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Home My WebLink AboutPermit Electrical 2009-2-11 ZON' ('('_. INITIALS f\ en DATE Q. -II -0"1 SOURCEN--0">~ \ 225 FIFIlI STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATIOt/ . _City Job Number [OW'\ ZJt>O '7 -ooOb Cf L Ifl(JG}frftloNr{j'EiiNSTAfi1r1!f'i!IoNt 3. 'I>''''';~'''''~''''''\\m:l'''''"''J'0.JtiiMMii5~W;k5J'd''''''<,,",,~-,,,,,,,-,,,,,,,,",,.,,,,,~,,,,,,.,,, ---2lft; /liTcw ~ " , LEGAL DESCRIPTION: A. ) 7 D S 2- z-ZO 00 7(/ Service Included Date 1- /"5.0'7 JOB DESCRIPTION: \ ' w~ 0t~V\J I (\1\611 UVt'lb~~1 (tW((;1J ~ Permits are non-transferable and expire if work is tJJ~A." not started within 180 days ofissnance or if work is ! Wv Suspended for 180 days. 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00. $ 21.00 $55.00 1''''''''"'''''''F'='f''''''''M''~' ;",~.:~"'Y.._.."-=.~~~,,,,..~,,>_,,,,_~,,._,_,,>_-l'ffi"""""'l~ 'eoNfJiAeroif,.1NST-AEiJJ!,'iJi'fiN'ON1::'Yi" 2 . m,_-_'--,jpfo-~til-%'Aip"_,_'''"_'"C",,j'i.'''0",''_=i:fVm01Jl\'o/;----_'~''_...,.,_;,,",,,,,,,.Jg . . ".",. ~--~ ,.",... "-'h~=~,;.._,-_.-~wp ... "'''''--.2c;"'ii.:W.'''T';''''~~ Electric~IContractor es~A ~~'J . 200 Amps or less $70.00 '. 11 -~ f'i'if2lc,' . 'V. Oregon !20) Amps to 400 Amps $ 83.00 . iltt:lL:J..,~ \, ' ,. ..~ ad "..t.... reOui Address ~7 7 {.:;I ~rttl~/e"". '.' oPted bfQI~Jilltp'f~8600l1'f!JlPS $138.00 " 'i "' g' - -"ter Th v, egon II,.,. o~~ '.: 62-001-00'10 tho,'(j()IlAmpJ,'/PsIOO01Mnps $180.00 ~ ~iI!1~J.O""~ rO'lnh - etfn,.f!t City '?~ Phone ~i(_"'J:'~ obtain c OYer 1.00O:~,w s . $413.00 .." "'''' ce t OaIA'Cd" -n ,~vo - $ 55 00 ' nurnbe f n er. (Not",!,cUImebl~n ~s b _ . . r or the Ore e. the te/e lhl Y '7 _ (" P)OI1ter i 1 gon Ufi./;rt~~~'lJiI.e"I~siiffu:?''Y~'Y'Jilfkd&~__'!!Fl'&;Z-~*'!! Supervisor License Number _~. J<)'" .:>/( r" s -800133t.:gr.~it'lj'V~~.&~'V"e~'!.~~~~iifl!f~flJll~51'~.A~lffl11.h_1il Expiration Date I 0 II I . Constr. Contr. Number . / ft:, 3 " 70 .3/1/'/11 B. Expiration Date Installation, Alteration or Relocation 200 Amps or less ,201 Amps to 400 Amps 401 Amps to 600 Amps. Over 600 or 1000 Volls $ 55.00 $ 76.00 $110.00 dfign re of Supervising Electrician .. . D. () - n n NOTICE: New Alte~ation or Extension Per Panel . -----J r! ~ w ~,,~ _ One CrrcUlt . . . ,I (I AU H' R,vI/I SHAll EXP~1tdditional Circuit or with Owners Name _,/:hA++""" ~ IZ-ED UNDER TH/~~t~/t'~Rffrmit $ 4.00 := sw.:1L1J ~~'JD DA 'gtB'Ii~~~'Wl!'m~,;)5::~!if!W~~1~1 ,.. Sign/Outline Lighting ~ $. , ~ i OWNER INST ALLA nON Limited Energy/Residential $ . 0 The installation is being made on property I own which Limited Energy/Commercial $ 50.00 is not intended for sale, lease or rent. Minimnm Electric Permit Inspection Fee $50.00 + Surcharges 151- 7- '2 b6 $ 48.00 Owners Signature: 4. 12% State Surcharge ~drllinistrative Fee 5% Technology Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)lBuilding Forms/Electrical Permit Application I-OB.doc <t (/1 zzi!.2- 'CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00069 ISSUED: 02/1012009 APPLIED: 01/15/2009 EXPIRES: 08/10/2009 VALUE: ' $ 22,000.00 (' (J 001 - f'L,\ ~,\\,,\ 50!.' " (" ~- rrC Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3480 HUTTON ST ASSESSOR'S PARCEL NO.: 1703222000911 Springfield TYPE OF WORK: Sign TYPE OF USE: New ovei-iay Dist: # Street Trees Rqd: N~t}'!1>rive Rqd: FIRE \F ~ WOR\(. TH\~ ~ER'1J\rroSH~ ~H\S PERMIi IS Not ^IITI'IO~~;,_~~~; ;f,. f:a.....!'f\NFD fOR . IPU~~MPK~~~~NiSI , H ,II, .. r . 