HomeMy WebLinkAboutPermit Electrical 2008-6-10
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00829
ISSUED: 06/10/2008
APPLIED: 06/09/2008
EXPIRES: 12/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6 W Q St
ASSESSOR'S PARCEL NO.: 1703271003300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign lighting
Owner: SOUTH PLAZA II LLC
Address: 515 W PICKETT CIR STE 400
SALT LAKE CITY UT 84115
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
E S & A SIGN CORP
License
163470
Expiration Date
03/16/2009
Phone
541-485-5546
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1:\BUiI\D1N~ INF@'RlWJW'I~J es you to
tel" ,'. """"'" o.uv ligon Utility
Not:flc1lbrs~fli~r. Those rules are set fortflLot Size:
In OARJllg~hqOor~fl.W/t1fpU9h OAR 952-001-Sq Ft 1st Floor:
0090. ~~ ~<f~ffi,gt~1n copies of the rules bYSq Ft 2nd Floor:
callI t e ~~n1~r. (Note: the telephone S Ft B t.
er. " " asemen .
numb r'or ~POregon Utility Notification sq Ft G IC t
e$ft ,'yJ!ei-800-332-2344). q arage arpor
Energy Path: Sq Ft Other:
Sprinkled Building. nla Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Dnve Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
I PUBLIC IJ@~~~Si~LL EXPIRE IF THE WORK
r\U I nunlLtu UI\J ER 1tljS ~~RMIT IS NOT
COMMENCED OR IS A~Af~jf>t)j\Jt~~bR
ANY 180 DAY PERloopownspouts/Drains:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00829
ISSUED: 06/10/2008
APPLIED: 06/0912008
EXPIRES: 12/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Amount Paid
Date Paid
$5.50
$6.60
$2.75
$55.00
6/10/08
6/10/08
6/10/08
6/1 0/08
Receipt Number
1200800000000000625
1200800000000000625
1200800000000000625
1200800000000000625
Total Amount Paid
$69.85
I Plan Reviews I
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.
I Reouired Insnections I
Sign Electrical: After connection is made but prior to energizing.
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
Pa2e 2 of2
Ji 7& f/ Cj'
SPRINGFIELD. ZON fYllJ (.yY\.J::"
,~ INITIALS' NM...
'e;.,).,,~, '.6!:.. <.... \ DATE ~ 10 I O~ _
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(541)726-3753 . FAX; (541)726-3689 ~ c "i~-. .." ~ SOURCE ny PSO~L)
~~~o~~:~~ ~~~~:::~:~~~ z 7 DateU 10 0;(
1. I LOCATION OF INSTALLATION: 3. I COMPLETE FEE SCHEDULE BELOW
(I I f/ (J J:~b
LEGAL DESCRIPTION
wJav.~~ 1703 Z 7/0
~ CITY OF SPRINGFIELD, OREGON
A. I New Residential- Single or Multi-Family per dwelling unit.
03300 Service Included
g
JOB DESCRIPTION
. -
.A'fl1Yk1 iJ) / / ~L fJlUl1{[Ut! r?l1bt../tif
I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1000 sq ft orless
Each additIOnal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117 00
$ 2100
$55 00
2. 'CONTRACTOR INSTALLATION ONLY 1 A-rTB. ,klt5f.Y~~~~t1qw~e~~liftlNRM,t~lterations or Relocation:
,I IcN u -6-tfj- -Oregon-l:Jtlhty
'- (" (' - nmU1es adopted Y e f rth
Electrical Contractor t-J ~ ILl 0~ G- N t'f', tf~~h'U~lfflgr.1ti810se rules are s~"\1 $ 70 00
1/ I I'Mh, unh OAR 95t:.-vv -
P , -. .;in I ~V2lOO~slMl~\,/I}.IA!i1lps:J f h l:lle~ h'J- $ 83 00
Address Y) ~ 77~ ((~ eO~90. 'flt)iliA1fi~sQ~~{}~~~r~ho ~I:~~P- $13800
U / If Callil"6-ott~n~'tYsrt~f~~~~~ftlt; Notification $18000
CIty Eu ,~PnJ Phone 5-,1- t, 6 ~e~J~~~~P~~~2-2344). $41300
j Re'2onnect <Jnly $ 55 00
Supervisor License Number ~ / tj - SI' G
'}.- / - 0 E3
Constr Contr Number / &2/-/76
(~-/& -II
ExpiratIOn Date
ExpiratIOn Date
A::(mg~n
- /. -
Owners Name ~~+~ ~(Ae'" II Llc..
Address 5/),- tJ P, "k..c-lf
City SA-t+ ~\lt- C~ ~r-
J
OWNER INST ALLA TION
The mstallatlOn IS bemg made on property I own which
IS not llltended for sale, lease or rent
Owners Slgnature~
" '1 A.--fllf)L { I'
- - ,
~
Inspection Request: 726-3769
c. I Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 55 00
j 201 Amps to 400 Amps $ 76 00
401 Amps to 600 Amps $110 00
(MGiMlKinps or 1000 Volts see "!J" above. ft\l-
D. tl6~rRIiWHii&HALL EXPIRE 1F THE WOn"-
~T1\~fi~hl oV ~g~h\~T~lli.-P~RM IT-iS-NOT
~.Qf<!JMIikJCED OR IS ABA'N'D5~b FO~ 4800
JiaNV AlnHMMn'd?rEJld Gnvlth
Service or Feeder Permit $ 4 00
E. I Miscellaneous (Service/feeder not included) -Each Installation J
Pump or lITIgatIOn $ 55 00
Slgn/Outlme Llghtmg $ 55 00 55, DO
LimIted Energy/Residential $ 28 00
Limited Energy/Commercial $ 50 00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4.1 SUBTOTAL OF ABO VE I 5'5 I DO
I ~ State Surcharge b bD Lj L-/ 0
10% Admllllstratlve Fee 5 so
5% Technology Fee Z 7r
b9~ -5~,lfQ-
TOTAL
Shared Dnve(T )/BUlldmg Forms/Electncal PermIt ApplicatIOn 7-07 doc
225 Fifth Street
Sprmgfiel~, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00829
COM2008-00829
COM2008-00829
COM2008-00829
Payments:
Type of Payment
CredltCard
cRecemt I
RECEIPT #:
DescnptlOn
SIgn - OutlIne Llghtmg Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ES AND A SIGN CORP
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000625
Date: 06/10/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 010717 In Person
Payment Total:
Page 1 of 1
lO:08:55AM
Amount Due
5500
2.75
660
550
$69.85
Amount Paid
$69 85
$69.85
6/1 0/2008