HomeMy WebLinkAboutPermit Signage 2008-7-16
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-010n
ISSUED. 07/16/2008
APPLIED. 07/16/2008
EXPIRES: 01116/2009
VALUE:
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspechon LIne
SITE ADDRESS 4270 MAIN ST
ASSESSOR'S PARCEL NO 1702323102201
SprIngfield TYPE OF WORK SIgn
TYPE OF USE
New
CommercIal
PROJECT DESCRIPTION SIgn ElectrICal
Owner HEACOCK INVESTMENTS LLC
Address 6893 MAIN ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION 1
Contractor Type
Electllcal
Contractor
IMAGE KING INC
License
161313
BUILDING INFORMATION I
ExpiratIOn Date
09/01/2008
Phone
541-484-1482
# of Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary CoustructlOn Type
Secondary Consh uchon Type
# of Bedrooms:
# of Stones
HeIght of Structure
Type 01 Heat
Water Type
Range Type'
Energy Path
Sprmkled BUIldIng
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/d
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dllve Rqd
% of Lot Cover dJ\~' ,r '
tol I
- , -
,,,,,I...
Total
HandIcapped
Compact '0
,0.... c
.J I.; ,tv
d- _ S3l iJ~ t,h
Street Improvements
I PUBLIC IMPROVEMENTS 1__ eJ1 u0 ,0 l , L . r'~ ul :"G":ule~obY
. - ,-" \ \ obtain COpl....,) 0 .1
0090 YOll n'S}en Ik ];ype' the telephone
calling the 0 n;~!I P~ffQ ,V\I:lty Notification
number 10rm~ Q,)'i:l~~S\!!'&44)
Center IS -tlU
Storm _&ewer A vadable
~ SpecIal InstructIOn
'''0 I ,- :"IT S'
'IU~~J~":ED UI~1~~l EXPIRE IF THE WORK
( O!v1'/IE,.JCFn no ".. R ~H/S PERMIT IS Mnr
A IV Y ] 80 DAY PE ,C l,u"'''UUlVtD FOR
RIOD. I ValuatIOn DescriDtJ?n I
DescrIPtIOn
Type of ConstructIOn
$ Per Sq Ft
or mulhpher
Square Footage
or BId Amount
Value
Ddte Calculated
Page I of2
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01072
ISSUED. 07/16/2008
APPLIED: 07/16/2008
EXPIRES. 0111612009
VALUE
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees PaId n
Fee DescrIptIOn
+ 10% AdmmlStraltve Fee
+ 12% State Surcharge
+ 5% Technology Fee
SIgn - Outlme Llghtmg Each
Amount PaId
Date P dId
$1650
$1980
$825
$16500
7/16/08
7/16/08
7/16/08
7/16/08
ReceIpt Number
2200800000000001096
2200800000000001096
2200800000000001096
2200800000000001096
Total Amount PaId
$209 55
I Plan RevIews I
To Request an InspectIOn call the 24 hoUl 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 Re~,uired Tnsne,ctJon,s I
SIgn ElectrIcal After connectIOn IS made but prIor to energIZIng
By sIgnature, 1 state and agree, that 1 have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and 1 further certIfy thdt auy and all work performed shall be done 10 accordance wIth
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregoll pertammg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any structure wIthout permISSIon of the CommuDlty ServIce, DIVISIOn, BuIldmg Safety
1 further cerltfy that only contractors alld employees who are m comphance wIth ORS 701 005 wIll be usod on thIS project
1 further agree to ensure that all reqUIred mspectlOns 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 remam 011 the site at all
times dUring constructIon
Owner or COli tractors SIgnature
Date
Pa!?:e 2 of2
ZON C G
INITIALS '('\.~
DA'fEL - \/--0<(
SOUR~ '( \ ~01 )
Date~
COMPLETE FEE SCHEDULE BEWW
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
200 Amps or less $ 70 00
20] Amps to 400 Amps 5 'In'' tn $ 83 00
"" l'::l'N reaUlre 1 -
A:ni!Hl'\'Yl>'s 10600 ~ps I CrE'On,' IllliltV $13800
, " r ~ , rl oy \ 1e ~ t 1 rth
fo\\o@tlAmpSlio-TOOOAn'RS[,1'0S are,se 0 $18000
Notll@velCl060~AlJi~~~~t;;;Ugh OAn ~5"-UU~- $413 00
In o~eQP6! eODles 01 the ru'~o {$ 55 00
0090 You may 0 Jtalf1(Noie the te\ep"~"~
tCfi\h~t:l.r. cen~~~ bltIFel\J~Wr1tCatlon
number'1'6r'ft!G 1 800-332-2344).
