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Home My WebLink AboutPermit Electrical 2009-4-17 Electrical Permit Application I, 'bEPARTMENT'USEONlY 'I ~:;J,I''CoMit,01-aosl~- I .~ Permit no.: " 'I Date: tt/J~ ., I CITY OF SPRINGFLELD, OREGON 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+ FAX(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. I LoCAL, GOVERNMENT.,ARPROVAL t" J I,"," . FEE' SCHEDULE I Zoning approval verified? 0 Yes 0 No I IN~mber of.i,!spectionspe~item'p IQty.1 I, ' CATEGORY.OF;CONS1;RUCTIO/ll, ,;~ I I I I I / Residential, pe~ ~~it, sen'lce included: D Residential D Government BCOmmercial I I,." JOB',SITE:'INF;,ORMATION~"AND- LocA1;ION I I,OOOsq,ft,orless(4) , I ' ' A I I Each additional 500 sq. ft. or portion Job site address: Lf.3'16i, /?'7-n0:~ thereof I City: 5lPri ..... f,";I! [d L State:. .w;:~~~IY:')Ai, I I Limited energy (2) I '"l ? ? r "'0 I" '" '." ',4,1 ! SUbd,iv,ision:" 1702. ~ '- J ,On~"',(C9ii,gq.~'Qrl';"t~9" Each ~anufa~tLired home or modular ',' :,:;'" _' ""DESeRI PTION' ()1;~WO.RK'2"n::-6>i.>lr~,vl6>/-/: '11/ dwelhng semce or feeder (2) I \...AA A'"'t:; .R.R I YY'\ ~ 1'I;o:r;~ "'~!~es or feeders: iYJstallation, alteration, relocation I ' ~ - \ - - "I -<Jj' (, 'C' 06> VOl ,- (I)~ -C'r(;/,IJPB"ampYr\~less (2) , $ 81,00 $ +- ~ ~ ~ OJ',, I),~ 'I,,, 0".,,, -un'; '" I~ -., ':,_,:', 'P,ROPERT,Y,:OWNER)J';:'6> 0:" (Ai~u.o,;,-::r (lfOlD'I.;GDiJlI)1/?; (2) $ 95,00 $ I Name: 6/;\ f-IA" t7.,: <: _ . IS J";~ol) ~~~. tit! ~19"!l>~?JiiPs (2) $158,00 $ I Address 17 ?>q t!. yYl.~~. -V'.:r.:r;'Jy,jf6,69~~t~ampS(2) $205.00 $ I City:'7Pri ""},c: pA d I State: 0 e..j.ZIP: ''''o;Ii/t@x~r'k;o5lf'amps or volts (2) $469.00 I $ I Phone: _ _ , I Fax: I' I Re~li'~ect only (2) , I $ 63.00 I $ I E-mail: 1 I Temporary services or feeders: installation, alteration, relocation Th' . t II t' 'b' d 'd' I" ".!200ampsorless(2) $ $ IS inS a a IOn IS elOg ma e on resl entm or tann property 63.00 owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87,00 $ property is not intended for sale, exchange, lease; or rent. OAR I 479,540(1) and 479.560(1). 401 to 600 amps (2) I I $126.00 I $ Signature: lOver 600 amps or 1,000 volts; see services or feeders section above I' , " CQ~~CJOR1';INST~L!tA'fIOtol: ',,'I I Branch circuits: new. alteration. extension per ponel I Business na~~~~ ~~ .5...t.. _~ I . I a. Fee for branch circuits with purchase of a service or feeder fee: I Address: ~Ifii[,~b 711 (be J4!/~ I I Each branch circuit I I $ 6.00 I $ I City: ~$_ . ~,{>F;:.r.rJ .State: 0 fl-.1 ZIP: I I b, Feefor bninch circuits without purchase ofa service or feeder ree: I Phone: .J:"r/~~~: I I First branch circuit (2) I I $ 55,00 I $ I E-mail: '-<Iy.D^ ~~,o/,9", I I Each additional branch circuit $ 6.00 $ I ceB license no.: (, .3"*~t;ffl..:: 1...rer I ~6 c 4.51 Miscellaneous fees: service or fteder not included I Signing supervisor's license-no.: .w>>~_ I I Each'pump or irrigation circle (2) I . $ 63.00 I Print name of signing supervisor:'P ~ ,I',f ~~~:l; "...".., I I E~Ch Si~ ~~ outlin~ li~hting (~) ;; '-l. ~j 63.00 . I Signature of signing supervisor: ./7 ~ I I Slgnal.clr,cUltorah~lllted-energypane1, $ 63.00 $ ./ /" ____ ___ alteration. or extenslOn (2) . ~ --- ~ach additional jnspe_cti~~_: (.1} , / ' I: AP,RGICANT USE ',-.D.. I (A) Enter subtotal of above fees U- \ (Minimum Permit Fce $58.00) J\J\~,~ I (B) Enter,12% surcharge (,12 x [A]) 1/\ l.b'<. I (C) Technology Fee (5% of [A]) ~ ~ I TOTAL fees and surcharges (A through C): \$'\ Co.st, 1- el!. Total f;ost~ ' $134,00 $ $ 25.00 $ $ 32.00 $ $ 63,00 $ I I" I I I I I I I I. $ I 5;'- I~t '. ... . $58,00 $ $ZSZ $30~ $ J 'Z,''4 $'lqlf~ 440-2584-1 (9/08/COM) I I 1 , I I I I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00515 ISSUED: 04/2212009 APPLIED: 04/1712009 EXPIRES: 10/22/2009 VALUE: $ 4,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4396 MAIN ST ASSESSOR'S PARCEL NO.: 1702323100100 Springfield TYPE OF WORK: Sign TYPE OF USE: New Commercial PROJECT DESCRIPTION: Signs - Enterprise Owner: TTT RANCH LLC Address: PO BOX 2121 JASPER OR 97438 I CONTRACTOR INFORMA T10N I Contractor Type Contractor License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: t;r'IIut@WG1NEQRl\iA"HBN~U~ility , N~tiii~ati~ C~~teJ. Those rules are seUorth in OAR 9 ~,~6't~~'lfl'b through OAR 952-001- 0090. Yo fTlWcm!%lfI'S!I/fI!;s of the rules by calling fd't':&~\\!~alfNote: the telephone number ~~tm'eTilJP!!1Jon Utility Notification &~\\I:!I 'j5yll,,",OO-332-2344). Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: , Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant 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: Notes: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT SHALL EXPIRt!UH,,~>>'OO-~ins: AUTHORIZED UNDER THIS PERMW Ill"N(j' COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calcnlated Pa2e I of 3 Status Issued " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00515 ISSUED: 04/22/2009 APPLIED: 04/1712009 EXPIRES: 1012212009 VALUE: $ 4,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project $1,000.00 $1,000.00 $1,000.00 $1,000.00 $4,000.00 04/21/2009 0412112009 04/21/2009 04/21/2009 Si2n Use Bid Amount $1.00 1,000.00 Si2n Use Bid Amount $1.00 1,000.00 Si2n Use Bid Amount $1.00 1,000.00 Si2n Use Bid Amount $1.00 1,000.00 F'PPfii', PliILI Fee Descriotion Sign Plan Review ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 0-35 Sqnare Feet Sign 36-60 Sqnare Feet Amount Paid Date Paid Receipt Nnmber $168.00 $66.20 $30.24 $33.10 $252.00 $80.00 $330.00 4/17/09 4/22/09 4/22/09 4/22/09 4/22/09 4/22/09 4/22/09 1200900000000000270 1200900000000000288 1200900000000000288 1200900000000000288 1200900000000000288 1200900000000000288 1200900000000000288 Total Amonnt Paid $959.54 I Plan Reviews 1 SieD Review 04/2112009 04/21/2009 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. Ueollired Insnections I Sign Location: To verify the location of the 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 inspections are conducted and approved and the sign installation is completed. Pa2e 2 of 3 _&~R.t..~FIEl!,_C1" Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00515 ISSUED: 04/2212009 APPLIED: 04/17/2009 EXPIRES: 10122/2009 VALUE: $ 4,000.00 225 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 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 further agree to ensure that all 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. CA ~Jw IZJUA-. 4/) /-) ()9 Owner or Contractors Signature Date Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone iFli- City of Springfield Official Receipt Development Serviccs Department Public Works Departmcnt Job/Journal Number COM2009-00515 COM2009-005l5 COM2009-00515 COM2009-00515 COM2009-00515 COM2009-005l5 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 04/22/2009 1200900000000000288 Description Sign 0-35 Square Peet Sign 36-60 Square Feet Sign - Outline Lighting Each + 5% Technology Pee + 12% State Surcharge ***+ 10% Administrative Fee*** Paid By RAMSA Y SIGNS lNC Item Total: Check Number Authorization Received By Batch Number Number How Received 2043 djb In Person Payment Total: Pa,ge 1 of 1 10:03:47 AM. Amount Due 80,00 330,00 252,00 33,10 30,24 66.20 $791.54 Amount Paid $791.54 $791.54 4/22/2009