HomeMy WebLinkAboutPermit Electrical 2009-6-11
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I,,'PEPARTMENTUSE ONLY'
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~ 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