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Home My WebLink AboutPermit Curb Cut 2009-6-2 Electrical Permit Application . 225 Fifth Streett Springfield, OR 97477+PH(541)726-3753+ FAX(541)726-3689 I lj)IMZOO'- /' Permit no.: 00 b 7 b I Date: 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. 200 amps'or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ I Name:'SP/Z(I\.\'-f'it::l.A? ~,-1/13r 401 to 600 amps (2) $158.00 $ I Address: S2.~ J,.(/l..L.-<;r. 1 601 to 1,000 amps (2) $205.00 $ I City: 59f4N6~ I State:o(L I ZIP: CMi--;") lOver 1,000 amps or volts (2) $469.00 $ 1 Phone: A.!:H I ~'f-' - ~'3~1 1 Fax: I. Reconnect only (2) $ 63.00 $ I E-mail: I Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my irnmediate family. This 1 20l!o.400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or'rent. OAR 479.540(1) and 479.560(1). 1 401 to 600 amps (2) $126.00 $ Signature: N I A- . lOver 600 amps or 1,000 volts, see services or feeders section above liII~11lliIlJiti1!l(;:ONifMPJtOR.mll"$1I',I};1!1!',I};\TJONI:~i1!I_~~1I1 1 Branch circuits: new, alleration. exlensian per panel [ Business name: 1:=='"c:... + It- 4,w ~i") Aw", ,~C:,. I I a. Fee for brarich circuits with purchase of a service or feeder fee: 1 Address: 'iC;<;c1-i" v/2..dr, It.t..... lZ-i). . 1 I Each brooch circuit 1 $ 6.00 I $ I City: ~l6 f State: ofL- I ZIP: "'1'fcr"'2_1 I b..Fee for branch circuits without purchase of a service or feeder fee: I Phone:~l 'ftOt;;.I;t;4-b 1 Fax: ~ ~.5T<1'2, 1 I First branch circuit (2) '1 1 $ 55.00 I $ I E"mail:c.../1.eA.z..1ty......_ ~.J I i!Q eS4St eo Ifl!). ~ .1 Each additional branch circuit $ 6.00 $ 1 CCB licen~e no.: Ie.. '7, '-t1 ~ I BCD license no.:2.b-S"'f3l.L.S 1 I Miscellaneous fees: service orfeeder nat included 1 Signing supervisor's license no.: .30b 'SI (')- 1 1 Each pump or irrigation circle (2) $ 63.00 1 Print name of signing supervisow, ~Vl2-.~.-. 1 1 Each sign or outline lig hting (2). $ 63.00 I Signature of sign'ing supervicri r: \ t . I I Signal. circuit or a Ii!llited~energy panel, $ 63.00 $ ......0 ___' C ....-d. ~ . , alteration, or extensIOn (2) .. " I Each additional inspection: (1) ~~ tb"'-9 1.l1\Ql1'iC'f'~'iTh1Il!0i3AIl!-!!G'OVERNMEN:t:i1fAF!F!ROVAI!'Y'''--"1"Efili'.!7ffP MWL""ili.;A'ifL0>h ._._. . .~^'-'_,_ ".. .. \ 1#', Ii ~_ ,'" .;;ili.ii_~0U>>-';MLldl Zoning approval verified? DYes D No 1 ".l7"'jlj~_';;"''''C'K'''EG' 'OR""'O'"*C" . 'S'. .' ". '.......01-., """""",.,261 "'0: .', "Iii' fI,Hi . .ON. JRU.C'I"ION~'i-c"""iliZ,,, o Residential -10 Government I !8\Cornmercial liIIiII..lOBJl:SlffiE\lINI;ORMA[IONtIAND..~I!rO.CAffiION~_:1 , . I Job site address: 2. /0 "I .j ~tv'~e..r- 1 CitySP~N"tii<U) 1 State: o(L 1 ZIP: en'f)"'] I Subdivision: 17033 b (t.. 1 Lot no.: bO,oo 1 _~__~PES.CRIJ?,;I110Nlol;;~WeR.l<li'lif.~~1 I N ~ I u....v M t.eD Jot ~Yr&.E c..'fTl- 1 1 440-2584-J (9/08/COM) . b ~'v\~ \.9'~ Q.4 ~~ Residential, per unit, service included: 1 1 I I I 1 I I I 1 1 1 1 1 I I 1 I 1 1 1 1 1 I $ 1 $ ~ 3.-1 I t,OOO sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 $ $ 25.00 $ Limitedenergy (2) Each manufactured home or modular dwelling service or feeder (2) . $ 32.00 $ $ 63.00 $ Services or feeders: installation, alieration, relocation $58.00 1 $ I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) 1 (B) Enter q,% surcharge (.12 x [AD 1 (C) T'echno,ipgy Fee (5% of [AD 1 TOTAL f~es and surcharges (A through C): $ b~- $1.