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Home My WebLink AboutPermit Electrical 2009-3-24 Electrical Permit Application CITY OF SP.RINGFLELD, OREGON 225 Fiftb Street. Springfield, OR 97477. PH(541)726-3753+ FAX(541)726-3689 ii:~1 DEPARTMENT USE ONLY CO~ZOO 'l- 00436 Permit no.: Date: ~rk7 .This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is Dot 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? DYes 0 No I Number of inspections per item () I Qty. I Cost I .CATEGORY OF CONSTRUCTION ea. I I Residential, per unit, senrice included: o Residential J 0 Government I.lj(Commercial I JOB SITE INFORMATION AND LO.CATION I 1,000 sq. ft. or less (4) $134.00 $ I Joh site address:-0" 3 }')1.t11 V1 s1. J. I ~~~o"?ditional 500 sq. ft. or portion $ 25.00 $ I City:~r,-~I0.;1./ I State: ~LZ1P: q?l7t?1 I Limitedenergy(2) $ 32.00 $ I Suhdiviston: 1-Zt;>Z 3"3_41 r Lotno.:t"\s4C>oI I Eachmaaufacturedhomeormodular $ 6300 $ I DESCRII~TION' O.FIIWORI<.,__ , I dwellmg semce or feeder (2) . I W"p/( Uf, :5-li'i/h;:15J. ~J;S<E-ktJt,guires Iyd~s~rvices or feeders: installation, alteration. relocation I f . In oAF! a -.'V'"I/rer. tli' .c,v'~gOIII t1"tn~ampsorless(2) < $ 81.00 $ t!VVv'-IM 0.'- v52.nrl1 Ao". ose rulM ^-- 1.'( .. I . PROPERTILO)l\/NEI:l:~ v InroUoh OAe \~I.et f@PIH0400amps(2) . $ 95.00 $ I.Name: 1M c.ILl!Nb:i?;',~n'LtD S;S1I;;;:;.Y^~Pies of the ~;llt JI\O}-to 600 amps (2) $158.00 $ I Address: Z B II c:---~r.~ne9riiic1i;;iil~;:/e ~elepl O~ ~6QJ{ 101,000 amps (2) $205.00 $ I City: etl~A I Stat~~' 't~~0zfis.<5"~~~I{clti~.9verl,000ampsorvolts(2) $469.00 $ I Phone, I Fax, - _ I I Reconnect only (2) . $ 63.00 $ 1 E-mail: I I Temporary senricesor feeders: installation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) I $ 63.00 I $ owned b~ me o~ a member of my immediate family. This I 201 to 400 amps (2) I $ 8700 I $ property IS not mtended for sale, exchange, lease, or rent. OAR I I . 479.540(1) and 479.560(IJ 401 to 600 amps (2) $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I . CONT~CTOR ..I~ST ALLA TION I Branch circuits: new, alteration. extension per panel I Business name: ,~ .-,,-..&1F___ m dnJ J1/~/I"1 I I a. Feeforb~ch circuits with purchase ofa service.or.feeder fee: I Address: /lIST #d)1.hr~~ . I . Eac}J~~~i'ffii!K I I $ 6.00 I $ I City: ;:: V1fo!?te. I State: T~l ~\li\j"fflPl'/M!};1 ~~ ~~~,t~?\llil'i(1 ~s without purchase of a service or feeder fee, I Phone:5r/ 7)/6. 53/2' I Fax'H1~~ I Ii 10 p. t q!.1(qi'fuit (2) I I $ 55.00 I $ I E-mail: \!IAW.s 2- Q q(~M1I.afM~E~~ Bach additional braach citCuit $.6.00 $ I CCB license no.~~I-~ I BCD 1i~<!l{selt~lJ ~ 3'",t I Miscellaneous fees: service or feeder not included I Signing supervisor's license no;: 5~ 5P1 I I Each pwnp or irrigation circle (2) I I $ 63.00 I Print name of signing supervisor: N '~ fI. ~ I Each sign or outline lighting (2) 2- $ 63.00 I Signature of signing supervisor: ~/ 'l-A ~ ~... I Signal, Clf.cutt or a h~TIIte.d-energy paneL I I $ 63.00 $ ..// ,r ,. ~ alteratJOn.ore:\.1cnslOn(2} I Each additional inspection: (1) I I I APPLICANT. USE I (A) Enter subtotal Of3.bove fees (Minimum- Permit Fee SS8.00) I (B) Enler 12% surcharge (.12 x [A]) I (C) Technology Fee (5% offAl) I TOTAL fces and snrcharges (A throngh C): I Total I cost I I $58.00 I $ $ $ /2<- I I I $ /7-? I $ /5" 12-1 $~. 3r:l1 $1'I7.'I2Jr , ~~ \~ / \\.t1\ 1;'~ ~~~ C\;V ~ 440-2584-J (9/08jCOM) -1r~!~l:'l!"I,~~t'"mn- 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: COM2009-00436 ISSUED: 05/06/2009 APPLIED: 04/01/2009 EXPIRES: 11106/2009 VALUE: $ 7,000.00 SITE ADDRESS: 5703 MAIN ST ASSESSOR'S PARCEL NO.: 1702334103400 Springfield TYPE OF WORK: Sign PROJECT DESCRIPTION: Sign for Wa-Mn to Chase rebranding TYPE OF USE: New Commercial Owner: MCKENZIE CROSSING PARTNERSHIP LTD ,Address: 2811 EST STE B EUREKA CA 95501 Contractor Licenssu to Expiration Date NICK HOWARD AMO mON' Oregon laW req'6~J!