HomeMy WebLinkAboutPermit Electrical 2003-7-29
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':.. ',..225 FlFTIl STREET ;:."" ,',';, .:~' i:. '>&'i,': ",- EL8uCAL PERMIT APPLICATION '
:.' '.....~ ;~:>S~~tlGFIELDJ 6REG(.74~?7~~~;~tt2~i ~~~~~~ ~~~; - ..C~_~.~~.:... />i:.;'. " ,~~~.~.::-:~. :..:.;... .~..
'. ..:. ;: INSPECTION REQUEST: 726-376Q:.:, q ~!!~; ~:$ City Joh Numher sPWJ'Z!~O.3 '"',<?D".3.:) /',',;:
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"., c"" ,.. ',.'<<'''''''' ,.". " "..1", ~.." 'i'1 f, "'_ [:!I,.._. 3:. COMPLETE FEE SCHEDULE BELOW .,'f"''\''",' :';' . '.,...,.,:,:.:,...t:'j":"~".",":',':
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LEGAL DESC nON r' 1/ Servicc Included: ' ':(t
J702 323 Z 01 '700 b 'ttedhasthetollOwing Items Cost Surii:{,:
. act as su ml 'f' tand use . , \
ThetollOwing pr~~ not require specl Ie ~>;~:~
JpEjDESCRJPTION zOning, and do , " C', 1000 sq,ft. or Jess $106,00 ~
WIJe.L N13fA) S/6/1pproval. ~ ~":,,,u,ul1oruil500 \~>,'
z.on\l~~' &\ ~O
i '~\' rnuJI
Permits are rion-transferable and effiite _ t ereof
if work is not 'started within 180 days d Signature eacn Manufd Home or .~ .'
f. .. 'f k' d"'~luonze MID' .'..
o Issuance or 1 wor IS suspendelOr odu ar welhng .~i:~~~ "
180 days,'~, Service or Feeder _,f':$!{ ',;:':i" $ 50,00
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,,,):",. 2. CONT~;STOR\~~TALLATIONONLY B. scn'i~~~'~:;I~;i:;~~)~~:U~~~):~~~:::;~~
'V,'_,',';:. Electrical' C.-.'~. ~_t.'~,acto/;:\:L' R. Brabham, Inc. RcIOA.'\t1~' O~~ 'dt!l ~~'\Ii.~:.b:,~<., ;, "J'
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;~~;~;.'.t~.~'*.~~T~~~", . ~:201 amp.s,to:4QQ.flIl1 .i-;i'~~U.~1~$..69.~tO";i:~;~
~:,;~;;;':~~l7~1ic~Sigit:iilU'c of Supervising Electrician ~~:-o~r"4btHf60-0aiii.p~;'t"S'~"wl'~~k~~~~:~$loo.ho tl~~
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:,,' -n,'o, , Add' ...."I:'''tRli;;il.''iI:r.<'. 1AYif/'.;;;PJ r:l.1I'cn 't'" iP- , I \,,;;,>, $4"00 ''''',1::'
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;',~ . i:<,Y;~ Cii,rtJrr! tilff.'!),', "'. Phone\,/G/?/o3uuU'tlOb Each-Addition.] Circnit or with Se':"1';-~':'~ ' :,;. '. ,~,',
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"', 'OWNERINSTAiXATION:'~':':" ,.' ,,:f" ',.',
'<:The installation is being-niade~~::'" E. Misccllancous (Scl'\'ice~feedcr not included)
. property I 0\,," \vhich.is.n~t intended.,', -Each installation;:: .
for sale, lease or~eriC:"':;. .,~: ~':;:, piuilporirrigaiion
. . .. " .-" .. Sign/Outline Lighting
Limited Eliergy/Res . .
Limited Energy/Comni
$ 19,00
-~*~t
:.,;.:.
f4f
, .~ "
::f~~\~j :
....:
. Own~rs Signature:.
$50,00
I $50,00~:-
$25,00
$~5,OO
!\'1inimu.m Electric, Permit Inspection Fcc i!<i S45.00 + Surcharges
TOTAL
50. Cf)
,'3', st')
"'-.JJlJ
52,50
4, SUBTOTAL OF ABOVE
70/0 State Surcharge
/O.iY'/o Administrative F.ee
. CITY OF SPRIN\.d'lJ<.LD'
Building/Combination Permit
PERMIT NO: COM2003-00354
ISSUED: OS/27/2003
APPLIED: 05/08/2003
EXPIRES: 11/27/2003
VALUE: $ 1,550.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4215 Main St
ASSESSOR'S PARCEL NO.: 1702323201900
Springfield TYPE OF WORK: Sign
Total:
~ ,0 Handicapped:
e'='-!;O'V~~':~ ~ompact:
% of Lot Coverage: eo.l)'~ ~o~ e\ '00
~ \~"" ~e 0~0~ ~e ~<:l~!> '\
_,,0 ..\1 ..\0 ...~ _.~ _
I PUBLIC IMPROVIj;M~'t~.~~o~eo~~Y;o. v~, ~V)e~Y;o.O\~o~
'" . t- ,. .'J:I.~ ",0~ ,q}!. .~\C'lj.