~ I $ ~./~ 1 $ 'H:?II Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00676 ISSUED: 06/02/2009 APPLIED: 05/15/2009 EXPIRES: 12/02/2009 VALUE: $ 20,990.00 225 Fifth Stl'eet. Springfield, OR 541-726-3753 Phone 541-726-3676' Fax 541-726-3769 Inspection Line SITE ADDRESS: 2109 J ST ASSESSOR'S PARCEL NO.: 1703361200100 Springfield TYPE OF WORK: Sign TYPE OF USE: New Pnblic PROJECT DESCRIPTION: Sign for Maple Elementary School Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Sign Contractor HYLAND CONSTRUCTION . E S & A SIGN CORP E S & A SIGN CORP License Expiration Date Phone 163470 163470 03/1612011 03/16/2011 54 I -485-5546 54 I -485-5546 BUILDING INFORMATION I # of Units: Prim'ary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: E # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: VB nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: . Compact: Street Improvements: ATTCf..ITlnf\l' flronnn IRW reauires you to I PUBLIC IMPR0VEMEN.TS I,d by tI-le Oregon UfllIlY Those rules are set forth l'llUUilVV."....', --..--- in OAR 952-001-0010 thrSid$wiinUrype:.001- 0090 You may obtain cnl'Jies of the rules by . N Downspouts/Drams: calling the center. ( (Jlt:. l"c 'c,~>:"v'.'v number for the Oregon Utility Notrflcatlon Center is 1-800-332-2344). Storm Sewer Available: Special'l!'Strnftrrm: lJ.~ _ . . ....... Notes: THIS PERMITSHALL EXPIRE IF THE WORK ~,UTHORIZED UNDER THIS PERMIT IS NOT 0f,1[\1ENCED OR IS /l,BANDONED FOR \;~ -; '::-:; OAf FER/GO. Paee I of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00676 ISSUED: 06/02/2009 APPLIED: 05/15/2009 EXPIRES: 12/02/2009 VALUE: $ 20,9'90.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541:726-3769 Inspection Line ! I Valuation Descriotion I Sien SillO, Sii!n Use Bid Amount Use Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 1,396.00 4,267.00 15,327.00 Value Date Calculated 06/01/2009 06/01/2009 OS/29/2009 Descriution TVDe of Construction Total Value of Project. $ I ,396.00 $4,267.00 $15,327.00 $20,990.00 I' Fpp<, P~itlJ Fee Descriotion' ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 0-35 Square Feet Sign Plan Review Amount Paid Date Paid Receipt Number $30.30 $7.56 $15.15 $63.00 $240.00 $126.00 6/2/09 , 6/2/09 6/2/09 6/2/09 6/2/09 6/2/09 1200900000000000601 1200900000000000601 120090000000000060/ 1200900000000000601 1200900000000000601 1200900000000000601 Total Amount Paid $482.01 I Plan Reviews I Sign Review . 06/01/2009 APP DJB To Requestan 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. wiil be made the following work day. ~f1InJ1ections I Sign Location: Tu verify the location of the proposed sign. Sign Footing: After excavation and forms lire 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 required inspections are conducted and appr'oved and the sign installation is completed. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 54I-726-3676.Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00676 ISSUED: 06/02/2009 APPLIED: 05/15/2009 EXPIRES: 12/02/2009 VALUE: $ 20,990.00 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 1 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 lime, 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 ,cOIistruction. (!~~~ Owner or Contractors Sigllature Page 3 of 3 612/07 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department. Public Works Department Job/Journal Number COM2009-00761 COM2009-0076I COM2009-0076! COM2009~00761 / COM2009-0076I COM2009-00761 COM2009-00676 COM2009-00676 COM2009-00676 COM2009-00676 COM2009-00676 COM2009-q0676 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: 1200900000000000601 Date: 06/02/2009 Description Sign 0-35 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge ***+ 10% Administrative Fee*** Sign Plan Review Sign Plan Review Sign 0-35 Square Fee\ Sign - Outline Lighting Each "+ 5% Technology Fee + 12% State Surcharge ***+ 100(0 Administrative Fee*** Paid By CHERI FLETCHER Item Total: Check Number Authorization Received By Batch Number Number How Received njm 0022580 In Person Payment Total: Page I of I 10:2I:07AM .' Amount Due 240.00 63.00 15.15 7.56 30.30 126.00 126.00 240.00 63.00 15.15 7.56 30.00 $964.02, Amount Paid $964.02 $964.02 6/2/2009 Status. Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO:, COM2009-00771 ISSUED: 06/02/2009 APPLIED: .06/02/2009 . EXPIRES: 12/02/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1137 18TH ST ASSESSOR'S PARCEL NO.: '1703253407200 Springfield TYPE OF WORK: Cnrbcut TYPE OF USE: PROJECT DESCRIPTION: replacing snbstandard driveway approach Residential Owner: Address: PIQUETTE LAWRENCE R ' 1137 N 18TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Contr'actor License Expiration Date Phone BUILDING INFORMA.TION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structnre Type of Heat: . Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport . Sq Ft Other: .Occupant Load: n/a . I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd; % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ; ~ 'IOU to ATTENTiClN: Oreeon 's,~ rC("'Jlro~ \ ..' Joilow rulesadopt8d by Ir,e Oreguol U(filrtYth "~,;f;Mtir,n f:p.nter. Those rules are s_e! .?.:" in OAR 952-001-001 u mroU\j" v^'" w~ ~~ . 0090 You may obtain copies of the rules by ~idewalk1Type:ler. (Note: the telephone ;...~.::, 'in', Ihp, Qregon Ulility NotIfication rD<IWi\sllou ts/D raIDs :'00-332-2344). ventel ,~ 1-0 I PUBLIC IMPROVEME~TS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: i>.,~ , ..... . ""c.,-.- , ....' . , '(/'n ':'i/vi1i 'I I (>J;:1,~ >'fiIIED S/fIlLL Valuation Descriotion IiIVy 7>> C.tvCED UNDER eXPIRE Description vOT.~pe ofCiJnstru~l;'oitp IF$r.t~I~~~t Square Footage ,{ PER'u "1811'; 'ER or rnu'\'u,'er or. Bid Amount 'fOD 'vDON, IV/Ii IS '111( . 'ED FOR NOi Value, Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00771 ISSUED: 06/02/2009 APPLIED: . 06/02/2009 EXPIRES: 12/0212009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 54I-726-37691nspection Line Total Value of Project Fees Paid I Fee Description + 5% Technology Fee. Curbcut Permit Amount Paid Date Paid ReceiptNumber $4.40 $88.00 6/2/09 6/2/09 3200900000000000411 3200900000000000411 Total Amount Paid $92.40 I Plan Reviews I ,To Request an inspection call the 24 hour recording at 726-3769. 'AII 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 Rellllired Tnsnectiolls I Curbcut- Standard: After forms are erected but prior to placement of concrete. .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 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 th~ front of the property, and the approved set of plans .will remain on the site at all times during constructio . . ~/ ~ t-;)-dJ'1" tYhd Owner or COlltr~rs Sign~ture Date Page 2 01'2 .' . . . '. ,. ro., ,,"'_~'" .~Ii'IJ1 . J .-'.' ", '. ..- . ~ '. . . ;', .... LJIT.!to.},vpnnojlt!lu <,".. - -:. . : '-A,i" :.X ',;: :~"'. :~':':",-;,F./:':.,\i~.' ~', :' ,,:: ':r:: :.:: '0.:. .,..,:, ::;:;<..:: ;",.:;::~ . . :';..~. ' .~~,. ;,~;/}!f1~\ 'i';f,~ :':',C:: DRIVEWAY/SIDI;WALK " ",:...;:;: .peRMlrAPPI;ICATIO~.: .L:::!l~ 225 FIFTH STREET .f'~INaFIE:LD' SPRINGFIELD. OREGON 97477 ~ ENGINEERING DIVISION OFFICE TELEPHONE (503) 72~'3753 .' ~ APPLICATION DATE: c; - )..-2uo9 PERMIT NUMBER: DATE ISSUED: C.UM ,Ji,.d1-0U 17f r!. <;Z~~C!O'( SITE INFORMATION: LOCATION OF WORK: 11'<;'7 IJ!Ilt!:> sT. APPUCANT ~,<A.' re.\~ef\. ~..Jl<tlr~5<11\r.."t.)_ PHONE, ADDRESS ,..., 'Ir 14t<W: ~ <t ' ;). :<:- _ H" . ~ C)TY:~€I'\.~_ STATE:~I SUBDIVISION: OWNER~r", ADDRESS: \ \ ~ .::) Z'P:.!'/.J!:I/J ::l- ?ACf-77c"';J.. TAX MAP: ....L7-~3-.;t5: 3 'f TAX LOT:' ~7~~o P~..",tt... I ~ '!-ft, -;'/-. CITY: 5br,',...