HomeMy WebLinkAboutPermit Electrical 2009-5-6
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225. Fifth Street.Sprlngfield, OR 97477 . PH(541)726-3753. FAX(541 )726-3689
'I' ... .
I 'DEPARTMENTUSE ONLY I
~ ~I CO~~O'-OO~O:.t I
. _. Permit no.:
I Date s-;i~ 1 I
Eiectrical.Permit A
,
Tbis permit is,iss~ed under OAR 918-309-0000. Permits are nontransferable. Permits expire irwork is not started within 180
days of issuance or if work is suspended for 180 days.
\
I LOCAL GOVERNMENT APPROVAL I FEE ; SCHEDULE
I Zoning approval verified? ~Yes DNo I N~mberofinspectionsperitem() "., IQty.1 ~~
I . CATEGORY OF CONSTRUCTION
I Residential, per unit,'service included:
I 0 Residential I 0 Government I do( Commercial
a' 11,000 sq. ft. or less (4)
I ?/JOB SITE .INFORMATION AND. LOCATION I
I Joh site address: 3~16 f~ I I :i::,~0'1ditiona15oo sq. ft. or portion
I City: ~ l Surte: ~I iG: q 71{ 77 I I Limited energy (2)
I Subdivision: '70'31 SJ.3' I Lotno.:O(ZOO I I Each manufactured home or modular
I DESCRIPTION OF WORK I dwelling.spvice or feeder (2)
I J-bdf lAAO 6'l~Vt5 -J...O pb{l5+,~ _'\Df~,~!~~..Rr\~~ers:insta/lation,a/leration,re/ocation
I ~'; \\3.\1"1'- 0. J20~J'i"~;I~s(2) $ 81.00 $
_. _ _ ....r;0 ........l= ~''O- _ \\V'
I ", PROPERTY. OWNER.d~'. U\'~~"O \l~ _.~ ,LN ~2Qtto~4JlO3I11~~P> $ 95.00 $
I Name: ~"" . Br.Avdk'::\...'_s\3.0~~\. W~:O\ 9} \1.Q\'19:60\l~~PJ(2) $158.00 $
I Address:"?6 1ft>- (:iJl~;w~.{{;\\00 ';::;\\.()Cl:~,~ co' i\el:\~J\ti>\t:Qk~"~P~(2) $205.00 $
I City: ~D I State: _~ C;Ylzjp:~ ~~<{t\tr~I;!?Y'e~;W9 amps or volts (2) I I $469.00 I $
I Phone: _ _ I F~:9Cl._.'~_\X\eG~. O\e':l~I)!2IORe6-onnectonIY(2) .1 1$63.00 1$
..J ,,",..,.(\ ".he. a.\\ _
E-mail: 0:)'\":0" e{ 'U\ \'e~ \S \ - I I Temporary services or feeders: installation, alteration, relocation
.rl\ ~~" I
This installation is being made on residenii@ or farm'property 200 amps or less (2) $ 63.00 $
owned b~ me o~ a member of my immediate family. This I 201 to 400 amps (2) $ 87.00 $
p,vp",ui IS not Intended for sale, exchange, lease, or rent. OAR I
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $
Signature: lOver 600 amps or 1,000 volts, see servfces or feeders section above
I CONTRACTOR INSTALLATION I Brancb circuits: new. alteration, extension per panel
I Business name: WI etn:> We6f-f?Vh ,5t'q h -I- f}.Lv7/,;'" I a. Fee for branch circuits with purcb.se of a service or feeder fee,
I Address: 1l/57 HendRY?Jrn J'1t/ '1 I Each branch circuit . k~Cl'f~ 6.00 I $
I City: E" J1A P'lB-- I State: tT1e.. I ZIP: Q7cf0.31 I b. Fee for branch circuits With~"\.~~'\~I~rvice or feeder fee,
I Phone:j1Il-7rt. ~3 J z-. .1 Fax~-.J<lt.. 5'"r'S"/ I I First branch CircUit(~~\:~y~\lq yl.)'l' $ 5500 I $
I E-mail: Wl.WS 2 (i/ eavJ!lr./, wk...,.~ I L.rBP-<~ad\!iti!l.~~hi~I.)~'t.r I $ 6.00 I $
1 C.CB license no.: 16~ H.'f I BC~icenseno: za-~cA ~1~~~~~~,l~~Ye~deniotincluded
I Stgnmgsupervtsor'shcenseno.: ?58' :'Jtq \\f\~,\~~_qr.~9\\\i9ie(2) I' $ 63.00 I $ I
1 Print name of signing supervisor: N J ~ Af-I RWI.lJ \I.:E~~\,\~~~'r'i~\lin'i~ghting (2) .,!). $ 63.00 I $Ilt I
I Signature of signing supervisor: -""7 /~ )q ~I l\Silmal1;ifihlIl or a hmtted-energy panel, I $ 63.00 $ I
, . ~on. or extensIon (2)
I Each additional inspection: (1) I $58.00 $ I
I APPLICANT USE I
I (A) Enter subtotal of above fees $ )"'l n
(Minimum Permit F~ $58.00) W
I (B) Enter 12% surcharge (12 x [A]) $ lfi.1 Z,
I (C) Tecbnology Fee (5%of[A]) $
TOTAL fees and surcharges (A through Cl:,/' $ l1f7. l/i;2..-
"--------
$134.00
$
I
Total I
cost .
