HomeMy WebLinkAboutPermit Electrical 2004-4-22
04/20/04 TUB 08:01 FAX 5417
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CITY OF SPRINGFIELD
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225 IJu on STREET' SPRINGFIELD, OR 97477 . PH:(S41)726-3753 ,; FAX: (541)726-3~ ":.,,' All..~~
E'" "'...........,... A" P'ERM1TAP.'P.'" ..,... A TFQ'AT . / TIfe following projact as', a"'lllD"'ffilli1ling
Ci;;;;~:~.....'lDO"i -00 L{57"'''AD:~ ~/ZZk-1 ~~~i~~~a~nd doas noI raqUir~pacflc land usa
1 ~l'\~;;'~;.~afilv'STJti!776Mr:~li::;;'~'.l;" 3 ':;~MP,c'i~1t:~Jfs~{iIf,.1t$t~mf~'~l>~ I
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LEOALDESCRIPTION A. ~J~,~~.p;:t'.i..~l;jeE,,:}~~~~:r,!lJ;'~~!~....~
/70"3 "3 '5"'Y L 0 ~5'u C. Servlcelnduded
10B DESCRlPTION ' 1000 sq. ft. or less $106.00 '
Each addilionlil500 sq. ft. or
SIGN b'-t7:-T-{2.LL portiontheroof, ' $,}J:oo
Permits are DOD-transferable and explTe If work Is
not sCarted witllln 180 do)'ll of Issuance or If work is
Suspended for 180 days.
Each ManufIlcI'd Home of
Modular Dwelling Sesvlce or
Feeder
f):
550.00
~'lt":l~~:.l!~"";"\:~1..~i:ft";t."wr.;t;:.i~1:.;;::f~~~-..;lii:" .,..."R:;:i1f.(."~'.:~~
1~~NTi?a'mng' , .',',. .nm;y,;,"
2. ~:~~~tJfi~~-';.....,-":.'""'- :'.!!-"~ .N~~.tm~'t::!1~4i
ElectricalContri!clor ,rY1 Clf~a pI eJritTlIIc
AddreSs' {J.D, 6~ (/)/)~
,ci~~ phone54/- 391,.-5).7/
, Sllpervisor License ~umbcr JfId() j
, ~piI1!lion Date ' / () - 30 - 0'-/
, ;;.""""",,,,,-,,..;,,,,.,.,,:,,~.~,,,,,,,< ,.,,..,, "'''';''';'''i5''lI''"''~''~'-''~' " ""
B ~~' .,,,,,,.:t<G1:""--" --"2"'''' ", . O'.'~' .'" "'" i;"~~~""~'
. ',~ ''ti8. ~,I;;':~~,' -.:..',.~' - -, . ,_ .'". ,~~..' 9 .; , ,
!Ii ,::~,~j.'~'?~~ ...rnt':~1iI.ll' :;..;I,. ,t;,~, ~ ....i~~~ ,!lr~
200 Amps or less
201 Amps 10 400 Amps
401 Amps to 600 Amps
601 Amps 10 1000 Amps
Over 1000 Amjls/Volto
P.eoonnect Only
S 63.00
575.00
SI25.00
5163.00
S375.OO
5 50.00
c ~~/i"",",,~~;o~,'r.[dE:it1!il....''''~il1.l~-"ii!j,1:~~~?i!!,...\\ijlt:.<5\~iI1
. ~~~~~~~~~.'L~':i",~~r,f.4if~~~~:Af~~~,1!~~;,'i!;m.;..~,
.. ...., ' -- ......., ' . ~- I ,~" "" ,.... .~..
Install.lion, A1ter.lion or ~\~~ i
, 200 Amps or I~OW\t. \'f \~ \ \c;.. ~Q\ i 550.00
COIlSt!'. Cont!'. ~' '0, -43 c.. ' c~: 20~ l.~e.400-S~t.~w.\ rjl is 69.00
ID - 3D- O!.p \\01' t.~~R!\Iiil!~~3\)"t.\)'f' !SIOO.OO
ExPiration Date \~;~~Q?\,~l.,; ',' ~'~~~;k>.~.'_'~~:"~~~=I'C;";',1i.,'~";'~~""m"!"'~;'I.B~1l~
S~ofSupervisingElectrician ,,\)' Rt: IWl " '~t<a~~"'~'i"""il.E:~~"\'lililltlllli
1 .' re ca:.~~~ ," 'iteration 07 E~::~~:~~~'P::!-=' "' .
