HomeMy WebLinkAboutPermit Electrical 2009-7-20
225 Fiftb Street. Springfield, OR 97477.PH(541)726-3753HAX(541)726-3689
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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.
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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!!
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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
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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
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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