HomeMy WebLinkAboutPermit Electrical 2008-8-29
.1
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL ~FIP!!..'f.APPLICATION
City Job Nurriber crl-\lW. Dille
I. 3.
/22 .f6"n.t .sT-
LEGAL DESCRIPTION:
J8 I s+-lh/9<< /J
Slo.,(/
JOB DESCRIPTION:
kc--4vJ1/1 St:: at-ICt A~I? I.JOt77J..1,;
Permits'are non~transferable and expire if work is .
not started within 180 days of issuance or if work is
Suspended ror 180 days.
2.
. Electrical Contractor
IJ4-vU1
Address
"7'",6s" 7Ylxl{ S'j", _
Ji_5
City Et? LrLc -7-< IF' ,C:,(J
Phone 5'#/-S-~J-d6 1$
Supervisor License Number q'i? 2-S
Expiration Date
/0 )1 (J
Constr. Contr. Number /.,.f? I 77
Expiration Date. 1// //Ll
S~~;~iW
~
Owners Name ~ ~o1'-
Addres~ 1~ B\4 \,\~i so1~
City 7J..C\en e/ Phone . .
OWNER INST ALLA nON
The ~'l:'~'~,~ing made on property I own which
1S n~al~;alQ"l rent.,. ., .. . '
N~tifi ~. es adOPted by,aWthreqUlres You t
0"'" .ente ; t ' e'Ore '. 0
009/1 '" . .2-001-0;; h~~e rUles a~eo~", UtIlity:
Calling9ih~': Obta~;i~~'oUAR 95~;~ .
IlUflIb&r for the "i;r. (Note: the ~ t~e rUles by
C"nr . regOn~fi" e ephone
Inspection"Reqflf,/fi ~~7 "lty NOfificatio
"'2344). n
ZON~
INITIALS .tM.> .
DATE 'tYT.,'-\. oO<r>
SOURCE ~
Each Mwufact'd Home or
Modular Dwelling Service or
Feeder
$121.00
$ 22.00
$57.00
B.
~1DP'
/
$ 73,00
$ 86.00
$143.00
$186.00
$426.00
$ 57.00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts
D.
$ 57,00
$ 79.00
$114.00
New Alteration or Extension'Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit /
$ 50.00
$ 5.00
~4a:J
.<
~\~'1.t A.
n ~\6U Service Included
\ 1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
s r/Jdr ",u:z::/}J/c,,(./C 200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
E;
Pump or irrigation $ 57.00
Sign/Outline Lighting $ 57.00
Limited Energy/Residential $ 29.00
Limited Energy/Commercial , $ 52.00
TOTAL . . R .'
Shared Drive(T:)/Building Forms/Electrical Permit Application 7-08.doc
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01000
ISSUED: 07/08/2008
APPLIED: 07/07/2008
EXPIRES: 01/08/2009
VALUE: $ 12,450,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 122 36TH ST
ASSESSOR'S PARCEL NO.: 1702314204100
Springfield TYPE OF WORK: Sign
. . TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - freestanding sign
Owner:
Address:
MONROE HUGHES
29814 KELSO ST
EUGENE OR 97402
Phone Number: 541-746-4999
I CONTRACTOR INFORMA nON,
Contractor Type
Electrical
Sign
Contractor
DA VID STUCK ELECTRIC LLC
OBlE CONSTRUCTION INC
License
158177
90966
Expiration Date
01/01/2010
05121/20 II
Phone
541-485-8855
541-343-2436
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary' Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
S-I
nla
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsffirains:
Notes:
Page I of 3
Status
Issued
CITY OF Sn-(Jl'lt.t<iELD
Building/Combination Permit
PERMIT NO: COM2008-01000
ISSUED: 07/08/2008
APPLIED: 07/07/2008
EXPIRES: 01/08/2009
VALUE: $ 12,450.00
225 Fifth Street, Springfield, OR
541,726-3753 Phnne
541-726-3676 Fax
541-726-3769Inspeetinn Line
I Valuation Oescrintion I
Sien
Tvtle nf Cnnstrnctinn
Use Bid Amnnnt
$ Per Sq Ft
nr mnltiplier
$1.00
Sqnare Fnntage
nr Bid Amnnnt
12,450.00
Value
Date Calcnlated
Description
Tntal Value nf Prnject
$ t 2,450.00
$12,450.00
07/07/2008
Fpp"",, P,<:J\U
Fee Description
+ 10% Administrative Fee
+ 5% Technnlngy Fee
Sign 61-100 Sqnare Feet
- Sign Plan Review
+ 100/0 Administrative Fee
+ 12% State Snrcharge
+ 5% Technnlngy Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps nr less
Amnnnt Paid
Date Paid
Receipt Nnmher
$14.00
$7.00
$140.00
$40.00
$7.40
$8,88
$3.70
$4.00
$70.00
7/8108
718108
718108
7/8108
8128108
8128/08
8/28/08
8/28/08
8128/08
2200800000000001036
2200800000000001036
2200800000000001036
2200800000000001036
1200800000000000921
. 1200800000000000921
I 20080000000000092 t
1200800000000000921
1200800000000000921
Tntal Amnnnt Paid
$294.98
I Plan Reviews I
Sien Review
0710712008
07/0712008
APP DJB
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.
~irprll"snections I
Sign Lncatinn: Tn verify the Incatinn nf the prnpnsed sign.
Sign Footing: After excavation and forms are in place, but prior to concrete.
Sign Attachment: Methnd nf mnunting the sign tn a strncture nr pnle. Methnd nf attachment nf hnlts nr welds.
Sign Final: After all required inspectinns are cnnducted and apprnved and the sign installatinn is cnmpleted.
Paee 2 nf3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 [nspeetion Line'
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2008-01000
ISSUED: 07/08/2008
APPLIED: 07/07/2008
EXPIRES: 01/08/2009
VALUE: $ 12,450.00
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 [ 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 ,viii 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 cnsurothat 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 ofthe property, and' the approved set of plans will remain on the site'at all
times during construction.
Owner or Contractors Signature
Paee 3 of 3
Date
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 I 000
COM2008-0 I 000
COM2008-0 1 000
COM2008-0 I 000
COM2008-0 I 000
Payments:
Type of Payment
Check .
cReceintl
RECEIPT #:
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ EaAdd
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID STUCK ELECTRIC
1rRA;Q~.~ji.' '~".' ". '...
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n~".., .....-__.' _:.. .,' ..;.-
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000921
Date: 08/28/2008
9:49:24AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70.00
4.00
3.70
8.88
7.40
$93.98
Amount Paid
IIh
$93.98
$93.98
2573
In Person
Payment Total:
Page I of I
8128/2008