( /./?; /l,.t/ 111 ,,/?iA ~ t-i One Circuit ! 543.00
- -. . , Each Additional Cir<:uit or with i
ew.: N";'. F Y.. Xr> Ii. J/i;d U,c(lkJ./- ( Service"or Feeder POllIlit n -- - -; $ 3.00 "
Address SBD ,( I" E. ~""~'''.i~~~I~r.~l~l,~l'r~~r~!\\)r~~~~'ll~
1\ L.t4vr(UlJ...t, ~\!i"''''':~''~~~~1I..:I~/l'!t!ti.':'.i~~!tii~i_;'''~fll:''\!''wrol~'.:.I.w.oK.W",
City COu.u.\u...e Phon. Pump or irrigstion 550.90
Sign/Outline Lighting liS 50.00
OWNEJ1INSTALLATION Limited EnergylResidential S 25.00
The Installation is being mad. on prop""'" I own which Limited E~llYLaomm"",ia1 i $ 45.00
is in -" -<"\'1\fe51 . '''iI' ., '
not tended for salo.1ease or rent. norMinihl'-''' tJoctric 'PerTrlit lnspectiOD F.. is $./5.00 + Sun:ha~es
'Ofe" :::!1Itl\jY' dol! I ..
'\ITE~'TlO~'doP\ed b1 ~~~;~~ij~'t,j(~::t.Jf~~i~ 'CV'J
~IIOW f~~~S~f\tef.l"~~~~~~~T'1r'i:<1im~.),'l!l"'~~~..,J/!f ~~
._+OIir.a\\ ":)~_OO~O, . , 6o/t;~tateSIiiCli~e\e 3
-- O~p. 9~"'Y obtain cO lo..4'\"ttJ.;:)~liativ~'f.co SOu
In 0 '(ou (11a't n\ef l.~o'Y': '\\I ~O\\lI"'" - <i SC
lnspeetlonRequest: 726-3769009 '1ling \"e ce b~gOfrolf\.k"I\4). f> 58 -
ca ~ \"e o("l("l..'t~h"
~ "U~ID~~~~~----'~-
.5"0
Owncn SignzIt=:
.
. CITY OF ~rK11~hl'l~LJJ'
Building/Combination Permit
PERMIT NO: COM2004-004SI
ISSUED: 04/22/2004
APPLIED: 04/22/2004
EXPIRES: 10/22/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 808 MAIN ST
ASSESSOR'S PARCEL NO.: 1703354205500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Sign electric
Owner: LAFRANCHI RON
Address: 580 N CENTRAL COQUILLE OR 97423
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
MARCA ELECTRIC INC
License
46575
Expiration Date
10/30/2006
Phone
541-396-5271
BUILDING INFORMATION'
# 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:
N~!\~~:J"T c:~A' L EXPIRE IF TH_E~~R~
M1Ho~iED UNDER 1(,'ili;YiitlPMEQriNFoRMATION ,
SETBA~euMMENCED OR \S Ab~.'w-""_.
Frontyard Setbacki\NY 180 DAY PERIOD. Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
~ompact:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
AI I t:.1'I11' .n._. .~.->... ,.. .-.... . -... 'a-- ....u l,V
I PU"LlC 1".r-VVI'.\VlI''''TSli''I't
follow rulet - ~uu "'~"H" . M'<'o',,", III Y
\Iotification Center. Those rules are set for Sidewalk Type:
In OAR 952-001-00;19 t~rq~gh OAR 952-00 DownspoutslDrains:
0090. You may obtain copIes of the rules I
calling the center. (Note: the telephone
number for the Oregon Utility Notification
. :_ 04 .Qf'n_~~?_?~44)'
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
7~
.
. LIlt' OF SrK11~ld'lELJJ
Building/Combination Permit
PERMIT NO: COM2004-00451
ISSUED: 04/22/2004
APPLIED: 04/22/2004
EXPIRES: 10/22/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I, F~~s Pair! I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Amount Paid
Date Paid
Receipt Number
$5.00
$3.50
$50.00
4/22/04
4/22/04
4/22/04
1200400000000000520
1200400000000000520
1200400000000000520
Total Amount Paid
$58.50
I Plan Reviews I
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.
I Rerllirerd Insnections I
I IIII I
1 Sign Electrical: After connection is made but prior to energizing
By signature, 1 state and agree, that 1 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 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
Paee 2 of2
225 Fifth Street
Sl>rin'gt'leld, Oregon 97477
541-726-3759 Phone
.
, ,Job/Journal Number
COM2004-00451
COM2004-0045I
COM2004-00451
Payments:
Type of Payment
Check
4/22/2004
RECEIPT #:
Description
Sign - Outline Lighting Each
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MARCA ELECTRIC INC
"'~A'IN......_, .., '.
WiL, - ,
,
. ..- . ' :'
JijJy of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200400000000000520
Received By
djb
Page I of I
Date: 04/22/2004
Item Total:
Check Number. AuthoriZation
Batch Number Number How Received
6529
In Person
Payment Total:
8:38:45AM
Amount Due
50.00
3.50
5.00,
$58.50
Amount Paid
$58.50
$58.50