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Home My WebLink AboutPermit Signage 2005-6-17 ;:. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA&,&SIt~~-3689 \O~ -a.f' . ELECTRICAL PERMIT APPLICATION '\"~",i-~~~,,,~ 7S-r I, 7 - 1: ,0 1.0" City Job Number (c..>oN' 'Z..oe('- 0 C> ) Date I:::> - ( - 6 \ ~(l' '1, 7i<$&11()"~/OF INSTAiiATidNI~'!:i,:;~i:~ ...~~. =._. .. ...... .~~'. _ '.... .. ").....,, J..... '. ...:,;.ia\;.~,.:.t :'1... 'tf-d'-) ( /v(M c.. ~tr(br LEGAL DESCRIPTION '17bL. ~ Z') 'Z.. -:;C)B bF.Sr.RTPTlf'~r:::. ' , flcf RA9'~I,",.::J.-':fDv OlcroO , . eYr ~'~ .si.ffY-- '" C-V-~'I''''''''v . Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, ;.~M~'[:r-:: ,'.r,:l :f.:.;';;'~:..~~-; <<'; ".'~''i' -.:>;;;~,;;:.,j.,~.ra:~:\'<<.-' r .':'"-~...."\.~ <:CONTRAf:rOR INSTALLATIONONLY4,,: 2. ~i'~~~;;,:t:k-'}Jesl;:.,,~~.r.'~1~~::"1'L.,:j{!:r ~_~;~}.i.:;:"D;'.:.l>;-:~~'~\~)~ ,)JJ:.~ ,ti};'~t'! , Electrical Contractor Bs4:- ^ s\ ~ ~ f'Y'/iW'\ 3 [;no o~/l- f~ ~ ' Address City ~ Phone c}{(~-931f.? Supendsor License Number ~ ~ InfC\K I - Constr. Contr, Number {f&,; tf ((/ -;/1I ( 0 1 Expiration Date Expiration Date ising Electrician d 1.-- Owners Name ~ A.-\d ~~6 k...tL Address 3Zb .~ .4-"'1 '::oT City s p(-~ Phone OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ,>,. ~, ~'.", ;. "..,'.'. ". -'''' WvtE'" \ ~.... '~,",":r':JI"~'1.;' 1:.'..'\ \'~:r.,,'l.e:'~;~~~~, 3, :'COiI'IPLETE-FEE<:fItH 'BELOW:~~;;l~~~':~,:,"I;};~...,r.',' r_,. ,~... , ... . l.} . o( '_', .' ....' :'l,,}O:r.,t:'r=_..-__~,.t".J.r..I..;.o\.....';::l ~v\\\ ::.~":'~.(..'.n..\,.'4i:" '~-.o.(-o...~n,~' \:.of. ...;~ .'1/" ?I.' ..5":, ~r .~.... "h'\ A. ~,~~~~,. Re.~.id~~~l.al ;..~!~g1~~r ~.~ul,~J-.Fa.:p!I)': pc~.dj~.~cll.ing ~n~it:i)J 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,O~ $50,00 ~ ~;:;;~ ~~>>,:-:"i ':"7ii1.'0~SC:;'~'{ ,,' -:i~:~\ ;::" ~~\,~~.ti(:{~~"'~~";'~"~..:r:}~.t,l".:~~~ B. ,'_~Se.~~.!~.~~ ;:ot<.F>~~~Er.~;::J~~falla t.~o'~f:Alteni tj~n~,.~r ,~elo.ca ti~~:: ,~v.:ij ;1,";",.,":+", "..'/~''''' ;*.;.,,~.,._.... ...... ,.....,I.,,f,.L~;s.,t:::=.t.~~ I' JI. ....~\h."d\l.~ 4..J:.., I ~.J, ,'.......jt.... l -:!c..oJ 1,,'.,':41'. ..... .-/ 200 Amps or less $ 63,00 20 I Amps to 400 Amps $ 75,00 40 I Amps to 600 Amps $125,00 60 I Amps to 1000 Amps $163,00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 i,....",p;.MS11G,"'E.:"",.)'.,,,,1 m:r.'1<"I;:";!<'.t.'\!:I.~'.~, "'~'~,.'.;~<""'..,~"" C. "Temporary Sernces,or Feeders' :rtlf,~!:.' ,~. ,.,.1.) ", "'i'f~"'.l\\7it': " .' ,,',.',' trIi~,FEMwIH"'uni\L1,' c"t.'rmf',,,, ' wOHt\ ..~'"~.. , , II.IJTHORIZI',D UNnER TH.IS PERMIT IS NOT Installallon"AJterahon or"RelocahonOONED FO~ L;UMi\~tNL;tU Un l::i AtlAN 200 Am~~~o{ If~s0 OAY PERIOD, $ 50,0 20 I Amps to 400 Amps $ 69,00 40 I Amps to 600 Amps $100,00 Over 60o..Amos.of. 1000. Volts see "B" above, .,... . ,~;H"Nd.IOI"; ,\.J[eg0ntl<;lWregulres:vgU\tO"",~", ':Ii"'''"'1''''I''~' D, SBra,icli:Cii;cuilS;a"d""i'i"e' '"';';'y".,t"h' ;;';,10'; ~i?;-"g:Jo"n"llir't'ml'I'~ty":Y"~ViJ:l,~1i;'''''cti .,.1 ,1~JtUVlo'.<,l,UIUv.- up' U,UI ,,,,,,-'" "li:J ,.v..~1,,::-n;:::;I~'f,l;., """,,, New~A:li~~ati1ifi'rof-'Eftension~P€r3P,al\C1; are set forth One i::iklfit':l 952.001-0010 through OAR !$5I3:0111- Each lA'diji'tid'naI18irc\iiD!;-r.Wiih~OPteS of the rules by Service\)f"FeeSlebRei:mitter, (Notl>' thl> tl>lo~hbA~ \,,,!,,.,~.1,lf)J9~,j?;~h~ q!eg$lp,qHILW,~Rt!fi~!i91:1-'::-l' " ."'