HomeMy WebLinkAboutPermit Electrical 2010-1-5
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753' FAX(541)726-3689
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Permit no.:
I Date: / ~ S - ( 0 I
EleCtrical Permit Applicatiolll
.
This permit is issued under OAR 918-309-0000, Permits are nontransferable, Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days,
".f';,rO. "A.l.>.GOVE.R. N. M.E N. ,i'A. .F'F'R. 0' VA. "r';::';:!,''';;f}'''','''4''1 1"'b"i"'i.'fiJ.'~'."ff.;m. "''''.''''F EEi:lS".R.E.D..U:I.'!~.E.'c""'.'.""!P'..i:'i'!li@,:ii''''''''it..<'''''.'
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I Zonmg approval verified. 0 Yes 0 No 11:')iti~~~~~:;_~f~i~-~'~~:~!i~~',~rp~};~i~~,~j~:S~;i~IQ~~~:I--'''~'.fq~t~~~:~:~I:~.~:?~oJa!t~
.,.,', ,_ ,...." F,;c,-.,. -";".'~_'~_',.:.>.,,_,y !(","r, >!, . ,I, .' . "''''._". '."_'" f,l.' ,".~~"'~".H.' '. .J:9St .t..,
i'l'~5~::;:;~;;~~tEGIR~~~~~::~Jr{UI=:~:~~:I'''i'~'1 1 Residential, per unit, service included:
1ll'i_i1,QB1ilSITE~INI;QR.M!l.jT;IQNt!Mp!,il!0j;AiI)JQN~~~i\ii! 11,000 sq. ft or less (4) $134.00 $
I .7.1 (, 9 r._"_'_. ,- "J,-.. ",,1 .. I Each additional 500 sq. ft. or portion $ 25.00 $
. Job stle adelress: iJ: 0 ~J-V<-<--I thereof
I City:(f) ~ lie-ld I State: bP, IZlP: / I I Limited energy (2) $ 32.00 $
l,,~ef~;":~ce,:, ~Z.D~C~~I~F',WJ;~;~;~:i!~~i~I~)~ I ~~~~I~:nS~~~~~r~~ ~e~~~r (~)odular $ 63.00 $
I SI6-d Lc O-d-r IIVC-- I 1 Services or feeders: installalion, alteratian, relocation
I I 1 200 amps or less (2) $ 81.00 $
I., :F'ROPcERTY"iOWNER' ,,:. ',. .,1 I 201 to 400 amps (2) $ 95.00 $
I Name: ~j?q( ~a..c-"'~T"Ic::'S I I 401 to 600 amps (2) $158.00 $
I Address: 780 CJ,IIAoAA-l:.-Ht:! 1 601 to 1,000 amps (2) $20500 $
City: L,....'- "--,,,-, I State:,.f ~JmPE.g,.rlJ;:"" Olv~~,1,000ijmpsorvolts(2) $469.00 $
<= ..... '-""C '" ... ~ 1"(1110.... Ylfl gc 11 .Q.. reqllf,"~ vu 'I>
Phone: I Fax: _ l?1I(~W rUles ado~'te, 1lW"Ii'i!FOffill'diffiJiili.", $ 63.00 $
~1,:,tifiGati~n f:e-':e: 1 hA=rula~ L.. .
I E-mail: in OAR 95-2-00 ':' , ':,~ara-1iIil1 UJJrtttders: installatIOn, alteratIOn, relocatIOn
1 OJ 1r;~~Jfr~~~~~~~;
This installation is bemg made on residential 09~ Pfe\ldJijlY ob al $ 63.00 $
owned b~ me or a member of my immediate fa~I~"he centElt. (/llcteo WlO:""" J.bne $ 87.00 $
property IS not Intended for sale, exchange, leaslWlTlblllt.f6\t'tRe 0 re - u",~-,r:,
479.540(1) and 479.560(1). Center is I 'Ow .. on $126.00 $
Signature: Over 600 amp .or 1,000 volts, see services or feeders secti~n above
1 ';.iiG.0NTRACtoR." INSTAllATION: ' . '. I Branch circuits: new, alteration, extension per panel
I Business nam:: ;:;::, 9'.. 1 F~ . ~ = ~..' _ 1._"I~a. .F;:e CO! branch circuitswith purchase of a service or feeder fee:
I Address: / ~ 4 ~ _171 '.--h cp _ r f), I I Each branch circuit I $ 6.00 I $ I
I City: (' I k . -I Stat;);) t' I ZIP:9 7 ~O / I b. Fee for branch circuits without purchase of a service or feeder fee: I
I Phoneii/) 7)9- 9t/~<, I Fax:.PII 7/CJ-lh2-' I First branch circuil(2) $ 55.00 $ I
I E-mail: ' I Each additional branch circuit $ 6.00 $ I
I CCB license no.: &~O ADI BCD license no.: /~ -282:( LtMiscellaneousfees: service or feeder not included I
I Signing supervisor's license no.: I <-Jj ~J ~ . I Each pump or irrigation ,iiJ},P) $ 63.00 $ I
I Print name of sign ing supervisor: '/7zrvl- ~~{P I Each SIgn or o~thne hghtmg (2) I $ 63.00 $ (.;9.
