HomeMy WebLinkAboutPermit Electrical 2008-6-2
ClTY OF 'SPRINGFlELD, OREGON;
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225 nr In STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPUfATION
City Job Number Q, '1- l'l to \
Date
1.
3.
\ '- .
\Ff(l?;~~~9f QQ\(V
JO~~OU h-\\
Permm. ~on_traosf~ and ~ ",work Is
not started within 180 days of issuance or if work is
Suspended for 180 days.
A.
Service Included
1000 sq. ft. orless
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55.00
2.
B.
ElectrIcal Contractor lJ}~j)j ~f ! Ip_ {~ c...'
Address iJo ~~ /hi. ,..;2 / ~')tt3
}
City f~itjll xL Phone,51/-~f? ~-3h.5
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
Supervisor LIcense Number . C:;;;;.5 a x::J
ExpIration Date I 0 - 0/ - / 0
c.
ExprratJon Date
'1-/-d200f
$ 55.00
$ 76.00
$110.00
Constr. Contr. Number p/) -1'/5 6
$ 48.00
$ 4.00
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01764
ISSUED: 12/11/2007
APPLIED: 12/03/2007
EXPIRES: 06/23/2008
VALUE: $ 13,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1435 G ST
ASSESSOR'S PARCEL NO.: 1703362206100
SPRINGFIETYPE OF WORK: Sign
TYPE OF USE: New
PROJECT DESCRIPTION: One Wall and One Freestanding Sign for Oregon Medical Group
Commercial
Owner: OREGON MEDICAL GROUP
Address: 1435 G ST
SPRINGFIELD OR 97477
Phone Number: 541-687-4900
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Sign
Contractor
NEW WAY ELECTRIC INC
TRIPLE J & S SIGNS INC
License
51088
64482
Expiration Date
06/27/2009
03/1512009
Phone
541-686-2365
541-343-7049
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
'"", ron' 'r""s you j 0
I^N Or'"'o[\'1 "<V' "1'"'"
ATTENT.~'_ ~,-<rnl..>d ~v the 0(89011 UI:\HY_
IUII",vv ...... ~- - - h se rules are ;:'vL ,,,"ll.
Notification Center. I 0 hOAR 952-001-
. Mi,@5~~Q.,q~001 0 throug b
In CS\':'''fcaJ~8btain copies of the rules Y
0090. 0 t (Note' the telephone
d!<<WID>p'olHrsWr~rhS. Utility NotIfication
number~~~::rei~;~gg~_332-2344),
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOT~CE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMflf.rNCED OR IS ABANDONED FOR
ANY i 80 DAY PERIOD
Pa2:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Shw
Sil!n
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Sign 0-35 Square Feet
Sign Plan Review
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Total Amount Paid
Initial Review
Sil!n Review
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01764
ISSUED: 12/11/2007
APPLIED: 12/03/2007
EXPIRES: 06/23/2008
VALUE: $ 13,400.00
I Valuation DescriotioJ
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
6,700.00
6,700.00
Value
Date Calculated
Total Value of Project
~
$6,700.00
$6,700.00
$13,400.00
12/11/2007
12/11/2007
Amount Paid Date Paid Receipt Number
$16.00 12/11/07 1200700000000001482
$8.00 12/11/07 1200700000000001482
$160.00 12/11/07 1200700000000001482
$80.00 12/11/07 1200700000000001482
$5.50 6/2/08 2200800000000000801
$6.60 6/2/08 2200800000000000801
$2.75 6/2/08 2200800000000000801
$55.00 6/2/08 2200800000000000801
~eouire~nsnections .
Sign Location: To verify the location of the proposed sign.
$333.85
Plan Reviews I
12/03/2007
12/03/2007
APP LLH
12/03/2007
12/11/2007
APP DJB
Checked plans in and left on David
Bowlsby's desk for review 12/4/07
Internally lit signs allowed based on
lack of impact on adjacent
properties and existing non
conforming, illuminated signs
adjacent to this property within
same sign district. Confirmed with
site visit to 760 14th st ( Res-non res
professional office) and 1457 G st
(CC - mixed use commercial).
To Request an inspection call the 24 hour recording 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.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01764
ISSUED: 12/11/2007
APPLIED: 1210312007
EXPIRES: 06/23/2008
VALUE: $ 13,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sign Footing: After excavation and forms are in place, but prior to concrete.
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.
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 OCCUPANCY 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 at all
times during construction.
Owner or Contractors Signature
Date
Pae:e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01764
COM2007-01764
COM2007-0 1764
COM2007-01764
Payments:
Type of Payment
CredltCard
cRecelOt1
RECEIPT #:
DescriptIOn
SIgn - Out/me Llghtmg Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratJve Fee
PaId By
NEW WAY ELECTRIC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000801
Date: 06/02/2008
Item Total:
Check Number AuthorIzatIOn
ReceIved By Batch Number Number How ReceIved
IIh 212023 Phone
Payment Total:
Page I of 1
10:30:32AM
Amount Due
5500
275
660
550
$69.85
Amount PaId
$69 85
$69.85
6/2/2008