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Home My WebLink AboutPermit Electrical 2009-7-23 .." ,'0 &PRIN......... ,',',/DE~A~TMENT'USEONL Y l~~, ' " COtMc.;,-,,-,(-OO~ ~ Pemutno,: 'I Date: 7-23 - () 9 225 Fiftb Street. Springfield, OR 97477.PH(541)72&-375JoFAX(S4J)726-3689 This permit is issued under OAR 91S-309-0000. Permits are nontransferable. Permits e.pire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL II fEE SCHEDULE Zoning 'approval verified? !V'Yes 0 No I Number of inspections peritem () \Qty.\ Cost CATEGORY OF CONSTRUCTION I ea. I Residential, per unit, service inclu'ded: o Residential I 0 Government I i1 Commercial I 'JOB SITE INFORMATION AND LOCATION I 11,000sq,ft,orless(4) $134.00 $ Job site address: U7 (, cer.-t€'I'IIa)' I I ~~:01ditional500Sq,ft,orportion $ 25.00 $ City: ~'n ~ F, eu I State: of< I ZIP: q 7 Cj 77 I I Limited energy (2) $ 32.00 $ Reference: /70'3Z6c(c(, LTaxlo\.: IIOCXDI Each manufactured home or modular $ 6300 $ DESCRIPTION OF WORK I dwelhng semce or feeder (2) . Ho I k. u.(O e { ec:>f- 5' IQ '" fD I I Serviees or feeder" installalian, alleratian; relocation e;>~ 1"':7~(' (~ ~ ~ I I 200 amps or less (2) $ 81.00 $ ,PROP~ OWNER' I 1201 to 400 amps (2) $ 95.00 $ Name;,c.h'(\.stlG\.V\5~\eV\c.e ~ ~I I 401 to 600 amps (2) $158.00 $ Address: I \ 7 ~ ~ -tet\ i <LD I I I '60] to 1,000 amps (2) $205.00 $ City:3n':"'n?Pe1 I State: ~ l ZIP: "fl<trzc V' :JOrxrl,000ampsorvolts(2) $489.00 $ Phone:} - '- 1 z,- ~'ii'~5tt1Fm-.\: OJe?.?~I~~';h\:o-req( n 1~\1'l'!""ectonly(2) $ 63.00 $ E-mail: ' loll OW rUle:; <>Jv""-Th"se rules <:Irq 51 ,tIfilli'i\8rnry'serviees odeeders: inslallat/on. alleralion, relocation This installation is being q\\\4e;bl\i~i~;;~~{aml;fOpeIlyU"~ 9t ",2_lJO!~'ps or less (2) $ 63.00 $ owned by me or a membetiOi'-lityiii\\\fedi* Iffi'1HX1 'tlJisies oil l, ',onlJo 400 am s (2) , property is not intended f~Siilll,e~6l\luIl!l;'Yle u' oDfroieO\tRllel,~ '''"lH p _ $ 87.00 $, .". 479.540(1) and 479.560(]). calling Ihe cen'\:'.l'r, \ n Ulility Nc tlf! ;MlJII6oo amps (2) , $126.00 $ 1:' b r lor Ihe Orego ~) I ' Signature: num e ~o lot is. j _800.332.234 . Over 600 amps or 1,000 volts, see servIceS or feeders section ahove I I ,CONTRACTOR INST";J:{ATION ,I I Brnncb cireuits: new, alteration, exlensionperpanel I Business name: t'Vlefvo f!J~ferh Sli1 VI I I a, Fee for branch circuits with purchase ofa service or feeder fee: I Address.:.-ltf-S-o HeM~iwE/t'J7'1 fJ1.J . . I I Each branch circuit I I $ 6.00 I $ I City: C /I'tI( evte- I State: CJf<.. I ZIP: q'7Lfa51 I b, Fee for branch circuits without purchase of a service or feeder fee: I I Phone: :Jr6~31Z- I Fax: .7%5/S/ I Firstbranchcircuit(2) I I $ 55,001 $ ! I E-mail: m W,"$ Z- ~ <?>l'[ r+1, I, ~k.., h e:;::t- I Each additional branch circuit $ 6.00 $ I CCB license no.: I (Do ~ff'9C I BCD license no.: U - ~,q Miscellaneous fees: service or feeder nol included I Signing supervisor's license no.: :5.:51(' 51 Each p~p or i~gation ~Ie (2) $ 63.00 I Prinl name of signing supervisor: ~. VI fCJ ~ 1 EachSlgnoroutl"\~hghting(2) $ 63.00 I Signature of signing supervisor: c 8<fH ~tiq: ,.p. I \ it'(g-e) nergy panel, $ 63.00 $ . I IIlv f,,, HI'; ,'tlY':" . ,,.,.. on AUTHORIZED UNDER 1 AN 2~~1 inspection: (I) $58.00 $ COMMENC'CD OR IS AB " APPLICANT USE ANY 180 DAY PERIOD. I (A) Entersubtotal ofahove fees (Minimum Permit Fee $58.00) ~.-.A I (B) Enter 12% surcharge (.12 x [Al) (\1><, JJ \ I (C) Technology Fee (5% of [A]) ~~ ~ I TOTAL fees and surcharges (A througb C): ~\Y' ~~ t~ V\O u..~ 440-2584-1 (9/08/COM) Total cost $ $63 $ &3 $ 7.sh $3.15 $ 71.711 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00665 ISSUED: OS/27/2009 APPLIED: 05/13/2009 EXPIRES: 01/23/2010 VALUE: $ 7,000.00 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1176 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: ]703264411000 Springfield TYPE OF WORK: Sign' PROJECT DESCRIPTION: Monument sign TYPE OF USE: New Residential Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: \NO?'