HomeMy WebLinkAboutPermit Electrical 2008-7-9
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SPRINGFIELD :;;JJ
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225 FIFIll STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (S41)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Nwnber CO~ 200%- 00 "7/.3
SlIpervIsor License Number 6>'1~ ~ ~ C.,L 5'. n !pw r€Qul~9v Services or Feeders
'1 ty the Ore1roii'll!i\it}l
Lr . !h,OSe rU~e~~eg~teratIOD or RelocatIOn
, c" J tnroug
I I . y obtain copies ~~IeGr~s
Constr Contr Number '" q 'll(, . .: .' ".eIM (Note tt2DUe~~~!l9400 Amps
nU~:;;b~1 'i~; t"he Oregon UlilllltrN9tffi~egoo Amps
G ter IS 1-800-332-2a44).
,p.n Over 600 Amps or 1000 Volts see "B" above
D Branch CirCUIts
3'f'f-S/{, 10/01
Owners Name 'PL S Au' LL L
Address 33'S) ~ t"'. ~A a..lc- ~ d E Miscellaneous (Service/feeder not llIc1uded)-Each InstallatlOn
City ;It'-... {~1r: ~ Phone Pwnp or irrigatIOn $ 55 00
"( NOTICE: Slgn/Outhnel1 t,^,Q6~ I $ 55 00 ~-
OWNER INSTALLATION THIS PERMIT SHAtll~~l~ fsQ~ar $ 28 00
The mstallatlOn IS bemg made on property ~IIED UNDEB.JIl\!&lf~ ffil'ercml $ 5000
IS not mtended for sale, lease or rent COMMENCED QlbJi.MIim>6l erm'll~nspectlOn Fee IS $50 00 + Surcharges
ANY 180 DAY PfRlqJkTOTAL OF ABOVE
12% State Surcharge
~1 0% Admmlstral1ve Fee
1)-.:::"J5% Technology Fee
0~ ~(j) TOTAL
I LOCATION OF INSTALLATION:
//1;;; / ~6>VUJ>'; Pac-f~E
- I
LEGAL DESCRIPTION
/70J2bZ3 DZ]ol
JOB DESCRIPTION
tf)v. II 0.1.1 ) oS I t?>-J. rh "2.,,;:JJ
II
Permits are non-transferable and expIre If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
CONTRAcrOR INSTALLATION ONLY
2
ElectrICal contracto~ '_ a..c..
Address 3/ Ins' !1rn"'A/L~S;f S~
Clty~
Phone 93 _:v" <I -;)~ II
EXpIratIOn Date
loJo8
ExpiratIOn Date
'3JI.O
,
"
Signature of Supervlsmg ElectriCIan
~
------, '
Owners SIgnature
.
InspectIOn Request. 726"3769 ~~
ZON
INITIALS
DATE
SOURCE
Date
3 COMPLETE FEE SCHEDULE BELOW
A New Rcsidenltal- 8mgIc or Multi-Family per dwellmg unit.
ServIce Included
1000 sq It or less
Each addlllonal 500 sq It or
portIOn thereof
Each Manufact'd Home or
Modular DwellIng Service or
Feeder
$11700
$ 2100
$55 00
B
Services or Feerlcrs - InstallatIOn, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNotts
Reconnect Only
$ 70 00
$ 83 00
$13800
$18000
$413 00
$ 55 00
$ 55 00
$ 76 00
$110 00
New AlteratIOn or ExtenslOD Per Panel
One CrrcUlt
Each Addll10nal CirCUit or With
ServIce or Feeder Permit
$ 48 00
$ 400
....5S.-
(.."0
.!5 $V
:J 7S"
~q 8S'
Shared Dnve(T )/Buddmg FormslElectncal Permit ApplicatIon 1-08 doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00913
ISSUED: 07/09/2008
APPLIED: 06/23/2008
EXPIRES. 01/09/2009
VALUE: $ 2,155.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclton Lme
SITE ADDRESS 1821 PIONEER PARKWAV EAST
ASSESSOR'S PARCEL NO 1703262302301
SprIngfield TVPE OF WORK Sign
TVPE OF USE New
Commerc131
PROJECT DESCRIPTION SIgn - wall sign for Bank of AmerIca
Owner PK SALE LLC
Address 3333 NEW HVDE PARK RD #100
NEW HVDE PARK NV 11042
I CONTRACTOR INFORMATION I
Contractor Type
ElectrIcal
Sign
Contractor
MARTIN BROS INC
MARTIN BROS INC
LIcense
64761
64761
EXpIratIOn Date
03/05/2010
03/05/2010
Phone
503-364-2211
503-364-2211
BUILDING INFORMATION I
# of Umts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bed. ooms
# of StorIes Lot Size
Height of Structul e Sq Ft 1st Floor
Type of Heat Sq Ft 2nd Floor
W;lffflIblif~ON Oregon law requires ~asement
Rmg!lilfypec,s adopted by the OregorsqililtllGarage/Carport
fule~l/',uln Center Those rules are 19lf iQrtblher
~~~!~?fI~~~~~~~~~~A9~t Load
I DEVELOIlMIDSfIlIJ\!iIl'(1JRMA\P1\?J]lol rile telephone
.IJII,Jl..lr,..I,,'Hr_J.,,' Lr.:yNollflcallon REQUIRED PARKING
Center 18 HI00-332-2344}.