~ Utility 09/22/2010 METRO WESTE~~.l:\I~^\Y~:JN~bY t\18,~~8Rt4'i.et forth 09/22/2010 .~c-; "' -"~J :1!""~,:=: 952-0U \- N~\i~Wlrp'1NliQRMf\1jIW:f,e rules by in up., '" " obtain COpies I co hone 0090..'tPbi''Sfg\i~fer. (Note:the te\ei~Gation Lot Size: B Galhra~~\Rh~\!,*!111eU\lhtY ~~t Sq Ftlst Floor: numbili 'etll,'6tll!l'll-800-332-23 ), Sq Fl 2nd Floor: W ter fype: Sq Ft Basement: Range Type: Sq Fl Garage/Carport Energy Path: Sq Ft Other: Sprinkled Bnilding: n/a Occupant Load: Contractor Type Electrical Sign # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Phone 541-746-3312 541-746-3312 I DEVELOPMENT INFOR.MATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 'jnnll I PUBLIC IMPRQ\'c'iMlf..NTS I r:~?I\\t If 1\1'; IS ~01 IN" ~\-Ifl.,'-'- '" \f~\\WlI I 1\-11S Pt\\WI~~ \lI'lD~i'I- D6~"tD fO\\ fl.,\l1\-10\\II to 0\\ I,&~~uts/Drains: COWlWltl'l~fl.,'{ pt\\IOD. MN 180 Paee 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00436 ISSUED: 05/06/2009 APPLIED: 04/0112009 EXPIRES: 1II06/2009 VALUE: $ 7,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion I Sien Sien Tvpe of Construction Use Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 4,000.00 3,000,00 Value Date Calculated Description Total Valne of Project $4,000.00 $3,000.00 $7,000.00 04/01/2009 04/01/2009 F~p~ P~i1, I Fee Descriution ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 0-35 Square Feet Sign 36-60 Square Feet Sign Plan Review Amount Paid Date Paid Receipt Number $19.00 $15,12 $15.80 $126.00 $80.00 $110.00 $84.00 5/6/09 5/6/09 5/6/09 5/6/09 5/6/09 5/6/09 5/6/09 1200900000000000353 1200900000000000353 1200900000000000353 1200900000000000353 1200900000000000353 1200900000000000353 1200900000000000353 Total Amount Paid $449.92 I Plan Reviews I Si1!1l 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. , Rpflllirp11 nsnections I Sign AlIachment: Method of mounting the sign to a strnctnre or pole. Method of allachment of bolts or welds. Sign Electrical: After connection is made bnt prior to energizing. , . Sign Final: After all required inspections are conducted and apprnved and the sign installation is completed. Pa2e 2 00 _S;I'!R1!'IlIl!l!lilt:O i I' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00436 ISSUED: 05/0612009 APPLIED: 04/0112009 EXPIRES: 1110612009 VALUE: $ 7,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and] further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structnre without permissinn of the Commnnity Services Division, Building Safety. I fnrther 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 ;::':::'::~A'~O:S;""'" .., ", '"",''' ,,,.. "... wm ,,,,,.,, .. .., .,,, "'." Owne"""';- Contractors Signatu':;;---- Date Pa2e 3 of 3 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Sen'ices Department Public Works Department Job/Journal Number COM2009-00436 COM2009-00436 COM2009-00436 COM2009-00436 COM2009-00436 COM2009-00436 COM2009-00436 Payments: Type of Payment Check cReceinll RECEIPT #: 1200900000000000353 Date: 05/06/2009 Description Sign Plan Review Sign 0-35 Square Feet Sign 36-60 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + ] 2% State Surcharge" ***+ 10% Administrative Fee*** Paid By METRO WESTERN SIGN Item Total: Chcck.Number Authorization Received By Batch Number Number How Received DJB 1255 In Person Payment Total: Page 1 of 1 ' 1O:36:45AM Amount Due 84,00 80,00 110,00 126,00 15,80 15,12 19,00 $449.92 Amount Paid $449,92 $449.92 5/6/2009