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HomeMy WebLinkAboutPermit Electrical 2003-8-15 .' (l '.' ~. ~ .' .'. _ . I~' . '. . ..CI:TYOF Sl ~JNGFIELfl. OREGON' '. .... .' - .' , -" . "" ! . " ,~, ~ , >> . as submitted has the tollowing . 9 ,\\110 Jloe'iDol require specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~;k1,\wIZ6-36M9 /1 (', ~~~o~~~~~~~~~:~~L!~~~~: . ~/~t~3 .... ~:~~~::~w~ ;..~lLJ 1. . LOCATIO]ljOFINSTALLATION 3. ,COMPLETEFIfE:;W1J;.DtlL.tJjJ;.LUW~4. . .--...--. .~._._.- -'...--...----..-.-. -- __,_~u _ ~_.._ ,_._____..~_______ . __~_'_n__. _.., /?Jb3 PmJed- ~h. LEGAL DESCRIPTION /703, 262.3 JOB DESCRIPTION A. Nc;': Residentlal- S-i~gle or Multi-Fal~il):pcr dwclling unit .. .. ,.. .4_' ....~ __,' .___... _ ___ ."...__4_.__."..,"_~_ ._.. ___._.~... ClZ.3d\ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufacr'd Home or Modular Dwelling Service or Feeder $106.00 f}fc UPS 5;-otZG -4=Z.~hP $ 19.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspcnded for 180 days. $50.00 :--'---:~-.--.'-~--.-',-7_- ~-~ --:---.'. ---- . "-~""l -~-~----_.._--_._- - -~---- .--.- --.-..---...-. .~- 2. CON;I'RACTORINSTALLAIJONONLY: B. '~~e~ices~~!eedei""- Ihstallati;~~~e'ratiOri~'OrRel~cati".n:.: Electrical Contractor ESt-A- '7/b,iV ~0 IIwlUiAi. 200 Amps or less \" '\'(.<(. ," ~\j\ $ 63.00 201 Amps to 400 A~\\l-<(. <(.\l-~\\;~Q.. $ 75.00 Address I"},/O O~ e-o 401.;\mps to~~~,,\'il '? fJ~<(.~ \ $125.00 ';I,6DI~p.~Jl~~~~~~ $163.00 \" R,~~ThR.~~ $375.00 '\ ~~\~~~~~~ ,?~\l-~ . $ 50.00 Q,~-9.~~.'- , -,-- - - - -~ c. ,,,,\~)>~ra,?, ~ervices!!r Feeders ___.._____ Phone -lfJ-.J.. 5:.'9-1 to City /3U,~€ Supervisor License Number ~ 5 I b 10/05"' Installation, Alteration or Relocation Expiration Date , 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 40 I Amps 10 600 Amps ., \0 $100.00 . ~~v' .,~\\'l C;ver ~OO A~I'.S_~r JOOOVol.~:~~~';0o~'~, .__~ OLign tureofsuperviSin~'cian. . D. ,~~?ChSI~~~S~O~~\~0'O~~~'2!~'Z-..Cl\-,-.__:..:.,-,--..l 1 Q Ncw Altcratiol!lb'f~xtliii~~n{p.lfrOaneI9 (,j,\e'iJ ~ ~rl .. :- __ One Sf..6Ujj)~' oo~\e;~o'iJ"'o\)~~ ~\\~e "~'4~.({(I - - '--".----' _ ~.a~dditi~1 ~\iit r~lth ~e'" - e'''';. '1>\\0 . ~P~C't-IL ttr-~(l?1l.Of".. ~~~&~d~I:~hQ\(\CU~e.\~e'l~\C'\\\\'b.oo Owners Name 17Ir::: (JPs f/m t2R' l/:2$7p 13 .8~'~\C~~Q'2:~ o~::~_..\~~~\}\\~\'! .y.t.\ . _" ._~ . .: . Address / 3103 ~OIJI::.t::-1L ~~ E.\'S~~..f!l~~t~i~~~~~lta~~~~~).~~achl~s~li-".~ 5'0.", L L..._ _ '" n09J \~\(\~. ~\'('> 'S" City (/<-l iJq;rK:.<'u1 0,,-- Phone Pump ociingatiQn'J ~e~ \ $ 50.00 .. SignlOut~1igIlii~~ / $ 50.00 67J - , Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Con:tr. Contr. Number' 1l./6'J ~ Expiration Date b/3o!otf OWNER INSTALLATION The installation is being made on prope is not intended for sale, lease or Owners Signatur~ \ f\- / & wn which Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE ., .. .".. ~ ...... 7% State Surcharge 10% Administrative Fee 3.5'0 -:;:tJ1) 5'8. :9J Inspcction Request: 726-3769 TOTAL Shart.>d Drivl.iT:)fBuilding Fonns/Elecuical Permit Application I-OJ,doc . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00757 ISSUED: 08/14/2003 APPLIED: 08/14/2003 EXPIRES: 02/14/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspcctlon Line SITE ADDRESS: 1863PIONEERPARKWAYEAS Springfield TYPE OF WORK: Sign ASSESSOR'S PARCEL NO,: 1703262302301 Overlay Dist: # Street Trces Rqd: Paved Drive Rqd: ,'OU \0 UIlaS , '\i\'! % of Lot Cover,\~l\~ le~ nO{\ \.)