The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-12-5 \ CITY OF SPRINGFIELD, OREGON 8P~ ~;,-:~' '."R.~"~:: "u,'" . '" ,. ,,"-' " ~- '.' -,,:,';' "'; ZON INITIALS DATE SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION -tt: & 77 :? City Job Number (.owt 'Z..CT07 _ 0' 7 )"0 2. I CONTRACTORINSTALLATIONONLY I Electrical Contractor rs '(-- A ~~f:k~'\.O Address I ?dO flecL ? 4..~ '(2) City h~.hfi, OJ) 1. I LOCATION OF INSTALLATION: 13"1 (p (V1a.c.:.n SbV_L>C- J7033b'3. Z- f n~,O LEGAL DESCRIPTION: 1 - E I-e.,u--t.-V"\ JOB DESCRIPTION: lr'fJu.L1 i'\.Q.u.! ~ ~ Permits are non-transferable and expire if work is not started within 180 days ofissuance or if work is Suspended for 180 days. Phone 6 Lf I Lf '? 5 - 5':3lfCp Supervisor License Number 51 4 ~]:: q Expiration Date '1 - /-0 ~ Constr, Contf Number liJi 2:,{.f I 0 Expiration Date ~ - (U ' I I Signature of Supervising Electrician 10~e ~mJ~ I <; i:.;t! (,:~V IN tI Address )0 ~())t 7// City \~ J IrS - ( ~ Owners Name IY Phone , OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. AT'TENTION: Oregon law requires you to OW';{6!ISW~=teJlbYJ~ .oregon Utility ~ili'efttlon ,thoMutet.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 telr')"'"' ",' InsP'l'lliR@f<Nfslt1e7&El~ Ut'li" t' ,'io.1 ";' ". Center is 1, sac,., , , Date 3. I COMPLETE FEE SCHEDULE BELOW A. I New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq, ft. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117,00 $ 21.00 $55,00 B. I Services or Feeders - Installation, Alte~ations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70,00 $ 83,00 $138,00 $180,00 $413.00 $ 55,00 c. I Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55,00 $ 76,00 $110,00 Over 600 Amps or 1000 Volts see "BOO above, D. I Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 48,00 $ 4,00 E. I Miscellaneous (Service/feeder not included) -Each Installation I Pump or irrigation $ 55,00 Sign/Outline Lighting $ 55,00 f15. iJ 0 Limited EnergylResidential $ 28,00 Limited EnergylCommercial $ 50,00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. I SUBTOTAL OF ABOVE '> ') , 00 8% State Surcharge ' 4. '-10 10% Administrative Fee"":se ff01f~gy Fee '77, i~eERMJT SHAll EXPIRE IF M\it!O~ ~ THQlilJ~Itfi;UNIDt!:fold;p!ljJf&nPfflllf 1S"1\lO'Tlication 7-07,dnc COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Li,. ...,:;,.,~, ... ~.l Status Issued CITY OF ~rKl1'\iL.FIELD Building/Combination Permit PERMIT NO: COM2007-01750 ISSUED: 12/05/2007 APPLIED: 11/29/2007 EXPIRES: 06/05/2008 VALUE: $ 5,400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1396 MAIN ST ASSESSOR'S PARCEL NO.: 1703363203501 Springfield TYPE OF WORK: Sign TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign - wall sign for 7- Eleven Owner: SKILLERN INV L TD PTRSHP Address: PO BOX 711 DALLAS TX 75221 I CONTRACTOR INFORMATION I Contractor Type Electrical Sign Contractor E S & A SIGN CORP E S & A SIGN CORP License 163470 163470 Expiration Date 03/1612009 03/1612009 Phone 541-485-5546 541-485-5546 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e 1 00 ~:~~ Wi:., · . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01750 ISSUED: 12/05/2007 APPLIED: 11/29/2007 EXPIRES: 06/05/2008 VALUE: $ 5,400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Oescriotion I Si2n Tvpe of Construction Use Bid Amonnt $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amonnt 5,400.00 Value Date Calcnlated Description Total Value of Project $5,400.00 $5,400.00 11/2912007 F'PP~.~ Fee Descrintion + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sign - Outline Lighting Each Sign 0-35 Square Feet Sign Plan Review Amonnt Paid Date Paid Receipt Number $13.50 $6.75 $4.40 $55.00 $80.00 $40.00 1215/07 1215/07 1215107 1215107 1215107 12/5107 2200700000000001774 2200700000000001774 2200700000000001774 2200700000000001774 2200700000000001774 2200700000000001774 Total Amount Paid $199.65 Plan Reviews I Sign Review 11129/2007 11/29/2007 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. IRp(,,~ 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 of3 CITY OF ISYKll'lGFIELD' Building/Combination Permit Status Iss u ed PERMIT NO: COM2007-01750 ISSUED: 12/05/2007 APPLIED: 11/29/2007 EXPIRES: 06/05/2008 VALUE: $ 5,400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 fnrther 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. . 1~6-o7 Owner or Contract Date Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1750 COM2007-0l750, COM2007-01750 COM2007-0 1750 ,COM2007-0 1750 COM2007-0 1750 Payments: Type of Payment Cred itCard cReceintl RECEIPT#: Description Sign Plan Review Sign 0-35 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + 8% Slate Surcharge + 10% Administrative Fee Paid By ES&A City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001774 Date: 12/05/2007 Item Total: l.:heck Number Authorization . Received'By Batch Number Number How Received IIh 5728 In Person Payment Total: { Page 1 of 1 1 :55:02PM Amount Due 40.00 80,00 55,00 6,75 4.40 13.50 $199.65 Amount Paid $199,65 $199.65 121512007