HomeMy WebLinkAboutPermit Electrical 2005-10-18
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54])1+6~36glj 'I
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ELECTRICAL PERMIT APPUCATIbN <'''..,,''''' ,'I>' <i-'<i-"b/
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City Job Number !:AM 7.00 ~ - '-" I Datei>~~ .\0
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I. I LOCATION ()FINSTALLATIONI 3. IC()Ml'LETEFEESCHEplJiEl}ELOW
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LEGAL DESCRIPTIO~ A. I New Resideritial- Sirigle or Multi-Family per dwelling unit. .
/7032220 0310(;) ServiceIncluded
. ' CITY OF Sh~INGFIELD; OREGON \.. ,'\
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JOB DESCRIPTION
JIIIJ1'Jtz...L. /~"". W""-'t..J/6N
1000 sq, ft, or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Permits are non.transferable 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 $50 00
Suspended for 180 days, Feeder ~'f, ,
I CONTRACTOR INSTALLATION ONL}":j e. ,"I\-n~'t!~~or Feeders -Installation, Alterations or Rclocation: '.1
2, " t1J\~\. \~ ~~\iF; . ,
Electrical Contractor E.5~..fi.~~~~~~~~~s or less $ 63,00
~~~~~~~~ 201 Amps to 400 Amps $ 75.00
Address /2-10 0""'" ":2;~'{l8"~ (\~ \~\13. 401 Amps to 600 Amps $125.00
. (l.\l ~\tI~~~'Li~~ 601 Amps to 1000 Amps $163.00
City I:::U'~/:.-, c) It.. ~~'l{'~(., Over 1000 AmpsNolts $375.00
- ~ Reconnect Only $ 50.00
Supervisor License Number 3D!'"" oS (6,
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Expiration Date ;J!Yt'" I'
C, ITcmpor~ryServices,or Fecders
Constr, Contr. Number /&'3'170
JIlt. /0;
Expiration Date
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
0, I Branch Circuits
New Alteration or Extension Per Panel
One Circuit _ ,IOU ~3,OO
Each Additional Circuit or riJh1eC\\I\\ "'- ~ Ij\i\i\'l .
Service or FeederC;ro1)ltl' 3 ''rIe (\leC\O .:.~c?:OO
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E. [fMi\fcllaIie6u~~S'er.v\ iCiYfe~e~(nyO~rru"aed"sE'a~h Installation I
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\0 '1' "a\iol' v _00\0 \ ieS 01 "'~ nol'e
l'\Ihip1or'irrjgj'y6h'l' :OUI,il' CO? ,1-0<> \e\e~~ ~~\Q.OI
Sign/Ofrt~~'Idgh!i*gO WI. ~~o\":,,;'h ~0\\\$C50,OO 5lJ-
Limik(tEne~gylR~s'ia~riaJe901' ~~'').i3'''''')$ 25,00
Limited'~~~gy/b6IJ~~r;;aJ-'OQQ-~- $ 45.00
l'\I'''' cel'\\:>' ,-
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
$ 50.00
$ 69.00
$100.00
Signatu"e of Supervising Electrician
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Owners Name &,,1\.IT'bAJ p~"eJ(.;7~ l--Tt>
Address 9'J!J fU;7~. fh
City ~-."if..-:l.:::-tJ Phone
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OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
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4. SUBTOTAL OF ABOVE
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7% State Surcharge
10% Administrative Fee
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3.57)
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5t-JV
Owners Signature:
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)IBuilding FormslElectrical Permit Application }-03.doc
CITY OF SPRINGFIELD'
Building/Combination Permit
.
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01416
ISSUED: 10/14/2005
APPLIED: 10/10/2005
EXPIRES: 04/14/2006
VALUE: $ 3,010.00
SITE ADDRESS: 3185 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF
Sign
PROJECT DESCRIPTION: Sign - wall sign for Fast Track
TYPE OF USE: New
Commercial
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IPUBLIC IMPROVEMENTS I ' 0le901' \'3'~\le Ole';.;e set ~~~\.
