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HomeMy WebLinkAboutPermit Electrical 2009-7-20 225 Fiftb Street. Springfield, OR 97477.PH(541)726-3753HAX(541)726-3689 u,.,,,,..-.'_'-i-._~C .,,...., .' '_,,~,w,' "'''''''"'''.:.--'''~''''''~~C~>='''=-~~'''''..".V'"'''_~ ~ ~"2,''i-'''-, --:,,",-, .. .,.. '-''''.-'-~''~'-''~'-=~''''''~'''.-';;o;' -;;.e' '='-"f"'''' ,.."'.~.<' ""'t7,OEI?ARTMENmms.B0N~Y&~~ _"~'<':.'.t "I."">-":'-":"'-'ii-;'i,.:'~~7.j?~~..AS'::..~~~_ COIM'lj) 0 7 - 0 104 L( j PermIt no,: I Date: 7 -ZD -0 7 I Electrical Permit Application , I This permit is issued under OAR 918-309-0000. Permits are noutrausferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. i[~=:~:~~~~~fff.lME6~~P&~~V6~ l~timE;~i~~~~~~~mE{~~~~7~ : ~:~:::ti;I':'~:s:n(:; service included: j =~~~~:;E~~~M~~Q~~~i;~0:1~1 I ~~~~oaritionaI500Sq.ftorportio~ :1:::::: i I City: -:=;-/J R f) I State: o;e:..1 ZIP: 97-$1 7}1 Limited energy (2) $ 32.00 $ I 1,=~'J~~~~"0<:o~WJ~~~~~%1 I ~~~~I:;::"S~~~~r~~~e~',f:r(~)OdUI~ '$ 63,00 I $ I jz:r ;c.:,t"";.:: ~ I ~~:;::::.;;; ,.,"'""~ ""~~ ";7:~oo, i 1l!ii'~~~~eJ~!D'.B~B1J:;,'(AQWI\f~gr.~~!ll~,*;~"i I 201 to 400 amps (2) 1 $ 95.00 $ I I Name:2:.., 1> erBL Ie fl::t L _ _;::..-1 I 401 to 600 amps (2) $158,00 $ I IAddress:\ '347l.{~gf4f11rr. (JLvl\ I I 601 to 1,000 amps (2) $20~00 $ 1 I City: r:1A,{~ti;,ji:- I State: d Z I ZIP: 97)10.s-1 ' lOver 1.000 amps or volts (2) $469,00 $ I I Phone: I Fax: '._0 ",,11 t ~ Reconnect oniy (2) $ 63,00 $ I I E-mail: N" Oregon law .rt::l.\U", - ~ ~ \hti\ tvemporary services or feeders: installation, alteration, relocation I ' ,~.,.r:MTIO ' , '." .ho nreQO P rl ., This installation is being 'l\J.P~;9I)'ReS.i~&:~V;T,\jt;t~r?i>ettYJe SE ;:;I'~~~O amps or less (2) I $ 63.00 $ 1 owned b>: me or a memb~!'R,\,J;I&J.'!)mnediate~Ixtd&.!Rl QI\R 95 - ,?,QI to 400 amps (2) $ 8700 $ j property IS not mtended fill"saIe exch~e;llea\le,tCJt renl:-O?R\e (111'2 " , " 4?9540(1) and 479,560(ij1 UI\I\;,v; mav obtain COI'I~Oth~ telep 10 ,,g01 to 600 amps (2) $126.00 $ 1 0090, 10 ter (Note. 'j' 'all"" , Signature: r.allin9 the ~en "';onnn Utility NOH I , vver 600 amps or 1,000 volts, see servIces or feeders section above I ~Ci[c[l\ll!i~(;;mtr~J~~i!i&A;1ljJl!flI~~., I Branch circuits: new, alteration, ~xtension per panel I I Business name: /L: -L [) 0 )i!!;!ei1, ,~(! P , I a, Fee for branch circuits with purchase of a service or feeder fee: I I Address:, '1/7k/'i'7 S/-lO/T2(/(~tJ . '012 . I Each branch circuit I 1 $ 6.001 $ I I City: 7 h rf" jU c< I State: 0"e I ZIP:97~:?'7 I b, Fee for branch circuits without purchase of a service or feeder fee: 1 I Phon6-9f9'1')C--/'-'3:LJ::2 1 Fax: I 1 First branch circuit (2) I $ 55,00 $ I I E-mail: /!-~r// L -,.Lei ~ 7 (fi) (P~.J+}tt?,/IX?f 1 . Each additional branch circuit - 1 $ 6.00 $ I I CCB license no,: /57"0091 BCD license no,~ ~?~ I I ~iscellaneous fees: service or feeder not included I I Signing supervisor's license no.: ~k")G,- ") " II Each,pump oi irrigation circle (2), ,- $ 63.00 $ I Print name of signing supervisor: 13LA.LJ? )::: %~ I',..E. ~C.,h sign o~ outline lighting (2) ',' I $ 63.00$J9,IJf-;7' I Signature of signing supervisor:. 2 A' '/ J . .,' /.' SIgJ),~LCIrCllIt or a bmlted-energy panel, I $ 6300 I $ I . i;f""/ R'/~ ff l'7~~~. ~aIteratlon~nSlon (2) . - C~:'.." C'.'\t\ ~W~\llidlfi~~t.~inspection: (I) I $58.00 I $ ~~~~~~:i~~~; ~~~R!i~~~~=~!