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Home My WebLink AboutPermit Electrical 2009-4-1 Electrical Permit Application " I llEPARTMl=NTLJSEONLY, CO>1'lZOO'7- 004/0 Permit no~: _ ""'... .,J, ,.. - -,,,, - , ~ .: ~. -,. . '1- ~JJ(\I" ~rF_ ~p:~m @:JJ';lJ!J~:p,":(jRlt(~tQN ,:" J. > _ ~' _ oj ,<>' " . ' " ,_.., i);Io7 225 Fifth Street+Springfield, OR 97477+PH(541)726-3753.""AX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APpROVAL I Zoning approval verified? @Yes 0 No I CAtEGORY OF cONSTRUCTION I 0 Residential . I 0 Governmerit I ~ Commercial I JOB SITE INFORMATION AND. LOCATION I Job site address: d:) d 5 Gi", mOl {" <sfrdf- ~:e~~;ritionaI500 sq. ft. or portion I CitySFP {{ I State: b r- I ZIP: 97'177 Limited energy (2) I Subdivision: 17D 32::5"'00 I Lot no.: ootOz. I Each manufactured home or modular I I JDES,CRIPTIONOF WORK. dwelling service or feeder (2) $ 63.00 $ I J / !Lf' l'lt :-1_..# II /,1 ~(~ I Services or feeders: instailation, alteration, relocation in ,,-!rd ) i /(Lml nflA./'?J 1A'1<A i1.J' I I 200 amps or less (2) $ 81.00 S I .. PROPERTY' OWNER' I 20lto 400 amps (2) $ 95.00 $ I Name: .JLrr1..1 ( ) I 401 to 600 amps (2) $158.00 $ I Address: .;2& CYV I+(A)~I q CZ .A}w'f-1- I I 601 to 1,000 amps (2) $205.00 $ I City: EkC{'-LrC I State: W I ZIP: 'l 7'/02... Over 1,000 amps or volts (2) $469.00 $ I Phone: .. I Fax: Reconnect only (2) $ 63,00 $ I E-mail: I Temporary servicesor feeders: installation, alteration, relocation This installation is being made on residential or farm property 1 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ Signature: lOver 600 a'11ps or 1,000 volts, see services or feeders section above I- CONtRACTOR" INSTA.LLATION ~ ~ I Branch circuits: new, alteration, extension per pane! I Business name: p. 5 '+-"14' ~qvv ~t1-l.{)~~~ 1 I a"Fee for branch circuits with purchase ofa service, or feeder fee: I Address: e:> er'17.) P,-cicrt e. t2u-~ I I Each branch circuit I $ 6.001 $ \ City: fJA,0..//'t0 I State: or I ZIP:' 17l{OJ 1 I b. Fee for branch circuits without purchase ofa service or feederf ee: I Phone: S7f#j~S5% I FaxS'o// -75'5'" S-1!f3 II FirS! branch circuit (2) I I $ 55.00 I $ . I E-mail: -+-u JP..f2 t:fl (cJ e r;c[.s (c;y...s... ('0."..:) I I Each additional branch circuit $ 6.00 $ ! CCB license no.: 1& 3L(725 J BCD li~ense no.: dO 'St{:;;' Cl-SI 1 Miscellaneous fees: service or feede;: not included 'I SigningSupervisor'S1ic~nseno,:0~ /~ I EachP.umporirr~gati:nc.ircle.(2) if. S 63.00 $ 1 Print name of signing supervisor: (~t>rd (.2G"G-e..-Wv I Each sign or outlme IIghtmg (2) --r $ 63.00 I Signatureofsigninglsupervisor. -1() t). /t-~ 10 "I I Signal.circujtorali~ited~energypanel, $.63.00 $ , \ l.J-f1..:L ~ ..... alteration, or extensIOn (2) I Each additional inspcction: (1) 440-2584-J (9/08/COM) .~ ~AA)~ ~~: ~ I I I: Number 6rillcspe~tio;speritem 0;: "/Qty:/' I ," ,,'''.~ ' " ' ... ,- - , I 1 Residential, per unit,scrvice includ~d: 11,000 sq. ft. or less (4) FEE.SCHEDULE ~~~t;-~T~~~~I $134.00 $ $ 25.00 s $ 32.00 $ APPLICANT USE I (A) Enter subtotal of above fees (Minimum Permit Fce $58.00) I (8) Enter 12% surcharge (.12 x [AD" I (C) Technology Fee (5% of [A]) I TOTAL fees and surcharges (A through C): I I I I I I I I I I I I I I I S0(l52 1 I I I $ J.i;J ..001 $ 20,.;1'11 $ 12 "'i ~ ?- '1'1 ~ $58.00 $ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-004IO ISSUED: 03/3l/2009 APPLIED: 03/27/2009 EXPIRES: 09/30/2009 VALUE: $ 6,600.