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HomeMy WebLinkAboutPermit Electrical 2009-6-11 m FU\h S.....t.Spi'iligO.Id; OIl.97~7"PH(54I)72~1~.FAiii54I)726J689 I,,'PEPARTMENTUSE ONLY' -.:~ .., ,',.."."",,~,." . " ~ I ~~Z009-008CfZ -... _,.,. Permit no.: . IOate:...."tf/CJ" Electrjl:~l Permit A . 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. ~___. ..-_.~ ._._ .'___u _.....__ .._.. _ _ _ ....____ "._ . - .'.. -.. -. I. ',....".' "",..lOCALGOVERNMENT,..APpROVAL ',-" c"","'" I Zoriirig apPr9vai ~erifi~d? DYes ___mj.,jo,. ~ I ." CA TEGORY'OF" CONSTRUCTION"" "., ~- 1-~';e~iJi:~~j,n:: logoY~fIlm~i. 'IMco~~:rc~~:' L ".,',',JOB,SITE,INI;ORMATION;-ANDLOCATlON I Job siieiiddr~s: j /7!f ~ LgfnJ 1 dty: :Sfn.tF:~':d.d -' State: a:ff:. [2:fP: q7'~77 I.Reference:J70s. 2220, n I Taxlot.:O ZI.{ 10 L,... ....,.~,,..~ ". ,,~DESCRIf>TlON.. Of.WORK i",uVt"/I,,#e, ,u,~l,? fl ~ 51'1 V\ ~~~::::~f::e(;; insta//alion,alteration, rel'7t~:~oo $ I:.:: :::,:, ~ __,~_:,F'RO~ERli .OWNER20no4OOi!IDps(2)"........... --,,,,,. .' $ 95,00 $ l'Niiilie: :E;i?rJl'~ t:'tAl;l1l1-~ r"t.- 401 to 600 amps (2). ........ ... ... $158.00 $ Address: 3\ q L/ ~. l~'(2eX."'"' 601 to 1,000 innpS (2) $205,00 $ ,C1ty:,.$1JFD, ......"...JState:PfZ 1 ZIP:'P7l{ZP7 Over 1,000 amps or volts (2J: $469.00 $ phone: -7ZG- ~ 2-2-1 l Fax: _ ReconnectOnly.(2L,...._............ . $ 63,00 $ E:marC' ----.---.- --. .---- ---.-------.-.- I Temporary services or feeders: ;nslfillation, alteration, relocation This installation is being made on resideritial or farm properly I' 200 amps';,i less (2) ,'.. ,.. $ 63,00 $ owned by me or a member of my immeaiate family, This 1 2011 400 (2) properly is not intended for sale, exchange, lease, or rent, OAR ,.,0.. ,amps. ,.....____..'_n .-... $ 87.00 $ 479.540(1) and 479.560(1), ..'.." 140110600"'''5(2) $126,00 $ Signature: I Over 600 amps or-I,OOO vol~.see services or feeders section above ,...:: .:,.. :_ __CONTRACTOR 'INST ALLA TlON 1 L !!ra~~h circujts,:,~, .fllt~ra:Ii9~, e:x!ension per panel ,Business name: .:m:pJt/ro... ,.Wt95fe.:rt1-' :.si'fj,\;-'I Iii. Fee fot branCh citcuits with purchase ofa service or feeder fee. LAddress:.! ,4S5:...JI~C?r5t1?? f}v I I EachbnirichcirCuit L I $ 6.00 I $ I. City:,f"{A.'i?fep1e.... ,..I, State: ,&R, I ZIP: q74b31 I b: !'",:J~~ bl11JI\'h~~~it".,,:ith!'~! p~,r~~ of. service or feeder fee: i :~~:;: 7 t!f~ 3?J /'2- I FID;" . 7416.: ~I Sf i I::;:::~~:~~~ircuit' ....I I: 5:': I : I. CCB license no,:. / ~ ~8:~ ,.1 BCD .license no,: ~ - '9"r9' ""'45 LM~!lla..eo.~,f...:.s~!:"",~. o! f.eeli~!, n~r. included 1 Signing suj;eiVisor's license rio.: 3"3851 <j Ll!iic1ip.IIIIlp.Orii1igillioiij:j"I~m.:;.J $ 63,00 I Pri~t~;,;;,~'~isig;,ing~~p.;~iso;:- Nick'.iI ~....,.., IE,ochsign~r.'O'utJ}tie}ighii~g(?L m__, / $ 63.00 I si;natureofsigningsupervisor: .'/} .f'~-,/I;;....~ ~ ......"" I 'Signa(c!r.cuit"or~.Ii~ited;.eii~rgy'paneC S 6300 S . . //i.. /' ':4/V~L/ . ~ltera!ion. or extension (2) . ': ,:C'_ '-0,-;:';-'-,-"." . - "-.' . _:Jfa~~ a~~~ional!lIspec!i'!~; (1)_ :'::..;;,~;.";.,.... ..~J.,.AP'PUCANT,;llSE (A) Eriie;: suiiiOi3I bf .;oo~~ fieS (Minimum P~rijit 'fie s58.Ofi) '" lo.) (\ 1 (B) Enter 12%surchaige (.12 x [A)) ': ~ ,,~"\ 1(C)TOclmoiogyFee(r.loof[A))..,.... \9~~o/ I tOTAL rees and surcliarge. (A through C): ~\y Num~~~, of iiisp~ri~ns -per. itein -( if '. _ '. _~, ",',,_ <. "., _", 'l. 'L_ ,:ReSid~iitial;.pe~ unit, ~rvice iD~iud~: ' . ..._ _ _.., .. _ _. , _ .. _ __ _ n ~ . 1,000 Sq, ft. or less (4) Each additional 500 sq. ft. or Portion therwf Limited energy (2) Each manufactured home or niodular dwelling service or feeder (2): Cost Total ea> cost $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ $ $63 $58.00 $ ~X,U 1\f'V' C(v $ i3 $ 7..5t $ 3.!5 $ 73. 