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Home My WebLink AboutPermit Electrical 2007-5-23 l.....~./ CITY OF SPRINGFIELD, OREGON * ~l_r ~ INITIALS ~ DATE 'tiV' SOURCE UJ '"...... .'C. ,1"1 -;rl~J U~ 7 :il5 FIFTH STREET. SPRINGFIELD, OR 97477 . PIl:(541)726.3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION / City Job Number ~W\z.oo7--<:::'C;:> 7lf3 Date ~/~7~ ]. I LOCATION OF INSTALLATION: 3. I COMPLErE FEE SCHEDULE BELOW 3;a:) &A-1&NJ}./lf Yr, 4:-.i,/D / 0 Z. '300 A. I New Residential- Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION: ht1-M~TD P 1703 Z:zo C> Service Included JOB DESCRIPTION: 1000 sq. ft. or less Rtr~ ..t2A.f/i~ G 8 c;,,-,11es "9tn Each additional 500 sq. ft. or .:-.; f C;>i--.J^", ~-/G - portion thereof Per;;(bs are non-transfrrable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for ]80 days. Feeder I CO NT'" Af'710111ILTCT..t r J A Trn,1\T flNl v I .. 110::......,;........,.... I;'.....dc-~-.I--t~"a#-;..._-....A h"'_"'#-'I~-"".-r.~-I"'''''''I'~-.- 2. r_r_.._- u "~--~-""--'-'_.- ~- -. -.....--...-.... .............,.............,.. .......n'..'... Electrical Contractor Mts'frf12 st2.,j G df.:: oM~TI~'Oll\mpS[lJjHeJS\W reqUireS you~.o $ 63.00 ~ f~<<OW rulelllMmp~lt61411tl ifnfppregon Uil~ILY. $ 75.00 Address /S-2.t!<;" S-0 7tflt Jv.e.. ^ .1~"fication4g,eA~ iO\;oo'fi:mp~es are s"'_' .~~ $125.00 In"OAfl9526()O;\r(;p'Hblroo@J>lIft\lPAR 95,~v, $163.00 City n<S-flj0l'\ r)g Phone 6 2o.-p~. You (j)~yrob6Ell.n;p;%,jR? Oft t~e ~~~:;:. . $375.00 Cf7n <../' . calling t~connaJto~l)lote: the. e e? ~.:- $ 50.00 f b f r .hl> Oreoon Utility Notllival,v, , num er q.- . ,~c,.:S IG- c. I TemporaIYS'ervfc?s:]'il.w~ders $106.00 $ 19.00 $50.00 Supervisor License Number Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 NOnCE:401 Amps to 600 Amps $100.00 Expiration Date /-}O-/;)C; ~ . :: /I S PER 9,ver 62P:.d!l;~;<(r!!,~I(!l.j~.2~itabove. Sign;tu Jf, ~u~e:~n~lect::- AUTHOmtt!l~lW~~$\~R-MtHS-N3i V V 10/ ~ vUlvIMENrN~!r ~!(ef~t!qBRf'4W~~~Bn~I(JRPanel ANY 180 L9rF P~\'Wf1D $ 43.00 ?:i V Each Additional Circuit or with I/'... --- ,Jj n Service or Feeder Penn it O~ner Name t-: ,,;rLV1/t U7l.6W(h rAf' Address :;S- ('hn1~ P&yIk.. Wo-y City Sa/flAb Ct: Phone a>oil 4gb- ur. rfl.f//S- I " 3M OWNER INSTALLATION Expiration Date /O-n I-oft Constr. eonlr. Number bc.(-f)(J $ 3.00 E. I Miscellaneous (Service/feeder not included) -Each Installation l Owners Signature: Pump or irrigation $ 50.00 SignlOutline Lighting I $ 50.00 -70. ~ , ... J~;: I Limited EnergylResidential $ 25.00 .,' \~. w ',.~:"l. Limited Energy/Commercial - I, ..'$ 45.00"" '. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SUBTOTALOFABOVE !{D~ 8% State Surcharge 4 .<::0.. 10% Administrative Fee .5.bO 5% Technology Fee ~ , ~D The installation is being made on property I own which is not intended for sale, lease or rent. Inspection Request: 726-3769 TOTAL lPl,5U Shared Drive(T:)!Building FormslElectrical Permit Application 8-06.