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Home My WebLink AboutPermit Electrical 2010-3-31 .E11eotricalPermit Application I <em @(P' ~[prnIJIi~K~[Ji'[]~~~ @~~ 225 F;(tb Slml. Springfield, OR 97477. PH(541)726-375Jt FAX(54I)726-3689 I~ DEPARTMENT USE ONLY LoI;O'\ Z'~~>\ 0 ~oDZS~ Penn it no.: Date: "$-3/-1(:) 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? DYes DNo Number of inspections per item () Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION o Residential I 0 Government I 0 Commercial Residential, per unit, service included: 1,000 sq. ft. or less (4) JOB SITE INFORMATION AND LOCATION $134.00 $ Job site address: ),=\07 OL.vm .o/G sr Each additional 500 sq. ft. or p()rtion $ 25.00 $ thereof City: <- , L;':'J,.. I State:. h(' I ZIP: Cf~ 77 Limited energy (2) $ 32.00 $ Subdivision: 170325.3 r I Lot no.: COfc:rO Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK dwelling service or feeder (2) Services or feeders: installation. alteration, relocaiion , ..100/1..,;', ",n .P~..,,,,,~ F"... (;Z) ((eMtoY'D. ~/'", C :: ,',. 1<"/. F,: t011,. '5NIj(;(>.~n 200 amps or less (2) $ 81.00 .$ PROPERTY OWNER/,,':::"i'ic,,,,""$$ "'....vr( g 201 to 400 amps (2) $ 95.00 $ Name: R I A.... -.-J f}.."",_I./ -=~9~'iR 9s;~Cefl;:I}' C/ ~4&l1tcrBQO amps (2) $158.00 $ Address: ~ ~ j.,) //~h.Ci'l//ifl~~~fI)i'I~f'OOIL r, ~/lff6&~J,2 $205.00 $ tll City: a I State: oi'{lr~i1p,. e~. -V(i'lifl C Of).dir.'t~'14J-i1'r:'PI.4t/H Its (2) $469.00 $ Phone:5"W -J,5;:{. 73 7~ Fax: - -'--eflte, e Or~nr: Ot .~ . 1111 $ 83.00 $ E-mail: .~ ''800. U id:ttd ~/Jr. i s"'or feeders: installation, alteration, relocation ba. This installation is being made on residential or fann property ~l' ~( $ 63.00 $ owned by me or a member of my immediate family. This 20 I (0'400 ";'P'! (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). 40 I to 600 amps (2) $126.00 $ Signature: Over 600 amps or I ,000 volts, see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: nel1!, alteration, extension per panel ,Business name: 4-_.M~.~ L7/ L' E,. a Fee for branch circuits with purchase of a service or fceder fee: V,. Address: Q 0 Bo~ ~ '/t'47 Each branch circuit $ 6.00 $ City: r7 / I State: CU.... I ZIP: qnop, b. Fee for branch circuits without purchase of a service or feeder fee: Phone:?#-1R2-1n1~/ Fax: 6!t/:::JB2.:. t'L,/-K3 First branch circuit (2) I $ 55.00 $ 5"S- E-mail: ~."" e I..... '" ~ ~. Each additional branch circuit / $ 6.00 $ 4- BCB license no.: 9_ ,,/ ~ . f '.\'c~se no.: Ib&,Ot&>7. Miscellaneous fees: service or feeder not included ';",.,~.o.;~'" '"~. ""~u. "<c" ~._~~ch pump or irrigation ~ircle (2) $ 63.00 $ Print name of signing supervi~I'E, Ol,' l/:" ~gn or outline lighting (2) $ 63.00 $ Signature of signing superviso;;".( IJOI"" fJE 'M ~~it or a limited-energy panel, $ 63.00 $ 7a~ ill r extension (2) .y . 'VIV, D r~h additional inspection: (I) $58.00 $ APPLICANT USE .~ ~ (A) Enter subtotal of above fees $ ~ (Minimum Permit Fee $58.00) {pI ~ ~.\\ ~.~~ (B) Enler 12% surcharge (.12 x [A]) $ "7..3 <: ..-'\ . (C) Technology Fec (5% of[A]) $ 'V' r", '-" ~ TOTAL fees and surcharges (A through C): $ ~ I JoS ~ 7/n :t. .,; .~ " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00253 ISSUED: 03/04/2010 APPLIED: 02/26/2010 EXPIRES: 09/30/2010 VALUE: $ 3,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1807 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253107100 Springfield TYPE OF WORK: Sign TYPE OF USE: Addition PROJECT DESCRIPTION: Sign - addition to existing freestanding sign Commercial Owner: BECKER RICHARD A & LINDA K Address: 3200 W I ITH AVE EUGENE OR 97402 Contractor Type Electrical Sign I'CON:JiRAGTOR.INFORMATlON ~ "~vv <. vr Not', rUles egon I Contractor in oZ'calion C adOPted b aw r~!i1i-9se Expiration Date IMAGE KING IN'l)90 R 952'00~~ler. rhofelhe'lll~rJl. You 10 09/01/2010 IMAGE KING IN6a/~OU /haVi;OIO ~iii,~~/ffilirlP;"Y!"iIY 09/01/2010 IIU (~~.