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Home My WebLink AboutPermit Electrical 2009-1-20 CITY OF SPRINGFIELD, OREGON BPAINGPlIlLD .. ZON ~ .~;::,~ ,.... INITIALS. I~~._ _ 6!. DATE., {_OJ -eM , . IlllIJI' ., SOURCE P. \1./' Date IZ?fA,r . 3, "C()MPLETE/!lJE.SCHIi)jtJLE BEl,OW: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION' City Job Number CO "'1 ~OO 1? - 0 ( 8' 2-D 1. I LOCAT.!O,NQFiJijsrJtJ.L'J.'fIQN;' 9QD ~(\)st V0~) LEGAL DESCRIPTION: 17032220 00 9rz '01:>(} VO\\.Lv\ nIPJ.Jln~ CO, JOB DESCRIPTION:' v A. I New Resideniial-,- S!ngleor Mulii~Fainily. pe.dwel!lng unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or \\\-I:fI'no'\\L..j '\\\"n:'\n~l p:JV-S'31(1 portiontbereof Permits are non-transferable and expire ilwork i~ Each Manufact'd Home or not started within 180 days of issuance or if workis "1 Modular Dwening Service or $5500 Suspended for 180 days. f, //l.~eeder . Olio .v h, 2 I CONTJiA'cWR INSTA:i-hiTloN ONI./V ~:'OI/fic~.rps.~'i~.;$'OI'..FeCdCrs :.Insialladori'; Alterations or,Rclocation: .^j , ' . .' . '" '. ." 0 "//0" Ei(j. '.Yre> ".. .. . . . Ie:' co.;. I 1\_. 009~:-qf./ 9s.~!) Cf!!)trysi~;'Z7C11/v r ElectncalContractor '\..J PI ,J\0n . t\L.'\'hhS, Yo,.200(l\,mps~or/lessYII) f!qllir $7000 U ;/1// "0,. ' 'On, Ijn., 19 0 f!s /, fT)., /:"') rJ _, I}IIfI)6 911) Lt)c]~sto,~ou'~s rf!90 yO{, l $ 83.00 Address \t' FA 'lS . Yill~, II 0...... ~ f!r fo/'tll!;Q;"fJ){ft,i.tb~!OLfsrJJ~s Cltf! s: Uli/,,: $13800 CeI}IJJi1 ~' ltil;$fiSf./ 95/ fOtl1:) $180.00 City hJ.~ pr?'-.. Phone \..-le,S-'5::J~U' O~rlJ, 1J\:IJjr,ft~fjl'tfNf!f! tlllf!s007. $413 00 '-.J Reconnec ~~.l 1v0lifl)O!)e by $ 55 00 '()4"1J toCl1. . /.-Ie e. I TeriJporary'Scrvices or FechcrS $117.00 $ 21.00 Supervisor License Number q-/ i:f 5 / G- Expiration Date, t)J c) '7 200 Amps or less $ 55.00 Constr. Contr. Number \ LP ~\..-\ 'I 0 201 Amps to 400 Amps $ 76.00 3M 401 Amps to 600 Amps $110.00 ExplfatlOn Date \ \ VI '00\ \ . Or.,,,~ 0 600 A 1000 V It "B" b ~ '- } Ii/. t",__ ver mps or 0 s see a Dve. Signature of Supervising ElectrJCIan 4Uli 'S PtR~ D, I.Branch Circuits "., ..>d ~ ~t;~~~lJ Alteradon or Extension Per Panel $ 48 00 -, 'oU D~~D OR ~~~~CUlt or With ,?" /I.." $'//"" - S' -- '1r p tf.t,~~. $ 400 Owners ~,,-m~ >~V\_:. J~~.~, _' j _ 'tRtot5.'d}fIVDr/i 'titJ;tS.JJRI( . . " Address n _9' 1:J ,C!o- ,jt;.:~Sl(,_w[h:.1' }: E. r'Miscella.:t€6l.~.9vNs,.eder not included) -Eacll Installation 1 City ,~sfrli -- [. Phone :-,~'~_'__,_~_~ - Pump or irrigation $55.00 o ' Sign/Outline Lighting \ $?~oo : OWNER INSTALLATION Limited Energy/Residential $ 28.00 The instanation is being made on property lawn which Limited Energy/Corrunercial $ 50.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50,00 + Surcharges Owners Signature: 4, I $UBTOTAL OF ABOVE I ,__>--7 ___ ,__b....?'J ~ 0- ~~~- 72 -3+- Installation, Alteration or Relocation ~I rt)i% State Surcharge .' 10% Administrative Fee 5% Technology Fee Inspection Request: 726.3769 TOTAL Shared Drive(T:)JBuilding FormslElectrical Permit Application 7-07.doc Status Iss u ed CITY OF SPRINlil'lELD Building/Combination Permit PERMITNO: COM2008-01820 ISSUED: 01114/2009 APPLIED: 12/3112008 EXPIRES: 07/14/2009 VALUE: $ 43,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 980 KRUSE WAY ASSESSOR'S PARCEL NO.: 1703222000912 Springfield TYPE OF WORK: Sign , TYPE OF USE: New PROJECT DESCRIPTION: Sign - freestanding sign for Hop Valley Brewing Co Commercial Owner: . SKEENS SAM A ' Address: 980 KRUSE WAY. SPRINGFIELD OR 97477 Contractor Type Electrical Sign , I CONTRACTOR INFORMATION I '<"1' ftv.I::/Vll Contracto!)