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Home My WebLink AboutPermit Electrical 2010-4-14 Electrical permit.~pPHcation"'..,<","<j.:' s~. ". I @IDW(Q)lJ~~~,.~\t1 ~Qit. 225 Hffh Street+Springfield, OR 97477.PH(541)726~3753.FAX(541)726-3689 'DEPARTMENT USE ONLY Co-U>rO -ooLf6-S; Permit no.: Date: L( -I~ - to This permit is issued under OAR 918-309-0000. Permits are nontransferahle. 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 ~ NUll1bcr: ofinspections per item () Qty, Cost Total CATEGORY OF CONSTRUCTION ea. cost D Residential I D Government I ~ Commercial Residential, per unit, service included: 1,000 sq. ft. or less (4) JOB SITE INFORMATION AND LOCATiON. ' $134.00 $ Job site address: 3,s-1O Each additional 500 sq. ft. or portion $ 25.00 $ thereof CilY:_"5r::i"n~/;e/./ IState:~ ZIP: q7 Y 77 Limited energy (2) $ 32.00 $ Refere;ce: 117 O:s I S-"3"3 I Taxlot.: D('20.:> Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK .. " dwelling service or feeder (2) re~ eXI ~f-~ F 10M ~t;-!J} Senrices or feeders: installation, alteration, relocation II A / k.o u, n,,) I/(~ L..A+d~ 200 amps or less (2) $ 81.00 $ ,1 PROPERTY OWNER ,., ."., \.." 20 I to 400 amps (2) $ 95.00 $ Name: c).IIA A rJ 401 to 600 amps (2) $158.00 $ Address: 3~ Crl'Jvv j<}U 601 to 1,000 amps (2) $205.00 $ City: ytI\IXJr' a I-w-ffn State: )V.:t1 ZIP: OttJ07 Over 1,000 amps or volts (2) $469.00 $ Phone:'P%-l5I1Z-- I (,77 I Fax: -- Reconnect only (2) $ 63.00 $ E-mail: ~ \,,'/'1 teC\U :~ ~ry services or feeders: installation, alteration, relocation This installation is being made on r~~~1!llfu~~~'Wi'i\Ye V' .'0> 'uoo , ownedbymeoramemberofm~litJ e '~fOlllIl9. . setU1e po: :g& ps (2) $ 87.00 $ property is not intended for sal'\d\\llIflIl~ ~\mlI'fe &89\\ ( 479.540(1) and 479.560(1). t<oti\iCa~Ol'i OO~-OO~ ~:Q 9ieS ~ ~ amps (2) $126.00 $ P, 95'2.- btaill cO \t e ps or 1,000 volts, see services or feeders section above Signature: ill Or-: '",," tlIa'1 0 . INO\9', \ CONTRACTOR '1IQST~walQ""';:',,,aOll\)~~ l~ 4~nch circuits: new, alteration, extension per panel Business name: h\Bfl1'J /t1J I "'':: -""'~ a. Fee for branch circuits with purchase of a service or feeder fee: Address: I q 65 }4~ V,,": W Each branch circuit $ 6,00 I $ City: 1:::"MM'le.. State: ~'fZ ZIP: VJ7l/o3 b. Fee for branch circuits without purchase of a service or feeder fee: Phone:7LfJ--74b- 33/..2--1 Fax:5l/I-flfb -5/0-1 First branch circuit (2) $ 55.00 $ E-mail: VYll,()::sz..@t?ar.tz, / r -n/k . V1eJ'T Each additional branch circuit $ 6.00 $ CCB license no.: ZtJ-/f2lfcU BCD license no.: / t,o r~t/ Miscellaneous fees: service or feeder not included Signing supervisor's license no.: 55~ SIt; Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: NlalkJr\~ Each sign or outline lighting (2) ) $ 63.00 $63 Signature of signing supervisor: ,...- /, /L a ~jl Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension Jf) , ...n f") Co" ...,,"U, 'I'" $58.00 $ '. '., ,. ~~ ii\!ldANT USE >>> '~\\ .: (A)tf!f< fees $ ?3 ~~ t;)"f,\t""" ~~" M1i~ ~. '~~ ~.OO) ~~ ~ \\\S ?t.~'\~ \) ~ ~rCharge (]2 x [A]) $ 7.5t, '\ )J,\\\()~\-VCt.~ ~VOIOgy Fcc (5% of [A]) $ 3.lfJ ~ V f>:C()\'J\\'J\t.~ U~ AL rees and surcharges (A th.ough C): $ 75. 