HomeMy WebLinkAboutPermit Electrical 2008-5-23
2251'1.l' 111 STREET 0 SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number L C>Jo14 ~ 0 y ~ 00 b 't D Date
-
.f' l'"'V~Yl T;: 0 l ",~)l*lff,W ~ l-1.~q-" i~ "
SupervIsor LIcense Number ~~'i S'"jh I ENTION: or~go.ff:vh~1tt!;::ues~r Feed~~;~_~_"
~ follow rules adoptft~~ t)~ the 'rQann WiJrtN,
ExpIratIOn Date 1(;; - " / Notification Center. TflB-sWroJ rllAr:~etlorit RelocatIOn
In OAR 952-OO1-OO1~~<f!)~-OO~ $ 55 00
Constr Contr Number I 2.r () I Ca tf 0090. You may obtatft~SltJf_~ by $ 76 00
calling the centere4~~ tlj8~ $11000
I {,) -- ( (,) 1WmJ)er ~:e ..o~ ',m,' t"~~~ olts see "B" above~ n ~wm;pHT
D ',B _ ~,~~c~llts " '0hw~ ",,~'r~'N '
New Alteration or Extension Per Panel
One CIrCUIt
Each AddItIonal CIrCUIt or WIth
~ .... ServIce or Feeder Penmt $ 4 00
~P~/"^"1 (II '':00;';,< -~ '/, _N'''i "TW1'\S"~'F$" ~ - e~~7-
5 -r- E. ~ ,~~~I~~~us/i~rvice/feeder not in~~?d~d):::1F~~,,!~sta~~,!i~~,;
Pump or lITIgatIon $ 55 00
SIgnlOutlme LIghtmg I $ 55 00
OWNER INSTALLATION LlffiIted EnergylResIdentIal $ 28 00
The mstallatIOn IS bemg made on prop~TJG&hICh LlffiIted Energy/CommercIal $ 50 00
IS not mtended for sale, lease or rent THIS PERMIT SHAY!ln!)(rljH!~fF!mf.lfsp~~~!~.n ~ee ~I~ ~~o 00 + Surcharges
AUTHORIZED UNDSR ~1~1II.M,~li't4BOVE ""I,*, '" 5 5-
COMMENCED OR IS A~wu-;,w;JW[ d'_ !tdM\;;> ",,0O;';alal :_"
ANY tOO-DAY PERIOD. 10% A~~~eFee
5% Technology Fee
1 cLoCiATION oi'iNsiULATIOii;"
b 3", ~'" ,w di$ldC ~+~-.;'A- /
LEGAL DESCRIPTION
/763 c7'( 3
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JOB DESCRIPTION
Sf 6-AI
Ll &tf- rr N G-
Permits are non-transferable and expire If work IS
not started wlthm 180 days of ISsuance or If work IS
Suspended for 180 days
h~H' 7/ ""Ow~4t<~ i;rn~ ""(W9%1% ~"~t' /'~ - ::~
CONTRACTOR 'INSTALLATION ONLY;
2. ~~ ni ~~ ~ ~ i \/ ~'" YdiliSl;'!!!SI;'h'~ >l<< d../.MmMim.". ~ -"" >
"
Electncal Contractor C4- r2--e-t ~ / AlC-
Address ~ 7:J ,u w IL.P1H;V e:-e~ ()~,
CIty lfNf'( j..F4/t-/O Phone 5=) ~..- ;'i::1' I ..." ~> Y" if
ExpIratIon Date
S,gnaar:7!::lnC'~ _:> ,~
o
Owners Name C6A.- +en~' A- (
Address '..> 50 , h I ~ (.~A
CIty..s:;,....... r-r A-c.... su.:s Phone
Owners SIgnature
InspectIon Request. 726-3769
3.