-'<' __.rC' \' C'l1'\?'1:. \n~; Ie; ~O\ 1)lUJ~~MPkH~~noufs ~~~~D fO\'. ~\l\\-IO\\\/..\:~O- O\'. IS j:>.rli"\" Sidewalk Type: COWlWlE~C :i ?E\'.IOO. f>.~'/ ,\'il1) Ofl\ Owner: CHRISTIAN SCIENCE SOCIETY Address: 1176 CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFO~MATION I Contractor Type Electrical Sigu Contractor \J..icense NICK HOWARD AMO 'eell,ires '1~~\',liI60384 n laW' gon v .j', JEFF WISDOM,,,,,,, Olego, ~.. 'he Ole _n,ld:1.liI67 I'- ~\~~' ~~Ies :1-:B'r'iiiJDING'I~1iORM}\'fio~-, 100\iliCa\iOn '-c ~_00~0 t1"V-;~s 01 \\1e ''''-~e ':I 01'-1'\ 952-00 o\:.l/loflS"iojl~~si,1e \ele~\'IO 'on ,n A2{oU (liaV Hei1h'tilr Stru '("M,ca\! 0098, \'Ie cent- g """"~ calling \ \"e myp' eco9 Reat:'344). lor" ,- ()a.,~"".- n,)(B)et en\et ,wa&n} pe. C Range Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee ] of 3 Expirati?n Date 09122/2010 08105/2010 Phone 541-746-3312 54]-747-2890 n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: DownspoutslOrains: Status Iss u ed CITY VI' ~PKlj~lJFIELD Building/Combination Permit PERMIT NO: COM2009-00665 ISSUED: OS/2712009 APPLIED: 05/13/2009 EXPIRES: Oi/231201O VALUE: $ 7,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line V aluation DescriDti~~ I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 7,000.00 Value Date Calculated' Descriotion Tvpe of Construction Total Value of Project $7,000.00 $7,000,00 0511312009 F....., Pqirl J Fee Description Sign Plan Review ***+ 100/0 A~ministrative Fee*** + 5% Technology Fee Sign 0-35 Square Feet + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $42,00 $8,00 $4,00 $80.00 $7,56 $3.]5 $63.00 5/13109 5/27/09 5/27/09 5/27/09 7/23/09 7/23109 7/23/09 1200900000000000425 1200900000000000554 1200900000000000554 ]200900000000000554 1200'900000000000827 1200900000000000827 1200900000000000827 Total Amount Paid $207.71 I, Plan Reviews I Sie:n Review 05/15/2009 05/] 512009 APP DJB 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 work day. ' I" ~f'",'ir"lIJn.,n~diow Sign Location: To verify the location of the proposed sign. Sign Footing: After excavation and forms are iu place, but prior to concrete. Sign 1-ttachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds. Sign Final: After all required inspections are conducted and approved and the sign installation is completed, Sign Electrical: After connection is made but prior to energizing Page 2 of 3 CITY OF SPRINGFIELD ,; , Status Iss u ed Building/Combination Permit PERMIT NO: COM2009-00665 ISSUED: OS/27/2009 APPLIED: 05/13/2009 EXPIRES: 01/23/2010 VALUE: $7,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54] -726-3676 Fa. 541-726-3769 Inspection Line 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 w6rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Servkes 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. 1 further agree to ensure that all required inspections are requested at the proper time, that each aildress 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. I~ . Owner or Contractors Signature Date Paee 3 of 3 225 Fifth s.treet Springfield, Oregon 97477 541-726-3759 Phone i:~ City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00665 COM2009-00665 COM2009-00665 Payments: Type of Payment Check cRcccintl RECEIPT #: 1200900000000000827 Date: 07/23/2009 Description Sign - Outline Lighting Each + 5% Technology Fee + 12% Stale Surcharge Paid By METRO WESTERN SIGN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1342 In Person Payment Total: Page 1 of I 8:55:45AM Amount Due 63,00 3,15 7.56 $73.71 Amount Paid $73,71 $73.71 7/23/2009