HomeMy WebLinkAboutPermit Signage 2004-12-30
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SPRINQFIELD r"""'<c""'.....t]
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 b ~ '
~~~~~~~~ :;,~!;r~~~ON Date I?-/ 7-E k~ ~.".,"" ~J1
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3. t,r.'COM~rrnFEE;SCHED ",' >"""~;;,~. ,."..""~"
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Y.o oS't9 ")..... 0&
Serviee Included \9,~,~ ""6 V Q, I' "<-0
91) $." V: 'I.t'1)
1000 sq. ft. or less ~~.b'o" $106.~<, ~. b-
Each additional 500 sq. ft. or '''''''0~''01O" ~o
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portionOthereo( ~'1:l!..tlli, .0,_
N IIl;t."'o 6'''' VI>
Each;Mi"l1Jf'1.'ir:~IHo~,QtL EXPIRE IF THE WORlX/o,,,;o,>
Modular::Dr welling,Service:or THIS PERMIT IS$NOOT "
l\IJ nUnlt..~U UI'H.Il..." a __~5 .00
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1. ' LOCATION OEINSTALLATION,,},' .;; "~\'
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LEGAL DESCRIPTION
(701-3.3, 'Ie.(
ex:> goo
JOB DESCRIPTION
=Face GhaWje..
. Permits are non-lran.ferable and expire if work is
, nol .tarted wilhin 180 day. of issuance or if work is
Suspended for 180 days.
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2. 1:,c..q/JlJ!~..c:]'.q!!-.'~~r~.! L1'!1/!!J/!J!l:I1iJ
Electrical Contraclor f'Ylaq/n 'Bras 9,/::1)1:)
I
Address 'l.Oc.( Je.-fJ.ef<Jo}/\ '::>T
City EU0eYle. Phone 3t./k 17//1
I
Expiration Date
3/3 $14
6;;c>/o~
(Pt(b / B
5/ro/"$"
Supervisor License Number
Constr. Contr. Number
Expiration Date
Signature 'of Supervising Electrician
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Owners Name Pi %v2LC (]p.\.c.;::".c., ~ri:u<\....
7
Address Z<;Jr I ~ s+ 5TC- E"
City e.... a-y.,4 . LJ4 Phone
,
OWNER lNST ALLA nON
The installalion is being made on property 1 own which
is not intended for sale, leaSe or rent.
Owners Signature:
Inspection Request: 726-3769
200 Amps or less
20 I Amps 10 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C f1",';\;:''I(.',~ '!-;:;f~S~'P .,~~ ^",(,~<~~,t:';'F' .-,<t./d, '1',"\'T(',~",,' - ~),i/,~;;r; 'J. "IT~{2-;;~~.;;--!lt":bfr(;tld
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Installati.&.~\ltiw. \!J"r~l9.<ldIiOl1lequlres you.~
200 Am~n-ules adopted by the ore~~~Q~
20 1 Anv;l'b\~;t!llti6ntp;enter. Those rut"" r~-oo' ~' ,
401 AlIl!?f&MlOJ6ft>PlO1-0010 th~oU9\l a 1~6~& ...;,
\lfoR!aln cop-"'" vH ru s",
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D. '"Branch,<::lI'tu""'",..."".,0. ~.. . "'n""'lt'lll'!yNotifi\i<1uvnt;\il"'~" -.j
t==,-,., br.....r-th9". rego ~"". ., ,~,.",',",,, .+>, '
III"" e 1V '",>,>? 2344) ,
New Alteration or~/:IllIsilln1PaPYlHltI"- .
One Circuit $ 43.00
Each Addilional Circuit or with
Service or Feeder Pennil
$ 3.00
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E. 1,~ps..se.lla.!':e~tis(~er.)i~~fee~~r "liot. in~I!,~e~)=E.j:h~st~llatio" I
Pump or irrigalion
Sign/Outline Lighting
Limited EnergylResidential
Limiled Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
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Minimum Electric Permit Inspection Fee is $45.00 + .Surcharges
4. ~:SUBTOTAL:OFABOVE~~~:~:;:~"i.~,~., '.1 ,...::-0
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7% State Surcharge
10% Administralive Fee
S" "..;,
TOTAL
)8~
.Shared Drive(T:)JBuilding Fonns/Electrical Permit Application 1-03.doc
.