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2525 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703250000802 SPR\NGFIETYPE OF WORK: Sign TYPE OF USE: New PROJECT DESCRIPTION: Sign - Jerry's Home Improvement Expansion - Drive-thrn Bldg Commel"CiaJ Owner: OLYMPIC LLC Address: PO BOX 26125 EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor Type Electrical Sign . Contractor License E S & A SIGN CORP 163470 E S & A SIGN CORP ..J.\\:?1ilft ,/oU,~~., I BJJII~G\)NFoitMA'lli'lON'lgons~t'i~ith . . I :T', J \ ~re O' . ,~' "" rules a ut'-~ ihose rU'O" R 952-0 ," \OII~~dil{!lilSroiW\~~~ 0 through ~ithe rules 'aidt Size: ~obJ\#~igbi:Sl'srrRa\!\ItfOP\es e telephone Sq Ft 1st Floor: 1t1 090 !~1l1l6l1~~~ti3r, ~Note. i\~'/ Noti\lCatlotSq Ft 2nd Floor: o cal~~Je\"EI:~&:oregot1 U\_2344). Sq Ft Bas,ement: t1ur~og~Cf ~:iS ~ _600-33 Sq Ft Garage/Carport Ener\lYlPh: Sq Ft Other: Sprinkled Bnilding: n/a OCCUIJant Load: Expiration Date 03/16/20 II 03/16120 II Phone 541-485-5546 541-485-5546 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary ConstrnctioiI Type: # of Bedrooms: M VB I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ~r,Q\{ I PUBLIC IMPROVEME~TS' 'f.,?I\\t. W i\~ IS ~()i l\O\\\1t.~'~\i S\\fl,\.\~,/\\~~~1!}~q:()\\ S ?t.D'" \l~\)t.D ~nilln()~'C.v ,\\\ \$)\\Ilt.$ \\ ISlfWTH'l1outslDrains: fl,\l~~'t.~C't.\) ~'t.\\$)$' CO:'i ,\'00 \)[>.'/ fl,~ . Notes: Paee I 01'3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00410 ISSUED: 03/31/2009 APPLIED: 03/27/2009 EXPIRES: 09/30/2009 VALUE: $ 6;600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line IValuation 'D~~~r.iDti~n I Si~n Tvpe of Construction Use Bid Amount $ Per Sq Ft or mnltiplier $1.00 Square Footage or Bid Amount 6,600.00 Valne Date Calculated Description Total Value of Project $6,600.00 . $6,600,00 03/27/2009 I J;"~~< P'II',1 . ~r.f, I'." Fee Description ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 61-100 Square Feet Sign Plan Review Amount Paid Date Paid ReceiptNnmher $39.20 $30.24 $19.60 $252.00 $140.00 $42.00 3/31/09 3/31/09 3/31/09 3/31/09 3/31109 3/31109 1200900000000000229 1200900000000000229 1200900000000000229 1200900000000000229 1200900000000000229 1200900000000000229 Total Amount Paid $523,04 I Plan Reviews I Sie:n Review 03/2712009 . 03/27/2009 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. ~e{]II'ire~Jn~,np~tion~ I Sign Attachment: Method of mountiug the sigu to a structure or pole. Method of attachment of holts 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 inst.lI.tion is completed. P.~e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00410 ISSUED: 03/3112009 APPLIED: 03/27/2009 EXPIRES: 09/30/2009 VALUE: $ 6,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 lJurther 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 occur ANCY will be made of any structnre withont 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 ensnre 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 times during construction. ow~ract~~J 3- 31 ~CJ ~. Date Page 3 of3 225 Fit(h Street Springfield, Oregon 9.7477 541-726;3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00410 COM2009-004/0 COM2009-00410 COM2009-00410 COM2009-00410 COM2009-00410 Payments: Type of Payment CreditCard cRl.:ccintl RECEIPT #: 1200900000000000229 Date: 03/31/2009 Description + 5% Technology Fee + 12% Slale Surcharge ***+ 10% Administrative Fee*** Sign Plan Review Sign 61-100 Square Feet Sign - Outline Lighting Each Paid By ES AND A SIGN Item Total: Check Number Authorization Received By Batc;h I~umber Number How Received djb 031985 In Person Payment Total: r Page I of I 8:17:26AM Amount Due 19.60 30.24 39.20 42.00 140.00 252.00 $523.04 Amount Paid $523.04 $523.04 3/3 1/2009