HomeMy WebLinkAboutPermit Electrical 2014-09-23SPRINGFIELD --
it
OREGON
www.sprmgfield-or.gov
CITY OF SPRINGFIELD
Building / Commercial Permit
PERMIT NO: 811-SPR2014-02063
PROJECT STATUS: Issued
STATUS DATE: 09/23/2014
ISSUED: 09/23/2014
APPLIED: 09/23/2014
SITE ADDRESS: 3000 GATEWAY ST, SPC# 812, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703220002200
PROJECT DESCRIPTION: Electrical for wall sign. Verizon TI
OWNER: GATEWAY MALL PARTNERS
ADDRESS: 1114 AVENUE OF THE AMERICAS
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@spdngfield-ocgov
EXPIRES: 0 312 2/2 01 5
SCOPE: Electrical Only
TYPE OF STRUCTURE: Commercial
Phone Number:
NEW YORK NY 10036
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone
Electrical Contractor E S & A SIGN CORP CCB 163470 03/16/2015 541-485-5546
INSPECTIONS REQUIRED
Inspections
4610 Electrical Sign
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 t .property, and the approved set of plans will remain on the site at all times during
construction. _
,owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001.0010 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).
i.I„
S PERMIT SHALL EXPIRE IF THE WORK
IiORIZED UNDER CHIS PERMIT IS NOT
iti!ENCED OR IS ABANDONED FOR
Y 180 DAY PERIOD.
Springfield Building Permit 9/23/2014 1:32:67PM Page 1 of 1
FU—;---RAE
ELD CITY OF SPRINGFIELD
225 Fifth Sl
TRANSACTION RECEIPT Spdngfield,OR97477
OGON 541-726-3753
811-SPR2014-02063
www.springfield-ocgov 3000 GATEWAY ST. SPC 812 permilcenter@springfield-or.gov
RECEIPT NO: 2014002113
RECORD NO: 811-SPR2014-02063
DATE: 09/23/2014
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
Credit Card Linda Padilla
023623
98.44
TOTAL PAID: 98.44
98.44
Electrical Permit Application
> � ,vahlr,rl�r>a
�A
225 Wilt h
Sit ecl4Slnlugfold,Olt)747701'li11)726-375301AN(541)7263689 • s",;
DEPARTMENT USE ONLY
//12-
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if wm Ic is not started vvilhin 180
days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
D Residential
❑ Government ---AConmercial
$
JOB SITE INFORMATION AND LOWION
Job site adBlvd dress: 3000 Gateway ST #812jold- #608)
city: Springfield
State:OR zIP: 92886
Reference: 1'7,J. -2Z<2p "Caxiol.;(] Oc7
DESCRIPTION OF WORK
install new wall sign la)4
$
PROPERTY OWNER
_
None:
Address:
City:/V' ztI�DD��
`fulfil ation is being made oll residential or 1, oPer),
owned by me o er of my I, (on, amity. This
property is not intended for Aange, lease, or rcpt. OAR
479.540(1)and4 r .
,yywr, urea
CONTRACTOR INSTALLATION
Business name: ES & A Sign and Awning
Address: 89975 PRAIRIE ROAD
city: Eugene State: OR zIP.97402
Phone: 541 485-5546
Pax: 541485-5813
E-mail: --- -
CCB license no.: 163470
BCD license no.: 20-543 CLS
Signing supervisor's license no.: 514 SIG
Prins name of signing supervisor: G y o ebor
Signature of signing supervise l
I a
110-2584-3 (u01l20131CONi)
FEE SCHEDULE
Number of inspections per item O (0ty. Cost Toad
ea. cost
Residenfinl, Per unit, service included:
1,000 sq. Il, or less (4) --
---$147.60
$
Each additional 500 sq. 0. or portion
thereol
Limited energy (2)
$ 35.00
$
Each manufactured home or modular
dwelling scrvlcC or feeder (2)
g 60.00
—
Services or feeders: installation, alleratina, relocation
200 amps or less (2)
$ 09.00
201 to 400 amps (2)
-$ 104.50
$
401 to 500 amps (2)
$174.00
.$
601 to 1,000 amps (2)
$226.60
$
Over 1,000 'Imps or %ohs (2)
$516.00
$
Reconnect only (2)
S Win)
$
Tem porn y services or feeders: Installation, alteration, relocation
200 amps or less (2)
$ 60.00
S
201 to 400 amps (?.)
$ 06.00
401 to 600 amps (2)
$138.60
Es
Over 600 amps nr 1,000 voles, see set vices or fmicis section above
Branch eircultm neu4 alic'radon, emenstan perllanel
a } ee rot branch circuits with purehase of a sen ice or feeder fee:
Each branch circuit $ 6.60 IS -
It. Pee for branch circuits without purchase of a service or (ceder fee:
Fit st branch circuit (2)
`M1 60.60
S
Each additional branch circuit
$ 6.60
S
Miscellaneous fees: service o;1eeder not included
Each pump or irrigation circle (2)
—$ 69.00
$
Each sign or outline lighting (2)
1
$ 69.00
65
Signal circuit ora limited -energy Panel,
alteration, or extension (2)
$ 80.00
$
Each ntl(litional in.spcction: (I)
$80.00
$
APPLICANT USE ( Z
(A) Enter subtotal of above fees
(Alinimum Permit Fee 580.00)
$
Z
(B) Enter I20.1. surcharge (.12 x [A])
$
(C)"CechnologyFee (e%of[All
$ lir0
TOTAL fees and surch0rges (A through C):
$ �T