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Home My WebLink AboutPermit Electrical 2003-6-27 :~., "..t.t'~:t.CI,[?Yf~0F:S., .~G.Rffi.HW7'\0~6@N'}'; ',,- "," :;': J '~~~'_'I ~ Ii ,':' '2I""t'"':4~-'r""'~';'.t.~...~,,<<.,~,, i )iA',~:-:t.1-, i.../.'). . . \h9101Iowing dnas i\ij~ sU 'fe land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3(7~""dtA>:1lJ'oW!~b{~fiQ368~pecl1 ELECTRICAL PERMIT APPLICATION z~'ln~~~nd ~ (I i City Job Number ~c:;lOa'2,....OOWte ~,JP;....O~ing- = -' t-a:1-~ I. LO~TI.01X OF INSTALLATION 3. COMPb;ji; rn;:SCtlJWJl' F ""f,(iw yEi~ c..\.~" ;'IUtlLed SIgna \. ;"'1..1-' dCO \ CA."?",, t" (.. "51. LEGAL DESCRIPTION A. New Residential - Single or Multi-Family per dwelliug unit. -:::,Pi'(\'1~f-L\).. O~, ql 'f17 Service lncludcd JOB DESCRIPTION 1000 sq. ft. or less $106.00 ,-,' \/10' -01 FAct eA\o\~\ Sl'O,v 4t> . Each additional 500 sq. fl. or r-:....,"'*'-I\<:.. >:>\\<EE. fl" l>t FOc~ "'" d ~\~~"'llPortion thereof $ 19.00 Permits are non-transferable and expire if work is Each Manufact'd Home or . ,,' .. I..JL~ull.... not started within 180 days of issuance or if work is Modular DweUing'Service'or. IlllJ Or_lJolI U~" \I Suspended for 180 days. Feeder ... I ,c,." '. ~" .. __ ::-: $50.00 . ,... " l~~r'-!> ..~. 'j',1 .'~'~: ~',-, 'r';f'!:'f"r.:-, Electrical Contractor l'\E-\vo -we.c,\..,.o '3,,,,,, i A,.111lj 200 A~lpS or les\ ,r\ ~M"'n I ":"" ".~,.'~,~(R~,PO 201 Ampsto 400.Amps.~.., n' I J >on", $ 75.00 401 Amps to 600 Amps . . .,. $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpslVolts $375.00 ReconneCI Only $ 50.00 2. CONTRACTOR INSTALLATION ONLY Address ~::o, s-B ~T. :ti: /1& '5. City -;S"";,~~..(\ "Ll;) Phone . r J -, 4./0. 3312- Supervisor License Number . 5,fl 5', Expiralion Date It) - (/ I - o.s- Constr. ContI. Number ld'il. S<!' 10 Expiration Date '-/ , IS. alii ~erv'SingE~ , Owners Name -LEUc-v.. Pc~-<\ Address t>7lq1 ?)L1",.o;c:. ST, City "5pR~~""~ Phone ~0. IoCf/Q5 OWNER INSTALLATION The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 0' " '.'. I.J \ . ._#~. :,.:.' ,". i..:) ,} ,..-..,..1,. , B. ' Sen'ices or F.~eders - Installation, Alterations or Rclocatinn: , .' C. Temporary Services or Feeders Installation, Alteration Of Relocation 200 Amps or less $ 50.00 20 I Amps to 400 Amps $ 69.00 40 I Amps to 600 Amps $100.00 ~\}n~mps or 1000 Volts see "B" above. D.THmail8flM~tu%!ALL EXPIRE IF THE WORK 'tJ.THSl~I~P. UNDER THIS PEBMIT IS NOT 6[;1e~~~k\GtU ,()Ff~e~~'){WON~'tf'FOR $ 43.00 E~bif AdtlltiJ&~ l!m.9~with Service or Feeder Permit $ 3.00 E. M.isceUaneous (Sen'ice/reeder not included) -Each Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 c,o.. CO Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE 5o.cc 3>.':>C ~OO 'S"b. '00 7% State Surcharge I 0% Administrative Fee TOTAL Shared DriVt:(T:)/Building Fomls/Elcctrical Pcnnit Application I-OJ,doc . . CITY OF SPRINGFI~LD Building/Combination Permit PERMIT NO: COM2003-00337 ISSUED: 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 12/25/2003 VALUE: $ 3,800,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2001 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254200500 Springfield TYPE OF WORK: Sign TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign - freestanding sign.