HomeMy WebLinkAboutPermit Electrical 2003-8-15
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. '. . ..CI:TYOF Sl ~JNGFIELfl. OREGON' '. .... .'
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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 (',
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1. . LOCATIO]ljOFINSTALLATION 3. ,COMPLETEFIfE:;W1J;.DtlL.tJjJ;.LUW~4. .
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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
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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
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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
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. ~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
.
.