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Home My WebLink AboutPermit Electrical 2008-5-1 "",." ;:,' :CITy'OF'SPRIJ.>-JGFiEiLD .0 REG O'N' .' ': l' , " ,,: ,"..' " ' . . SPRING~PIBLD " ZON ~ k"""- INnIALS W ~ DATE 0;,,\01) ." SOURCE ~...~ 225 J'lI'l If STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C()W1 c:.o-C /?- 00 5:9.3 1. WCATION OF INSTALLATION: , 51f~ Wta i va Sf, LE~A,~ElCJ1Irri 0 Z-:300 JOB DESCRIPTION: HopI<. up r~uJev fo $lqv,:J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor m e1-ro We,5fern Address J c.fS-5 ffeJllrj'/.er~ RtJ CIty ifl1ABt1e Phone 14t-33/2- , SupervIsor License Number SS8' SJq Expiration Date -.lO - J - '? tftJ? Constr Contr. Number J b tJ 38if ExpiratIOn Date q- 2. ~ - Z-CM f?' iSg~ Owners Name ~( ., 0 ~ ..1lJ.- , vfIt A-Ur" LLL .sr Address ~(ID ~~ Phone City OWNER INSTALLATION The installation is bemg made on property I own which is not mtended for sale, lease or rent. Owners SIgnature. Inspection Request: 726-3769 Date 3. COMPLETE FEE SCHEDULE BELOW A. 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, Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 V o!ts see "B" above, D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each AddItional Circuit or with Service or Feeder Permit $7000 $ 83.00 $13800 $180.00 $413 00 $ 55.00 $ 55,00 $ 76.00 $110 00 $ 48.00 $ 4.00 E, Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting -z,.. $ 55.00 Lunited Energy/ResIdentIal $ 28.00 LimIted Energy/CommercIal $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges .. .. /10 - '-'OJ -_tJ~- - 11 ~,' l).)-v 4. SUBTOTAL OF ABOVE 8% State Surcharge 10% Administrative Fee 5% Technology Fee llO TOTAL _ /:5 c; 25:. - Shared Dnve(T )/BUlldmg FonnslElectncal PermIt Application I-V I aoc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00593 ISSUED: 04/30/2008 APPLIED: 04/28/2008 EXPIRES: 10/30/2008 VALUE: $ 1,500,00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5810 MAIN ST ASSESSOR'S PARCEL NO.: 1702334102300 Springfield TYPE OF WORK: Sign TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign- Quiznos Owner: AMIGOS III LLC Address: 32929 ROBERTS CRT COBURG OR 97408 I CONTRACTOR INFORMATION I Contractor Type Electrical Sign Contractor NICK HOWARD AMO , , -,.." METRO WESTERN SIGN &,A WNIN'{i;-, License 160384 160384 Expiration Date 09/20/2008 09/20/2008 Phone 541-746-3312 541-746-3312 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . " BUILDIN'G I~,FORMA 'F,JON I Uuf'9 rfl)' 0 'I n -U/p -'1/.0 () '-'02 'Jel7t ((90' "W # ~t~tor~~: -007_ i9r, 7'1) by tl};eqllire Lot Size: ~)~!f't9ft,~~t~*1)70 II} OSe I'll/, Oreg %~t 1st Floor: Type tic ~~atG'el7te tq/17 C rOllgl} es Cire O'StVKi~nd Floor: WaterCe~l{7e Q '/; (lI;oOp,es O...q,l? B. s$ft~asement: Range Typ<Y: is /eg017 te:' tl}eOftl}e r. :5<s~fuarage/Carport Energy Path: 800_J.:3. ~/Iity te/epl}lI/f1iSilt Other: Sprinkled Building' ~-<;1JPJific OI7@c?"pant Load: 4) 'Citi,,\; I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I P~LIC IMPROVEMENTS I · T Il;l. THIS PER. Sidewalk Type: AUTHORIZM1T SHALL EXp/R Downspouts/Drains: ;~:~~~~P~E~~~~~Z~!:N~MD~~~SW~: RlOD. c, FOR Notes: Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00593 ISSUED: 04/30/2008 APPLIED: 04/28/2008 EXPIRES: 10/30/2008 VALUE: $ 1,500,00 I Valuation DescriPtion' $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,500.00 Si2n Tvpe of Construction Value Date Calculated Use Bid Amount Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 36-60 Square Feet Sign Plan Review Total Amount Paid Si2n Review. Total Value of Project $1,500.00 $1,500.00 04/28/2008 ~ Amount Paid Date Paid Receipt Number $22.00 4/30/08 2200800000000000557 $13.20 4/30/08 2200800000000000557 $11.00 4/30/08 2200800000000000557 $110.00 4/30/08 2200800000000000557 $110.00 4/30/08 2200800000000000557 $40.00 4/30/08 2200800000000000557 $306.20 I Plan Reviews I 04/28/2008 04/28/2008 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, ~eouiredJnsnections 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 of3 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: COM2008-00593 ISSUED: 04/30/2008 APPLIED: 04/2812008 EXPIRES: 10/3012008 VALUE: $ 1,500,00 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 per it rd is located at the front of the property, and the approved set of plans will remain on the site at all times d . g rue I n. V " Owner or Contractors Signature Pal!:e 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00593 COM2008-00593 COM2008-00593 COM2008-00593 COM2008-00593 COM2008-00593 Payments: Type of Payment Check cRecemtl RECEIPT #: DescrIptIOn Sign - Outline Llghtmg Each Sign Plan Review Sign 36-60 Square Feet + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By METRO WESTERN SIGN City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000557 Date: 04/30/2008 Item Total: Check Number AuthorIzatIOn ReceIved By Batch Number Number How ReceIved dJb 10281 In Person Payment Total: Page 1 of 1 1:S2:48PM Amount Due 11000 4000 11000 11 00 1320 2200 $306.20 Amount Paid $306 20 $306.20 4/30/2008