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Home My WebLink AboutPermit Electrical 2009-3-18 225 f'iftb Street.SpriugfieJd"OR 97477. PH(541 )726-3753. FAX(541 )726-3689 I DEPARTMENT USE ONLY ~mD~.1 COlMz.o09~0043.( ""'. Permit no.: '1 Date ~j~~ This permit is issued under OAR 918-309-0000. Permits are'o,ontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 da'ys. I LOCAL GOVERNMENT APPROVAL 1 FEE SCHEDULE I Zoning approval verified? 0 Yes 0 No 1"Number of,~nspectio~s per item,() IQty.1 ~~~t I. CATEGORY OF CONSTRUCTION 1 I I I I I Residential, per uni~ service included: D Residential 0 Government l'1fIf Commercial I .1.'1" 1,000 sq ft or less (4) I' JOB SITE INFORMATION AND LOCATION 1 I Job site address: tR53 PI (}Yl ~eV (lr~ I I ~~~:ritional 500 sq. ft. or portion I City: S,c.yOO~i-~C!I,at;11~i. d1:. I ZIP: Clf741"ZJ I Limitedenergy(2) I Suhdivjt1'<!kilVll'jltDi3a~~L:6yi'h~'21~~~f~:z.3D 71 I Each.manufactured home or modular I. ' ~,u~".rcal(!)ESCRIRTIONcOFflW_Q~o <At f"':h . 1 dwelling service or feeder (2) I ~41ct,::1p'~~1-V4~ ?~~~9~'\R'$l~ b I I Seniices or feeders: installation, alteration, relocation I - - -. . ~~ ~0/J1t:1::> OJ me rUleS b I 1 200 amps or less (2) $ 81.00 $ ,?al~ma the c:e.OtAf (~lnt,:,' ~~':' ~.S~'::;:}:--''':''''C" Y. I . number foP8QFte~Ji)';nOWNE~J~";'__.'_. 201 to 400 amps (2) $ 95.00 $ I Name: .p((genBir1t..E800-33.:UsW~..--"v" I 401 to 600 amps (2) $158.00 $ I Address: 3333 Hew' HvC!t:.' f/c- ~ =IF/IX' I 601 to 1,000 amps (2) . $205.00 $ ICity:K~Hl{'''' ~~IStat~: ot I ZIP: 11042 I Over 1,000 '!11lps or volts (2) $469.00 $ I . I I Reconnect nnly (2) $ 63.00 $ Phone: - Fax: r E-mail: I Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm I-H....P"'. ~J 1200 amps or less (2) $ 63.00 S owned hy me or a memher afmy immediate family. This I 201 to 400 amps (2) $ 87.00 $ prQperty is not intended for sale, exchange, lease, or rent. OAR 479:540(1) and 479.560(1). I 401 to 600 amps (2) $126.00 $ Signature: lOver 600 amps or 1;000 volts, see services or fceders section above 1 CONTRACTOR INST ALLA TION I Branch circuits: new, alteration. extension per panel I Business name: me'f-vo W~fevn 'S-iq vt I a. Fee for branch circuits with purchase ofa se,rvice or feeder fee: I Address: /4 5~,O# ~&v'5I1r"\. I Each branch circ~it. , I $ 6.00 I $ I City: ~ .~~~ ~te: t::1fZ I ZIP: &f7 ~3 I I b. Fee for branch CirCUits Without purchase ofa service or feeder fee: I Phone6i// 71(6.liJ. J~~.p~HE IW o.~t hranch circuit (2) I I $ 55.00 I $ I E-mail: 1vIW5 ~1L~l.iJ;#tn~MIT S linf'chadditionalhranchcircuit $ 6.00 $ I CCB license no.: ~, bje!ilh.8~ FdR Miscellaneous. fees, ~ervi~e or feeder not included 1 Signing supervisor's license no,: .17, ~f"(_ . I I Eachpwnporlmgatloncrrcle(2) , '$ 63.00 I Print name of signing supervisor: It I~..... L4 ~ I Each sign .or outline lighting (2) I / I $ 63.00 I Signature of signing supervisor: rv.~/~~ /.'-. _J"\ I Signal. CircUit ora I011ted-cnergy panel, I I $ 63.00 ~ 1#7/ ~ alteratJOn, or extension (2) I Each additional inspection: (1) I 1 APPLICANT USE I (A) Enter Sll.btotal of above tees (Minimum, Permit Fee $58.00) I (B) Enter l2%surcharge(.12x [A]) I (C) Technology Fcc (5% of [Al) I TOTAL fees and surcharges (A through C): Total cost $134,00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ ~ \0 ~~l& 0'\\'~ ~~ \)\.\ I I I I I I :I~ .:l~%,,: I $. 1;[. 1$631 I $ I $58.00 I $ I I $ 631 $ 7..5"t J $ 3./51 $ 73. 7/1 440-2584'J (9/08/COM) _lij:eAIIlIGF,Im.;9~ :~ ; Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00437 ISSUED: 05/06/2009 APPLIED: 04/01/2009 EXPIRES: 1110612009 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-7i6-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1853 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO.: 1703262302301 Springfield TYPE OF WORK: Sign TYPE OF USE: New . Commercial - Owner: Address: PROJECT DESCRIPTlON:rTSij(n - Cosmo Prof A I:IH/ON- 0 fn/lAlA' ....J _ . regon law rAm li..