HomeMy WebLinkAboutPermit Electrical 2005-10-18
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LEGAL DESCRIPTION
1703 -z..:Z:2..6 03/CC
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I r:;OMj~LETE FEE SCiiEDpLE BELOW
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0' SPR
" CITY OF S,-,~INGFIELD, OREGON O. ~:~
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX::,(~pl.i\:368Z,,<l
ELECTRICAL PERMIT APPLICATION "~y,,,o' 1,0"
City Job Number COof\oo\ -zoo r- - 0 I Yo C , Date
A. ['New R~sidential:' Si';gle or Multi-Family pe~ dwe1li~~~~i;.:'fi
Service Included
JOB DESCRIPTION 1000 sq, It, or less $106,00
Eachadditional 500 sq, ft, or
I NSl'tt.-'- 14-U,.... r.V Au.-SI6A.i ~~. portion, thereof $ 19,00
Permits are non-transferable and expire ifwor~~ ~(J~(),\ Each Manufact'd Home or
not started within 180 days of issuance or.i~""rk ~ \~ Modular Dwelling Service or $50,00
Suspcnded for 180 days. ~l-~\~ ~,,~ ~()" Feeder
2 IrdONrRA~iIY.lj~~. '-~~~~\)J' B. 1 Services 0; Fc'eders':.'Jnstallatitm, Alterations or R~loeation: ::!
'~\)'\;t"'~~~~1.' I.,... ..., ., . ,. 1
Electrical cont~~~~~1? 4wAJ1Altr- 200 Amps or less $ 63,00
~'U~..~~~,,~~ ~,"" . 201 Amps to 400 Amps $ 75.00
Address lz../~~ Il.I) 401 Amps to 600 Amps $125,00
- ~.-
~\\ 601 Amps to 1000 Amps $163,00
City 8u6.eNe,<lll-Phone ~J'r--SN(., Over 1000 AmpsNolts $375,00
Reconnect Only $ 50,00
Supervisor License Number
50S- 5./ q
1* IO/()(o ~
C. lIcrnp,orary,-SE':.."iccs or ....ccdcrs .
Expiration Date
/63 '170
3/1t./07
Installation, Alteration or Relocation
200 Amps or less $ 50,00
201 Amps to 400 Amps ,,} \0 $ 69,00
401 Amps to 600 J\.~pj\~ \~\~'l ~ $ I 00,00
,,}\\ ",<\ v \O~
Over 600 A,:,~Sry~o.o ~~ ~\'\B" ~bove, ."
D. lBranch\~ircUi'ts. If> ~ 9J?'1J. 'Q'l, "
1e<&~-m,.,-\\>\e;,_~~--;\},eS -- .,,- --' ,-
O~rfelw AIt~rati6K' orrEfr'ensioJ I:e!N~ncl
~~" 0.0'< ,\'- >.>'" 0\" R" '0"
,<;;..~ ~e~Obe 'iirCUl\) ~\o \eS \e,e '~\v'Q.\' $ 43.00
~\ ~ \0 EacH' Ada~ionat:e?rcuir'o\f wit}}\
'0,,0 ,,\\O\SerYi"2eod~~der\P€~ii\\'\' 0.0.\' $ 3,00
, ~vv f.:i" v' " v' ?,.'?>
'o~' ~g A'\, -'9'~' 0/"<;0. ,::,.'?'
\~<;o. O~C\Ejci'l\t~sce~fo~Ls.C'ivic~/f~e_de.r ~ot included) -Each' I~stallation J
C\C\g 'Ii.\~ \0\ \\S
c'Q. ~.n< ,.~" $5000
v J'.urnpjo.f>lmgatlOn .
0\" v-
\' Sign/Outline Lighting / $ 50,00 $l)-
Limited Energy/Resid,ntial $ 25,00
Limited Energy/Commercial $ 45,00
, l
,_....:.._~.J
Expiration Date
Constr. Contr. Number
~i1::;+ldr
"
Owners Name 7Se1>iro~ ~p~
Address ?tD ()J,1/~ e. 51-.
