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Home My WebLink AboutPermit Electrical 2000-5-2 , . . I Job# 99-00990-02 I Page 1 of 2 TRANS#:01-000145B DATE:MAY 02 2000 AHT RECD:2 $ 39.60 CHANGE: CASHIER: 059 ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-00990-02 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 ~__~ Tax Lot #: 03300 R Subdivision: ' Location Of Proposed Site: 5415 Main St Spr Assessors Map#: 17023342 Lot: Block: Addition: Owner: Phone Nu'riljler: 503-657-6486 . ''"1\, . "(}~Iv, , City~State"1Zj~Vf' B[~kam'29,I<9J. 97015 '-'v//1,., <:f~eI Vtl/tS'1 eI({I>'. Alteration .;;J1tJ..::I/ S//iJ.ValUe~{o~O 008/ ~&/elJ(~ C:I::JOlvf) Q ::;>Olv~vv. -ilv/t This is a copy with a new Sequence Number 77/t/iS I ::.<1,&01-1 ~700 """'::lei . v Registration # EXPiratio~Jfe S//iJ. Phone 458 5/1/2003 :L0A;503-2414812 16300 SE Evelyn Street Safeway Inc Address: Scope Of Work: Electrical Only Contractor Type Electrical Contr Contractor Christenson Electric Inc 111 Sw Columbia St Ste 480, Portland, OR 97201-5886 9,",...'r, :;~:u,'v ~/'llj. :'l..\.- Quad Area: Land Use: . ,&/ "'1Ii'.n 1I0f/ # Of Buildings: # Of Units: Zoning Code: 1110 se, <I;u,V) 'JeJOccu'pancy Group:, "I) 110- e.,..,' ;, , Constr. Type: Bedrooms: lffj~o " 111g, Heat,Source: W H R ~I" /~ 'q~ - <I , ater eater: ange: :'" esn. ,}/).~~t?!Z,q~tage: ''1/ /fo ',' "I; vlJ'r?g To request an inspection call the 24 hour recording at 726-3769, All inspectfOns..r;!l.g'Uest~(tbefore 7:00 . a,m, will be made the same working day, inspections requested after 7:00 8:m: will'oe:ma~~:the following ,1'.J1Lt . working day, """ ",o//e '......" . Office Use Required Inspections Electrical Low Voltage Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Fee( Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Electrical 05/02/2000 1458 Value/Quantity I Fee Amount Restricted Energy 1 $36,00 . Job# 99-00990-02 Paid On Receipt# Electrical 05/02/2000 1458 05/02/2000 1458 . .' Fee State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total Signature ~ Page 2 of 2 Value/Quantity Fee Amount I $2,52 $1,08 $39.60 $39.60 Date The following project es submitted hu the following zoning. and does not require specific land use approval. /I tl- Zonln~ u.- Date '5 - 2 -.,." 974ii'Jhonzed Signature ~ 726-3769 . /' . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. JOB:53-00346 LOCATION OF INSTALLATION 5415 MAIN STREET SPRINGFIELD, UK 97477 LEGAL DESCRIPTION JOB DESCRIPTION LV DATA/TELECOMMUNICATION INSTALLATION QUESTIONS?CONTAv7 ~~rt~ ~~rlA~ JVJ 285-1970 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorcHRISTENSON ELECTRIC, Address III SW COLUMBIA,SUITE 480 City PORTLAND 97201 Phone 503 241-4812 Supervisor License Number 873S Expiration Date 10/01/01 458 26-34C Constr Contr. Number Expiration Date 5/01/03. 10/01/00 Sign~f~~rg ~lectrician SAFEWAY SPRINGFIELD #311 Owners Name Address City Phone OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners' Signature: --------------------------------------- DATE: a'W.'i.Jt.J.r.l If: RECEIVED BY: V'~CTRICAL PERMIT APPLICATION C1ty Job Number q~-ooqqO-OJ.. 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion, thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 ,B. Services or Feeders INC.Instal1ati?n, Alterations or Relocat10n: .' 200 amps or less S 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to'400 amps Over 401 to 600 amps Over 600 amps or 1000 ,'1'. $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation __ $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm 1 $ 36.00 36. 5. SUBTOTAL OF ABOVE ~~ State Surcharge 3% Administrative Fee TOTAL 1fi, 7,<;2 1.08 lQ,hO / ,j., I Ii' . I Job# 00-00650..01 I 6'- Page 1 of2 TRANS#:01-0001678 DATE:MAY 11 2000 AMT RECD:2 $ 80.00 CHANGE: CASHIER: 032 SPRINGPIELD ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00650-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5415 Main St Spr Assessors Map#: 17023342 Lot: Block: Addition: Tax Lot #: 03300 Subdivision: Owner: Commercial Investment Properties Phone Number: 541-686-8080 City/State/Zip: Eugene" OR 97401 New Value: $350 Address: 1600 Valley River Drive Scope Of Work: Sign Western Union Sign Contractor Type Sign Contr Contractor Ray-O-Lite Sign 101 N Seneca, Eugene, OR 97402 Registration # Expiration Date Phone 541- - Quad Area: 4CSE # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning' Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an 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, will be made the following working day, Required Inspections I Silln I Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete, Final Sign -After all required inspections are conducted and approved and the sign installation is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: , .,.-. ., . . Sign District: ,Sign Dimension: I Vertical: 4' . Height (Above Grade): 10' Sqr. Footage: 8, Illumination? 0 Community Comm Job# 00-00650-01 I Type of Sign: Wall Sign Page 2 of 2 Face Type: Single Face Horizontal: 2' Thickness: From Grade To Bottom: 8' Sign Material: Aluminum & Plastic Comments: Fee Paid On Receipt# Sign 05/11/2000 1678 Value/Quantity I Fee Amount Sign Permit - 0 - 35 Square Feet Total Sign Grand Total 350 $40,00 $40.00 $40.00 Plan Check Type Sign Checked By Kaye Wilson Date Completed 05/05/2000 By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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, I further certify that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans m;;-=Si~~ installation of the sign(s), (5'./1 !_ ,,0 SignZ: I V . Date