Loading...
HomeMy WebLinkAboutPermit Electrical 2010-1-5 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753' FAX(541)726-3689 I..,.",,c,,,,..e,,..,.,e.,-..,,,,,,.,,.,,,.,,,,.., ,.; 'r.'''. . ..1 1'''':'DERARTMENT.,USEONlY';, ..,J" ~..'/...- -, .>:-' ::"~.f"~b;'.'.< ..~-'.' '. - .' ,,:- .,......... "i._' .'; ICoutZ,oo r ~ 017':>/ I 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..<'''''.' '' '",_L_ v, ::.:' _ .,' ___ ',. __ _.":" _, .;~__._ _<_ . a.;.;~"f~'-"'>","'''.-)O'_' ,;:~> ?::,.yi"p::,~A.;!'1Ah,L{K';!i',~'i;t:::!'i __,~, ~'." __ _ ... N-.:.~~,J}:-:!.',~.;~2~V-J'%\t~","'?~iY16~ 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 ~~~~t~qJ!J,'~~:'~'Jo:I~~I,\ . ~i 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