City :)P/Uil''''''' A D" Phone_
Wfeu-, ~it- 9'J.101
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4. ~~V1!.Tp'TAf: ~F A,BqV1';
Owners Signature:
7% State Surcharge
10% Administrative Fee
Sb-
..5, )'1)
-s-
51'. IV
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)/Building Forms/Electrical Pennit Application 1-03.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01409
ISSUED: 10/14/2005
APPLIED: 10/10/2005
EXPIRES: 04/14/2006
VALUE: $ 3,010.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3125 Gateway St
. ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF
Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - wall sign for Ashleys Bistro
- Owner: BENTON PROPERTIES L TD
Address: 980 WlLLAMEITE ST
EUGENE OR 97401
Contractor Type
Electrical
Sign
__"
, 'l\\'~ "",u,;:- ~
~ ' I ~ON'fmtdrdR~IfMATION I
1\Q1~lt . ~1, S"h~- ,,,,y t..H 'S\.~
~'ftalft ;D U~\)~~ ~~~~\)\)~~' License
SI~~ f~g~ \S ~ 145755
SI~ !.\It<i,)~O''' 145755
, J,tlc,...t
~Nl I BUILDING INFORMATION'
Expiration Date
06/30/2008
06/30/2006
Phone
541-485-5546
541-485-5546
# of Units:
" Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
,- # of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
'DEVELOPMENT INFORMATION ~ n law requires yo~, ~o
ATTEN II\.} : Oreg~ by thHQ~,pWRKING
Overlay Dist: folloW ru\e~a~~~rt\hose I1llJili1flre set fg~~
# Street Trees Notification _O~1-001 0 throufja~~~~: by
Paved Drive Rqd:in OAR 952 btain COpi(j!ill'ilp~ u eS
% of Lot Coveragl(1090. you may 0 (Note: the telepho~e
calling the center. on Utility Notification
t.- 'ndhe Oreg ~ -- "1
!pUBLIC IMPROVEMENf;r~" ~ Center is 1-tlUV-""~ l.~ '
Sidewalk Type:
Downspouts/Drains
Street
.. Storm Sewer Available:
, Specia11nstruction:
',_Notes:
1 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01409
ISSUED: 10/14/2005
APPLIED: 10/10/2005
EXPIRES: 04/14/2006
VALUE: $ 3,010.00
Status: Issued
. 225 Fifth Street, Springfield, OR
. 541-726-3753 Phone'
541-726-3676 Fax
- 541-726-3769 Inspection Line
I Valuation Descrintion I
Slen
Type of Construction
Use Bid Amount
$perSq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,010.00
Value
Date Calculated
Description
,
Total Value of Project
$3,010.00
$3,010.00
10/10/2005
Fees Paid I
Fee Description
+ 10% Administrative Fee
, + 7% State Surcharge
Sign - Outline Lighting Each
,. Sign 0-35 Square Feet
Sign Plan Review
Amount Paid
$13.00
$3.50
$50.00
$80.00
540.00
Date Paid
10/14/05
10/14/05
10/14/05
10/14/05
10/14/05
Receipt Number
1200500000000001529
1200500000000001529
1200500000000001529
1200500000000001529
1200500000000001529
Total Amount
$186.50
I Plan Reviews I
Slen Review
10/10/2005
10/10/2005
APP DJB
Approved per Dave Puent.
Substantially meets intent of code
and not detrimental to nearby
residential zone.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
f'
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.
2 of 3
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01409
ISSUED: 10/14/2005
APPLIED: 10/10/2005
EXPIRES: 04/14/2006
VALUE: $ 3,010.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection 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 1 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 wiD be made of any structure without permission ofthe 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 ofthe property; and the approved set of plans wiD remain on the site
at all ~~:durh~g con,structiOlLo , /
~~r~ IO;rV/as
Owner or Contractors Signature
Date
3 of 3
225 Fifth Street .
,
S~ringfield, Oregon 97477
541-726-3759 Phone
.
a..p~ADI!!~."."..".'..
1t;L. .
i .'. r
....,. ~', )
};J.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1409
COM2005-0 1409
COM2005-01409
COM2005-0 1409
COM2005-0 1409
Payments:
Type of Payment
CreditCard
:,
:.
."
"
10/14/2005
RECEIPT #:
1200500000000001529
Date: 10/14/2005
Description
Sign - Outline Lighting Each
Sign Plan Review
Sign 0-35 Square Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CHERI FLETCHER POWELL
Reee! ved By
djb
I of I
Item Total:
Lbetk Number Authorization
Batcb Number Nu mber How Received
014528 [n Person
Payment Tota[:
12:16:42PM
Amou nt Due
50.00
40.00
80.00
3.50
13,00
$186.50
Amount Paid
$186.50
$186.50