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Home My WebLink AboutPermit Electrical 2009-5-6 225 Fifth Street.Springfield, OR 91417. PH(541 )726-3753. FAXl54J }72&3689' SPAIN........ I DEPARTMENT USE ONLY ~4..~ ~ I [.OWl ZOO c;;.- ...... Permit no.: 003 Z J I Date: Electrical Permit Application CITY OF SP~INGFII;:LD, ORF;GON This permit is issued under OAR.918-309-0000..Permits ~re nontransferable. Permits expire if work is notstarted within 180 days of issuance or if work is suspended for-!80 days. ' I LOCAL GOVERNMENT APPROVAL II FEE SCHEDULE I ZOfiingapprovalverified? DYes DNo'l~umberofinspectionsperltem()' ~ IQty.1 ~~~t I CATEGORY OF CONSTRUCTION I I I I I I Residential, per unit, ~en'ice_ included: o Residential 0 Government 0 Commercial I I JOB SITE INFORMATION AND LOCATION. I 1,000sq.ft.orless(4) $134.00 $ I. /1 ~ (7) --- J..-. A'+-- .. . I I' Each additional 500 sq. ft. or portion $ 25.00 $ Job SIte address: 07(/ \-), == / ,e PI . . thereof . 1 City: spn"",,! r::, ef.t} I State: oR I ZIP:'1f"417J1 I Limited energy (2) . $ 32.00 $ I Subdivision: 170.3 Z-b Z l.(. I Lot no.:05S0 D I I Each manufactured home or mndular $6300. .1 $ .1 I DESCRIPTION OF WORK' " I dwelhng sefVIce or feeder (2). . I ~. _ l.MP .:S}ql1_'~~' A {;R,X"i, :s'f,*. I I ~en'ices or feeders: ins/aJ/ation, alteration, relocation I I . '(J'(j . vL'& '11l:J,":. C .'IJO POI) I I 200 amps orlcss (2) . $ 81.00 $ I . ~ . V , ,,-,. e" 'P,~. 1.0. I . I I PROPER:r,y.'OWNER" V()!,.~"t: '7:; Oy;: .19 201 to 400 amps (2). $ 95.00 $ I Name: fr e.d \t1I\ eM e.f6~ju:'0-ti/:p t;'~.s", ;::;I~l/l,tO!,tf' 600 amps (2) $158.00 $ I I Address: 66D rry S1re..{J, h.-rl};":!.e;: '~':'Oo;:'I;.9I}:I~ql:60]llp~j;0Q9ampS(2) $205.00 I $ I I City: ~:.l1l"1~t\lld I State: ~ nl~:}r7.i{,f7jlA;01~~er)~O,OframpSOrVO]ts(2) $469.001 $ I I Phone: <1_ _ [ I Fax: _ :'UO'3:;,"!I~i'v "'l,,/ >"I-t!~~\!!li!tlonIY(2) $ 63.00 $ I t E-mail: ..-<>3l;.OIl;b~k.f~~~j)I.aryservicesorfeeders:iinstal/atiOn.al/e;.a/ion.reloca/ion I This installation is being made on residential or farm property J. oY'39,o am. ps or less (2) $ 63.00 I $ I owned hy me or a member of my immediate family. This I 201 to 400 amps (2) $ 8700 $ I property is not intended for sale, exchange,. lease, or rent. OAR I . I I 479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ Signature: 19ver 600 amps or 1,000 volts, see services or feeders section above I. CONTRACTOR 'INSTALLATION I Branch circuits: new. alteration. extension per panel I Business name: nne:!:Yo - ~~~ey 11 . ~q~ I a. Feeforbranch circuits with purchase ofa service.or feeder fee: I I Address: 1t.f5v jfewl;~I:J41,)' I Each branch circuit I. $ 6.001$ I I City: EI/'f1 t7t1\€- J~liil,~ I ZlP:C{ T'f1'S I b. Fee for branch circuits without purchase ofa service or feeder fee: I I Phone:titfl' - 71/6'31jiil.t~fT1JjI6[.5J51 I First bl1U1ch circuit(2) .. II $ 55.001 $ I I E-mail: VV\vV5.2-.~~~~(1/Ll8~:J 1 Eachaddlttonalbranchctrcutt $ 6.00 I $ I I CCB license no./~'?g4" 1-'B'eb:li;;;#fibf.~j9'~' I ~~:lIan'ousf'.es: ~ervke or feeder not included I I Signing supervisor's license no.: :::z:/!!13!JiUfJ(). "IIVDO~)~~l9f~ ~or rrngal10n crrcle (2) . $ .63.00 $ I I Print name of signing supervisor: JiI~f; ;q n.eJ .. P ,f~ifh \{Vor outline lighting (2) 1 $ 63.00 $'4.3~1 . I Signature of signing supervisor: ~/.A" .A- ~/ '::l. I I Signal, circuit or a li~ited-energy panel, $ 63.00 $ I / !/ // ->~ ~ alteratIOn. or exten.<aon (2) r -- I Each ad~itional inspection: (I) $58.00' I $ I I APPLICANT USE I (A) Enter subtotal of above f~s (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (.12 x [AI) I (C) Technology Fee (5% of[A]) I TOTAL fees and snrcharges (A throngh C): Total cost ., . ~~ :\J ~ ~ rv~ ~ ~0; ~\)'" <o~. ~ ~,,~ ~ $ b3 $ 7. 56 I $3. *.51 q3. 