~': ",!'! E. ~[JYP~~,~.I~~.?~,~~~}~~~;i~~l~~~;ct.~~~Ijf.9J~U1~.~r~~~~~ ~.~~,~3}~~1~!~j Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 5b ,W Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges ";<.~'!O~: .111",. :~(,'\Vm.h.~~:;'t\f~~;; '-II ~:-" '}>(,,'l;-.'P 'r';:::-~r::-'~'.';;:-'H"::;' .~:;~ 4, ; SUBTOTALOFABOVE;~""'",,..:' :~~"ifl,;J>~1'? Cf.~~~ ;--~~f~~'l ~{~; ,l~. ;ct:::~r!':~, :i~';;,~ "l~:}.i;:;.~1;\>~n~,.jl.:..iY~,~t 7% State Surcharge 10% Administrative Fee ~,vv 3 :.:;0 <;'",f1lI -t-t;' ~ : c;1' TOTAL Shared Drive(T:)/Building Fonns/Electricul Pennit Application I-03.doc . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-00755 ISSUED: 06/17/2005 APPLIED: 06/17/2005 EXPIRES: 12/17/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4221 Main ST ASSESSOR'S PARCEL NO.: 1702323201900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Sign electrical for existing sign Owner: PFEIFER DONALD V TE Address: 326 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor SIGN GROUP LLC License Expiration,D~~ou lbhone ATT101457551: Oregon lij'6!~Oawg,~n Iltil~I-485-5546 BUILDING INFORMATION'i~~~~:r~oTh~s~r~l~s are set forth :M'AR952 001-0010 through OAR 952.001- # of Stories: In 0 - bt 'nL!l3~\!5:of the rules by Height of Strucrili'elO, You may 0 al ~"'q1tist Floo~"hone ter "I ~ U1C'\:.........l"" Type of Heat: calling the cen ' g ~~pc~~oor:cation Water Type: number for the Ore\fli' dl~em~o1i; Range Type: Center is 1-lS\yF\"Gjfr~g.;j'<';arport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENTINFORMATION I REQUIRED PARKING Overlay Dlst: Total: # Street Trees Rq1~OTICE: Handicapped: ~::~dL~;~:~~::Ji1IS PERMIT SHALL EXPlk~o~pm~ WORK gAUTHORIZED UNDER THIS PERMIT IS NOT " Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: f'f"'IUUCfdrCn no Ie ^ 0 ^ I\lnn."lcn [no Street Improvements: Storm Sewer Available: Special Instruction: Il-uDL1C IMPROVEMEN:TS 180 DAY PERIOD, 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 Paeelof2 . . CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2005-00755 ISSUED: 06/17/2005 APPLIED: 06/17/2005 EXPIRES: 12/17/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project FI'I'~, p,lI,jjU Fee Description + 10% Administrative Fee + 7% State Surcharge Sign - Outline Lighting Each Amount Paid Date Paid S5.00 S3.50 S50.00 6/17/05 6/17/05 6/17/05 Receipt Number 2200500000000000792 2200500000000000792 2200500000000000792 Total Amount Paid S58.50 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, inspection's requested after 7:00 a.m. will be made the following work ' day. ~nl'~tinw 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 Date Paee 2 of2 225 Fifth Street Spl'ingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00755 COM2005-00755 COM2005-00755 Payments: Type of Payment CreditCard 'I .. '{ 6/1712005 . RECEIPT #: if~ .....kity of Springfield Official Receipt .evelopment Services Department Public Works Department 2200500000000000792 Date: 06/17/2005 Descrlptlou + 7% Slate Surcharge + 10% Administrative Fee Sign - Outline Lighting Each Paid By KRISTEN LOCHEN Item Total: Check Number Authortzation Received By Batch Number Number How Received djb 017613 In Person Payment Total: Page I of 1 1 :26:48PM Amount Due 3,50 5,00 50,00 S58.50 Amount Paid $58,50 S58.50