HomeMy WebLinkAboutPermit Electrical 2014-7-7 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01462
mintspringfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/07/2014 EXPIRES: 01/02/2015
STATUS DATE: 07/07/2014 APPLIED: 07/07/2014
SITE ADDRESS: 4708 MAIN ST,Springfield,OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702324200105 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Signs-Dairy Queen rebranding.wall signs and freestanding.
OWNER: SAXON CECIL D 8 BEVERLY J Phone Number:
ADDRESS: 4740 MAIN ST STE A
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Sign Contractor OWNER CCB 000000 08/01/2025
General Contractor OWNER CCB 000000 08/01/2025
Electrical Contractor E S&A SIGN CORP COB 163470 03/16/2015 541-485-5546
Sign Contractor E S&A SIGN CORP CCB 163470 03/16/2015 541-485-5546
INSPECTIONS REQUIRED. r
Inspections
6950 Electrical-Sign Sign Electrical: After connection is made but prior to energizing
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.
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Springfield Building Permit 7/7/2014 3:06:47PM Page 1 of 1
Electrical Permit Application DEPARTMENT USE ONLY
iottiwa::: SPRINGFIELD --1
, -€1,4 'VAS 'M. OFIELMO SW/ .,g,,,, ,,, i -4041 Permit no •5/V—CY Li 6 z
225 Firth Street*Springfield,Olt 97477.111(541)726-3753*FAX(541)726-3689 r - -to
- - ORECsON
Date:
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started wit Inn 180
days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Ti
Zoning approval verified? 0 Yes 0 No Number of inspections per item ( ) 'Qty. (2°St 1 Milli 1
er sp
1 ea. cost I
CATEGORY OF CONSTRUCTION
-- Residential,per unit,service included:
0 Residential ID Government 0 Commercial
1,000:5(1. 11. or less(41 $147.50 $
JOB SITE INFORMATION AND LOCATION
Job site address: 4708 Main St Each additional 500 sq. 0.or portion
thereof S 27.50 S
_ ______......____......_ .... ..........
City: Springfield [ State:OR zip: 97478 Limited energy(2) $ 3500 S
Reference: Taxlot.: Each manullictuted home or modular
$ 69.00
DESCRIPTION OF WORK $
dwelling set viec or feeder(2)
retrofit existing " sign with new signage Services or (ceders: installation. ulterailem relocation
200 amps or less(2) 5 89.00 $
tocuti s)eih_ e e<ilk, i etorectio,ed
v OPERTY OWNER S ijk 201 to 400 amps(2) 5 104.50 S
Name: Cecil Saxon 401 to 600 amps(2) 5174.00 $
Address: 4708 Main st 601 to 1,000 amps(21 $225.50 S
City: Springfield Stale: Of ZIP: 97478 Over IAA/Damps or volts(2) $516.00 S
Phone: 54-1- 746-0047 { ax: - - Reconnect only(2) S 69.00 $
fi-n m il: Teinporary services or feeders: install(lion. r Itertaion, rclocath»,
200 amps or less(2)
'Mon is being made on residential or r • merty 5 69.00 $
owned by me of . ' ter of my imn • ' amily. This 201 to 400 amps(2) $ 96.00 $
property is not intended for "-- ,--oralange, lease,or rent. OAR
479.540(l)and 4 < - , . 401 to 600 amps(2) S138.50 $
ire:
Over 600 amps or 1,000 volts,see services or feeders section above
__... ___.....
CONTRACTOR INSTALLATION Branch circuits: new. alteration. CA10;51011 per panel
— .
Business 'lame: ES &A Sign and Awning a. Fee for branch circuits with purchase of a service or feeder fee:
Address: 89975 PRAIRIE ROAD Each branch circuit S 6.50 S
City: Eugene State: OR i ZIP: 97402 h. Fee Mr branch circuits without purchase of a service or feeder feet
Phone: 541 485-5546 Fax: 541 485-5813 Fist branch circuit(2) $ 60.50 $
E-mail: Each additional branch circuit $ 6.50 $
CC:13 license no.: 163470 BCD license no.: 20-543 CLS Miscellaneous fees:service or feeder not included
Signing supervisor's license no.:t-,577:575S---, Each pump or irrigation circle(2) 5 69.00 $
Z._Print name of signing supervisor: Ca ron Livering Each sign or outline lighting(2) 5 69.00 $
•--- .„ Signal circuit or a limited-energy panel.
....S....11.42341_413.:.of s cuult pi_site ot s?r r:ay* , - $ 80.00 S
— — lteration,or extension(2)
Each additional inspection:(I) 1 $80.00 S
APPLICANT USE
(A) Enter subtotal of above fees
(Minimum Permit Fee 580.00)
(13)Enter 12%surcharge(.12 x lAlt $
(C)"I ethnology Fee(5%of IAD $
440-25344(4/01/2013/COM) TOTAL lees and surcharges(A through C): $ e V
C tot'
C,-
SPRINGFIELD CITY OF SPRINGFIELD
1 ^ -
{
' ate 225 Fifth St
r' TRANSACTION RECEIPT Spdn eIQOR97477
� 541-726-3753
OREGON 811-SPR2014-01462 •
www.springfield-or.gov 4708 MAIN ST permitcenter @springfield-ar.gov
RECEIPT NO: 2014001463 RECORD NO:811-SPR2014-01462 . DATE:07/07/2014
11 Mgy ara[o1:r yYrtrs d11 :.sue 4ig?CUT— rte,. i:IMP ACCOUNT:CODE/TRANS'CODE, _=7ir '_i,. AMOUNT DUE-2
Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00
Electrical Continuing Education fee 224-00000-425606 1032 2.50
Sign or outline lighting 224-00000-426102 1037 71.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84
Technology fee(5%of permit total) . 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
'PAYMENTEWE_ ..-PAYOR castileR:,oeowLSer�; _ COMMENTS
Credit Card E S&A SIGN CORP 98.44
007915
TOTAL PAID: 98.44
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