The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-7-16 ZON ( ( ./ INITIALS t\ yY\ DATF"1 - \ lq --OJ( SOURCE ""~"7J ,I/ln 10<1-. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRIC4L PERMIT APPLICATION CIty Job Numbet( .K:lY\ l))i) (' - CJ \ 01 I Date 1 WGATION OF INSTALLATION. 3 COMPLETE FEE SCHEDULE BEWW 30 s, 3.?!f2 -I'<: f 1'S'':> ~'" ~IO LEGAL DESCRIPTION A \-:In'":J.~\ l"I-jm<D( JOB DESCRIPTION ~oc'<- ..:>(' G2) <;...d-s. ~...,~ ,^",,,,,,,,,,'<LJl C.-~ I.1..l:tw.> '\0 \L>W>~ f""""" S~I"-I, \ "'~,\I\ 0'"" loch\... tJb''''- ~ So-> \c'\.-, tu..",,,,,,,,,., Permits are non-transferable and expire If work IS not started wJthlD 180 days of ISsuance or If work IS Suspended for 180 days 2 CONTRACTOR INSTAlLATION ONLY Electncal Contractor -r:;..,....~ I.!. ~o S'? "- Address ,,;;1l,.,o (0i'~""~S <:>\. CIty f""':.~, O(~'!:c..c Phor(510f !/'1,1/ I'tV 't'\'{o.;1 Supervisor LIcense Number fa l{ L( $' i ~ EXpIratIon Date /0 -j ~ r Constr Contr Number Ilo I ~I :>, ...,7Q-53" Cl.S <'\' \l\'/... ~;;hrrcJuP~l0tP ~ ExpITatlOn Date M{b~ A\Io<u,S ; LLL OwnersName \'b,enk", AI~ \<U.<j'"\ Address '{Os.s ~,"" ""1':,\"",-. '- CIty ~O""'- Or~o.J Phone(2\fI\ql~. ol-~ . . '1'1-'\OS OWNER INSTALLATION "'j .. '"' The Installahon is bemg made on p' up~"i I own whIch IS notrmtended fot".,ne:<lease,or.<l:J:lt , ..~, ."'1,,, 01lliLL tAt-'/RE IF THE WORK Own~ris,g~~;110 U1~DER THIS PERMIT IS NOT l u I' _~dCED OR IS ABANDONED f:nR f .\ I I au UAY PERIOD Inspecnon Reqoest 726.3769 New Resldentl8l- Smgle or Mulh-Famdy per dwelhng UOlt ServIce Included 1000 sq It or less Each addlhonal 500 sq ft or pomon thereof $11700 $2100 Each Manufuct'd Home or Modular Dwelhng ServIce or Feeder $55 00 B ServIces or Feeders - Installahon, AlteratIOns or Relocahon 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 C. Temporary ServIces or Feeders InstallatIOn, Alteration or RelocatJon 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55 00 $ 76 00 $110 00 Over 600 Amps or 1000 Volts see "B" above D Branch ClrcUJts New AlteratJoD or ExtenslOD Per Panel One CIrCUIt $ 48 00 Each AddItIOnal CIrCUIt or ~Ith _ 91 J9\U90 ServIce or Feedc!Ppffi\]ijEE 009 ~ $ 4JlRu UOll'E!OIJI\ON AJI\lln uoBaJU "41 AU. Jaq , '. , e, "'"'' a)nNt JalUaO aLlI ~U1lle.g t E M.scellifn~b'iill '("....'Cealfe5'1l'1e1W6'R€IIl'ffljA ~lJInstallahon Aq SalnJ 0'11 jO SOl 00 14' 'M 7('~ \ "if) q6nOJLlJ 0,00-,00'296 8'Q'0 UI Pump.or~rrngatJon' ""'''n'' I 1'"11110""" 1'c$,5~~~N "\, .... l. 1111' \ "_'" Y.,-.... SIgn/Outline Llghhng _ I, Qr rl~ ;01$ 55 0001 , \ t) 0::> L.mltedEnergx/!l.SS'<4JQtlal " " u<j r,c, $ 28 00'Q' Lmuted Energy/Commercial $ 5000 MIDlmum ElectriC Penmt Inspeehon Fee IS $50 00 + Surcharges 4 SUBTOTAL OF ABOVE \ to CO l ., , ;;10 II. oc> ':;.S\l 12% State Surcharge 10% Admmlstrattve Fee 5% Technology Fee t\ \ ~'\.1'\) Shared Dnve(T )/BUlldmg Fonns/Electncal Permit Application 1-08 doc TOTAL 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008.0 1 071 COM2008-0 1 071 COM2008-0 1 071 COM2008-01071 Payments Type of Payment Check cRecunll RECEIPT #, Description SIgn. Outlme Llghtmg Each + 5% Technology Fee + 12% State Surcharge + 10% Admmlstraltve Fee PaId By IMAGE KING ~tij CIty of Spnngfield OfficI31 ReceIpt Development ServIces Department PublIc Works Department 3200800000000000506 Date. 07/16/2008 Item Total Check Number AuthonLatlOn Received By Batch Number Number How Received NJM 11336 In Person Payment Total Page I of I 3 22 59 PM Amount Due 110 00 550 1320 1100 $139 70 Amount Paid $13970 $1397U 7116/2008 -w;;..