I
I
I
I
I
$ 25.00
$
$ 32.00
$
$ 63.00
$
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44O-2584-J (9/08/COM)
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00504
ISSUED: 05/06/2009
APPLIED: 04/1512009
EXPIRES: 1110612009
VALUE: $ 0.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3545 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703153301200
SPRINGFIETYPE OF WORK: Sign
TYPE OF USE: New
PROJECT DESCRIPTION: Sign electrical for face change. Chase rebranding
'Commercial
Owner: WESTERN SERVICE CO
Address: PO BOX 7788
NEWPORT BEACH CA 92658
Contractor Type
Electrical
I CONTRACTOR INFORMATION I .
. \ w reql\ires.you to
Contractor r -:.moN: Oregon ba the cIr!'bwsetility Expi.ration Date
NICK HOWARD AMOIUles adopte~h'x'p rtIle106!lil84et to~~h 09/2212010
l' t. .""" 'n""'_" . ,.' J~" '-<l '1~C--v\J'
:""1 BUILDlNG[INRORMA-5flONI, rules by
~o~o. You may o.?l~" 'N~[e~\he tel~phone
ca\\ingtwfuSlones,: ( Utility Notification
numb~NgliI1OfiSlf'U'Cl8!332_2344). .
_ ltypet6f. lII\,~f!'O . .
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Phone
541-746-3312
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other: .
Occupant Load:
VB
nla
I DEVELOPMENT IN,FORMATlON I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: . Compact:
% of Lot Cov~Jl~e: OR\(
NOTllit. EXPIRE If THE W
_ ..~ nrD~AIT !",I-\f>-LL _-r.,1\T tC: l\\n1
I PUBLIC IMP~l\1fIs'liNOER I t1:"NOr ~NEOfOR
."li'Ii/UII-' \: JR IS f>-B"
COMME\~lJ u PER\~\1ewalk Type:
f>-NY 180 oM .
Downspouts/Drai~s:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00504
ISSUED: 05/06/2009
APPLIED: 04/15/2009
EXPIRES: 11/06/2009
VALUE: $ 0.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee. Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Amount Paid
Date Paid
$15.12
$6.30
$126.00
5/6/09
5/6/09
5/6/09
Receipt Number
1200900000000000351
1200900000000000351
1200900000000000351
Total Amount Paid
$147.42
I Plan Reviews ~
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, ReolJired In.nection. I
Sign Electrical: After connection is made hut prior to energizing
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 done in accordance with
the Ordinances of the City of Springfield and the Laws ofthe 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 Safe!)..
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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.
Owner or Contractors Signature
Date
Pa2e 2 of 2
r-. Receipt No: 1200900000000000351~1
Line Items:
.Job/.Journal Num~ Tran Cod
. COM2009-00504
COM2009-00504
. COM2009-00504
Payments:
Method
Check
"
1037
2099
1099
Paid By
METRO WESTERN SIGN
Transaction Log
For Date: 05/06/2009
- Oes...rintinn .
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
Rcccivcd
Check .
"'~
1>..
dib
1257
Page 3 of 25
5/n/2009
II :40:50AM
City of Springfield
Development Services Department
Public Works. Department
Revenue Account No
Amount Paid
$126.00
$6.30
$15.12
$147A2
224-00000-426102
100-00000-425605
821-00000-215004
Line Item Total:
AIlDroval #
How
1>""".1
Amount Paid
In Person
Payment Total:
$147.42.
$147.42
.
cTransactionLog.rpt