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Home My WebLink AboutPermit Miscellaneous 2004-11-15 .ll.1l!o!lfng Il"Ojeet es 8l.IbmIl!ad ~1Ul._.~1 . fIG, and doee IIClI NquIm 'IIdIc land ;;:"""'8 """" .. ',;""""-" ~--..L'.,,(,l.L'O ........",.",.... ~HtJ __ l./JI!\.'i, ---.....~C/" .~""'~ ~"",,,,-, ~;il:.t:' ;.: , '. ". -=~ .'~~ '. ",.~-~,,~ ~: 2251'''' In STREET. $PRL'lGFIELD, OR 97477 · PH:(541)121i-3753 . FAX, (54~~ ~~~~ / <Al~%f4:r 4~'.~~;;; ELECTRICAL PERMIT APPUCAll0N ~~~>2";i:.U. '/rYJ:: City Job Number COI41 Z 0'04 - 0 /""3, 7 '7 Date /1/ 2;/0 '-{ . 1. ~(~q~EgfJ~f:~~~~~~1t~~~~\ 3. ~seEij;~r~f.~~~p.~i~'ii.E&~%:~r;g;;~{t}i.)~t';1i~~t~~) '_ F7.?1:s' ~4'u' ...b-. A LEGAL DESCIuPTION ," -, ,"- -"- - , ) / /) A. it~,~j}~~~Ji~~:i~~~~~~~~~g:~w~~~~iiW~~~ff~~1t~~t~7~~{~i~1~ j,A?IJ?tbS~9 r}J,Q "kK~(f), JaB DESCRlPTIONV . .,' . .. ... _:~si;c/~~~~~J;Yi-' ~ S:v)7-M V"Permits are non.transferable and expire ifwoll r. > not started within 180 days of issuance or. if work is Suspended for 180 do)',. &C6~dOJ~LVS1;;r;;i,X1:WNfo~?i 2. "0:;""ii':td,~;':~;t';'-'.f,::!"I;",,' _'.:,..::~~:.!a;;';!r;~~~&-[,"c.ltt.(!l:'-"--,t..' Electrical Contractor ~'.h/1 .. Address fl? d ;;mlit-d /d / / j. '. 601 Amps V:Jil}jil9~s $163.00 City rbJ.#A#pf Phone~3 ;;?J?j-yJ.J' Over 10OOf\IjjMl81~\1IT SHAL' E"- $3}5.00 . . Reconnectp87HORIZED UNDE ~ M'IHEs'50TooE WnRI<' .:::> / I Q \' r L' ""<"'.i'O'f,G{JMJv'~. illiS. "1;"~"~",,,,~.}~!.~..eFB.MIJ'/'S.(II{),r.,,.,o..,,, Supervisor Licimse Number i >'7 u - J-.!--CJ C. if';fen\pq-;',"'Y S;ri':ioM))j'iieiil'~rS'~~~:I'iNEID~tih:;rhrl:\~:x!;''";):~\;: ""0'" ,. ,.4\1"'''Y. -flS{J"'tJI1Y''P'ERi rm:"""...",.....".....,,''':q.I.F.I'il''l,..... ""'''!''''''.'' Installation, A.lteration or.Reloeation 11/08/04 lION 10: .31 FAX . Expiration Date -f} /-9!~ Ir?;Y Constr. Contr. Numbe, ,j; ~ I iJ 7 Expiration Dale _ 'J ~ If) If C/ / I Slgnafirr~ing EleCtriC~ . / ~'--.. r;; Owners Name W(J'l,~I"..J-.,-- . Ilt.ulk( I . 57 u? 1/??,,4 (/.r" . Address City <::; \:> l~b Phone OWNER INSTALLATION The instiillatioo is beinz: made 00 proptrty I own which is not intended for sale, lease or rent Own"" Signanrre: Inspcetion Request: 726-3769 CITY OF . Servke Included 1000 sq. ft. or Ie.. Each additiooal 500 sq. ft. or pOrtion thereof $106.00 $ 19.00 *" Each Manufacl'd Home or Modular Dwelling Service or Feeder . S50.oo' ~;:'':~.4~;;'J~~~:'. ." '. .~~~~ftW~}:~)':,~.;f~;.:~f;~~~~:~r::.?:~:F)~lX;:;r;;:~~ .' -,c:::rc~!;.:J_~.=:".'i10;:~~ B. ;:,Se-o'lces or ,I.eeders:~:,JnstallationyAlte('ahons or.;Re)oc.anQn:>+"-'~ jg;;';':;;'J:;;J:'-c,"'. . .'i':i:2~:._.:;;-;;::.:..I:a;'.:.).Ij:;;;::.:t:..:'i.'h::f:rS'::.;:.:;;;,;?.:-~iti:j". -:.; :-;:::'~iL~;;>h-...;::-~~;:.;dd 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps S 63.00 $ 75.00 $125.00 200 Amps 01' loss 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D: ljfP:t~~:~~f~~~~~~t~;r~ii~W~(~f~~;1tl~~~i!~~1Zi~*ilii{;~0;llt~j~ijt~(~;~~~J:.m;I~1~i~i~lli~1~~J~8~~ $ 50.00 S 69.00 $100.00 . New .~tcr:tti(ln or Extension Per ~~~~J+ One Circuit. \ 1\' Each Additionnl Circuit or with Service Or F eerier Permit $ 43.00 ljs b z $ 3.00 E. ;I~~-~il~i:~~oulf(5~Rcj~€Jt~~~~.'~~~f!lli~fJa~d);~E~~W.;}hri~fi~~'U~hW' :!~:;"~.:".:o:.;;-:: "':1';';:': '_ _ ,... ;':i;.;;;;.:;~~;:;j~.~'.I'..:::~!:J~~'.sc~::._:;::.~J~.:i~!i:::~:,~-:';'.', :'". -2,~'~\- ~ ,:;;,..: :i~,i;~>.;~'.~:~:,;;;]!'f!<~< '.l . ATTENTION' 0 I Pump orf6'il8\l(on J . regon aw requs'~o.QQ,u 'n SignlCMjflrjbM~:mt ad~ted by the Orf$~5fr.OQ)ti'if~1 . Limit~R'~_wf!