1/,,' 'f , AN' ,UV 1,;,,"1"\. . PROJECT DESCRIPTION: Signs - Holiday Inn Express Owner: HUTTON HOLDING CORPORATION Address: 840 BELTLINE RD STE 202 'SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Electrical Sign Contractor n law leC\uilek-~~ E S & A SIGN,/<l:lfRlinON: ole(eOd by the OlegDlll!j.,~~ity E S & A SIGN(Ge)\tf:'J!~S~~~~fr Those rules a~.lIjlp~~h :~vOAPI~BUll!I>>Ncij~FolfMAffil~ie~ by 0090. {o'u ,r.J./ Vu t~, Joi~: the tel~pnol1e calling thf#q,<f~y.~ieQ. n Utility Notilicatlon R-II1Um.ber 10fl\\jg~9~~ 6~~~344), GelfWe'%f eat: Water Type: Range Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: , Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Commercial 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: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: Page I of 3 -~~~~S;~~~~!' a:.:" 1. . ~.' Status Issued CITY V!' ~l'KINGFIELD . Building/Combination Permit PERMIT NO: COM2009-00069 ISSUED: 02/10/2009 APPLIED: 0l/15/2009 EXPIRES: 08/10/2009 VALUE: $ 22,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V aluatio~ Descrintion I Sien Sign Tvpe of Construction Use Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 7,000.00 15,000.00 Value Date Calculated Description Total Value of Project $7,000.00 $15,000.00 $22,000.00 02/09/2009 02/09/2009 Fp~~ pqirl" Fee Description Sign Plan Review ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Ontline Lighting Each Sign 101-150 Square Feet Sign 36"60 Sq uare Feet Amount Paid Date Paid Receipt Number $84.00 $45.90 $22.68 $22.95 $189.00 $160.00 $110.00 1/15/09 2/10/09 2/10/09 2/10/09 2/10/09 2/10/09 2/10/09 2200900000000000059 1200900000000000086 1200900000000000086 1200900000000000086 1200900000000000086 1200900000000000086 1200900000000000086 Total Amonnt Paid $634.53 I Plan Reviews , Sien Review 02/09/2009 02/0912009 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. I R\P'\lloirp~ In<~lPrt-" 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 inspections are conducted aud 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 M'KlNGFIELD Building/Combination Permit PERMIT NO: COM2009-00069 ISSUED: 02/10/2009 APPLIED: 0l/1512009 EXPIRES: 08/1012009 VALUE: $ 22,000.00 By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I 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 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agree to ensure that all reqnired inspections are requested at the proper time, that each address is readable from the street, that the permi,tcar is located at the front of the property, and the approved set of plans will remain on the site at all h7i'meS'dU~ing construction. ,,~- ,/ "j' ,- , '-- /. I 1,; \ 1~t0l{fl /5;;.'/1/6 -o~fr.or Contractors Signature Page 3 of3 ;J. -/froCj Date City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00069 COM2009-00069 C0M2009-00069 COM2009-00069 COM2009-00069 COM2009-00069 . Payments:. Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000000086 9:59:44AM Date: 02/10/2009 .Description Sign 36-60 Square Feet Sign 101-150 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge ***+ 10% Administrative Fee*** Amount Due 110,00 160.00 189,00 22.95 22.68 45.90 $550.53 Paid By LINDA PADILLA. Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 010969 In Person Payment Total: $550.53 $550.53 Page 1 of I 2/10/2009