HomeMy WebLinkAboutPermit Electrical 2014-09-08SPRINGFIELD - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
lir Phone: 541-726-3753
-- OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01930
www.springfield-ongov permitcenter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 0910812014 EXPIRES: 0310612015
STATUS DATE: 0910812014 APPLIED: 0910812014
SITE ADDRESS: 3000 GATEWAY ST, Springfield, OR 97477 SCOPE: Store
ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE: Commercial
—PROJECT-DESCRIPTION, nstalLinteriorwaILsign_for-Mauricas
OWNER: GATEWAY MALL PARTNERS Phone Number:
ADDRESS: 1114 AVENUE OF THE AMERICAS
NEW YORK NY 10036
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone
Electrical Contractor RAMSAY SIGNS INC CCB 63422 01/12/2015 503-777-4555
INSPECTIONS REQUIRED
Inspections
4610 Electrical Sign
By signature, I stale 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
nstruction.
Owner q&ontractor Signature Date
ATT'ENT'ION: Oregon Inv., reauirs you to
follow rotes adopted by the Oreynn Utility
Notification Center. Those rules are et forth
in OAR 952-001-0010 through OAH 9J2-001-
0090. You may obtain copies of the rules I,y
calling the center. (Note: th; tol .nhone
numbor for the Oregon (itility 10hiication
Center is 1-800-332-2344).
TI.i`. PERMIT SIIAI,I, EXPIRE IF THE'WOHM
I1r)lil/FU L1ItIDEIi IRIS PERMIT IS NOT
(�ICFD Olt IS ArAiflDONEO FOR
I D1�1' P i,l(lll.
Springfield Building Permit 9/8/2014 10:68:47AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
t 1 �= 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR97477
OREGON 541-726-3753
811-S P R2014-01930
w v.spdngfield-oraov 3000 GATEWAY ST permits nter@spdngfieid-or.gov
RECEIPT NO: 2014001950 RECORD NO: 811-SPR2014-01930
DATE: 09/08/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
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
_...... _ .... __......
Credit Card Joe Gibson / Ramsay Signs Contact Patty Whalen 98.44
218085
TOTAL PAID: 98,44
Electrical Permit Application
NO SPH INGf1ELb .
225 Fifth Sueel0Springiieid, Oil 974770P11(541)726 -375301A\(541)726-3689 oaecui4
I DEPARTMENT USE ONLY I
Permit no.: Sill " 0 1 `-I
_I
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
❑ Residential
I ❑ Government
I Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:
City: State:
ZIP.
Reference:'M)3--MQ Taxlot.:
$
DESCRIPTION OF WORK
r7x�� n
Services or feeders: installation, allemHon, relocation
PROPERTY OWNER
Name: ,
Address: (p�
City:'—' \ State:
Z[P: p'3f-
Phone2/L-$5o"5�3�
Fax: - -
E-nraiI:1DqA. yAU(' O
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
properly is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
CONTRACTOR INSTALLATION
Business name:
Address: D S& 74 %Ae
City:
State:le-Ve-
ZIPT7 Z 10
Phone5141-3N2 Mb Pax:
E-mail: U VVAA) e 51 . L �
CCB license no.: (p'3 9AD, I BCD license no.
Signing supervisor's license no.: 1j
Print name of signing sopervisot:
Signature ofsigning supervi�iot:.
440-2584-J (4/01/2013/CONI)
FEE SCHEDULE
Number of inspections per item ()Qty.
Cost
Total
I cost
Residential, per unit, service Included:
1,000 sq. 0. or less (4) $147.60
S
Each additional 500 sq. A. or portion $ 27,60
thereof
$
Limited energy (2) $ 35.00
$
Each nanufaclured home or modular $ 6200
dwelling service or feeder (2)
$
Services or feeders: installation, allemHon, relocation
200 amps or less (2)
S 80.00
$
201 to 400 amps (2)
$ 104.60
$
401 to 600 amps (2)
$174.00
$
601 to 1,000 amps (2)
$226.60
$
Over 1,000 amps or volts (2)
$516.00
$
Reconnect only (2)
$ 69,00
$
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 69.00
$
201 to 400 maps (2)
$ 96.00
$
401 to 600 amps (2)
$138.60
$
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: nem, alteration, erlension per Panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit I I
S 6.60 $
It. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
$ 60.60
$
Each additional bmndt circuit
$
Miscellaneous fees: service o•feeder not included
Each pomp or irrigation circle (2)
$ 69.00
$
Each sign or outline lighting (2)
$ 69.00
$
Signal circuit or a limited -energy panel,
alteration, or extension (2)
$ 80.00
S
Each additioual inspection: (1)
$80.00
$
APPLICANT USE
(A) Enter subtotal of above fees
(Minituin PermitFee $80.00)
$
(B) Enter 12% surcharge (.12 x [A])
S
(C)'Fechnology Fee (6% of [A])
$
TOTAL fees and surcharges (A through C):
S
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