~ CITY OF SPRINGFIJ!.L1J Building/Combination Permit Status Pendmg 225 FIfth Street, Springfield, OR 541.726.3753 Phone 541-726.3676 Fax 541.726.3769 InspectIOn Lme PERMIT NO, COM2008-01071 ISSUED: APPLIED EXPIRES: VALUE' 07/16/2008 01116/2009 SITE ADDRESS 130 S 32nd St ASSESSOR'S PARCEL NO 1702310000501 Sprmgfield TYPE OF WORK Sign TYPE OF USE New Commercial PROJECT DESCRIPTION SIgn Owner MCGLADE & ALBERTS LLC Address 4055 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type SIgn Contractor IMAGE KING INC License 161313 BUILDING INFORMATION' ExpiratIOn Date 09/0112008 Phone 541.484.1482 # of Vmts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones Height of Structure Type of Heat Water Type Range Type. Energy Path Spnnkled Bmldmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor. Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback SIde 1 Setback SIde 2 Setback, Rearyard Setback Solar Setbacks Overlay DlSt Total # Street Trees Rqd Handicapped Paved Dnve Rqd Compact % of Lot Coverage "1' '8:) ." 7 -~z "'rl):'~O~""- \ SI Ie, ...." lFInll'nU J,,,; >- :J ,-~ "1 ~ ". Street Improvements Storm Sewer AvaIlable SpeCIal InstructIOn I PUBLIC IMPR/'iviMENTS, '> ,) J:~'~~:Yn~^ OGOO . , v J t..\c I I '1...'0 UI k:J €....ln~....L j -' - - ~-c?('-:' \ h -l'OO:ZSG B\'O LI')r,~~~deW~~~~j lI'~~B;rpl0N II1JOI18s are S81nJ 8 ~~~~!l!l~~/llrains't\OIlOI J.\lllln UOD8JO 8L11 06alO NOllN3J.lV' 0\ no" saJlObaJ M'8\ U Notes ~ t ,- , i-ri;s ~CRI'i1T SH,',LL EXrd"~ iF- Tf-:::'I"u,,;'\ 'I Aun:ORIZED UNDER THIS PER,vllT 1~~1ll1natlOn Desc~lDtlOn D r~~lnMENCE~ OR I~S6iYABAtNDONED FO~Per Sq Ft Square Footage esdiojl w,e,q ns ructlOn A 180 DiI n::n , or multIplier or BId Amount Value Date Calculated Pa!!e 1 of2 ---~ iii 1bM~J'fU -... CITY OF SPRINGFIELD Building/Combination Permit Status PendIng PERMIT NO ISSUED APPLIED: EXPIRES: VALUE: COM2008-01071 225 Fifth Street, Sprmgfield, OR 541-726.3753 Phone 541-726.3676 Fax 541.726.3769 InspectIOn Lme 07/16/2008 0111612009 Total Value of ProJect Fees Paid I Fee DescnptIon + 10% Admmlstratlve Fee + 12 % State Surcharge + 5% Technology Fee SIgn. Outline Llghtmg Each Amount PaId Date PaId ReceIpt Number $11 00 $13 20 $5.50 $11000 7/16/08 7/16/08 7/16/08 7/16/08 3200800000000000506 3200800000000000506 3200800000000000506 3200800000000000506 Total Amount PaId $13970 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, L ReoU'lred J nSQectlOns , """"\f IIIII 1IIIIi r. . SIgn Electncal After connectIOn IS made but pnor to energlzmg By sIgnature, I state and agree, that I have carefully exammed the completed applicatIon and do bereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY wIll be made of any structure Without permIssIOn of the CommuDlty ServIces DIVISIOn, Bmldmg Safety I further cerMy that only contractors and employees who are 10 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, that the perm.t card IS located at the front ofthe property, and the approved set of plans Will remam on the sIte at all tImes durmg constructIOn Owner or Contractors Signature Date Paee 2 of2