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Home My WebLink AboutPermit Electrical 2008-2-27 .~~ ~ ZON <:-~ ~ INITIALS ~ JV\ A!.. DATE 2- ' & 7-0(l 'fiVI SOURCE ~5~./ Date 2~"1/~p " / 3. I COMPLETE FEE SCHEDULE BELOW p '. CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION ", CIty Job Number COlA/{ goO? - 00 z.-g=O 5-t e. ~ ZO~ 1. I LOCATION OF INSTALLATION: "3000 0~+-ewcvV)... ~+-, v LEGAL DESCRIPTION /7032L.-C 0 oZ300 JOB~ESCRIP,TION Vel...~/rn~ ~ ..-vy> m~ (~Q/TewOLj) Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. I New ResidentiaJ - Single or Multi-Family per dwelJjng unit. Service Included 1000 sq ft or less Each additIonal 500 sq ft or portion thereof $11 7 00 $ 21 00 Each Manufact'd Home or Modular Dwellmg Service or $55 00 I r; \F. eeder , . .\ I i'll\J 2. I CONTRACTORINSTALLATIONONLY I r,B.t~er";':~~f1lilW{eqOfJtEtY~ion, Alterations or Relocation: .:-eenter. Th y-the-uregon o~-~O Electncal Contractor R a. m Sa.M- '5-\0. t'\~. ) ;; f60'JRihf1Cqrd~~se rUles are se Ut :~~r $ 70 00 V -,; ._,,, ,urnB\! /-, rOI.J.9hOAt:l n (;'-0""11.1 170 I ~mpst~t4Q5b])1es~ " 952-C01 $ 83 00 Address q I ro 0 5 t7 7L/~ ;qvr;- nUnllJe~ ii91~'t~rtotJOQt~~f-Js~~the rUle~}~ $13800 Cf6weAmpf~p'cy(JbW~~~~:J?hone $18000 CIty f?o rr/?vYid t7.(Phon(S--t?3J 777 - kl::>.5 ~ Over 1000-~~P~44).'flcation $413 00 Reconnect Only $ 55 00 Over 600 Amps or 1000 Volts see "B" above Noflt!!anCh Circuits _/::3. THIS 1Dl~~M"'S~~lr~Pm~~HfaWORK ..--/ ~ AUTHem~UUNDER THIS PERMIT IS NOT $ 48 00 /' () COM~~~rltm~f~i\~D't)'tfED FOR $ 400 Owners Name ~~ (k/lJH--dl fh ;?'-1A#Y 180 DAY PE~I;6D: Address -;:::;;6l'7Jo (;,&;1' Te..f,r Jay E. r Miscellaneous (Service/feeder not lOc1uded) -Each InstallatIOn J City "5 pr; rrr.c i pr:l Phone ~/) 7 o/7-fcz.%-q If Pump or lITIgatIOn $ 55 00 Sign/Outline Llghtmg / $ 55 00 ~<:;-: {) (') Limited EnergylResldentlal $ 28 00 Limited Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4.1 SUBTOTAL OF ABOVE I 5 )" Supervisor License Number 40) ::s 5:C ~ ExpiratIOn Date Constr Contr Number -.b 3 4 Z. 2- ExpiratIOn Date Signature of Supervismg Electnclan OWNER INST ALLA nON The mstallatlOn IS bemg made on property I own which IS not mtended for sale, lease or rent Owners Signature /VA Inspection Request: 726-3769 I- ,,-Sl( t.-Z- Cc. It, tt~11 I'/It -P c. I Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 J Amps to 400 Amps 401 Amps to 600 Amps $ 55 00 $ 76 00 $110 00 12% State Surcharge 10% AdminIstrative Fee 5% Technology Fee (/? , t, C;-}O z.7r I" , ~~ TOTAL C ~ ,.-krl_ to;; Shared Dnve(T )/Bulldmg FormslElectncal Perm~ ApphcatlOn 1-08 doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00286 ISSUED: 02/27/2008 APPLIED: 02/27/2008 EXPIRES: 08/27/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3000 GATEWAY ST SPACE 206 ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign electrical fir Activate At&t Owner: GA TEW A Y MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 Contractor Type Electrical I CONTRACTOR INFORMATION I /\ I rENT/ON' Contractor fOl'OW n:Ges ~ Or'l5i~{!rlBfoV re Jt~~iration Date Phone RAMSA Y SIGNS INC .~~i~/CEltlon CP~t';!:Jjj2IJY the 6rp:l"\ffl.i/7~009 503-777-4555 ex BUIL~~tThif~~~qu~ir~~~~~ are se~~~h cal/in ....., UUlaiil"Co Ie AR 952-001_ # oflStnr;~:~~~ ~enter. (Not~: t~~~ therrllif!1i~y Height of 1f1~p,~t~~eOregon Utility N~~~~li~s.st Floor: Type of Heat: IS 1-aOO-332-2344) If~RO~nd Floor: Water Type: . Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 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: Street Improvements: Storm Sewer Available: Special Instruction: !JnT"~r:.. I PUBLIC IMPRt::_ ~M,yRllED 8:OAj~:rHE WDRK ANY 18~NDCED OR 1~~1JA~rfO~IiMi\D1S NOT ~Y PERIOD. NED FOR Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00286 ISSUED: 02/27/2008 APPLIED: 02/27/2008 EXPIRES: 08/27/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l.Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $5.50 2/27/08 2200800000000000251 $6.60 2/27/08 2200800000000000251 $2.75 2/27/08 2200800000000000251 $55.00 2/27/08 2200800000000000251 Total Amount Paid $69.85 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 I 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-'fr26-3759 Phone Job/Journal Number COM2008-00286 COM2008-00286 COM2008-00286 COM2008-00286 Payments: Type of Payment Check cRecelOt I RECEIPT #: DescriptIOn SIgn - OutlIne LIghtIng Each + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee PaId By RAMSAY SIGNS INC City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000251 Date: 02/27/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIved dJb 2281 In Person Payment Total: Page I of I 1l:43:12AM Amount Due 5500 275 660 550 $69.85 Amount PaId $69 85 $69.85 2/27 /2008