The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-11-27 i 11/26/07 MON 14:32 FAX 5417263689 CITY OF SPRINGFIELD 141001 ---_. --. --" .., , ZON (~ INITIALS rJ {'l\ DATE \\ \ ~_t1 \ 01 SOURCE~~ ~~:1- ) D 1- '1 225 FIl:"TH STRF.ET · SfRINGFlELD, OJ{97477 . PH:(541)726-37S3 . FAX: (541)"26-3689 1!;LEl--1.1UCAL PERMIT APPliCATION City Job Number COW( 'Z-o 0 7 - 0/7'1 / Date s,~ W\~h'tj Cf)W\fu\-e,x-s A. . J762.33~l O~ooc, JOBDESCRJP~ION; c~ ~ -c}X\O' '5\~'^c:st ~~ sl.~'r1 ~ tLY..lb~ ~ s\~~ ~ _ _ Permits arc DOQ-transferabJe and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address -01100_ 6 ~ln'\~,~ "'<::>\- City 10.AJ:'JMS2-'t-CJK~. Phone(5il/) y~~, ll{~ GFt qo;;t , Supervisor License Number L( qt~ S I &- e~&Xe~;, . \a'-N ~ o~eg ~ r') e9o~ \ne 1e S0 0'\- I 0 ~ 1- 0 ~$)~'. o~ ..,'eo '0'1 e ~U\eS#}.~Dbtlteration or Relocation ~,....~ \ ~ ' a0'ft- \~us :n Q~': r.u\eS . ' ~\ \ "', ~\f:S Je~\e~. \~~O~~\~ ~~4(:\bf\9less $ 55.00 ConsO'. Conb". Number -1.1oA\~!p~ ~C0~~~~i~O Amps $ 76.00 \ . ~''''op.~{\g~S~ii~ ~?~\\\tW~'pst0600AmPS , $110.00 Expiration Date q \ D~ '{a . v ~?_~4i\l;. , ~ ,,1"\ . ,.. c ~'3lUVer 600 Amps or ] 000 Volts see "B" above . \JVw e.\\\~ \:' ~ \\\ . '\ .<cOO' .. Signature of s~upervjSing Electrician ~u({\'o ~ 6~~\0~ \S D. . ~ ~ / New ~te~ation or Extension Per Panel ~-'?---" /! One CITcwt Each. Additional Circuit or with ~'& . ?J 0 V ServIce or Feeder Penntt -c'u~ \~() . t1:, :" $ 4.00 '1wn;rs NlineJ ,P-kx- ...:('~ L ,'\"~ ~, ~ Address] '34~4 -:::x,41:,^o ~\.\.Ial E. : '.- . ~ .. .. ~~ " ~ ,r9i0 ~\ Ol,..t~! q \..:J\ \~~ ~$"~ ~~~ ~~~~\)() , $ 55.00 9.'1-11oS ,,\\\~ . e e~~ i' $ 55.00 OWNER INSTALLATION ~~\'~~~~~\~de~tial $ 28.00 !he ~taJlation is being made on property I Own which C\l.~~~~rgy/Commcrcia1 $ 50.00 IS not mtended for sale, lease or rent. Min~'in Electric Permit Inspection Fee is $SOLOO + Surcllarges 4. 5Loyo flIo.. ~ '-0 \' LEGAL DESCRIPTION: Electrical Contractor ~m ~ :--~~ <2:>\ S,::h Expiration Date Owners Signature: InSpection Rcquest: 726-3769 l\ 3. Service Included 1000 sq. ft. Or less Each additiona1500 sq. fl or portion thereof $117.00 $ 21.00 Each Manufact'd Home or Modular DwelJing Service or Feeder $55,00 200 Amps or less 20] Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps t6 1000 Amps Over 1000 ArnpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 S180.00 $4]3.00 $ 55.00 $ 48.00 S6.ro ~5,ro lot. If 0 ~.SO a."l-S 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL ! ~'US" Shared Drivc(T:)I8uilding FormslElectrical~crm.it Application 7-07.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01741 ISSUED: 11/28/2007 APPLIED: 11/28/2007 EXPIRES: OS/28/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5640 Main St ASSESSOR'S PARCEL NO.: 1702334103000 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Sign electrical only TYPE OF USE: New Commercial Owner: PSMMR LLC Address: 3474 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor IMAGE KING INC License 161313 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Typ,e i !~~pe: Secondary cons~il{ffiJ'rtTi9~: Oregon law requ re MR' pe: # of Bedrooms: follow rules adopted by the Oreg ~ th: Notification Center, Those rules ar ~ Buildin : n/a in nAR !;:l52-001-0010through OAR~~ g y, btam COp O.li '\1 JJ '.t<...u.u.""t1 ~, 0090. au may 0 ' NT INFORMATION calling the center. (Not . number for the Oregon Utility Notification Frontyard Setback: Center is 1-800-332-23446verlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: ... . I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 09/01/2008 Phone 541-484-1482 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: f "\-\t. \N8~Rnspouts/Drains: N01'C~~ W\'1 5\-\~\.\. ~?'R~~RW\\1 '5 N01 "f~~J~~.L\:O \J~OE! ;t~~oO~EO fOR rw -rut\:: fin h. C~5t\lti~WPs~Hption I t\ . $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Description Type of Construction Pa2e 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01741 ISSUED: 11/28/2007 APPLIED: 11/28/2007 EXPIRES: OS/28/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $5.50 $2.75 $4.40 $55.00 11/28/07 11/28/07 11/28/07 11/28/07 1200700000000001444 1200700000000001444 1200700000000001444 1200700000000001444 Total Amount Paid $67.65 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. I Reouired Insoections . 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 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 Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-375g Phone Job/Journal Number COM2007-01741 COM2007-0 1741 COM2007-01741 COM2007-0 1741 Payments: Type of Payment Check cReceint 1 RECEIPT #: Description Sign - Outline Lighting Each + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By IMAGE KING INC City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001444 Date: 11/28/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 10281 In Person Payment Total: Page I of I 9:11:00AM Amount Due 55.00 2,75 4.40 5.50 $67.65 Amount Paid $67.65 $67.65 11/28/2007