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Home My WebLink AboutPermit Electrical 2009-5-6 (2) SCT-25-2007 14:08 10/25/2007 13:07 8UILDERS ELECTRIC 7253575 CITY OF SPRINGFIELD 541' 485 4055 P, 01/01 PAGE 01 J^,oq S,UI CITY OF' SPRJNGFIELP, OREGON us FIfTH STREET. SPRlNGFlELD, OR 97477 . PH:(S")716-J753 . FA1C(S'I)726-J689 ELECTRICAL PERMIT APPLICATION Cj~JobNumber .(.oWlz.oO 9-0 tJ sZ / I~'~rii,"'~' ..':::', """",",:"'~',:,,,~ ,:....t ,.:'~' ".~~~'~"':''''~. c' '.' -,:-:~ ..-.,."." "";~' ':. ,,:-,~:"': )," 1, ,IOCATION,OF INST:A.tUTIoNi :,'': ..: ':": bs(3"Q""'~'f' ...'.... LEGAL DESCRTPTlON: / . /703. 'ZoZ-l( l _.' ~'"o......" ~.'.: ZON . : l~ _ rNIT1ALS ~ :DAlO ~.. ',SOURCE Date :;':' " '~:.~.~ ~,_.,.,..,..-., ":'j.'~"i:~"~-:.'7' ''-' '". '. .~"!..-.:,.;;....., ~: .:....T7.r:~:.:..':~~::';'7.r:~,::~.:'"::-,..,:I.',!.'.J:i' 3 .. COMPLETE SCHEDULEBEWrv.'.",........:;.",.,.).,.I",,', . j.,:-,., ""I~" .. .:,',:.' ,.. " ,,: ....- "";' ,'.., .'., . , ," '. """,:,:",",.,,,:_.."'h~.::',.:c;~\~/.~.:'~::~:.:.~;':':J~::(..:'~.,'~~': ! :;:~~~;~~'~:~~'~:~{~::~~~~l'~~:~.~;.~~i~~~~~~~~i~~~]rf~~?~~~:~:!J~ Servicelntluded 1000 sq, ft, or 1.., Each additional 500 6'1' ft, or portion thereof , '$1 17,00 A. O~~OD JOB DESCRIPTION: eXr~tV6Az. Z- L...4 1\ Cl oI2.c......,+'S.. FC--L ,/ "'....'\ $ 21.00 . ~ O&::,ern Signature: ~.&1 . \j~~pection Request: 726-3769 ~~? b ~ . o(l- ~-;;'f' eft ' ~.s Permits are non-traosferable and expirelfwnrk jj Each Manufael'd Home or not started within 180 d.y. .ri",uanee or ir..ork i, Modular Dwelling Service or SU'Pended for 180 day.; Feed.". 2, S:Bk~W~.~#!JV9!iR%~'~i 1v~~tl;:Jiff:w~~:~~2;~~7~~~~,~~~?f~~Z@~~~[(X Electrical Contractor )=<' ) i klers)c I t'C Cl<o'? @.<jllr9''200:Amp.~OrrICsfh) 10 S 70,00 '90 1:'- "-'(-)1'>4 f..,I'I:J:;{ ,...d-t- , "0 201(!uDp' to 400 Amp' req,., S 83,00 cil/I. TI l' VI n . rJ.., f '{h <.I1r. (>, 1,70 ,,401,AmPSlto8oofAmP,e Or", es I,. SI38,OO ',qb <,,^'Y OA,' If, C 1'111 ....00 -" t . ~ . e, (,060I\AmP' to,lOoo:AmpseS q> ~ I I", 0 $180,00 tl(- r C.r" I f-ll- 'Ih'~ 'el"' ''"/tIO'S Of Pbone 'f''!(:::;' .~/ L L. Cef)Ovcr 1000Am~Nolts ~/j>9 Se'F_ flY S413,OO - 'RecQ~~t oni\!le: ;: Oft, '$<,-'" -, if) S S5,oo ''-' 1 _J-';ljJJ. tl'f) I/(] ,.. '80r> c UtiJ". telc, riJ/eo ~ I, c.i;';W[r;;:)~~~lJf,l~~~,1"'~:.':~::~:~%0::);E;C(:Pf;~m~~;0 ID!itallarion, Alteration or RelOUItion I . r 200 Amp' or I.., S 55,00 201 Amps to 400 Amp, $ 76,00 401 Amps to 600 Amps SI10,oo Expiration Date H '.. 'l~- . Over 600 Amps or 1000 Volts '<c"B" above. ,.. V "I,,;::,~:'-' '-'~;:~:':,"".:",. . ":" , ''',:::~;:;~~-:~!:' ":::,.; '~'~::::':~I ::~:O::;,.C.':: :-:-:..,~,'.; .;,:'.'.'.-o:....:.~.,.':r!";:t~.'..'il;~,..:~:=, Signature of Supervising Electrician 1;;g11l1 't.