7 I 44G-2S84-J (9108/COM) Status Issued CITY OF SPRINGFIELD Building/Cqmbination Permit PERMIT NO: COM2009-00842 ISSUED: 06111/2009 APPLIED: 06/11/2009 EXPIRES: 12/11/2009 VALUE: $'3,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line SITE ADDRESS: 1174 Gateway Lp ASSESSOR'S PARCEL NO.: 1703222002410 Springfield TYPE OF WORK: Sign' TYPE OF USE: New PROJECT DESCRIPTION: Sign - add to existing roof sign and relocate Commercial Owner: Address: SHEILA S LLC 3194 GATEWAY LP SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Sign Contractor NICK HOWARD AMO METRO WESTERN SIGN & AWNING License 160384 160384 Expirat\on Date 09/22/2010 09/2212010 Phone 541-746-3312 541-746-3312 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprink!l'.!!\Building: ._c, 'l ..",,1\1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . "'J I 1)BVEI;OPMEIS'I\'INfDRMA T10N I 0\ I · ~' oleg 6 'oi '" '~\I\6s '';?- 9r:;,\~s 'oi -<'\O.~'\\O 'i>''O.o.O?~e '\\lo'i>~\I!i>'v'l?I'I~Y'Dlk)l'e f^'\ ' ~\lW cel'le (). \ () 1'(11 c#'StV~e.t;Tg;~s)Rt{d: "\O~~ '01' \ () .~ cOr 'I'~ .,,,,,v \0 "',C'O.\I n.()() . ",W"'",o'paY,ed, Drive Rqd: "0\1' 9<;;;'- ~ 0'-' ~~. I" '" i\'" '~Of^?- \111''<> (\Iel. 0(\0/0 0,1' Ja,ot Coverage: \1' () '{O \Ie ce oleg ()().",?>':- \I()9 ;,.,,,c, \ ,_, I\le .. ~.'O ~~II''oe\ (;e(\\6\ I'PUBLIC IMPROVEMENTS I REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: D{1.'tn,sll9'il~/Drains: 'C.'f..?\\','C. \r ~\, \S ~\)' ~O\\C\~\, S\,\f',\.~\', ,\,\\S ?~~'C.\) rO\', ,\,\\S ?\\1'C.\) \\~\) \S f',\)f',~\) ,\,\,\OD " O\', f','v ~'C.~c.t.v 'C.\',\O\)' c.O~ 'Oil \)f','I ? f',~'I \ Notes: Paee I of 3 CITYi OF SPRINGFIELD Building/ComlJination Permit ~i Status, Issued PERMIT NO: COM2009-00842 ISSUED: 06/11/2009 APPLIED: 06/11/2009 EXPIRES: 12/11/2009 VALUE: $ },OOO.OO 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Si2n Tvpe of Construction Use Bid Amount . $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,000.00 Value Date Calculated Description Total Value of Project $3,000.00 $3,000.00 06/11/2009 J;'pp<. f',irll Fee Description ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 36-60 Square Feet Sign Plan Review Amount Paid Date Paid Receipt Number $17.30 $7.56 $8.65 $63,00 $110.00 $42,00 6/11 109 6/11/09 6/11/09 6/11109 6/11/09 6/11/09 1200900000000000672 1200900000000000672 1200900000000000672 1200900000000000672 1200900000000000672 1200900000000000672 Total Amount Paid $248.51 I Plan Reviews I Sie:n Review 06/11/2009 0611112009 APP DJB To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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 R~nvirprl In<.npl'fin"iJ 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 approved and the sign installation is completed. Pa2e 2 of 3 .j Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00842 ISSUED: 06/11/2009 APPLIED: 06/11/2009 EXPIRES: 12/11/2009 VALUE: $ 3,000.00 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 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 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 reqnired 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. ?.:::'iC i:- ./}--Jr.. 0 Owner or Contractors Signatnre Paee 3 of 3 b-//--oCj Date ....p..iif4;'~~~~,J:I..EL9, 10. '.. -;:' """ -, ':.t -., City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726.3759 Phone Job/Journal Number COM2009-00842 COM2009-00842 COM2009-00842 COM2009-00842 COM2009-00842 COM2009-00842 Payments: Type of Payment Check cReccintl RECEIPT #: 1200900000000000672 Date: 06/11/2009 3:20:41PM Description Sign Plan Review Sign 36-60 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge ***+ 10% Administrative Fee*** Amount Due 42.00 110.00 63.00 8.65 7.56 17,30 $248.51 Paid By METRO WESTERN SIGN Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid 1301 In Person Payment Total: $248.51 $248,51 DJB Page J of I 6/11/2009