71 440-2584,) (9/08/COM) ~~ ~ I\~'{ "\ COQ _ ~l", . '1,'- ^;;,:' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00465 ISSUED: 04/14/2010 APPLIED: 04/14/2010 EXPIRES: 10/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3545 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703153301200 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Sign lighting Owner: WESTERN SERVICE CO Address: PO BOX 7788 NEWPORT BEACH CA 92658 Contractor Type Electrical .,~ . I CONTRACTOR INFORMATION , Contractor License NICK HOWARD AMO 160384 BUILDING INFORM A T10N ~ Expiration Date 09/22/2010 Phone 541-746-3312 # of Units: # of Stories: Primary Occupancy Gronp: Height of Str~" Secondary Occupancy Gronp: ~~\Il.lI~t!rIt: U(\\~ Primary Construction Type e~ol\ ~ffi\j t)lfleon,e\ ,oe\\' Secondary Construction Type: \:.t<'nO~'\". ~~~\eo Rll~fU{I)'f>~: gtpZ.oo\o # of Bedrooms: p..'r'( 'oN {\lIeS a: leI. iB\l~~n~!:c!- ~ , \OI~~\ica\\Ol'l~~~,oO'~ q\\e~~ofI0 n/a il'lOgO '{o\l t, RMATlON 00 " \I"i ca\l\l'I~ \01 l\"Ie ,800''3 Front yard Setback: l\\l(l'\pel cel'llel is O~erlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % .of L~t Coverage: Solar Setbacks: "..,,-', ,_,~"M,", .. " Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction $ Per Sq Ft Or multiplier , Square Footage Or Bid Amount Value Date Calculated Paee I of 2 Status Issued ';..i'~'''' , ..,~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00465 ISSUED: 04/14/2010 APPLIED: 04/14/2010 EXPIRES: 10/14/2010 VALUE: ,,,,"',. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " .' Total Valne of Project Fees Paid.... Fee Description + 12% State Surcharge + 5% Technology Fee Sign - Ontline Lighting Each Amonnt Paid Date Paid Receipt Nnmber $7,56 $3.15 $63.00 4/14/10 4/14/10 4/14/10 1201000000000000343 1201000000000000343 1201000000000000343 Total Amount Paid $73.71 tl~n '~eyjews ~ \,' ''''.l''~ .. " ~ I .. ._ ,. .J.' .,,~ 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. I Reouired InsDections ~ Sign Electrical: After connection is made bnt prior to e~~rgizing ,} ;' By signatnre, I state and agree, that I have carefnlly"examined the completed application and do hereby certify that all information hereon is true and correct, and I fnrther 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 used on this project. I further agree to ensnre 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 011 the site at all times during construction. :.l:~;~~~. ;lz"tl,' .. 1',,,'!"l!''h.,'<,,' ., \ ,J. ." ".~5 Owner or Contractors Signature Date Pa~e 2 of 2 n5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000343 Date: 04/14/2010 1:37:17PM Job/Journal Number COM20 I 0-00465 COM20 I 0-00465 COM20 I 0-00465 Payments: Type of Payment Cash Change Description Sign - Outline Lighting Each + 12% State Surcharge + 5% Technology Fee Paid By METRO WESTERN SIGN METRO WESTERN SIGN Amount Due 63.00 7.56 3.15 $73.71 Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb Amount Paid In Person In Person Payment Total: $80.00 ($6.29) $73.71 Job/Journal Number COM20 1 0-00465 COM20 1 0-00465 COM20 I 0-00465 Payments: Type of Payment Cash Change cRcccintl Description Sign - Outline Lighting Each + 12% State Surcharge + 5% Technology Fee Paid By METRO WESTERN SIGN METRO WESTERN SIGN ~ ;!tN' 1-\1, "c~" <;heck Number ~~... _.c.;.. ~ R~c~Jved.By l .;'Batch Number 'd'li' .J -djb l,:~~~;~ .:,:~:'y}~ "~I':: . f~~ :{:,;~. 'f'" Page I of 1 Item Total: Authorization Number How Received Amount Due 63.00 7.56 3.15 $73.71 Amount Paid In Person In Person Payment Total: $80.00 ($6.29) $73.71 4/14/2010