The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2008-12-9 ZON ~ \)0 INITIAL~ t}:\ DATE fi'U\ -0 z::> SOURCE >>- WlV 22S FIFIlI STREET -SPRINGFIELD, OR 97477 - PH:(541)726-3753 - FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number 'COl>V\ZCO!"- Or7Zb 200 Amps or less $ 73.00 201 Amps to 400 Amps $ 86.00 "e/J/ J 401 Amps to 600 Amps $143.00 , .' ,60) Amps to 1000 Amps $186,00 ..s9/ ..Je7o l i:. ~/,Qv~r'IQq9.~psNolts $426.00 ,":()lil!Reco~ect Oiil~~o $ 57,00 II} OA;::;c'/!I)I}, ,"ClOp/; n /q, i1I o 'r'IiI'Q'"" c,~'~ 090C, ','illI:l_"'~"~"7' ,- &"0"liili!~IIi~llf'~iilli~ll,+_' 2. 2 e.3 oS' Cq//il}'y,s. :rr~'r3ff~1~ffJh fO,~*~I~,~~IJJ..j,fulii~ n/Jllib 9 the :v ob/qi hro/Jo es qr Uti/it , elJ~~I?lti!!n, ~lfew~1l Or.j~~6attl0l1~ CI!~j;k'~Jj~g/e: /~ Of the r '52'0'01. 20 I Al,J.'{ifjA~,f.JJiiii ; /e/ep~/J/"s by , ps o"(J;j2.')~'NOl" "on" 401 Amps to 600 A'IIlp<f4j.lfJCq/iOt; 600 Amps or 1000 Volts see "Boo above. ~.~-"~ Owners Nam.rT;i;(rr .:r:;Wf:rr wll::7lIn Address JIll J41c>h~ k.. r.sl... J.. S:r>r:-(j Phone 7~/ ,Pump or irrigation ,$57.00 AUTri M/T SH~5outline Lighting j $ 57,00 .s-- 7 0 0 O~~R INSTALLATION COM OR/ZED UNot~&M'~8al $ 29,,00 !he m,stallation is being made on property ~ mCIPED OR J'su;rlJ1%.f1JifMrJ~'j!j1JM $ 52,00 IS not mtended for sale, lease or, rent. DA Y ~ . ~1#lQNPErpPfrJns~lction Fee is $52.00 + Surcharges .F'" , %1Hf$iW~"fGmvX~"'!ti.r.,#'M4lI"P'ShO'Z;. 11 4. ,SlffB'l:(i)T:A'L'OEiWB(i)'JlE ;j" '",'",'" " .,. ..~ ". d{>' ,.,,, 12% State Surcharge )0% Administrative Fee ,5% Technology Fee 1. l,qrQ,1AlfJ(jNl@EliNSTtT!I-i'i'(jN~..IIi-m ~ill:iliY",nkl{0ii'",''''ifu?lt;;",:*,,,,,,,",,,,,~!1~fl!tilildiim:&.m~ /// / /?/c7dA-~'<: AL'. ///) LEGAL DESCRIPTION; /70s 2533 1700-0 JOB DESCRIPTION: ORF6o~ Lo ~/ ...s/6AJ Permits are non-transferable and expire if work is not started witbin 180 days of issuance or if work is Snspended for 180 days. if0j3011fbitlifulJ=~I!i&NWB~rm~lj!MI"l'i1,":~~;~illdi0i"bi.'DN'Jj;\ii[jjW~$l'J~ ~,OONFRJ1(!F(i)RfJNS'l::A'LEA.TION'.ONL;Yi::J!J B. 2. ~eJ1t:fiJ1rl0:Mnw,*!'J,/jfi025+'*1G:':0'53!i0'YS\S;MF;';liIl%in'iik1f*::i~Uiiifimillii;"iiNih.il Electrical Contractor 4/.q:'J(J~ EC:<s::(, //tIC Address .2 z..Z b ~ / ~ . City ftr>/~/J".Tb,JPhone O.t? <? 7828 Snpervisor License Number Expiration Date X 'h-\ -2010 Constr, Contr:Number d9_?so \ - ZZ- ZOOCl Expiration Date X Signature of Supervising Electrician City Owners Signature: Inspection Request: 726-3769 Date 3. A. i:~~wll~liifIftiID!r~~imi~Fti~Mfiit1E=iit~~a~~njigeyi:~ffi, ~, ~""ffi<~~'~""""''''' ,'M,,"\,,,",,,'_\'ii"'''''_''~0~''~~0,:J~ir,;:;,,,,+_,,, ,~,~,,-", """ '''_ Service Included 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof Each ManUfact'd Home or Modnlar Dwelling Service or Feeder $121.00 $ 22.00 $57,00 $ 57.00 $ 79.00 $114.00 D. New Alteration nl' Extension Per Panel One Circuit Each Additional Circuit nr with Service or Feeder Penilit $ 50,00 $ 5.00 E, h. BY " ?cJ ,;?,RS TOTAL ,72.3 '1 Shared Drive(T:)JBuilding FonnsIElectrical Permit Application'7-08.doc " Status Issued 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: COM2008-01726 ISSUED: 12/04/2008 APPLIED: 12/03/2008 EXPIRES: 06/04/2009 VALUE: $ 600.00 SITE ADDRESS: 1111 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253317000 Springfield TYPE OF WORK: Sign , TYPE OF USE: New Comme>rcial PROJECT DESCRIPTION: Sign -lottery sign Owner: THABET INVESTMENTS-1111 MOHAWK LLC Address: PO BOX 70567 ' EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor 'License PETERSON ELECTRIC INC 29350 PETERSON ELECi1RI!;:\I!