~~~~S~-~~D'~-J.:" ~I f\:'v :. fl"- ~\j ""EI'lCED OR IS (Minimum Permit Fee $58.00) $ (:) '6~ COWl'" " PERIOD. I ~ ~1'l'{180DIX1 :.nO (B) Enter 12%surcharge(,12x [A]) , $ 7)(;1 \j! _ '" OW ,I (C) Technology Fee (5% of[A]) , . _ $ ~ f >1 W ,\~<0.\ I TOTAL rees and surcharges (A ~hrough q: $ 7'7,- I~ 440-2584-J (9/08/COM) CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: GOM2009-01044 ISSUED: 07120/2009 APPLIED: 07/20/2009 EXPIRES: 01/20/2010 VALUE: -~-~~g~~"~!L~i1\L,,:L:~!7!!1!! '-r: -' a' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fa. ' 541-726-3769 Inspection Line SITE ADDRESS: 770 S A St ASSESSOR'S PARCEL NO.: 1703354208600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Sign electric for reader board - Madam Beans Cathouse Cafe "...,~~~ 1 PUBL]CJMPROVEM~~l; W ~~\~ "~,, l\OW'''' '~\i ~"I-."';, 1~\~ ~t!sm~~'\\ Type: . \S ?E~\" \)~UE~ ~~\)tI~I>'" , ,'r\ :\'r\O?-\lEU O~ \S ~'e Downspouts/Drains: f>,\) WlWIE~CEU ?E~\OU, , , CO " ~ 'Oil Uf>,'1 f>,~1 Owner: KRYL PETER J, Address: 3474 SPRING BLVD EUGENE OR 97405 I, CONTRACTOR INFORMATWN I Contractor Type Electrical License 154009 Contractor KIDD ELECTRIC INC I BUILDING INFO,~i}rrWN I laW (eC\u'" on.\Jt\\I'1 # of Units: ' ,I' o(egolfl o.f ~tarQ~~g et \O(t\\ "I'I\"IO'~' te~Jl" ..,.... are 5 00\- Primary Occupancy Group: p..\"\"" leS aOO? ,'(Jgb~\lr'otl\~t.Jlft. Secondary Occupancy Group: \oIIOW (U fI ceflter. ~'CQJ;lj:J~t\ne (Ules b'l Primary Construction Type 1'I0ti\iCa~~2.'00\'00\ ~eJPT'YP~: tele?nofle Secondary Construction Type: ifl Op..? '{oU (fIa'l ob~~\:\~gf.Ei):I>{~ l'Ioti\iCa\lOn # of Bedrooms: 0090. 'fig tne ceflto~~~~~~t~i344). callI \o( tne, spilu>>&ti''Building: n/a ' n,\(fIbe( __~.,,( IS 0- 1 DEVELOPMENT INFORMATION I Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Sola, Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Speciallustruction: Notes: I V aluation' Descriptio~ I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of 2 Commercial Expiration Date 0112712011 Phone 541-942-1352 Lot Siz,e: Sq Ft Ist Floor: Sq Fl 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup~nt Load: REQUIRED PARKING Total: Handicapped: Compact: , I: Value' Date Calculated Status Iss u ed CITY OF SPRINGFIELD Building/CQmbination Permit PERMIT NO: COM2009-01044 ISSUED: 07/20/2009 APPLIED: 07/20/2009 EXPIRES: 01/2012010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pair! J Fee Description + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $7,56 $3.15 $63.00 7/20/09 7/20/09 7/20/09 2200900000000000816 2200900000000000816 2200900000000000816 TotalAmount Paid $73.71 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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 Reouirer! InSllectin~s ~ Sign Electrical: After connection is made but prior to energizing By signature, I state and agree, that I have carefully e.amined 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 Springlield 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 70\,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 Sign~ture Date Page 2 of2 225 fiOb Sireet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt " Development Services Department Public Works Department Job/Journal Number COM2009-0 I 044 COM2009-0 1 044 COM2009-0 1044 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200900000000000816 Date: 07/20/2009 , Description Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge Paid By BLAID KIDD Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1I029a In Person Payment Total: ~ " , Page 1 of 1 9:]9:SIAM Amount Due 63,00 3,15 7,56 $73.7] , Amount Paid $73,71 $73.71 ? /20/2009