~. D, ., Braneb,C!rcnlfs',. ."':..", ,,:, :i' .::.':,'> ..,."."" ,...,.".",',:...." :>""'.',:.:0',:.:>:; -4 '1" A C;-.' ,.",....... .........,.1.",.:......,....:..:,.......'''....,''..''.,'.,. 'c..."",.....""'..,,,... . n _ _ A J_//Jd; Ito. 't1t4ftr N.... ~\te~.tion or Exten.ion Per P.n~1 I ~) ,. I ~ /~.. 'It/~,..,.. oS'~ OneC,rcutt ' ~oo S.s 0-_';' ;?In- L~/^';;ji~"tll!j;b~~,:~:,,,,.L..'(!, "/:,, ;::-:~k. B~~ ~:~S:J, 3/"i,1Oo,~1F.'\1'.~;;;=.~; . . Sign/Outline Lij~ng $ 55,00 owmR INSTALLA nON ' Limited EnergylRcsidOl1rial S 28.00 The installarion j, being made on propertY I own which Limited Energy/Commercial $50,00 is not intended for sale, lease or rent. Mjn\~_~.~.,~,I,~~~~~~:~~.~~~~~.~~~,~:~~..~~;n~~~~'..:.!urebargeJ 4,SUB1VtAL OF ABOyE.'/':, ,,:::,,:I:';:; / ! ~st~;es~r~~;~~'.,."...,,'.\,:. ~ 32 N'IO .K.(uIl~JU""''''~ S55,oo Addreo, ICI~' Ivic~~(I, \C, vi City F\ 11_:.,~; I"~ P --",I" ., Supervisor License NumbCr 52 7~"') 5 Expiration Date /(9-/-,0 Constr, ConlT, Number 47C1v) 5% Technology Fee -~ 0 r- TOTAL 7/!l. Sb;v.:l Orivc{T:)lBuildmr; Forros/E.l~cal Permit ApplM2tion 7-07.doc ~ TOTAL P,01 Status Issued CIT'X OF SPRINGFIELD Building/C~mbination l>,ermit PERMIT NO: COM2009-00321 ISSUED: 05/06/2009 APPLIED: 03/10/2009 EXPIRES: 12/23/2009 VALUE: $;3,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 650 Q ST BANK ASSESSOR'S PARCEL NO,: 1703262405500 Springfield TYPE OF WORK: Sign. PROJECT DESCRIPTION: Sign for Wa-Mu to Chase rehranding TYPE OF USE: Rem'odel , Commercial Owner: METROPOLITAN LIFE INS CO Address: PO BOX 35547 . TULSA OK 74153 Phone Number: 541-465-3650 , CONTRACTOR INFORMA nON..1 " Contractor Type Electrical Sign Contractor NICK HOWARD AMO METRO WESTERN SIGN & A,W~!NG '''"-'''''''0. I License 160384 160384 Expirati~n Date 09/22'/2010 09/22/2010 Phone 541-746-3312 541-746-3312 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B BUILDING:INFORMNfWN II ' : 'Vl/IfCa.tio - ~vupred b' a.W reqUires " !~ "^ " n Cent Y Ihe 0 Y~!ffl . # ofStones:S2 00 er, rhos regLotl lze: l100J - ~ 1 00 e rut -q ff"t., Heig.ht of,'Structure 10 thrOU h es er,S9.Ft 1st Floor: "A'" - "'''Y Obt ' 9 OA ,;, IC'lh Type of'Heat:, C e!n coP!' R SWFot 2na Floor: oI'lnc' -'" ent es of ., ~- 1'1 , Water''Type;'r th ~r, (Note' th the S!I'.f~ Basement: Range Type:1/er ~s regon Utilit e~elersq)!f~'G~rage/Carport Energy Path: . 1-800-332'~4 OlifiSq'oElpther: Sprinkled Building: n/a 4), Occup~nt Load: I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: , Compact: M n,... 1"'1_ Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMf.R.