Loading...
HomeMy WebLinkAboutPermit Electrical 2009-11-5 ~ , I 'CITY OF SPRINGFIELD, OREGON , I SPR.INGflI"D:LD ~" ZON ~I\A..----./);;-.I, INITIALS t;;(<c ..';:;'~ DATE ""., ,~""- SOURCE 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PU,(54t)726-3753 . FAX., (54t)726-~689 ELECTRICAL PERMIT APPLICATION ,C~l-:'9:-}:c;C 1117'3 i City Job Number ~ - . . . - '-. . ----:---, 1. ; LOCATION iiFINSTALIATION:,' \. _____..c...:...-___''--- ...~.::..~..~_...' -=..___ -___ ~'5 4 'S G-11-rew "'y .s~ . LEGAL DESCRIPTION: JOB DESCRIPTION: WI III "''', .(1..; E>v' tj'''5 lW~rJ re4 ~a;l~i kif<,. 5 Permits are non-transferable and expire if work is Dot started within 180 days of issuance or if work is Suspended for 180 days. ' 2.C;ONTR4C'[ORIN$TALLATIO..IJ:9NLY Electrical Contractor : (.:S 5' A .$'5 VI .Ii a...-"":"'j Address '8"1975 fJ"""iric (loe. City ~VI. 9?Lln Phone '-/~5-s51ib Supervisor License Number" sq l./ S ( <1 Expiration Date j'l.I,olw Constr. Contr. Number ) <b3l/70 Expiration Date 3/''''},11 Signature of Supervising Electrician IQ~ Ct I-J Owners Name .GItfsE Address ~'I~ 6etb.-y s./-. I '-- A~IijITI~~9 /ifN requi~ to 7cillclwZ 3' c e rules adOj)fEid oy' the l.ir'egon Utilily Notification ' ' Center, Those rules are !lllcUQ(lh In eJAR 952-001- oo~~~1Ws~~Il1!dl1'9o. You may obtain coPffi~ 1lfJ/;l!lrullwi~lbeill!tW;/!J8 M~I}:dl9ll which ~~h~~~rs~.~J~~ID.~~Qft ~!!Y Notification . Owners, Signature: Nt If- ~) . . {A~ Inspection Requ:st~ ~ .~ \\ 'ff{ W'"' ro~ ,~~ Date / 1/ r.;- / D/ . 3. f COMPLETE FEE SCHEDULE BELOW---~ , '-_ . " ~~ . . .. - ~.... . ,- .--.------...:---.....1 A. I~ew Resi~entiar:'S!!'gle ~ ~u(ti-Famii~ perd';'ellingu'~i~. 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 $ 19,00 $50,00 B. Sen.ices or Feede~s.-:Iristallatjo~, Alte'rJtirins or Relocation: '".. ,':'~'L'_' ~. ... " - _ .. ...''; _ ,:",-':~C:'. __ ',,;. _' , " - 200 Amps ,or less 201 Ampsto'400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63,00 $ 75.00 $125,00 . $163,00 $375,00 , $ 50.00 c. ; Te";pora~;;S~;;'s~o; F-;ed;;:ir---'-- ' - - ---:-: -"--1 ~--~,--<'- --- - - .....~ Installation, Alteration or Relocation 200 Amps or Jess 201 Amps to 400 Amps 401 Amps to 600 Amps . $ 50.00 $ 69,00 $100,00 Over 600 Amps or 1000 Volts see "B" above, ~ _ ".---- -- ...-,.----.....~--...r D. :. Branch',~!rcui'~~--2- ~.~~.jL___~~~ New Alter~tion or Extension Per Panel One Circuit ' Each Additional Circuit or with Service or Feeder Pefl11it ,..-............---,...--;"1 ~--~ $ 43.00 $ 3,00 r, ;., ",', -:"":"~-:--:--;:-:";, ' " _"- --u------'l E. l~isc,e)lan,~ous (Servi~~/feederniit included) -E~~h'lnstallatio~J Pump or inigatian $ 50,00 Sign/Outline Lighting 'L ,,$ ~1l0'" Iii9 &3 Limited Energy/Residential ' $25,00 Limited Energy/Commercial ' $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.jsuBTOTM-OF.ABpirE------1 /2& ~tate-SUl'GhaFg'" / 2- "'hi r;:- ? "2- HJ%-Administrative fee 5% Technology Fee t;- ~ , .. NOTICE: TOTAL THIS PERMITSHALL EXPIRF~~k~ 'i 2-. ",,,nv A1ITH()RIZED UND, ' . ~_ Shared Drive(T:)!BuilOihg ForrnsJElectricahP.ermitfAp'p'licaiiOh'S;'o6.doc PERMI, 1<; ,~u I vV"""-"- . - - PERIOD ABANDONED FOR ANY 180 DAY , f , u CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01634 ISSUED: 11/09/2009 APPLIED: 11/09/2009 EXPIRES: 05/09/2010 VALUE: Status Issued--'-:::'--~:- /'..~:'""':-' " " ..,.... '~;; 225 Fifth StreetiSpringfietd, OR, 541-726-3753 Ph.one, '" . 541-726-3676 FaxH', .!.:; .,;; . 541-726-3769 Inspection Line """4':;,: . .. . Owner: Address: SITE ADDRESS: 3545 GATEWAY ST;' ASSESSOR'S PARCEL.,NO"\,,,,VQ)153301200 }":" '::::'y., ,.,:..- "\ ;':. TYPE OF USE: Alteration PROJECT DESCRiPTioN: Sign electrical for face change- Chase rebranding- New electrical cantrator (see , . "" C9-504) , WESTE~'SERvitE.CO PO BOX,7788 "':;, NEWPORT BEACH CA 92658 SPRINGFIETYPE OF WORK; Sign Commercial ".........r-~.;I--lr'\"l. r'l..",...,.."" I....., 1'1''''..lli..o., \/1"'\1' t,.. ..f .J~,lIr.",... l.r._ .,t~^"_:'.