c/' "" ~ ~~~/<<;~::< r" ~0~/W9->: ~ P!#-i'~~ ~-l1i~
COMPLETE FEE SCHEDULE BEWW
,,'4-W~~ .<<0-%-0"" '-"" "" "'~~~~
~,
~ -Xl; ~ "'WW~.A~ffi*~ ->>, ~~ ~ " ~ "'" '<'111llillllW::'~lW Wk l ~ f
A. 'New Residential-_Single or Multi-Family per dwelling unit. (
~~::!~H"i<<<'<w'm.t ~~ .........Mt:mbl": '>,1!\{, ~::t._il:o~ ~ ~~~"
Service Included
1 000 sq ft or less
Each addItIonal 500 sq ft or
portlon thereof
Each Manufact'dHome or
Modular Dwellmg ServIce or
Feeder
$117 00
$ 21 00
$55 00
>. r ~ v ~ ="...<<{<>..!<<,'i~~i~"<< t1>Y~ ;' ~ ~H;iiiii;;ti;fi:0f----(;YP:-
B Services or Feeders - Installation, AIter~tions or RelocatIOn:
i ~Jt:t'?: !~,"&::::mM"&'\.V'w>>.,,...,,", ~".. 1 ) ~ ~~ ~ ) i ~ ~ ~i ~ <1"~ "> Mf
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70 00
$ 83 00
$13 8 00
$180 00
$41300
$ 55 00
*tttt4J~% "
~I
$ 48 00
5~
-'h 7 ~J"'-'-
6 ? E1r
TOTAL
Shared Dnve(T )lBuIldmg Fonns/Electncal Penmt ApplicatIOn 1-08 doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00690
ISSUED: OS/23/2008
APPLIED: 05/14/2008
EXPIRES: 11/23/2008
VALUE: $ 300.00
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS 639 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO. 1703274305805
Spnngfield TYPE OF WORK SIgn
PROJECT DESCRIPTION SIgn - lottery sIgn for Emnns BIstro
TYPE OF USE New
CommercIal
Owner CENTENNIAL SHOPPING CNTR LLC
Address 331 FILBERT ST
SAN FRANCISCO CA 94133
I CONTRACTOR INFORMATION I
Contractor Type
SIgn
Contractor
CARRICK INC
License
120169
# of Umts
Pnmary Occupancy Group,
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIon Type
# of Bedrooms:
BUlLnING INF,ORMATlON Jc
' - ''''-lUll t::~ au to
r # of Ston~sby the Oregon UtIlity
'-I r~ose ru/p.s
d I S \?-J{e1gM p~ TIWB5tYfie are set torth
OUJO You rrl~l9!cMeeb g OAR 952-001-
calling theW@I~el};ry~ot~'et~ Of/~e rules by
number tor~lf9r~~en Utlht e Ne ephone
CenEuQ~ n"thb y otltlcatlon
"EoJ -t'lou'o32-2344)
Spnnkled BUlldmg . n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde 1 Setback-
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst'
# Street Trees Rqd.
Paved Dnve Rqd'
% of Lot Coverage'
Expiration Date
02/07/2010
Phone
503-591-8474
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total'
HandIcapped
Compact
Street Improvements
Storm Sewer A vadable
SpecIal InstructIOn
'UBl~MPROVEMENTS
AU ElF lhiMliiU,/ype'
THOR/ZED UNDER THIS PERNlJT.J~
COMMENCED OR IS ABANDONEt5OFtltttQTsmrams
ANY 180 DAY PERIOD. R
Notes
I Valuation Description I
DescnptIon
$ Per Sq Ft
or multIplIer
Square Footage
or BId Amount
Tvpe of ConstructIon
Pal!e 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00690
ISSUED: OS/23/2008
APPLIED: 05/14/2008
EXPIRES: 11/23/2008
VALUE: $ 300.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SIl!n
Use Bid Amount
$1.00
300 00
$300 00
$300 00
05/14/2008
Total Value of Project
Fees Paid I
Fee DescriptIOn
+ 10% AdmmlstratlVe Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outlme Llghtmg Each
Sign 0-35 Square Feet
Sign Plan Review
Amount Paid
Date Paid
Receipt Number
$13 50
$660
$675
$55 00
$80 00
$40 00
5/23/08
5/23/08
5/23/08
5/23/08
5/23/08
5/23/08
1200800000000000550
1200800000000000550
1200800000000000550
1200800000000000550
1200800000000000550
1200800000000000550
Total Amount Paid
$201 85
I Plan Reviews I
SIl!n Review
05/1412008
05/14/2008
APP DJB
To Request an inspection call the 24 hour recordmg 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.
I Reouired Insoections I
Sign Attachment Method of mountmg the sign to a structure or pole Method of attachment of bolts or welds
Sign Electrical After connectIOn IS made but prior to energlzmg.
Sign Fmal After all reqUIred mspectIons are conducted and approved and the sign mstallatIon IS completed
By signature, I state and agree, that I have carefully exammed the completed applIcation and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance With
the Ordmances of the City of Springfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY wIll be made of any structure Without permissIOn of the CommuDlty Services DIvIsIOn, BUlldmg Safety.
I further certify that only contractors and employees who are m complIance With ORS 701 005 wIll be used on this project
I further agree to ensure that all reqUIred mspectlOns 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 remam on the site at all
hm"~ng ;n?t:-
Owner or Contractors Signature
5"
2~-~B
Date
Pal!e 2 of 2
225 Fifth StI;.eet
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00690
COM2008-00690
COM2008-00690
COM2008-00690
COM2008-00690
COM2008-00690
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
Description
SIgn Plan RevIew
SIgn 0-35 Square Feet
SIgn - Outltne Llghtmg Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
DOUGLAS CARRICK
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
1200800000000000550
Date: OS/23/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
dJb 04350Z In Person
Payment Total
Page I of 1
11 13 11AM
Amount Due
4000
8000
5500
675
660
1350
$201 85
Amount PaId
$201 85
$201 85
5/23/2008