~\f:~EI'1O'i:i. , '-,II!All ~YD/O AUTHORIZED UNDER S/iillewalklfyT/e'E WORK COMME' HIS PERMIT Ie ANY NCED OR IS A%'A'r.JlspooutsmrilffiGIOT 180 DAY PERIOD . U NED FOR Notes: Paee 1 01'3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Sicn Tvpe of Construction Use Bid Amount Fee Description ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 36-60 Square Feet Sign Plan Review + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Siell Review 03/10/2009 eIT\; OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00321 ISSUED: . 05/06/2009 APPLIED: 03/10/2009 EXPIRES: 12/23/2009 VALUE: $"3,000,00 I v al~~tion Des~rin~ion I $ Per SqFt or multiplier $1.00 . Square Footage or Bid Amount 3,000,00 Value! Date Calculated Total Valne of Project $3,000,00 $3,000,00 04/01/2009 "'i'P.,' p~ i,..! J ': " "of I Amount Paid Date Paid Receipt Number 1206900000000000352 1200900000000000352 1200900000000000352 1200900000000000352 1200900000000000352 1200900000000000352 2200900000000000701 2200900000000000701 2200900000000000701 220Q900000000000701 $11.00 $7,56 $8,65 $63,00 $110,00 $42,00 $7,32 $3.05 $55,00 $6,00 5/6/09 5/6/09 5/6/09 5/6/09 5/6/09 5/6/09 6/23/09 6/23/09 6/23/09 6/23/09 $3 I3.5S I Plan Reviews I 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, wiIlbe made the same working day, inspections requested after 7:00 a.m. wiU'be made the following work day, I RpOl~ Sign Attachment: Metbod of mounting the sign to a structure or pole, Method of attachIll~nt 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, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Pace 2 of 3 , _~0'~I,N.;!l1ff~m-~~.~ ~~,f.'7il,~;": " f' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CIn, OF SPRINGFIELD Building/CQmbination Permit PERMIT NO: COM2009-00321 ISSUED: 05/06/2009 APPLIED: 03/10/2009 EXPIRES: 12/23/2009 VALUE: $"3,000.00 By signature, 1 state and agree, that 1 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, J further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project. J 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 the front of the property, and the approved set of plans will remain on the site at all tjmes during construction. ' Owner or Contractors Signature Pa2e 3 of3 Date i;,. , 225 Fifth Street Springfield, Oregon 97477 541"726-3759 Phone City of Sprihgfield Official Receipt , Development Services Department Public Works Department Job/Journal Number COM2009_00321 COM2009.00321 COM2009-00321 COM2009-00321 Payments: Type of Payment CrediiCard cReccinlJ RECEIPT #: Date:06Ji3/2009 , 9:25:0IAM. 2200900000000000701 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% Stat, Surcharge Amount Due 55,00 6.00 305 7.32 $71.37 Paid By BUILDERS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb //3242 In Person Payment Total: $71.37 $71.37 Page 1 of I 6/23/2009