~' E 'vlll'/ 1:. r. 1f1SF. ~.<r 952-001. el'/Ieu.~ , egon Util'l le tele~Ules by # of ~Thl'leSOO_a? I Y Notifi O~e , Height of Struc-r.6t2344). CfltiOl) Type,llfHeat: .w~ter Type:,. .- Range Type: ' ,..: Ene,'gy Paih:' ' Sprinkled Building: Phone 541-484-1482 541-484-1482 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Fl Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NOTte. Overlay Dist: THI E. # Street Tr~esRqd: AUT~bZ~~1T S8jtt:~e Rqd:;;:;,.;,>", C?~MENCEg UN9ER;tfiiSrr;!1fJfHE WORK Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee 1 of3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvue of Construction Sien Use Bid Amount Fee Description Sign Plan Review ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 0-35 Square Feet + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Total Amount Paid SitIn Review '"if _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00253 ISSUED: 03/04/2010 APPLIED: 02/26/2010 EXPIRES: 09/30/2010 VALUE: $ 3,000.00 " .", , ; ',' I Valuation Description ~ $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,000.00 $3,000.00 $3,000.00 03/03/2010 Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $84.00 $8.00 $15.12 $10.30 $126.00 $80.00 ~, . $7.32 :: $3.05 1 $55.00' $6.00 2/26/10 3/411 0 3/4/10 3/4/10 3/411 0 3/411 0 3/31/10 3/31/10 3/31/10 3/31/10 2201000000000000177 1201000000000000200 1201000000000000200 1201000000000000200 1201000000000000200 1201000000000000200 2201000000000000296 2201000000000000296 2201000000000000296 2201000000000000296 $394.79 I Plan Reviews I' 03/03/2010 03/03/2010 APP DJB Approved as a single, dbl faced freestanding sign attachment. Area calculated based on one face. 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. ~e(lllirerunsnections i 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 b~t prior to' energizing. " Sign Final: After all required inspections are conducted and approved alld tbe sign installation is completed. Rough Electric: Prior to Cover Final Electric: Wben all electrical work is complete. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00253 ISSUED: 03/04/2010 APPLIED: 02/26/2010 EXPIRES: 09/30/20]0 VALUE: $ 3,000.00 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769/nspection Line By signatnre, / state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and / fnrther'certify'ihat an'y and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the La,:,,~ of tbe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strnctnre withont permission of the Commnnity Services Division, Bnilding Safety. I fnrther certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will be nsed on this project. / fnrther agree to ensnre that all reqnired inspections are reqnested at the proper time, that each address is readable from the street, that tbe 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. Owner or Contractors Signatnre Date +-;~t ,::, ~:I-"" I , :""1 ,c' . .~:) j.' 1 I:;' ~ .~ .:1 . to. ~ 7; ,', , ' " h-.t '. Paee 3 of 3 225 Fmh Stnet Springfield, Oregon 97477 541-726-3759 Phone aJ~~~~LD~. . .. ~_! Ia;.~,^.. '. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000296 Date: 03/31/2010 10:39:20AM Paid By PATRICK MEKECH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 098092 In Person Payment Total: Amount-Due 55.00 6.00 7.32 3.05 $71.37 Job/Journal Number COM20 I 0-00253 COM20 I 0-00253 COM20 I 0-00253 COM20 I 0-00253 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Amount Paid $71.3 7 $71.37 : ,~~.; ,', !"1 <._.l'. ; (ftr .' -1' cRcccintl Page 1 of 1 3/31/2010