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HomeMy WebLinkAboutPermit Electrical 2009-7-6 Electrical Permit Application 225 Fifth Street+Springfield, OR 97477. PH(541)726-3753+ FAX(541)726-3689 l~wr;f;DEPARTM'ENmlUSer6'N~.~.~~.*l .~ i,>!:<.,,,:,,,'~":':"-"";"'-':;.i::;~,:;fZHi'::;tt'g.2!:t~W*",,,,,,,~k '\.U I Permit no.: (V~ -li g=::, I I Date: I 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. . 1~:;~~~f~~~~~~EB~M--~rr~~agR~~b~~~1 1~~~NI1J:G_~l~iY~ElFJI~~ElN$;!J~!!lPiIfIQ:rijjll:W~!ll!!j~'~~~~ =~~~~ffifEj'N~~~M;~~;,l{N~li~:~mr;~i~~#1&!~ Job site address: 36 'f'-f AJ/;fuplU, I I City;... 4 !II n .ilGuJ l State: A)A 'I ZIP: Cf7'i711 I Subdivb~n: ,'\1D:3'ZZ 2D -. I Lotnon\C\~ r~' :. .... ~'r,\ESC:Rll?illleNlilei:)':WeRK''''''~%'''~''''''"~1 ' '"~_ ". _-:.l(.l_ _ , _"_'__."M___,*,~~hjWJ!_.__w__~_..:~~&'1l;r~J!i/E:;'iTA?~}',:i' "I (7.--""'" I! )(QjJ! S~ I . L~ U I ""'~-""""""~ ..........-;n;\'i"'... .............,f._;:-.~,:.'''''''' 1~:E:3:~';-"~' I Ciry;....5Jhtf);,r I State: /J)/C I ZIP:t?7'f77 I I .' I Phone:-;& JiP . ~f 55 I Fax: I I E-mail: I This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange; lease, or rent. OAR 479.540(1) and 479.560(1). Signature: f~::::~;~G,)~~~~:mQN~~1;~fJ I Address: .9:;q975 fbi/~(C:!: ~ I City: Cl.cc;;GtJr;;. . I State: 6,)/L I Phone: - tfi1'5- 55<1& I Fax: - c;gS-5'6/S I Ecmail: 1 PAn ff~/ A CO' r514 Sr.::,oS Chv.. I CCB license no.: I/o 2/f-70 I BCD license no.: I Signing supervis01:,,g,ncen~e'llo,;,. ~ y 3-:5 :S; G I P . .. '.UIJO", ...,. .. HI ';igoltl..",J,~ i. rm! name of slgIgI?-gr~!lp~rvlsor:U{l'(.Jt.; , -~QLlir(.lC'~ I . ....~"un C .k -. ';("'-"='0 ,-" <u Signature of sigIj,Ji1gJs"tip,,-ryis-9r,:~::f)\~JI'AJI:;~_:fill1g'!:9n Utilitv 440.2584-1 (9/08/COM) $ $/.::16. ~" $ ~l, CITY OF Sn~.lJ"\JJ'lJ',LD Status Issued Building/Combination Permit PERMIT NO: COM2009-00983 ISSUED: 07/06/2009 APPLIED: 07/06/2009 EXPIRES: 01/07/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3344 Gateway St ASSESSOR'S PARCEL NO.: 1703222001900 Springfield TYPE OF WORK: Electrical Work Ooly TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Reconnect two wall signs Owner: 3346 GA TEW A Y LLC Address: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477 Contractor Type Electrical I. CONTRACTOR INFORMA T10~ I OU \'-' Contractor \/I \eo.\l\\e&(ce'ii'~~'1'n E S & A SIGN CORP _.. ('\\e<:\00 ~~, ,\\e o~eJ.1i3"i!l\~~I' r>-\\tj'~B'UiiDlNG-I1NFORM;\ T.ION'I'~,es '0'1 \o\lO~f' : 00 v"": alO \P' - \es U' .. \el1\\006 \-Io,\\\ca.~slt.8PSt~j~s::0 ~O~e" ,\\e ~o\W\ca.'\OO \0 Op..1'\ ,/0!:Jeig#tl\![JltrUC\~lJ',\I\''13~~)' aaga'\'0C.\l\ypeCofJI]a10~G_332-2 ca.' \~\ft'elJ:l\Ilel-'O 0\)((I RIUi'g'l!'fype: .Energy Path: Sprinkled Buildiog: Expiration Date 03/1612011 Phone 541-485-5546 # of Units: Primary Occupancy Gronp: Secondary Occupancy Gronp: Primary Construction Type Secondary Constrnction Type: . # of Bedrooms: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicap!!'\NO?''f.. Paved Drive Rqd: c'!I'1~~.t'it- ~O\ % of Lot Coverage: t'/-.?\?"- \ ?-~\\ \S "O~\~~~~~\\ S~0;1',~\-\\S:~~%t\) rO? I PUBLIC IMPROVEMEN-M',~~a"'\lt.\l uO~ \S [>.'Oro" rov .,.(,~\Ct.\) ,,,c?,IO\). CO\-J\\"l>lg"tr~\'l'YVe: [>.,'\'/ 'J'ownspouts/Drains: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I V ~Iuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 _~~Rt~~Ij;!~~i' :h AI' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00983 ISSUED: 07/06/2009 APPLIED: 07/06/2009 EXPIRES: 01/07/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid J Fee Description + 12% State Surcharge + 5% Techuology Fee Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $15,12 $6,30 $126,00 7/6/09 7/6/09 7/6/09 2200900000000000758 2200900000000000758 2200900000000000758 Total Amonnt Paid $147.42 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspec,tions 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. Re'1.uired In~'l~c.ti~n~ I Sign Electrical: After connection is made but prior to energizing By signatnre, 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 1 fnrther 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 pcrmission 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 required inspections are requested at the proper time, that each a4dress 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 :imes duri g constructi~~K ~ ? _ & ,. 07 , Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone Job/Journal Number COM2009-00983 COM2009-00983 COM2009-00983 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: Description Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge Paid By EUGENE SIGN AND AWNING City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000758 Date: 07/06/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 006390 In Person Payment Total: 006390 Page I of I IO:52:53AM Amount Due 126.00 6.30 15.12 $147.42 Amount Paid $147.42 $147.42. 7/6/2009