&r. Those rules S,23.00t forth . Limite@~~~l'lm~1 0 Ulluugn U1F.i5'6{?--001- M~...".:.,,_. :.''7.1~~. ~~~. 'fo~'r. i.~.tBi~r.~~~.....'.~~f.,.p.,s~~W~'i~es 4. '.;~~~8.tAL '!'l '.' ..,~"'e~~$1'Jctl#~(f!cation l.f '7 .,..,........."... .........-:lS, c:llfl~...:z344};" . 7% Stare Smc\'3lgc . "3 If } iO%Admiuisrrative Fee l{ 90 TOTAL 5"7~ Snared Drive(T:}lBuildiIl& Fonns/EJccnlcal Permit Appli~tiol1 1..Q3.doc . . CITY OF SPKll~ljt<U.LU Building/Combination Permit PERMIT NO: COM2004-01399 ISSUED: 11/12/2004 APPLIED: 11/12/2004 EXPIRES: 05/12/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5703 MAIN ST ASSESSOR'S PARCEL NO.: 1702334103400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: 3 circuits Owner: W ASHlNGTON MUTUAL BANK #234 Address: % TAX DEPT PO BOX 7788 NEWPORT BEACH CA 92658 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor MULTI LIGHT BROADWAY SIGN CO License 64107 Expiration Date 0210212006 Phone 503-281-3083 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: Height of Structure Sq Ft Ist Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: NO Sq Ft Garage/Carport Energy Path: TleE: Sq Ft Other: Sprinkled BuildiJ~IS PERMiilaSHALLOa:upant Load: ^IITI Ir'ln....___ t^rIH.... ,~ TUc \"...._.. I DEVELOPMENT INFORMATioi,i;'O~UI~K I HIS PERMIT-IS 'N;lr' ANY 180 DAY PERtOtBANDImLQP'NjD J>ARKING Overlay Dist: . Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ATT"'~""'~, . N to!'OW IlJ/e~'~d~~~2'1'Pf1B1Jl{QIMP<R.O.YEMENTS I ot/fiCSt/on Ce "'., ..." Ure Street ImprovementM OAR 9 nter. Those I gOn Utility 52-001-001 ru es are set( Storm Sewer Availa~90. You ma ~ through OAR 95 orth. Special Instruction: calling the cY obtam Copies of th 2-001_ nu enter. (N e rules by mber for the O' ote: the teleph Notes: regon Un one Center is 1-800~"l"l~'!r.. ~~lifjcation I Valuation Descriotion I Sidewalk Type: DownspoutslDrains: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Page 1 of2 . . CITY OF ~rKll~\jl'mLU Building/Combination Permit PERMIT NO: COM2004-01399 ISSUED: 11/12/2004 APPLIED: 11/12/2004 EXPIRES: 05/12/2005 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f'S P~id I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.90 $3.43 $43.00 $6.00 11/12/04 11/12/04 1 1112/04 11/12/04 Receipt Number 1200400000000001606 1200400000000001606 1200400000000001606 1200400000000001606 Total Amount Paid $57.33 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I Reouirf'd Tnsnef'tions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 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 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 ofany 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 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 times during construction. Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Spdngfieid, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1399 COM2004-0 1399 COM2004-0l399 COM2004-0 1399 Payments: Type of Payment Check 11/12/2004 . RECEIPT #: '~~.~""..'.."!.: ~! ~~-~ - .. of Springfield Official Receipt ~elopment Services Department Public Works Department 1200400000000001606 Date: 11/1212004 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By MULTI LIGHT SIGN CO Item Total: Check Number AuthoriZation Received By Batch Number Number How Received djb 37780 In Person Payment Total: Page I of 1 11:39:44AM Amount Due 3.43 4.90 43.00 6.00 $57.33 Amount Paid $57.33 $57.33