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 c:>seos 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