~.C;^L _ " 29350 f~;;i;;BUIIjDIN~,iNFddMWl)I-m.N"r. y .' '" -....."'ue" I, ' -/f.ut:JUI 'outo ~~~OAR 95#0ijrs::,~..,those rUle::gon Utility 'YOl~'O' ,0:"" thro"nh 0 re setforth Co1l/ing t elgho(lf~1fl\~{U"" AR 952-00 nUmber f ~€roffltefNo'p~es of the rUles b" VB !fi~~ e, the te/eph Y Ce~WinrY4).9 n Utility Nom' one , Energy path~-332-2344). IOal/OIl Sprinkled Bnilding: n/a Contractor Type Electrical Sign # of Units: Primary Occupancy Group: Secondary Occupancy Group:' Primary Construction Type Secondary Constrnction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: . Rearyal'd Setback: Solar Setbacks: Street Improvemeuts: Storm Sewer Available: Special Instruction: Notes: I DEVELOPMENT INFORMATION I Expiration Date 01/22/2009 01/22/2009 Phone 541-567-0228 541-567-0228 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: !lOT/C/:. ,,', . A'l)tl;9/.lAj1~PROVEMENTS J ' COtvlM'E.,J.tED UN'D1t..L fJ(pIRe . Sidewalk Type: ANy 180 ~ED OR I%~ iHIS PE%:Ht lV~Pouts/Drains: y PERIOD BANDON~Dli IS NOr . <:. FOil , , Page I of 3 Total: Handicapped: Compact: Status Issued' , " CITY 'OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008cOl726 ISSUED: 12/04/2008 APPLIED: 12/0312008 EXPIRES: 06/04/2009 VALUE: $ 600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valoation Descriotion 1 Sign Tvpe of Construction Use Bid Amount $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amonnt 600.00 Value' Date Calculated Descriotion Total Valne of Project $600.00 $600:00 12/03/2008 ~ Total Amount Paid Amount Paid Date Paid Receipt Number $5.70 12/3/08 2200800000000001695 $6.84 12/3/08 ,2200800000000001695 $2.85 12/3/08 2200800000000001695 $57.00 12/3/08 2200800000000001695 , $40.00 12/3/08 2200800000000001695 $8.00 12/4/08 2200800000000001707 $4.00 12/4/08 2200800000000001707 $80.00 12/4/08 2200800000000001707 $2.00 12/4/08 2200800000000001707 '$206.39 1 Plan Reviews I 12/03/2008 12/03/2008 APP DJB Fee Description + 10% Administrative Fee + 12% State Snrcharge + 5% Tecbnology Fee Sign - Outline Lighting Each Sign Plan Review + 10% Administrative Fee + 5% Technology Fee Sign 0-35 Square Feet Sign Plan Review Sign Review To Request an inspection call the 24 hour recording at 726-3769. All iospections 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. ' I, Rpnnirprl 'n~n~~tions I Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds. Sign Electrical: After connection is made bnt prior to energizing. Sign Final: After all reqnired inspections are conducted and approved and the sign installation is completed, Page 2 of 3 Status Issued 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: COM2008-01726 ISSUED: 12/04/2008 APPLIED: 12/03/2008 EXPIRES: 06/04/2009 VALUE: $ 600.00 By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther 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 structnre withont permission of the Commnnity Services Division, Building Safety. I further certify that only contractors and employees who are,in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all required inspections are reqnested at the proper time, that each address is readable from the street, that the p'ermit card is located at the front of the property, and the approved set of plans will remain on the site at all times dul"ing construction. . V,A ~~(~~~ Owner or contractor~n:rure ....''':> . .' S-,t.........k 0--' ,).tl' ~ Page 3 of3 Date I~'fj>y' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1726 COM2008-01726 COM2008-0 1726 COM2008-0 1726 RECEIPT #: Description Sign Plan Review Sign 0-35 Square Feet + 5% Technology Fee' + 10% Administrative Fee Payments: Type of Payment ' Paid By CreditCard JOHN NlORD cReccintl City of Springfield Official Receipt Development Services Department Pu~lic Works Department 2200800000000001707 Date: 12/04/2008 ,. Item Total: Check Number Authorization Received,By Batch Number Number How Received djb 005538 In Person Payment Total: , ',' Page 1 of 1 10:04:06AM Amount Due 2.00, 80,00 4,00 8,00 $94.00 Amount Paid $94,00 $94.00 12/4/2008