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Home My WebLink AboutPermit Electrical 2008-9-11 09/05/08 FRI 15': 30 FAX 5417263689 " CITY OF~PRINGFIELD . (\t' 141 001 . $PAlNG;III'I~ .... ". ,... .zON. ~'--Y ~a ~. INITIALS .~ .A!. DATE "l,. . 1iiD'., . SOURCE ~~ ~ ,\ "'-' '. '~CITY GF SPRTr!mFIEtD; OREGON ns FIFTH STIl.tJIT . SPRlNGFIELD,OR97.?? . PH:(5-Il)7:z6-J753 . FAX: (5-Il)726-3G89 .' ~ ELECTRICAL PERMIT APPUCATION 'I City lob Numb";' COt'YtZO08-o 134 't ,;: Date Il ; l'/~~':!~t~~. 3, ~&~_gtl.l~~J!~~;j~jlW~1!J LEG170~623 oz 302. .~\!!~!!::~Ii~_ JOB DESCRIPTION: 1000 scj: fl. or less S 16- ,,/ L 1 6-1+"'( f\.{ 7 :::o:d=~ 500 sq. ft. or Permits are non-tran.ferable and expire if w';rk is Each Maoufact'd Home or not started within 180 days of issnance or ifwnrk is . Modular Dwelling Servioe or d . ~eeder '" Sn.pende ,or 180 days. _ . r .' ~',~~,'I ~18~'I~~,.~.:tr:1":"I~:":"rI~).""'~~i~'i"\,~rn.",,~.~.\\"..\;,..' ~"l.!i~,,\ !!1~:I\I~Lll''"'ItIr'''' - "'-.~"~' ,'~it~ I. ~'",'. ~~ii:I"""'I'.~'i'~~~"~'-'I;"~l'-'- ".~I . :i!~C~\"~)il~~:t~~. "'~.. '", . ,.', ., . 'ST.. . "p;. '., ," , B.' I ' .. "', f '., ',"" ~JI ti!J"~', 2. '~"'~1 ., '\ J:f;; ,-, ':~)I'"<l",.~~',.,,,,"" 'I '.,' .; I :'>.' ..',. ;~ ,..,., .'.,'i'!'r>:;; i l1iI.' U'.'ti'<r"'Fe:.:,ii,;'j"l' ";,~i'l ~.~iII~ '^. - ,(". ., 9\ ~"' 0\ """\I.f' . Electrical Contractor ...JAU--"-'l , :;;-1U-:"Ll1!D r ~~fI"IW ~\J~~,,':'%?j3% . . $ 73.00 . . .::....... .~~~~~~~@~ $86.00. r Ad&ess J8?(:;" ~ f ~: ~,\\\~~,~~~&~\~~~ $143.00 . i City ~L77V1 Phone . 4~!i~~~~~.$}~ ~~~::~ . (i' -;;>...~~~\N\~'~.- $57.00' ;, Supervisor License Number ~~LI i*;E*_~J__"'_k... i . EXPiration D&te i (") ~ \ ~ n9'l . 0\ Ins;"Ua~Q, Alteration 'or lliiocatioQ ..)! . 200 Amps Or less .. iii Constr. Contr. Number ' ~rZt;.{ 201 AmP. to 400 Amps ';;:' -- 401 Amps ro 60g Amps ~ Expiration Pate 113, .J. fA ,~ 0 (0 . 0 600 I V " ab o . ver "Am~ or 000. olt;see ''B ""ve. .. v Signature of Supervising Electrician . . 'b, m.._1i'&.fi.!li~[~fi~_il!!Jl1,.~ ~'II '~. '; . y ~ '. n 0:::::::::.. n,. New 'Alb,ratiOQ or lWonslon Per Panel () ~ '--">~ .OneCircuit . .~.oo ( . . " . Each Additional Circuit or with ~ ~ ....~ 1:) S .JrL \ Lt.:... L . Ser:vicc or Feeder Permit ~"\ ~'~ -\~~:UO Owners Name r 1"- ~. - '! ~~ ',0 . 3"'273 d""" .r' I ",,-,,:-.1 E.~: . · "iIl~"'!" '. '!!i'_~.m~ Address . ;;;0;;;0 IV C.ON ";'oiF l"",... .1"-0 "', . "r ~~~.~~,t!M!1J1l . CitY II~ iJ.,.Je ~ft., Phone ~~~~. ~ ~~\>~C?> ~'Q~ S 57.00 . ~Ny Si~.~' rv~ ~rv\>............L_ $57.00 57. OWNER INSTALLATION Limi~ " $ 29.00 The installation is'being made on property r own which . Linrit~ , ~ ercial $ 52.00 is not intended for sale, lease or rent. MiiumlUD :EI~ . Permit Inspection Fee is $5 :,00 + Sorebarg,.. 4. lE'lf'~~""R:~W"'''ill~/B'~~.'''IIl.l')~I~.f!!\1!i1I.''#!! 57 ~~'Jrr~ffi~~D~ I, Ii_~ . 12% State Surcharge . . (P Be{ 10% Administrative Fee S 70 5% TechDology Fee 2 a os- 7zll $121.00 $ 22.00 $57.00 . $ 57.00 $ 79.00 $114.00 - OwnePoi Signature: . In.pectinn Reqnest: 726-3769 TOTAL .. Sh3n:d Drive(T:)IBuil~ FonnsIElectriCli PcmlltAppHoatioo "!-Qa.doc CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2008-01349 ISSUED: APPLIED: EXPIRES: VALUE: Status OK to Issue 09/05/2008 03/05/2009 $ 5,000.00 SITE ADDRESS: 1891 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO.: 1703262302302 Springfield TYPE OF WORK: Sign PROJECT DESCRIPTION: Sign - USBank TYPE OF USE: New Commercial Owner: PK SALE LLC Address: 3333 NEW HYDE PARK RD #100 NEW HYDE PARK NY 11042 Contractor Type Electrical Sign <" J !).ke~UB:J~ 'l\1\1€Z-~"''}i~flRlltM''"..A TlON I UOI\130\1\\ON A\\L:' r 0 ~ '18\Uau.l..\ '.06OQ Contr~S&ltle\e\ 81\\ .eJo~ U\1l\qo I\8IJ1 ": l:Ncj1iI:ense SAL'1.