:0~\- .$00'1> e~~,CSil!}~W8l.~~.:.0~
~o\\o"" ~\o~~<:), o'O'0'fi~~~~'~rth\:
~'i.\C a.Cbt;j ~0-!; ~\e~' ~O !?l'1>?;
~o O't-"'-{O~ effl 0~0 rof;;)O' ,
\0 eC' .....Q,~ ~~e 'fiJ"
CG ~\'" ~\o ~e~\
C ~'Oe Cf'~ .
~\S
TYPE OF USE:
PROJECT DESCRIPTION: Sign - wall sign for laundromat
Owner, VIRGINIA E PFEIFER TRUST
Address: 440 E BROADWAY STE 100 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
CHAPCO INC
CHAPCO INC
License
153989
153989
I BUILDING INFORMATION I
# of Stories:
~ight of Structure
R:5 ~e of Heat:
, VN &- ~ ~' Iller Type:
~ '\~~ ~~nge Type:
~~ ~<:(..~ ~ ,,<~nergy Path:
. ~ ,'~ q,~",~<.()
~~~~~<:(.. ~~lbEVELOPMENT INFORMATION I
SETBAC~..~ ~~ ~ ".
,~,'v ,<-".(~ ~<:(.. ~"
Frontyard Setba"li: ~<<; ~v ~<:> f<.,~ Overlay Dist:
Side I Setback: . .),f:?.'\,~~~<v~\3 ~ q, # Street Trees Rqd:
Side 2 Setback: '~ .,,~ 0..<::;<::> Paved Drive Rqd:
, <:)'" '\V
Rearyard Setback: \3 ~
Solar Setbacks: ~
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
Strectlmprovements:
Storm Scwer Available:
Special Instruction:
Notes:
Paee I of3
New
Commcrcial
Expiration Date
01/13/2007
01/13/2007
Phone
541-686-9366
541-686-9366
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Impervious Surface Area:
REQUIRED PARKING
.
. CITY OF SPRIr\jhHI!,LU .
Building/Combination Permit
PERMIT NO: COM2003-00354
ISSUED: OS/27/2003
APPLIED: 05/08/2003
EXPIRES: 11127/2003
VALUE: $ 1,550.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Sien
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
1,550.00
Value
Date Calculatcd
Description
Total Value of Project
$1,550.00
$1,550.00
OS/27/2003
Fpp<, P'\ilIJ
Fee Description
Sign Plan Review
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Sign 0-35 Square Fect
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Amount Paid
Date Paid
Receipt Number
$40.00
$13.00
$3.50
$50.00
$80.00
$5.00
$3.50
$50.00
5/8/03
5/27/03
5/27/03
5/27/03
5/27/03
7/29/03
7/29/03
7/29/03
1200200000000001153
1200200000000001323
1200200000000001323
1200200000000001323
1200200000000001323
1200200000000001849
1200200000000001849
1200200000000001849
Total Amount Paid
$245.00
I Plan Reviews I
Sien Review
OS/27/2003
OS/27/2003
APP DJB
New wall sign for Hungry Hampcr
Laundry Mat
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.
IRpnll~
I Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
2 Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
3 Sign Electrical: After connection is made but prior. to energizing.
Paee 2 of 3
.
. CITYOF ~rK11~GFIELD .
Building/Combination Permit
PERMIT NO: COM2003-00354
ISSUED: OS/27/2003 '
APPLIED: 05/08/2003
EXPIRES: 11/27/2003
VALUE: $ 1,550.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
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 work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safcty.
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 thc
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 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00354
COM2003-00354
COM2003-00354
Pay!"ents:
Type of Payment
Check
"'~"""'1lLD .
~~C~"'l
~~...J
Receipt #: 1200200000000001849
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Sign - Outline Lighting Each
Paid By
LR BRABHAM INC
Received By
djh
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departmen(
Public Works Department
Date: 07/29/2003 IO:57:07AM.
Amount Paid
Item Total:
3.50
5,00
50,00
$58.50
How Received
In Person
Payment Total:
Amount Paid
$58.50
$58.50
.
.