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00743 ISSUED: OS/23/2007 APPLIED: OS/23/2007 EXPIRES: 11/23/2007 VALUE: Status Issued 225 Fifth Street, Springfield, o.R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3000 GATEWAY ST SPACE 610 ASSESSo.R'S PARCEL No..: 1703220002300 Springfield TYPE o.F Wo.RK: Electrical Work o.nly TYPE o.F USE: New Commercial PRo.JECT DESCRIPTIo.N: Sign electrical for EB Games o.wner: Address: GATEWA Y MALL PARTNERS 4"- 110 N WACKER DR BSC 3-04 ATTN~o.P(!;AX ADMIN CHICAGO. IL 60606 .l'.v()/;Q:"'~ ':/!OIV._ . ~ , O""...."f/t;, ~"O~ .. B_ ~r6~ I eONitRA(l:TeR.INliOR1IDHION , , " fJ..../~ -""" -v,. Yt;"h - Oy t. .. 1'(9 Contractor '11"'69'1} /IJG ity 0 00'0 1)0sLi~e~~./'rG Expiration Date MEYER SfGN Co. o.F o.R~f?F<&J~~/;' tl)roJ40r;'L"'G.9,,~ Yo" jl1l30/2009 I BUlLDiN'd.ulic@kMhlo~'i:-e s~ VI7;,; ! ~fJ'!,(.}}~ -J/~'78S<."'O!1" # of Units: 4'0 # of Stories: '1'?~ ~4!),. G tGIG '" rf.lA -00 Lot Size: Primary o.ccupancy Group: ~ //t'~ Height of Structu1:~", 1\I0Ji.' ~I)Of}, "'~ f Sq Ft 1st Floor: Secondary o.ccupancy Group:1U IS' P<s .' Type of Heat: <;r~ ~C~l'. Sq Ft 2nd Floor: Primary Construction TypeCo 0-0 '94/, Water Type: . 10/) Sq Ft Basement: Secondary Construction T1~e::ft4t<s ~I(><s ";-<5'0-: Range Type: Sq Ft Garage/Carport # of Bedrooms: Vy,&, /1IC<s 0 U.t, '-1(( Energy Path: Sq Ft o.ther: "0 o. O/) O<s -I'.p,rinkled Building: n/a o.ccupant Load: . '4/_ v^> ^'. p/. /'-'f'.-s>i;;Ji:.,,~;';@Ii1\h':NT INFORMATION ,. (~ "/Yo. '/fA. "e (/A,,.,. ''7/}- /PO OvU~Y.J?ii!:AL_ ~.f # Street iVw.eS"R'gd: I'}" , Paved Drive Rqd: % of Lot Coverage: . Contractor Type Electrical Phone 503-620-8200 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00743 ISSUED: OS/23/2007 APPLIED: OS/23/2007 EXPIRES: 11/23/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees tlWU Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Sign - Outline Lighting Each Amount Paid Date Paid $5.00 $2.50 $4.00 $50.00 5/23/07 5/23/07 5123/07 5/23/07 Receipt Number 2200700000000000807 2200700000000000807 2200700000000000807 2200700000000000807 Total Amount Paid $61.50 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. 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 541-726-3759 Phone !} .~=-. Caof Springfield Official Receipt .Iopment Services Department Public Works Department Job/JournBl Number COM2007-00743 COM2007-00743 COM2007-00743 COM2007-00743 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000000807 Date: OS/23/2007 Description Sign - Outline Lighting Each + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Recei~ed By Batch Number Number How Received MEYER SIGN CO OF OREGON djb 17798 In Person INC Payment Total: Page I of I 10:42:52AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 5/23/2007