-.! h,., tho nrc'1n~ Utility ,.,. :', ''; . Ir,CONTRACTOR.lNFO~MA.:pOO ~t forth ;. ; ~,~,:.':", , in OAR 952-001-0010 throuqh'OAR 952-001. Contractor Type' , Contractor 0090, You may obtain copi<WceU#rules&,liration Date Electrical' ,:, " :' E S & A SIGN CORPcallinq the center, (Note:l1\1llItGlephone 03/16/2011 Ii' '."-' ~... , ,..,.""m' '''\'I~H ;'1ULIiI\iClt.lUII , 'BUIL'DIN?INlOl~.MA:f<I?N-fl4). Phone 541-485-5546 . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type' Secondary Con~truciion Type: # of Bedrooms: .' , .' ;~ , .~.. ,t:. B # of Stories: Height of Structure Type of Heat: .,~, Water Type: Range Type: Energy Path: ._. !Sprinkled Building: .d ~ L:r" I DEVEC0PMEN'l'<tlll!'cmMJ\tj;.irllN"1 if WUKI\ !\U I HUKILtU UI~-U~n rrll~ rtllll"f IS NOT uCOMfV'';~'I''''I-n DJ:l JS ABANDO,NED FOR ",V<)f ay 1IiS!., . ANY 1 #lSGe'e'l f~~d: Paved Drive Rqd:. . 0/. of Lot Coverage: LotSize: Sq Ft 1 st Floor; Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: -' Ir'; ,ti:. t', n/a Front yard Setback: Side 1 Setback:, " , i ". ',. Side 2 Setback::: ,,',d' j' . Rearyard Setback: . Solar Setbacks:1}"' ,,: i. ~ ..:...~.. . . .~ j:....,I'1)..'~!': , REQUIRED PARKING Total: Handicapped: Compact: I PUBLlt':: IMPROVEMENTS ~', Storm Sewer Available: Special Instruction:, :: ,j \) Sidewalk Type; DownspoutslDrains; Street Improvements: "f ..~... - ~~ ,~~ " ;' , Notes: 11\. ' t' I ,valuation De~~riotion I . ~::~, ..-.,._........._~. - " , $ PerSqFt . or multiplier Square Footage or Bid Amount 'Value Date Calculated Description Tvpe of Construction Paee 101"2 1:' :r . f~' '. ,,' 225 Fifth Street;Bpr,ingfield, OR 541-726-3753 Plioni,., .:;' 541-726-3676 Fa~")"'::"., 541-726-3769Insp~ction Line ,,:r f CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01634 ISSUED: H/09/2009 APPLIED: 11109/2009 .. EXPIRES: 05/09/2010 VALUE: Status ',Iss'ied,:' ': .' ":'<i'~ Total Value of Project j. . Fee. Pai~ I '. ':,':.",; !'~ Amount Paid Date Paid Receipt Number Fee Description + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each $15.12 $6.30 '$126.00 11/9/09 11/9/09 .11/9/09 2200.900000000001265 2200900000000001265 2200900000000001265 0, .j' i: ':,)~. ....:_~~. ~ Total Anj.Ount raid .: 'f, $147.42 ,.;'~;:;,;ft.\ ;_~~'/ .1!I,Qd. , r/. ,,! " . . jr~..:>.:~.~ ,..... ')>' '1: Plan Reviews I 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. ,'., ,;t" ""'. ' . :' " .' , ';f.' I. {. I Reollired In'pection.' Sign Electrical: After con~e.!tion 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 i~ true and correct, and I further certify that any and all work performed shalj 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. . ., :r';; 1!51 ' .. Owner or Contractors Signature -~ \.. ,L ,.n l"~f>',~I.. Date ~ i ., ~{~. .,': Page 2 of 2 'I 225 Fifth Street, j, : Springfield, Oregon 97477 541-726-3759 ,Phone---"---" .. :',~ ,~~. City of Springfield Official Receipt Development SerVices Department Public Works Department :. .,.' RECEIPT'#:c, ' 220090Q000000001265 Date: 11/09/2009 8:11:02AM Payments; , Type of Payment Cred itCard . (.,',.'c..... .' ...' Item Total: Check Number Authorization Batch Number Number How Received Amount Due 126.00 6,30 15,12 $147.42 Job/Journal Number Description :):/. COM2009-01634 " " Sign- OutliI\~Lighiing Each ....: ~.. ;'" ,;., -,...'...:v,;~., '~~. COM2009-0 1634 ,'::;;','''-,;';..+,:5%' Technology Fee COM2009-01634';; . }'fh"2% State Sur~harge ," '.'."'.' . PaidB{": ,- Rec,eived By CHERIE FLETCHER POWELL cjc Amount Paid 009552 In Person ' Payment Total: , $147.42 $147.42 " .' : '.,J , ; . .."...,.~-- ...,...........:i4..:1i!.;~- .j. ,. " .') <. , " " \ .t i: ~:" f~ ,,J r " ; ./l;~' ' 'f j, , " , , cReceiotl :1 ,.,.. i" - .;1i .:'~ .~ Page 1 of 1 11/9/2009 ,