I Signature of signing' supervisor: k.~.--;" , ( J . I Signal. circuit or a li~ited~energy panel, $ 63.00 $ I
, ~ L--?' It. alteratIon, or extensIOn (2)
. f' \'/' - I Each a.dditional inspection: (I) I $58.00 $ I
~u.~ \0 ~H~[';E~MIT SHALL l~~!!::~~~~~:.;~Nt~USE~~~fL~lfi0ij~.~;~:~1
\'\O/;(')~ AUTHORIZED UNDER *~ E\liRiVIjo:j1, 1&</lJOle (.12 x [A]) $ 7,)bl
~'1:)\ COMMENCED OR IS A~~fJibWRe(5o/dof[A]) $ 3.0-1
t~ ANY 180 DAY PERIOD . .. .. .
\}' . I TOT A[;fees.and surcharges (A through C): $ 71.7/ I
~~~
~.
^
440-2584-) (9/08/COM)
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01757
ISSUED: 12/0912009
APPLIED: 12/09/2009
EXPIRES: 06/0912010
VALUE: $ 1,700.00
Springfield TYPE OF WORK: Sign
SITE ADDRESS: 3169 Gateway St
ASSESSOR'S PARCEL NO.: 1703222003100
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - wall sign for Liberty Income tax
Owner: BENTON PROPERTIES L TD
Address: 980 WILLAMETTE ST
EUGENE OR 97401
Contractor License
SIGNS ETC INC . 68080
SIGNS ETC mtENTION: Orello" 1Il'~ r'lQ.II'r"Gl\(lJl1l~A
'UIJUW r~!leete<l ;.".,t....,,, . .
NOlificali~r,mNG mr\mWlJi\!l'l~l'I"ity
. . I' _ H H!.!l'4 JJ(.brtll
In OAR 952-O~-9~paQtl:Jl'U9h OAR 952.001.
0090.. You ma ~I rrn 'BlIt8Phe rules by
Calling the . ij: lIle telephone
number for theltDf erlti,ity Notification
penter\Y8' If.18 CJ~2'2344).
. . Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
Electrical
Sign
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type .
Secondary' Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Expiration Date
07/20/20 I 1 .
07/20/2011
Phone
541-779-9483
541-779-9483
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I , DE~ELOPMENT INFORMATION, I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
<Vo of Lot Coverage:
NOTlCE:1 PUBLIC IMPROVEMENTS I
THIS PERMIT SHALL . Sidewalk Type:
AUTH EXPIRE IF THE WORK
ORIZED UNDER THIS PERMIT IS Downspouts/Drains:
g~~n~NgX$ ~E~:~tBANDO~~~,~.OR N~:~~ .
Paee I of3
CITY OF ::o,rKmL.J:<u..LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-01757
ISSUED: 12/09/2009
APPLIED: 12/09/2009
EXPIRES: 06/09/iolO
V ALUE:$ 1,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
I V~luation Description I
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amouut
1,700.00
Value
$1,700.00
$1,700.00
Date Calculated
Description
Tvpe of Construction
Sien
12/09/2009
Total Value of Project
~
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Sign 0-35 Square Feet
Sign Plan Review
+ 12% State Snrcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Amount Paid
Date Paid
Receipt Number.
$8.00
$4.00
$80.00
$42.00
$7.56
$3.15
$63.00
12/9/09
12/9/09
12/9/09
12/9/09
1/5/10
1/5/10
1/5/10
2200900000000001362
2200900000000001362
2200900000000001362
2200900000000001362
1201000000000000010
1201000000000000010
1201000000000000010
Total Amount Paid
$207,71
Plan Reviews I
.~ . ,
Structural Review
12/09/2009
12/09/2009.
APP DJB
Neighborhood Commercial- west.
facing sign approved for internal
illumination due to relationship with
adjacent residential use. No impact
and consistent with existing west
facing signs at location.
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.
~n..npptip~
Sign Location: To verify the location of the proposed sign.
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
Paee 2 of 3
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jl'
Status
[ss u ed
225 Fifth Street, Springfield, OR
541_726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
- ~.,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01757
iSSUED: 12/09/2009
APPLIED: 12/09/2009
EXPIRES: 06/09/2010
VALUE: $ 1,700.00
By signature, 1 state and agree, that 1 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 nsed 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
sireet, that the permit card is located at the fronl of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 3 of 3
Date
2;15 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1757
COM2009-0 1757
COM2009-0 1757
Payments:
Type of Payment
Cred itCard
(;Rcccil'ltl
RECEIPT #:
1201000000000000010
Desc~iption
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
TOM DALE
Check Number
Rec~\ved ~y ,. Batch Number
DJB
,;, .~'\.'
.,.(,.
':!'t',
'1'-
Page 1 of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/05/2010
" Item Total:
Authorization
Number How Received
076421 In Person
Payment Total:
2:33:3IPM
Amount Due
63.00
3.15
7,56
$73.71
Amount Paid
$73.71
$73.71
1/5/2010