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Home My WebLink AboutPermit Electrical 2004-2-18 , =-li:::jiii ~." .' Status Issued .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01251 ISSUED: 02/18/2004 APPLIED: 12/15/2003 EXPIRES: 08/18/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4425 MAIN ST ASSESSOR'S PARCEL NO.: 1702323106300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign lighting ". Owner: RV STORE INC Address: 4425 MAIN ST SPRINGFIELD OR 97478 you to ~ _ _~n I<lW requIreS "J'" ATTEN IIU...,:...-v \hA Oregoll V"", follOW rules adoPte~hb:sJ C0NU'R:o\:er9,R'INFORMATION I ~otification Gente~ hroUgh OAK l10"..Jv Contractor TweAR ~.9ntr.liCt~~ 1 ant {' oies of the rules \ License Electrical "non YMJ.mt:rYE~E~1!.!N~A telephone 12772 calling the ~"~ 'O~~gonl~It"tDUIGl~FORMA TION, number for . n()().'J,:~l.t.:.:>~~" r..................1c: 1.,.... . .. # of Units: # of Stories: . Lot Size: Primary Occupancy Group: Heigh~~nS.tt!!~,!re S_q!.t,!s,t, rl~o~: Secondary Occupancy Group: Type o~ea~ERM\T SHALL EXPIRE Sq Ft2nd Floor: Primary Construction Type Water ,Ji~~:ORIZEO UNDER THIS PLSQWtlBasemeot: Secondary Construction Type: Range 9P,f:~AENCED OR IS ABAr~DC~9Xt ~~r!,ge/Carport # of Bedrooms: Energ{Path: 'ER10D Sq Ft Other: ANY 180 DA'1 P .. Impervious Surface Area: Expiration Date OS/22/2005 Phone 541-747-2213 ',.,. SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paeelof2 . . CITY OF ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2003-01251 ISSUED: 02/1812004 APPLIED: 12/15/2003 EXPIRES: 08/18/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f'S tlWU Fee Description + 10% Administrative Fee + 7% State Surcharge Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $5.00 53.50 550.00 2/18/04 2/18/04 2/18/04 2200400000000000154 2200400000000000154 2200400000000000154 Total Amount Paid $58.50 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 Reouired Insnf'ctions I 1 Sign Electrical: After connection is made but prior to energizing. 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 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 ~-{J 2 J I 0/ dr:.n -f- cr. _~ UJ:J..~yL Date Paee 2 of2 225 Fifth Street" Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01251 COM2003-01251 COM2003-01251 Payments: Type of Payment Check . . .~~~,_._~I;I_'l!,!!'" . Wi:,........,:",.,,"',...,..-!. '"'~,.,~"" "". " ;,. "j'.j "",.. ._'" _. '. .; .r"~..,.... '"", Receipt #: 2200400000000000154 Description + 10% Administrative Fee Sign - Outline Lighting Each + 7% State Surcharge Paid By ALERT ELECTRIC Received By nJffi l:heck Number Batch Number Authorization Number 39232 City of Springfield Official Receipi Development Services Department Public Works Department Date: 02/18/2004 9:53:54AM Amount Paid Item Total: 5.00 50.00 3.50 $58.50 How Received In Person Payment Total: Amount Paid $58.50 $58.5U C j r' " CITY OF SkJNGFIELD, OREGON [0 225 FIFTH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (54Tm~~prOjectassUbmittedhasthefoIlOwing zoning, and does not require specific land use ELECTRICAL PERMIT APPLICATION approval. 1.. ~ . City Job Number CO vl'1 z.oo3 - 0 I z.s I Date ( 2 - / '5' - 0 ;, Zoning '" . Date- ~ - ?JJ'Ocf 3, !COMPLETEFEE SCHEDULEBb'LOW'..Ju), ".utho.i2ed-Signatu... . '-'l 1. 1,[PCA'[IONOFINSTALLAT10N' 4 t.f Z S- Yl1 !J.. / /Ii '::S\ LEGAL DESCRIPTION /702.32.31 Ob300 JOB DESCRIPTION S/(,..N L/ O-I-fTI/V G- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. ~1JW.g.(~'~$:r.M!rnrpJ(1}K-ol$'MitJ' f Ilow rules adQti>jep ))YJr\~':"'':;';':", t f r' Elec R~aI ContractolH~e/frll~bwe . 0 -1otlllcallolllJ, h oAK \lO~-UV n OAR ~2-\lQj -001'\1 th~~~h.Gf7;es \ Addr.e$O' l,-_\: ..J.J:JnhhJA, ~ ~~.- OU~~~-~~~~~ (Note: the tele"IIUIIC City ~~~'l!1i'O'n~Jtm~~2'tt3 . ,...,..."..+^r Ie 1 s~nn-~~",.....~"'~'-- . Supervisor Licen~e Number 24 3- S -Expiration Date - lD-[ -04 Constr. Contr. Number \ 7,/11,. Expiration Date ~ - '2-..?..-oS ~ (' I _l~;~; iwners Name f2:v S io-lL.e :Hole mA-l/v So. J Address '-ILl z.~ City 5 PF0 Phone OWNER INSTALLATION The'installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. I'New Resid~ntiaI7Singl~0~ Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. I Sep'ices oiFeeders - Installation, Alterations or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Q:~f~\lPO AmpsNolts $375.00 NkY:M"Ie.t Only $ 50.00 THIS PERMIT SHALL EXPIRE IF THE WO~I< ~~~=~~afs~::=~TF~R NOT.. A(iji,"*Il~ijjjl,'(A1lEfl\OO. or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. I Bran~h C;'-Cl,its,j1t", New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. I,Misc~naneous (Sen'ice/f.~der n6U'.'cllided) -~a~hlllstallati;'ul Pump or irrigation $ 50.00 Sign/Outline Lighting / $ 50.00 .,0 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges I" ..' ~. '. ..".. 4. SUBTOTAL.OF ABOVE . -_ .'/'.,,~u ..~.~ ^.~....~: ' 50 ~.>o 500 sa SO 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FormslElectrical Permit Application 1..()3.doc