~~~lM<1~Ollt\ O~Oo-~OO-~O\lBllll!\GlN97 SALE\1)"_ "d~~SOltl '.I8~~O'Blllnl~.97 1t\1011"" ~-- ~~C->~-T ~.n~ . - "\\\\0 U0681~ r,m/~ """""'i'''' 'v", I N. . , selln~.u ' 0\"0" # of Stories: . B Height of Structure Type of Heat: Waier Type: Range Type: Energy Path: ' Sprinkled, Building: # o( Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: VB Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 1l8f.YELOPMENTINFO~~~~~~^ ~~\S PERMIT =JH\S:~tRM\if~:Ol AU1HOR\1.~~t01't\&"Ai~RPt{tO . COMMtt{Cf&~~OiU~qd: . ANY 180 r:5!5 of Cui Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: 'Paee 1 of 3 Expiration Date 03/26/2010 03/26/2010 Phone 503-371-6362 503-371-6362 n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downsponts/Drains: Status OK to Issue 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax. 541~726-3769 Inspection Line Description TVDe of Construction Use Bid Amount Sien Fee Description Sign Plan Review + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Total Amount Paid Sien Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01349 ISSUED:' .. APPLIED: 09/0512008 EXPIRES: 03/05/2009 VALUE: $ 5,000.00 I V~I~~tioR De.~criot;~R I . I . Squ,~re Footage or Bid Amonnt I' 5,000.00 $ Per Sq Ft or multiplier $1.00 Value Date Calculated $5,000.00 $5,000.00 09/05/2008 Total Value of ~roject ~ Amonnt Paid Date Paid Receipt Number $42.00 9/5/08 2200800000000001351 $5.70 9/10/08 2200800000000001365 $6.84 . 9/10/08 2200800000000001365 $2.85 9/10/08 2200800000000001365 $57.00 . 9/10/08 2200800000000001365 $114.39 I Plan Reviews il ) 09/05/2008 09/05/2008 APP DJB 'I To Request an inspection call the 24 hour recording at 726-3769, All inspections I-equested before 7:00 a,m, will be made the same working day, inspections requ~sted after 7:00 a.m. will be made the following workday, .., Rp'\llirpr! IRsnections I Sign Attachment: Method ofmonnting the sign to a structure110r pole. Method of attachment of bolts or welds. " Sign Electrical: After connection is made but prior to energizing. Sign Final: After all required inspections are conducted and approved and the sign installation is completed. " , Paee 2i of 3 Status OK to Issue 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541_726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01349 ISSUED: APPLIED: EXPIRES: VALUE: 09/05/2008 03/0512009 $ 5,000,00 By signature, I state and agree, that I have carefully examined the corrpleted application and do hereby certify that all information hereon is t..ueand 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 will be made of any structure without permission of the Community Services Division, Building Safety. I fnrther certify that only contractors and employees who are in comp,liance with ORS 701.005 will be used on this project. I fnrther agree to ensure that all required inspections are reqnested 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 remain on the site at all timesdurir~g construction. Owner or Contractors Signature "\ , " 'I J' Page 3; of3 Date '. 225 Fifth Strcet Springfield', Oregon 97477 541-726:3759 Phone Job/Journal Number COM2008-0 1349 COM2008-0 1349 COM2008-0 1349 COM2008-0 1349 Payments: Type of Payment Check cReceintl RECEIPT #: Description Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By SALEM SIGN CO lNC 1.P~QF'ELI>dij' "'.' .... .~ - . .. 1'Ii:.. .' .__._._....._...~_.. City of Springfield Officiai.Receipt Dcvelopmcnt Serviccs Dcpartment Public Works Dcpartmcnt 2200800000000001365 Date: 09/1012008 Item Total: Check'Number Authorization Received By Batch Number Number How Received djb 30929 In Person Payment Total: Page 1 of 1 8':35:48AM Amount Due 57.00 2.85 6.84 5.70 $72.39 Amount Paid $72.39 $72.39 9/I 0/2008