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HomeMy WebLinkAboutPermit Electrical 2005-10-18 1. t U)9ATIONOFiNSTXLLATloJlii\" I 3. 31U !lI/'1l=W,",: ( fJl'1Ut?, V/~€ #- 7) LEGAL DESCRIPTION 1703 -z..:Z:2..6 03/CC _:/"",\r(. I r:;OMj~LETE FEE SCiiEDpLE BELOW ,~'cr e'" ~~'O~\e S~0 .s ^'V,f" . f,,0...... 0' SPR " CITY OF S,-,~INGFIELD, OREGON O. ~:~ " .cl' 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 N/IJ- l ,"'.""'c,,,,' '". '. .'" ...". - 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