'tll 440-2584-1 (9108/COM) _~1l1:"'9,::<11itI"l), , , 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: COM2009-00321 ISSUED: 05/06/2009 APPLIED: 03/10/2009 EXPIRES: 1lI06/2009 VALUE: $ 3,000.00 ... Springfield TYPE OF WORK: Sign SITE ADDRESS: 650 Q ST BANK ASSESSOR'S PARCEL NO.: 1703262405500 Commercial PROJECT DESCRIPTION: Sign for Wa-Mu to Chase rebrauding TYPE OF USE: Remodel Phone Number: 541-465-3650 Owner: METROPOLITAN LIFE INS CO Address: PO BOX 35547 TULSA OK 74153 Contractor License Expiration Date NICK HOWARD AMO 160384 09/22/2010 METRO WESTERN..S'-GN,~r<t- 'MN:Ul\$ii\ law rel!'6i53'~'!Y~~;~i~\I 09/22/2010 . ,. f~'lifiUiIII!JDlNG'I~FOkMA1\1~~~ set forth, ., NotiTIG'Hlu" ~~".-'-' h gh GAR 952-00,- ~"n nn1-0010t rou \ by in OAR #C6fsrorilJ):ain copies of the ru es Lot Size:,' B 0090,. YH~ir'f&~?Jf.u~'I/-!jfB: the tele~hone Sq Ft 1st Floor: call1r'"Fy~;t ~.lf't3t\gon Utility NotificatIOn Sq Ft 2nd Floor: numbw,'!~~t ~~l!,e:\~800-332-2344). Sq Ft Basement: Ril'nge iiype: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Contractor Type Electrical Sign # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special. Instruction: Notes: I CONTRACTOR INFORMATION' Phone 541-746-3312 541-746-3312 I DEVELOPMENT INFOR~,AT!ON , REQUIRED PARKING Overlay Dist:, ' Total: # Street Tr.$.~~d: .; E ,"_apped: Paved N,Q.,\I' tiMll SHf\.LL EXPIRE If 1H1 IS'M\Ti'ct: % ofLq~~ 1ge; UNOER1HIS PERMI , f\.Ull\~~~~;~n nR IS f\.Bf\.NOONEO FOR I PUBLIC IMP~o~%~.t~ili fERlOO. Sidewalk Type: \ '\ " '. Downspouts/Drains: Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00321 ISSUED: 05/06/2009 APPLIED: 03/10/2009 EXPIRES: 11/06/2009 VALUE: $ 3,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuatinn Descrintion I Si2n Tvne of Construction Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,000.00 Value Date Calculated Description Total Value of Project $3,000.00 $3,000.00 04/01/2009 I Fpp., p~;'" . ~,' ll,'~ Fee Description ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 36-60 Square Feet Sign Plan Review Amount Paid Date Paid ReceiptN umber $11.00 5/6/09 1200900000000000352 $7.56 5/6/09 1200900000000000352 $8.65 5/6/09 1200900000000000352 $63.00 5/6/09 1200900000000000352 $110.00 5/6/09 1200900000000000352 $42.00 5/6/09 1200900000000000352 Total Amount Paid $242.21 I Plan Reviews I Sign Review 03/10/2009 04/01/2009 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 th~ same working day, inspections requested after 7:00 a.m. will be made the following work day. ' I Rrfl~.npt'tio"iJ 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 required inspections are condncted and approved and the sign installation is completed. Pa2e 2 of3 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: COM2009-00321 ISSUED: 05/06/2009 APPLIED: 03/1012009 EXPIRES: 11/06/2009 VALUE: $ 3,000.00 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 fnrther certify that any and all work performed shall be doue in accordance with the Ordinauces of the City of Springfield and the Laws of the State of Oregon pertaiuing to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only coutractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required iuspections are requested at the proper time, that each address is readahle from the street, that the per . ar is located at the front of the property, and the approved set of plans will remain on the site at all times durin co r, tl .~~ Owner!r Contractors Sig~e Pa2e 3 of 3 Date 225 Fifth &.treet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt DevelopmentServices Department Public Works Department Job/JournaJ Number COM2009-0032I COM2009-0032I COM2009-0032I COM2009-00321 COM2009-0032I COM2009-0032I Payments: Type of Payment Check cReceiotl RECEIPT #: 1200900000000000352 Date: 05/06/2009 Description Sign Plan Review Sign 36-60 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge ***+ 10% Administrative Fee*** Paid By METRO WESTERN SIGN Item Total: <":heck Number Authorization Received By Batch Number Number How R~ceived DJB 1256 in Person Payment Total: '\ / Page 1 of I 10:33:57AM Amount Due 42.00 110.00 63.00 8.65 7.56 11.00 $242.21 Amount Paid $242.21 $242.21 5/6/2009