~,.., .."_ PK SALE ~tc'ficati~,:;c;~ttr'e~ oy the Oregon i:iii/lty 3333 NEW Ii'Y-DElp~RI\1.(RQ)~i\l,o hose rules are set forth NEW HYDECP'RRWiNiYla\tII)t!2~in( c~opu9h OAR 952-001_ r,,ql/in...... H..~ _ ." les of tho ...,/__.. number f - --."v," \"Ole: the 11"/1" hM-~-:J C~~ttehe. Ore~p(1:0NrnlVll'\l~ro.R1N_FORMATlON , r IS 1-0" '.1\ vV'''''''-'''''44). Contractor License NICK HOWARD AMO 160384 METRO WESTERN SIGN & AWNING 160384 Expiration Date 09/22/2010 09/22/2010 Phone 541-746-3312 , ,. 541-746-3312 Contractor Type Electrical Sign ~UILDlNG INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: \ # of Stories: Lot Si,ze: M Height of Structure Sq Ft 1st Floor: S-I Type of Heat: Sq Ft 2nd Floor: VB Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: NOTI(;'~inkled Building: nla Occupant Load: f:.'C :-:::11.',:;:- ~1 ,t.~~ '::"01Dt: It: nil: IMnRl< ~j;jN"!i'ifnjOOpt}ntm""I'1 IS NOT COMMENCED OR IS ABANDON~U FOR REQUIRED PARKING ANY 113\}O;lWIfliiRIOD. Total: # Street Trees Rqd: Handicapped: Paved .Drive Rqd: Compact: % of Lot Coverage: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: 6- Notes: Pa2e 1 of 3 _S!1!IlI"'Q,F,\~~! 1 . . CITY VJ< ~rKll~\.jJ<u.,LD Building/Combination Permit Status Issued PERMIT NO: COM2009-00437 ISSUED: 05/06/2009 APPLIED: 04/01/2009 EXPIRES: 11/06/2009 VALVE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Oescrintion I Sign Tvpe of Construction Use Bid Amount $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amount 2,000.00 Value Date Calculated Description Total Value of Project $2,000.00 $2,000.00 04/0 1/2009 Fppli', tIW.I Fee Descriptiop ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 0-35 Square Feet Sigu Plan Review Amount Paid Date Paid Receipt Number $8.00 $7.56 $7.15 $63,00 $80.00 $42.00 516/09 5/6/09 5/6/09 5/6/09 5/6/09 5/6/09 1200900000000000350 1200900000000000350 1200900000000000350 1200900000000000350 1200900000000000350 1200900000000000350 Total Amount Paid $207.71 I Plan Reviews I Sill" Review 04/01/2009 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 the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~~1. ''1.m~[.t)\WJ Sign Attachment: i 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. Page 2 of 3 _SPAIN~IiIm.D, , , I' , , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00437 ISSUED: 05/06/2009 APPLIED: 04/0112009 EXPIRES: 11/0612009 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, 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 Safet)'. 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 ens re that all required inspections are reqnested at the proper time, that each address is readable from the street, that the pen t car is located atthe front of the property, and the approved set of plans will remain on the site at all times during con ~cti . ~ ~~~ 7 Owner or~ontractors Signa~re Date Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~a;:~~ City of Springfield Official Rcceipt DevelopmentServices Department Public Works Department Job/Journal Number COM2009-00437 COM2009-00437 COM2009-00437 COM2009-00437 COM2009-00437 COM2009-00437 Payments: Type of Payment Check cRcceintl RECEIPT #: 1200900000000000350 Date: 05/06/2009 Description Sign Plan Review Sign 0-35 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge ***+ 10% Administrative Fee*** Paid By METRO WESTERN SIGN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1254 In Person Payment Total: Page 1 of 1 10:29,20AM Amount Due 42.00 80.00 63.00 7.15 7.56 8.00 $207.71 Amount Paid $207.71 $207.71 5/6/2009