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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 ._$..5!....,A..,"......I.~...I1.I.-'ii. ..--.'. lilt. -',' L.f"~" !\ ,-':""."',. it 't ' ':c: ,,"" _'.,H <...-- ., . ....._ ,....._..._'_L_"'..~'" _~ 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.' '~".' ". '... ..-,.' 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