. Lit f OF SPRIr~ut<tELD'
Building/Combination Permit
PERMIT NO: COM2004-01596
ISSUED: 12/29/2004
APPLIED: 12/29/2004
EXPIRES: 06/29/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspecJion Line
SITE ADDRESS: 5755 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334400800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair Commercial
PROJECT DESCRIPTION: Sign electrical for face change on Albertsons gas sign on main freestanding sign
Owner: MCKENZIE CROSSING PARTNERSHIP LTD
Addr...: 2811 E ST STE B EUREKA CA 95501
, CONTRACTOR INFORMATION I
Contractor Type
Electrlcnl
Contractor
MARTIN BROS SIGNS INC
License
64618
Expiration Date
03/09/2005
Phone
541-342-1769
I BUILDING INFORMATION I
I.
# of Units:
Primary Occupancy Group:
Secondary Occllpancy Group:
Primary Construction Type
Secondary Cou,'ruction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lsl Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
NU 1I1.1t.:M1T SHALL EjllDEVEL(j)IlMENHlSFORMATION ,
THIS PER . '"
UTHORIZED UNDER THIS PERMIT_IS NU I
Fronlyard Setbac.ttOMMENCED OR IS ABANDOrOOm~ist:
Side 1 Setback: [; 0 DAY PERIOD # Streel Trees Rqd:
Side 2 Setback: ANY 1 B . Paved Drive Rqd:
Rearyard Selback: % of Lot Coverage:
Solar Selbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvemenls:
Storm Sewer Available:
Specialln'truclion:
Sidewalk Type:
Descripllon
Type of ConstrucJion
ATTENTI~:"~mJa?lWM\ifWl\!julres you. ~
follow rules adopted by the Oregon:~~
N tification Center. Those rules are
o 52-001-0010 through OAR 952..Q01.
In OAR 9 .. " _...._ R .._ ..."
,;,{,Sj. YOU may UUL"''' .......~- -' - " .
I Valuation DescriDtion-tllng the center. (Note:.~ :,::n:.
number for the Oregon Utility 0
$ Per Sq Ft Square Footall&nter Is 1.,8Q0.332-2344)"D t C I I t d
. . "'lOll lTihie-- a e a co a e
or multiplIer or Bid Amollnt
Notes:
Total Value of Project
Paee 1 of2
.
. \...l1 t' VJ' ~rK11"uJ'IJ!,LU
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01596
ISSUED: 12/29/2004
APPLIED: 12/29/2004
EXPIRES: 06/29/2005
VALUE:
225 Fifth Slreet, Springfield, OR
541~726-3753 Phone
541-726-3676 Fax
541-726-37691nspeclion Line
I Fees tlWU
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Amount Paid
Date Paid
$5.00
$3.50
, $50.00
12/29/04
12/29/04
12/29/04
Receipt Number
2200400000000001SS5
2200400000000001555
2200400000000001555
Total Amount Paid
$58.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Reunired Insnections I
Sign Eleclrical: After connection is made but prior to energizing
By signature, 1 state and agree, that 1 have carefully examined the completed applicalion and do hereby cerlify thai all
information hereon i, 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 Stale 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 ngree to ensure that all reqllired 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 Ihe approved set of plans will remain on Ihe site at all
limes during construction.
Owner or Contractors Signature
Date
Pal!e 2 of!
225 Fifth. Street
Spri~gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1596
COM2004-0 1596
COM2004-0 1596
",
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Payments:
Type of Paymenl
CredilCard
':/
':?
12/29/2004
.
RECEIPT #:
Descrlpllon
+ 7% State Surcharge
+ 10% Administrative Fee
Sign - Outline Lighting Each
Paid By
RONALD BRENNEMAN
WiL8~
'..~
"..~--.,.- ~ .
aY of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
2200400000000001555
Date: 12/29/2004
lIem Total:
Check Number Authorization
Received By Balch Number Number How Received
djb 086592 In Person
Payment Total:
Page I of I
2:12:01PM
Amount Due
3.50
5.00
50.00
$58.50
Amount Paid
$58.50
$58.50