/,V:'l'rlll O/V: Or E S & A SIe;'&~01ip. s qc/'O'Pe90I) ,~ -'h -" C l '4/0/ E S &AC'SIGN ,~O~Rnel)ter ~d 6v t" reqUi,. 163470 I)~':!./fl)g ~~ ';'l'ItBUiUDlN'C''fN:F,ORM':'il.()lV.. ",6 'ie "" .. I ." 'JI.I I,' '. ef (, vel)t .~I I C ~Id!) 0 G e S "'Iry Ce~; the O~;'# 6tJ{j'Ji.~1!stJt ~ft 9S~:;Ofth A2 ef /s 1.~~g~9fStv~fel%f!,J/es 01. Of9AA,:!f1teM' . '!Jho 6y. . "<';:'2.70t/fj I)e VB Water rypll;) DEi/fa Range Type: . n Energy Path: Sprinkled Buildiug: License 163470 Expiration Date 03/16/2009 03/16/2009 Phone 541-485-5546 541-485-5546 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: n/a r DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: NO # Street Trees Rqd: 7: 'fICE: Paved Drive Rqd: AUH/S PERhAt % of Lot Coverage: THOR 'Vlt T SHA Cn,,~t; /2Fn ~i\ ,LL !:v",. ~ ANy 18 CIVCED OR~~~()M~ .. 0 DAY PER~ ! "/JANDa .\ /.vII f ~ aD. NED FOR Or Sidewalk Type: Downspouts/Drains: Paee 1 of3 CITY OJ:< I'lrKll~LrJ:11ELD . Status Issued Building/Combination Permit PERMIT NO: COM2008-01820 ISSUED: 01/14/2009 APPLIED: 12/31/2008 EXPIRES: 07/14/2009 VALUE: $ 43,000.00 225 Fifth Street, Springfield, OR 541-726.3753 Phone. 541-726-3676 Fax 541.726-3769 Inspection Line I Valuation Descrintion I Use Bid Amount $ Per Sq Ft or multi~lier $1.00 Square Footage or Bid Amount 43,000,00 Value Date Calculated Description Si!!n Type of Construction :rotal Valne of Project $43,000,00 $43,000,00 12/31/2008 l?fyf" ~ Fee Description + 10% Administrative Fee + 5% Technology Fee Sign - Outline Lighting Each Sign 151-200 Square Feet Sign Plan Review Amount Paid Date Paid Receipt Number $25.70 $12,85 $57,00 $200,00 $42,00 1/14/09 1114/09 1/14/09 1/14/09 1/14/09 2200900000000000048 2200900000000000048 2200900000000000048 2200900000000000048 2200900000000000048 Total Amount Paid $337.55 Plan Reviews I Sien Review 12/31/2008 12/3112008 APP DJB 1-5 comm 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. R~C.llirpl.J 1n~rections , Sign Location: To verify the location ofthe proposed sign, Sign Footing: After excavation and forms are in place, but prior to concrete. 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 but prior to energizing. Sign Final: After all reqnired iuspections are couducted and approved and the signinstanation is completed. Pa!!e 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 BuildingiCombinatioQ. Permit PERMIT NO: COM2008-01820 ISSUED: 01114/2009 APPLIED: 12/31/2008 EXPIRES: 07/14/2009 VALUE: $ 43,000.00 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 I further certify that any and an 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 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 an 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 of the property, and the approved set of plans will remain on the site at all times during.construction. ~:lk Owner or Contractors Signature . \cdL. ' IJJ.>>-~r- t:'~ I ~. ~ S:;g . Paee 3 of 3 ~ llyfoo ~ Datel ' 225 Fifth Street Springfi~ld, Oregon 97477 541-726.3759 Phoue City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #; . 2200900000000000048 Date: 01114/2009 8:27:38AM Paid By ES&A SIGN CORP Item Total: Checll,Number Authorization Received By Batch Number Number How Received djb 014303 In Pers~n Payment Total: Amount Due 42.00 200.00 57.00 12.85 25.70 $337,55 Job/Journal Number COM2008-0l820 COM2008-0 1820 COM2008-0 1820 COM2008-0 1820 COM2008-0 1820 Description Sign Plan Review Sign 151-200 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + 10% Administrative Fee Payments: Type of Payment CreditCard Amount Paid $337.55 $337,55 cReceintl Page I of 1 / 1/14/2009