\1 {\ 'Ula9011 '\"aOla" ase\\O . __.'\,U\~' _.oc\b'! ...,,,sal _.."..00 1,v.QiJi,m'IM~iiQYEMiiiT~[.' O"'~; ~Ulas \ \~. \10" - OU\~ 'aSol hn{\a ~\o\ilica "-2-00'- i{\ cO?' "'a ~.!iIc\V.alk\]:J',pe: '" p..f',9" ob\'C- la'. \\ \ _ n\IIICa 1 i{\ 0 '{ou {{\a'! {\\al .l..~o \.l\\"\,!D~,;~spoutslDrains: 0090;\li{\g \"a ~~e olago~_'3'32-2'3A ' c bellol 'S ,_eo {\u-m ca{\\al I TYPE OF USE: PROJECT DESCRIPTION: Sign electrical for 1 facc changc Owner: PAN PACIFIC RETAIL PROP INC Address: PO BOX 131071 CARLSBAD CA 92013 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor SIGN GROUP LLC License 145755 BUILDING INFORMATION I X. '-Nu':'\ # of Buildings: # of S~1e:\t \~ \'2. ~Q\ Primary Occupancy Group: 1t etg ~ .. ~ Secondary Occupancy Group: ~O'\~(;~W-\\ ~\\i~e\IlP '\'\~~o Primary Construction Typc \\\I~\lN- It.O \}~ ~~e': Secondary Construction Type: \I.\}\\\Q\\I c,t.O O~ t\!ype: # of Bedrooms: C,QW-W-t.~ O\l.'l?~ y Path: !I.~'1 \~U I DEVELOPMENT INFORMATION I SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Strcet Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Pcr Sq Ft or multiplier Square Footage or Bid Amount Typc of Construction Total Value of Project Paec 1 of2 Alteration Commercial Expiration Date 06/3012004 Phone 541-485-5546 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Bascment: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Valuc Date Calculatcd . . CITY OF ~rKll~t.1< u,LD Status Issued Building/Combination Permit PERMIT NO: COM2003-00757 ISSUED: 08/14/2003 APPLIED: 08/1412003 EXPIRES: 02/14/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L.F~~s P~id I Fee Description + 10% Administrative Fee + 7% State Surcharge Sign - Outline Lighting Each Amount Paid Date Paid Rcccipt Numbcr $5,00 $3,50 $50,00 8/14/03 8/14/03 8/14/03 1200200000000001959 1200200000000001959 1200200000000001959 Total Amount Raid $58.50 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, inspections requested after 7:00 a.m, will be made the following work day. L.Renuir~d ~~dions I 1 Sign Electrical: After connection is made but prior to energizing By signature, I state and agree, that I havc carefully examined thc completed application and do hereby certify that all Information hcreon 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 pcrtaining to the work described herein, and that NO OCCUPANCY will be made ofany 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 propcr timc, that each address is readable from the strcet, that the pcrmit card is located at the front of the property, and the approved set of plans will remain on thc sitc at all times during construction, Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00757 COM2003-00757 COM2003-00757 Payments: Type or Payment Check Paid By ES&ASIGN 61 Receipt #: 1200200000000001959 Description + 7% Slate Surchargc + 10% Administrative Fec Sign - Outline Lighting Each Received By djb Cbeck Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/14/2003 10:34:46AM Amount Paid Item Total: 3.50 5.00 50.00 $511,50 How Received In Person Payment Total: Amount Paid $58.50 $5M,50 . .