Loading...
HomeMy WebLinkAboutPermit Electrical 2008-7-9 . ,~ ' "f' "il '-'.' . 1~ --. .. . ',' CITY OF~S,~~9f~LD;to~Gq~1~L~f SPRINGFIELD :;;JJ ~ eA~?h ~~~jf~", <\;;-lid~""^,, P1 ._,~'~ 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