-fi~(J.. --.i STATE; PHONE: f"ll? ZlP: q7477_ REQUESTED PERMITS: o SIDEWALK:... AMOUNT OF SIDEWALK IN EXCESS OF 90FT. $88.00 @$OOB SF. . $15.50 .. ~$ ~$ '"'' ~$ o SIDEWALK REPAIR:.. ~ CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS---L X ........ $88.00 1s1 Cui ~ $ o MULTIPLE PERMIT DISCOUNT EA: .........(MAX 2)... ...............$30,00 2nd Cui ~$J [MUL 11 PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITEINSPECTlON ~ . ,. APPUES TO 2nd AND 3rd PERMITS ONLY. NDT SIDEWALK REPAJR) , =$ ~ 5% Technology Fee $ 4-. '/-0 . TOTAL DUE WITH PERMIT $ q;;" 40 o PROOF DF INSURANCE: $500,000 MINIMUM IF WORK IS DDNE BY PRDPERTYDWNER - - , '- ".'~"'. CONTRACTOR INFORMATION: )- " CONTRACTOR, (;~ - I-Iar..... ':;d"- . ADDRESS IYL-/ ( #r,..;V. q"l "..), CONTRACTOR REGISTRATION NO: i ~ 4 4 7 " . PAOJECTSUPERvtSOR: R&~ ~.((.seK. , /~~5 +nk.'t; ,,"- EJAAeJ'te... .I'JR.. "-' ......1 ':_'t- '7'1" a. EXPIRA nON DA 1E: PHONE: ~- 77b'). <;-7-la PHONE: c.~'f-77r;,J... I INSPECTIONS: " AN INSPECllON REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. AFTER THE PROPOSED WORK HA.S BEEN FO'IAMED AND MADE READY TO POUR. CURB CUT AND SmEWALl< INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED ClTY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE READY FDA INS PECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00AM. WILL BE MADE THE NEXT WORKiNG DAY. INSPECTIONS ARE TO BE CALLED !N AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE. . I . ;.'..,t _YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALl.'NUMBER" 1-800-332-2344 4~ HOURS BEFORE DIGGING .' . ,.-',"'-' ..~_u SIGNATURE: ~1WI ~~ AMOUNT REeElV,", / - -q:J.. 9-0 . .RECEIPT NO: -'l~"'..'" ~~:'-'.~' . '- DATE PAID: RECEIVED BY: G-).-).,001 eT^ By signature, I slale and agee, that I have carefully examined the cOO1pleted application and do he reby certify thai all information herein is true and correct and I further certirythal any and all work per:tormed shall be done in accordance with the Ordinances 01 the CHv or S. pringlield, applicaOle City Standard specifications and Drawings, and the laws 01 the Stale 01 Oregon pertaining to Ihe work described ha-ein, I further certlf'y lhal only contractors and employees who are in compliance with GRS 701.055 will be used on Ihlspl"oll!ct. The City may Inspect the work site described in this permi! at any time during a one year period fo Howing Ihe receipt by the City 01 noUee of com~lelioo 0' the desC1lbed work and specrfy, al the Oly's sole discretion any additional. resloratlon work required 10 return the site 10 a standard acceP.lable to the CI . The permlnee Will be nollfied in Writing of any work required aoo will have thH1y days (30).lrom Ihe dale 01 the notice to complete the WOI'k. Work no! comp eled ar Ihe end 0' the Ibiny days WIll be per10rmed by lhe City and Ihe costs win be billed to tlie perrruttee. I 'urther agree 10 ensure thai all required inspections are requested at Ihe p;oper time, !hal proj eel ,address is reada!:Jje trom Ihe street, and the approved sel or plans WIll remam on Ihe sile at all limes during construction. . Sig",,",,C6u~ J7J rfA'~ I Date (;.). - )Ci (I J 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0077! . COM2009-0077I Payments: Type of Payment CreditCard cReccintl RECEIPT #: Description Curbcut Permit . + 5% Technology Fee City of Springfield Official Receipt . Development Services Department Public Works Department 3200900000000000411 Date: 06/02/2009 Item Total: L'heck Number Authorization Paid By Received By Batch Number Number How Received GOOD,EN-HARRISON CONST etm 612093 In Person Payment Total: , Page I of I 2:40:19PM Amount Due 88.00 4.40 $92.40 Amount Paid $92.40 $92.40 6/2/2009