>> SEE PLAN REVIEW N.o~~S.Q~2,~9~.gwllerlslgn contractor .to hav~ fi.eld ~elds.inspected.hy sta~e,m'ig~~~I!Hilll ~?ls.Plector ~?d supply results to CltyS hUlldlOg IOspector. ,.. . - . \ Owner: POLEN FUTURES L L C . Address: 2197 OLYMPIC ST SPRINGFIELD OR 97477 "1''- ...- ,'", ;, ,. , :.... ,.~ - ~.. .,..... . '..... ~ " . ., ';' ~ti"': 1 I CONTRACTOR INFORMATION I ., - '-.,. Contractor Type Owner Sign Contractor POLEN FUTURES L L C METRO WESTERN SIGN & AWNING License Expiration Date Phone 128586 04/15/2005 541-746-3312 BUILDING INFORMATION' SETBACKS Lot Size: Sq FI 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: ..tJiC' nrn'.lIT ""11") I:. r-\',.,.....E 1~ -'j- \\'-;-1' . . - -- ..... -....... ........., I I j", 'V'l '\ I DEVELOPMENif"'NF.O.RM~<PJ(:)N lilS PERMIT ISJ'iPT ';Uiv1MENCED OR IS ABANDONED FOif"QUIRED PARKING Overlay'DistiJO DAY PERIOD. Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: ~OTICE: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paeelof3 . . \.-11 l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00337 ISSUED: 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 12/25/2003 VALUE: $ 3,800.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Si!!n Tvpe of Construction Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,800.00 Value Date Calculated Description Total Value of Project $3,800.00 $3,800.00 05/15/2003 ]?pp< pqillJ Fee Description Sign Plan Review + 10% Administrative Fee Sign 61-100 Square Feet + 10% Administrative Fee + 70/0 State Surcharge Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $40.00 $14.00 $140.00 $5.00 $3.50 $50.00 5/5/03 5/19/03 5/19103 6/25/03 6/25/03 6/25/03 1200200000000001125 2200200000000000872 2200200000000000872 2200200000000001125 2200200000000001125 2200200000000001125 Total Amount Paid $252.50 I Plan Reviews I Si!!n Review 05/15/2003 05/15/2003 APP DJB Called contractor, requested attachment details to complete review Revised sign cahinet attachment removes requirement for field welding and Inspection of field welding by certified inspector. DB 062503 SI!!n Review 06/25/2003 06/25/2003 APP DJB 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. I !?pnllirpt! ~ 1 Sign Location: To verify the location of the proposed sign. 2 Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of holts or welds. 3 Sign Final: After all required inspections are conducted and approved and the sign installation Is completed. 4 Structural Welds: To be done during construction by State Certified Special Inspector. Provide Inspection test results to City Building Inspector. Paee 2 of3 . . Lll l' OF SPRlr~u.l'lJ!.LU Building/Combination Permit PERMIT NO: COM2003-00337 ISSUED: 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 12/25/2003 VALUE: $ 3,800.00 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 he 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. Owne~ or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00337 C0M2003-00337 COM2003-00337 Payments: Type of Payment Check ~. Receipt #: 2200200000000001125 Description Sign - Outline Lighting Each + 7% State Surcharge + 10% Administrative Fee Paid By METRO WESTERN SIGN & AWNING Received By ddk Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department" Date: 06/25/2003 11:15:50AM Amount Paid Item Total: 50.00 3.50 5.00 $58.50 How Received In Person Amount Paid $58.50 Payment Total: $58.50 . .