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Home My WebLink AboutPermit Electrical 2007-11-15 ., r "''! 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION ( City Job Number C6Vf..>\ zco 7 - 617 J 8PR'NGFlIILD L~ ~ '" ., ZON ~ INITIALS ~ DATE ~ ,\~~"0' SOURCE ~ I HS-or CITY OF SPRINGFIELD, OREGON Date 1. I LOCATION OF INSTALLATION: 5155 Mcun Smd LEGAL DESCRIPTI9N: 1:10Z'31tt <{ oc8t'Ch.. I New Residential- Single or Multi-Family per dwelling unit. A( ~Yl S:. I .sa...Von Phtut'tIJ;...Cj Service Included JOB DESCRIPTION: ' 1000 sq. ft. or less $117.00 . Each additional 500 sq. ft. or ::W6-~PI ~ oJ s~ns portion thereof Permits are non-transferable and expire if work is Each Manufact'd 1"lome or not started within 180 days of issuance or if work is Modular Dwelling Service or Snspended for 180 days. Feeder 3. I COMPLETE FEE SCHEDULE BELOW $ 21. 00 $55,00 2. I CONTRACTOR INSTALLATION ONLY I B.I Services or Feeders -Installation, Alterations or Relocation: Electrical Coutractor E?5>~A. Sl~'(\ ~AlV'lI~ 200 Amps or less $ 70,00 ----.l 201 Amps to 400 Amps $ 83,00 Address IdolO Oc.....K p~ Rd 40] Amps to 600 Amps $138,00 601 Amps to 1000 Amps $180,00 Phone L(JSS-552-llo Over 1000 AmpsNolts $413.00 Reconnect Only $ 55,00 City ~JW1 e.. J Supervisor License Number 305-.s (G- Info Y I Constr. Contr. Number ~<, Lj I n 3-110-23011 c. I Temporary Services or Feeders Expiration Date Installation, Alteration or Relocation 200 Amps or less 20] Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110,00 Expiration Date \~:t"\I" - Ii' - - Owners Name 1M c.(t.e-,v ell:' (" fDS.r '-'1 Address 'Z <{( ( ~ S T City e-"7A!l..I:!iLA, (.4Phone Pump or irrigation $ 55,00 , SignlOutline Lighting ~ $ 55.00 110.00 OWNER INST ALLA nON Limited EnergylResidential $ 28.00 The instaIlali.\!!j.~ bei\lt',.l"ade on pro~erty I own which Limited Energy/Commercial $ 50.00 is not inten&l:llfij""1l"!'f&Qr8'~, aw requires you.~OMinimum Electric Permit Inspection Fee is $50.00 + Surcharges follow rules adopted by the Oregon Utility ,n Owners ~titlJfO!tion Center. Those rules are set forth4. I SUBTOTAL OF ABOVE -', I ,\ \Dv-- In <?!,-R ~52-001-001 0 through OAR 952-001- 8% State Surcharge S 5!D \/O"j'v" Ivu ".ay UUlalll "VtJ'''~ VllI,e rules by 10% AWG[cf~'we Fee ~\ calling the center. (Note: the telephone 5% T~y 0 . - ') n~mber for the. Oregon Utility Notification I H M: rMlT SHALL EXPIRE IF TH ''^'~~ Inspection RequeseeyJifl!31jl;~-800-332-2344). TOTAWTHORIZED UNDER THIS PERMIT ~.~ C ~MM ~f\.l€l'tBBe'fli"/ffrmi!{IWUlVIErn:tffl;cat;on 7-07 doc ANY 180 DAY PERIOD. Over 600 Amps or 1000 Volts see "B" above, D. I Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48,00 L-n. E. I Miscellaneous (Servicelfeeder not included) -Each Installation I $ 4.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line SITE ADDRESS: 5755 MAIN ST ASSESSOR'S PARCEL NO.: 1702334400800 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-0I751 ISSUED: 12/05/2007 APPLIED: 11/30/2007 EXPIRES: 06/05/2008 VALUE: $ 2,500.00 Springfield TYPE OF WORK: Sign PROJECT DESCRIPTION: Signs - Albertsons and Savon Owner: MCKENZIE CROSSING PARTNERSHIP L TD Address: 2811 E ST STE B EUREKA CA 95501 TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Electrical Sign Contractor E S & A SIGN CORP E S & A SIGN CORP # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: License 163470 163470 Expiration Date 03/16/2009 0311612009 Phone 541-485-5546 541-485-5546 BUILDING INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I.PUBLIC IMPROVEMENTS I Pa2e 1 of 3 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Spriukled Building: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special1nstructiou: Notes: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Dowuspouts/Drains: Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01751 ISSUED: 12/05/2007 APPLIED: 11130/2007 EXPIRES: 06/05/2008 VALUE: $ 2,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Oescriotion I Sien Si2n Tvpe of Construction Use Bid Amonnt Use Bid Amonnt $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 1,500.00 1,000.00 Value Date Calculated Description Total Value of Project $1,500.00 $1,000.00 $2,500.00 12/05/2007 12/05/2007 Fpp<, ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sign - Outline Lighting Each Sign 36-60 Square Feet Sign 61-100 Square Feet Sign Plan Review Amount Paid Date Paid Receipt Nnmber $36.00 $18.00 $8.80 $110.00 $110.00 $140.00 $80.00 12/5107 1215107 1215107 1215107 1215107 12/5107 12/5107 2200700000000001775 2200700000000001775 2200700000000001775 2200700000000001775 2200700000000001775 2200700000000001775 2200700000000001775 Total Amount Paid $502.80 I Plan Reviews I Si2n Review 12/0512007 1210512007 APP DJB 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 Rpflllirp,-l rn~,nections I 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. Pa2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01751 ISSUED: 12/05/2007 APPLIED: 11/30/2007 EXPIRES: 06/05/2008 VALUE: $ 2,500.00 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. Pa2e 3 of 3 1~01 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-017S1 COM2007-017S1 COM2007-017S! COM2007-017Sl COM2007-017S1 COM2007-017S1 COM2007-0 17S1 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Sign Plan Review Sign 36-60 Square Feet Sign 61-100 Square Feet Sign - Outline Lighting Each + S% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ES&A "^P~'!IlmJ!I.c'9"~ffi!ll.!!-m_,i"".,'." ,,'..,,'. ""i " . ~,~,',c,,", ~ ,I',' City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001775 Date: 12/05/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received IIh Sl19 In Person Payment Total: Page 1 of 1 I :59:08PM Amount Due 80,00 110,00 140,00 110.00 18,00 8,80 36,00 $502.80 Amount Paid $S02,80 $502.80 121S/2007