FOR
COMMENCED
ANY 180 DAY PERIOD.
Pal!e 1 of 4
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Si2:n
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Sign Plan Review
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGl'lELO-
Building/Combination Permit
PERMIT NO: COM2006-01579
ISSUED: 12/11/2006
APPLIED: 12/11/2006
EXPIRES: 03/27/2008
VALUE: $ 6,000.00
I Valuation Descriution I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,000.00
Value
Date Calculated
Total Value of Project
$6,000.00
$6,000,00
12/11/2006
~
Amount Paid
Date Paid
Receipt Number
$13.00
$6,50
$4,00
$50,00
$80,00
$40,00
$7,60
$3.80
$6,08
$48.00
$28.00
12/11/06
12/11/06
12/11/06
12/11/06
12/11/06
12/11/06
9/27/07
9/27/07
9/27/07
9/27/07
9/27/07
1200600000000001741
1200600000000001741
1200600000000001741
1200600000000001741
1200600000000001741
1200600000000001741
3200700000000000654
3200700000000000654
3200700000000000654
3200700000000000654
3200700000000000654
$286.98
I Plan Reviews'
Pal!e 2 of 4
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sil!n Review
12/11/2006
12/11/2006
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01579
ISSUED: 12/11/2006
APPLIED: 12111/2006
EXPIRES: 03/27/2008
VALUE: $ 6,000.00
APP DJB
Pal!e 3 of 4
8.248 Community Commercial and
Major Re- tail Commercial District.
These standards apply for all
property located in CC or MRC
Districts except those located in the
Downtown Sign District, 1-5 Mall
Sign District and the 1-5
Commercial Sign District:
(1) Single Businesses, Each business
shall be permitted a maximum
number of three wall signs totaling
350 square feet for all faces,
(2) Free Standing, Roof and
Projecting Signs, In addition to wall
signs permitted above, one sign from
this group shall be permitted for
each approved development area.
The total area permitted for a free
standing sign, roof or projecting sigll
shall be 100 square feet for one face
or 200 square feet for two or more
faces at a maximum of 20 feet above
grade,
(3) Second Story Businesses and
Above, Two wall signs per business
shall be permitted with a maximum
sign display area of 175 square feet
for all faces,
(4) Logos, Logos are allowed in
addition to the permitted wall signs
listed above provided the logo is the
logo of the business residing on the
premises and provided the total
square footage of the permitted wall
signs and the logos do not exceed a
combined area of 350 Square feet
for single story businesses and 175
square feet for second story
businesses, A permit is required for
each logo that is being installed
based on the square footage of the
proposed logo.
(5) lIIumination From Signs on
Non-residential Property, External
CITY OF SPRINGFIELD'
Status
Finaled
Building/Combination Permit
PERMIT NO: COM2006-01579
ISSUED: 12/11/2006
APPLIED: 12/11/2006
EXPIRES: 03/27/2008
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
illumination shall be shielded so that
the light source elements are not
directly visible from property in a
residential zone which is adjacent to
or across a street from the property
in the non-residential zone. [Section
8.248 amended by Ordinance No,
5862, enacted September 15, 1997;
further amended by Ordinance No.
6114, enacted February 7, 2005,]
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 ReQuired Insoections ,
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds,
Sign Electrical: After connection is made but prior to energizing,
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 4 of 4