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~~'C.lSi(Je~a!~a;yP"i\lOse \\ 01>-" IJ,\eS '0,
1>- , lu\e. ,,\el, ."'lou9 \ \\le I e
\o\\o"tiow,l)fpotit""<yrams nles 0 "e\e?\lOI' ^
'\C-o.\IU nO\'\)' . cO,- "e' . -0.\10"
~O\I I 9<:''2.'u 0'(l\'3-1\\ o\e', \\. ~O\I\IC
\1' 01>-~ 'l01J, ((I-o.'! e\\\el, ~ \\ 'U\\\I\'! ~<l,<l,),
0090, \\le c 0le90 ~~'2.'Z
c-o.\\\\\9 \01 \\le, \.'000-
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Owner:
Address:
BENTON PROPERTIES L TO
980 WILLAMETIE ST
EUGENE OR 97401
.
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor License
SIGN GROUP LLC 145755 v..
SIGN GROUP LLC _ ,f. ~W~O~i
\~cBUILD~f 1~'IIriJ)NW~ \'1
\\01 ~~,,^\\ ~:':;n'~p. ,~W O~{b rO~
W\S \l ~\III)llIt ~:~~~~\)
~~~~~ ~~p.,
C ...'t \~\} ~r Type:
~h Range Type:
Energy Path:
Sprinkled
#ofUnits:
Primary Occupancy Group:
Secondary Occupancy
Vrimary Construction Type
Secondary Construction
# of Bedrooms:
n/a
I DEVELOPMENT INFORMATION I
I
Front yard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Street
Storm Sewer Available:
Special Instruction:
Notes:
1 of 3
Expiration Date
06/30/2008
06/30/2006
Phone
541-485-5546
541-485-5546
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01416
ISSUED: 10/14/2005
APPLIED: 10/10/2005
EXPIRES: 04/1412006
VALUE: $ 3,010.00
I Valuation Descriotion ,
Sien
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 36-60 Square Feet
Sign Plan Review
Amount Paid
Date Paid
Receipt Nwnber
$16.00
$3.50
$50.00
$110,00
$40.00
10/14/05
10/14/05
10/14/05
10/14/05 .
10/14/05
1200500000000001530
1200500000000001530
1200500000000001530
1200500000000001530
1200500000000001530
Total Amount
$219.50
I Plan Reviews I
Sien Review
10/10/2005
10/10/2005
APP DJB
Approved per Dave Puent.
Substantiillly 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.
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of ho1ts or welds,
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are conducted and approved and the sig~ installation is completed.
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CITY OF SPRINGFIELD .
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01416
ISSUED: 10/14/2005
APPLIED: 10/1012005
EXPIRES: 04/14/2006
VALUE: $ 3,010.00
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 OCCUP ANCY 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
atall~i~ /o/Y!t:J>
Owner or Contractors Signature
Date
3 of 3
225 Fifth Street
Sl!-I"i~fieId, Oregon 97477
5'H-726-3759 Phone
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...... i
~ty of Springfield Official Receipt
.veIopment Services Department
Public Works Department
Job/Journal Number
COM2005-014l6
COM2005-0l4l6
COM2005-0 1416
COM2005-01416
COM2005-01416
Payments:
T)1>e of Payment
CreditCard
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10/14/2005
RECEIPT #:
1200500000000001530
Date: 10/14/2005
Description
Sign - Outline Lighting Each
Sign Plan Review
Sign 36-60 Square Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CHERI FLETCHER POWELL
Receive<! By
djb
I of I
Item Total:
Lheck Number AutllDl1zation
Batch Number Number How Received
014633 In Person
Payment Total:
12:20:30PM
Amoont Due
50,00
40,00
110,00
3.50
16.00
$219.50
Amount Paid
$219.50 .
$219.50