Overlay Dlst Total
# Street Trees Rqd Handicapped
Paved DrIve Rqd Compact
% of Lot Coverage
Front yard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
SOldl Setbacks
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
Spectal InstructIOn
NOTICE'
THIS P . DownspoutslDrams
AUTHO~~~~ ~~~i~ :~RE IF THE WORK
COMMENCED OR IS ABANd'aERMIT IS NOT
ANY 180 DAY PERIOD. NED FOR
Sidewalk Type
Notes
Page I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00913
ISSUED. 07/09/2008
APPLIED' 06/23/2008
EXPIRES' 01109/2009
VALUE: $ 2,15500
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn Desc~lption I
Sign
Use BId Amount
$ Per Sq Ft
or multiplIer
$100
Square Footage
or Bid Amount
2,155 00
Value
Date Calculated
DescrIplton
Tvpe of ConstructIOn
Total Value of ProJect
$2,15500
$2,15500
06/23/2008
l.Fpp< PiiliI.I
Fee DescrIPtIOn Amount Pdld Date Paid Receipt Number
+ 10% Admlmstratlve Fee $2150 7/9/08 1200800000000000755
+ 12 % State Surcharge $660 7/9/08 1200800000000000755
+ 5% Technology Fee $10 75 7/9/08 1200800000000000755
Sign - Outlme Llghtmg Each $55 00 7/9/08 1200800000000000755
SIgn 101-150 Square Feet $16000 7/9/08 1200800000000000755
Sign Plan Review $40 00 7/9/08 1200800000000000755
Total Amount Paid $293 85
I Plan Reviews I
Sign Review
06/23/2008
06/2312008
APP DJB
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectIons requested before 7'00
a m will be made the same workmg day, inspectIons requested after 7:00 a.m. wIll be made the followmg
work day.
I RY'II/,rprl In.,nlll't~
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 energIZIng
Sign Fmal After all reqUired mspecltons are conducted and approved and the sign mstallatlOn IS completed
Page 2 013
-~=i'1
Status
Issued
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00913
ISSUED. 07/09/2008
APPLIED: 06/23/2008
EXPIRES: 01/09/2009
VALUE: $ 2,155.00
By signature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby cerltfy that all
mformatlOn hereon IS true and correct, and I lurther cerltfy that any and all work performed shall be done 10 accordance with
the Ordmdnces of the City of SprIngfield and the Laws of the Stdte of Oregon pertammg to the work descrIbed herem, and
that NO OCCUP ANCV will be made of any structure without permissIOn ofthe Commumty Services DIVIsIOn, BUild 109 Safety
I further cerltfy 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, thdt the permit card IS located at the fl ont ot the property, and the approved set of plans will remam on the site at all
hmes dunng construction ... J
r~ lr 1f,.A- .."frr ...--
St~~ A----l.r_ 0--. Af,tlL {~t..._
Owner or Contractors Signature
..Y(?
Page 3 013
Date
-fry
225 Flft~ Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~
5",
CIty of SprmgfieId OffiCial ReceIpt
Development ServIces Department
PublIc Works Department
RECEIPT #.
1200800000000000755
Date. 07/09/2008
Job/Journal Number Descnptlon
COM2008-00913 Sign Plan Review
COM200S-00913 Sign 101-150 Square Feet
COM200S-00913 Sign - Outlme Llghtmg Each
COM200S-00913 + 5% Technology Fee
COM200S-00913 + 12% State Surcharge
COM200S-00913 + 10% Admmlstratlve Fee
Item Total
Payments l:heck Number AuthOrizatIOn
Type of Payment Paid By Received By Batch Number Number How Received
Check MARTIN BROS SIGNS dJb 21032 In Person
Check MARTIN BROS SIGNS dJb 210S2 In Person
Payment Total
Job/Journal Number Description
COM200S-00913 Sign Plan Review
COM200S-00913 Sign 10 I-ISO Square Feet
COM200S-00913 Sign - Outline Llghtmg Each
COM200S-00913 + 5% Technology Fee
COM200S-00913 + 12% State Surcharge
COM200S-00913 + 10% Admmlstralive Fee
Item Total
Payments Check Number AuthOrization
Type of Payment Paid By Received By Batch Number Number How Received
Check MARTIN BROS SIGNS dJb 21032 In Person
Check MARTIN BROS SIGNS dJb 210S2 In Person
Payment Total
cReccmtl
Page I of I
2 00 OIPM
Amount Due
4000
16000
5500
1075
660
2150
$293 85
Amount Paid
$124 S5
$169 00
$293 85
Amount Due
4000
16000
5500
10 75
660
2150
$293 85
Amount Paid
$12485
$169 00
$293 85
7/91200S