C':enter IS -
InstalJation, AlteratJOD or RelocatIon
200 Amps or less
,,;)0- ,",be t.\.S 201 Amps to 400 Amps
40] Amps to 600 Amps
ELECTRIC~L PERMIT APPLICATION
CltyJobNumb.(. 1'Y:'I\7J.<\\ll --[J\07'7..-.-'
I WCATION OF INSTALLATION: 3
4 ;)1-0 ~ <S~tt-'\ rsUb\>.>'4}
LEGAL DESCRIPTION \.... A
\\nl2,,~3 \ ()7"?-<.0 \ _
JOB DESCRIPTION ~ - C~-\; ~) ~J
"RQ.Ur...>"'""\ c...~ ~ C)(' -e,l.t.l "I
. ~ (5) s.lf ~LDt'~.M.- \\...",,-" <;.:.,,~~ ()~:)
F'Jl\S~ fN.. 5~~."\)
Permits afe non-transferable and expire rfwork IS
not started WIthlD 180 days of Issuance onfwork IS
Suspended for 180 days
2
CONTRACTOR INSTALLATION ONLY
Electncal Contractor
~~ \<,;,,~
CS",-~,-.:t~
Address
.;;? l. 0 c:; ...'..",E'::>
"3.,
CIty
f.'^"j on> , NO%,"'" Phone I5ql) q~l{ 14~~
'\'I:~oJ.
Supervisor LIcense Number
b lfll C:;~ (A
,
ExplratlOnDate /() -f -0((
Constr Contr Number
t lo\~Lz..,
ExpIratIon Date
"lIt \ I\R
-lid II
1;~L~ls(1~
P"'r~<~
Owners-Name "J'l\cl:.. l-lu,,-~C1L
Address (,,'l.'l ~ W\<L~ -.T.
CIty 5>".~.~nA or,~Phond6'1l)
- J 'IT'f\:\\ '
OWNER INSTALLATION
The mstallatlOn IS bemg made on property I own whIch
IS not Intended for sale, lease or rent
'Ht.. !;;1'Q
Owners SIgnature
InspectIOn Request 726-3769
11
0"<1
New Res.dentlal- Smgle or Multi-Family per dwellIng UOlt ''"'-"
....
....
Semce Inclnded
] 000 sq it or less
Each addItIonal 500 sq ft or
portIon thereof
Each Manufuct'd Home or
Modular Dwellmg ServIce or
Feeder
$11700
$2100
$55 00
B Services or Feeders - InstallatIon, AlteratIOns or RelocatIOn
$ 55 00
$ 76 00
$110 00
Over 600 Amps or ] 000 VoIls see "B" above
D Branch CIrCUIts
,r-- .,..!"'"
I'/e'! AlteratIon or ExteuslOn P\'!'lanel, 1 E ~C R K
OpM0rfnJJfr'IIT SHALL EXP\'-c \1 \1 A8-<jO
EacLhtddrtlo~.itUli\wlllJS t"'tl'\lvrif I I~U
sfu,ch'~<-j!.;.d""P.ermIS ABANW",~n ~()R 4 00
\"UIJI!VltN\"tuUI"[' , ,
I\.MV Htn nay PERIOO, _, t .
E I'1'msc(HP.tn~ (Servlce7teeder not mcluded) -Each InstallatlOD
Pump or lITIgatIon $ 55 00
SIgn/OutlIne LIghting .-'-> $ 55 00
Lnmted EnergylResldentIal $ 28 00
LImited Energy/CommercIal $ 50 00
Mlmmum Electnc Permit Inspection Fee IS $50,00 + Surcharges
llo:> Ci)
4 SUBTOTALOFABOVE
I (s,S" (l)
lq,q,o
\ 1..0 ' ")0
't .;2"
12% State Surcharge
10% AdmInistratIve Fee
5% Technology Fee
TOTAL
J 09.5 S
Shared Dnve(f )/Bulldmg FonnslElectncaI Permit ApplicatIOn 1-08 doc