HomeMy WebLinkAboutPermit Signage 2008-9-26
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225 FIFTH STREET .' SP~INGFItLD, OR 97471. PH:(541)726.3753. FAX: (541)726-36891~
ELECTRICAL PERMIT APPliCATION ,
City Job Number COM -z.... 0 0 8- 0 I L{ 7 '.S
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LEGALDESCRJPTlON: (70'3 Z,bZl.{'
~I.L\ ri ~Q..G-\. oST03
Servicc.1ncluded
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1000 sq, ft, or less
" .. Each additional 500 sq.. ft. or
o --I-~ 0(" \'"\\0~\\ (\C\~ lzn \ :)\S'Iponion thereof " ' ,
. Permits are non-t~ansferableand expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or $57,00
Suspended for 180' days. Feeder:
.'-"'_"-''''--~''''''''''''_~'",''''','''''''''Jl''"-'''''''''-~ 'W'-"', """","""" '"""""~"""', ''''','~'''', i"",,,~.., "",' '-'~, ",~ "','~~,"'"'=,',"c,,"",'."....."".,'~,',"
.,..;;;"'_"""" '~""<jl"<,, '.if"~""~".~r.''''''''-'' ,'~'_.,.~,. ,.;. ...,' ~,.w_ ",,"",";'. . :""'~'~'2"'..tO.~~'5-;:m:.;"/';-!et!~t."i"';":".";;!l,,\;I"'~>- '. -. . l!"':>':~W;'%\>':.'~-lJY"-:-i<!<
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2. ~\!~~M~~;~~t~4~\[~g~~ B. ~~;2f1!\~~~~~~ti~~~=J~~~lli;~i"'5
Electrical Contractor ~;S' ;{-\.S'i~<\' ,A>:'r:'J"?~200 Amps (>rless $ 73.00
r ,0.. 0'_. ATratn'~ refW86h"lgs $ 8600 .
Address~I[S "ro:\C\Q. c-'-' fOI~OI/f(JI~l!Ibf!ll1!ctB'ffreqUfresyouto $14300
, Notlft~'O~lltelo~ he Oregon Utility $18600
City ~ Q, {L Phone 5\ \- % -s::,~~ 9~f!ggd;.OO1>~~~~:he9~~_~n~_ $426.00
Q\~1027' . calli 'i~ro!llJ;!llllncOPiesOfther:k" $5700
, e center. I (Note' th t -.. wt
'70 (- r I C- nU~~WAffJit~~19l~AA'l!iliili~~2-a~ti~!~~J1"~1~..<I;:;;,r;'t::;;f~
2> ") .; ~"l:IlIIl#r.Ill.1'800'332~2~"''' on~"'~ ..",~.,:, ' .."". - 'I
t r) / () 7, Installation, Alteration or Relocation
, 200 Amps or les;
Constr..Co~tr, Number \ l o3Ll '\ 0 201 Anlps to 40Q Amps
401 Amps to' 600 l\mps
JOB DESCRJPTlON:
$121.00
$ 22..00
Supervisor License Number
Expiration Date
Expiration Date '?l \\ u \ 'CO l l
$ 57.00
$ 79.00
$114.00
Si~ature of S~pervising Electrician
"
Over 600 Amps or 1000 Volts see ~B" above,
~i'-AOl.<.,~'<,~><-":'h";;ii~~~~~~""''M.~~\'4~;-~~'f!i.i!~r'~'.!;~~r ~;",;~.'''''-$t':;~~~~
D. lLBr!!!~~I!:~lrE.~~lJf~}.~~~~';~~~{7~~~~1;~~1V:~~~
, New' Alterationi;or Extension Per Panel
o - c..., ( J 5'1'151(R One Circuit
~, , ~~lAdditiOnal,:Circuit or ~ith
OwnersNameeJ. WtOCk- I;,.vcsf....cv ce or Feeder Permit ' $5..00
Address~O. rs,~~' Lfo.8 E.~!E~trei~J1~g!~!~
$ 50,00
City CU &t="^,f~~ Phone
OWNER INSTALLATION
The installation is being made on property 1 own which
is not intended for sale,leaseor rent.
~p;tt~~mL EXPIRE If 1Wi wdJi~~ CS~ CO
A 'f't\tl'f:lfZ'EIJ~Ef\1iW1IS PERMIT IS ~l 00 .
C~MENeEtr~PI'1&eA8ANDONED F,O~ $ 52.00
Min~m.ftc~:at..~l~"!,,'::?III~~ F:~~~..oo ;:.urcharges
4. ,jSUBTOTAl:OF'ABOVE, ''IM'''"i,,,,,, J,
j;'~:&i,'l;i~';:''ii,{~~~<';t.;~~~~:lW.;i~~.,d~;! :~~. ,&'i'(\
12% State,Surcnarge
10% Administrative Fee
5% Technology Fee
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Shared Driye(T:)/Building FonnslElectrical Permit Application 7-08.doc
/
O'wners'Signature:
Inspection Request: 726-3769
TOTAL
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
J>,ERMIT NO: COM2008-01473
ISSUED: 09/26/2008
APPLIED: 09/26/2008
EXPIRES: 03/26/2009
VALUE:
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 514 Q ST
ASSESSOR'S PARCEL NO.: 1703262405503
Springtield TYPE OF WORK: Electrical Work Only
. . ) .
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Sign electric
Owner: E A MOCK INVESTMENTS
Address: PO BOX 408
EUGENE OR 97440
I.CONTRACTOR INFORMATION 1
Contractor Type
Electrical
Contractor
E S & A SIGN CORP
'License
163470
Expiration Date
03/16/2009
Phone
541-485-5546
I. BU!L.DlNG l~p:m1\'nifION'
, ATTENTION: Oregud ,au 1~oregon Utility ,
# of Units: . . 1 \loW rules adoPtediPllf~foM~are set forth
Primary Occupancy Group: N~tificatidh Center. Tlfffiili\'i\'st..l({<O01.
Secondary Occupancy Group: OAR 952-001-001~~ e 'ttie rules by
Primary Construction Type ~090. 'ftS1l may obtai fJ", 1X1I't!llepho~e
Secondary Construction Type: calling the center. BR!l5t\fiffWotilicatlon
# of Bedrooms: ' number lor the. O;elli\l!$:t~). , '
. ' Center IS ~~~inkled Building: '
I; n/a
~,
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
,.-"
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% Of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NU \ ~nn,II;;'\lli!aRti)'tiIIII1IImllil1'5 (l\1: WOR"
THISIfi;:u ' .~ow.w.i1l17r ~IT I NO" ,
AUTHORIZED UNDER THIS pl:h t:O~dewalk Type:
D OR IS ABANDONED ~.
COMMENCE '; Downspouts/Drains:
ANY 180 DAY PERIOD. .
Notes:
"I Valuation Descrivtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
8.quare Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status , Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
EERMIT NO: COM2008-01473
ISSUED: 09/26/2008
APPLIED: , 09/26/2008
EXPIRES: 03/26/2009
\:ALUE:
"
'Total Value of Project
Fees Paid.
Fee Description
,+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Amount Paid
Date Paid
Receipt Number
$5,70
$6,84
$2,85
$57.00
9/26/08
9/26/08
9/26/08
9/26/08
2200800000000001447
2200800000000001447
2200800000000001447
2200800000000001447
Total Amount Paid
$72.39
Plan Reviews I
To Request im inspection call the 24 hour recording at 726-3769. All inspections re,quested 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 ~ef"!ir~~. In~'l~~~i,~,f!~ I
Sign Electrical: After connection is made but prior to energizing
By signature, I state and agree, that I have carefully examined .the completed ap'jJlication and do hereby certify that all
informalion hereon is true and correct, and I further certil'y that ailY and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUP ANCY.will be m-ade of any structure without permissio,n 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 ensure that all required' inspections are requested at the prop-e:r time, that each address is readable from the
street, that the ,permit card is located at the front of the property, and the appro~ed set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
,
Pa2e 2 of2
22~ Fifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0 1473
COM200S-01473
COM200S-01473
COM200S-0l473
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
.Description
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
+(0% Administrative Fee
Paid By
ES AND A SIGN CORP
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001447
Date: 09/26/2008
Item Total:
Check Number ;Authorization
Received By Batch Number Number How Received
djb 026355 In Person
Payment Total:
":',
~
Page I of I
10:33:45AM
Amount Due
57,00
2.S5
6.S4
5,70
$72.3\1
Amount Paid
$72..39'
$72.39
9/26/200S