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Home My WebLink AboutPermit Electrical 2010-4-26 Electrical Permit Application D 225 Fifth StreeUSpringfield, OR 97477 +PH(54t)726-3753 +FAX(54t)726-3689 ~L:cfDEPARtMEN~rusE!0Nl?Y:~ '~;";'l :>_"_:":---,~,:,-",;",:;,_-,-",,,,,~~,t',S_!'5~::~~~' Permit no.: 0 () - -W Date: 0:2 2:J 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. P~"1!00A'~G0VERNMENml5i,a;F!BR0VA~t~~ !!~~:;m:~~~__. A__." __~_~_M",______,_.___'-c_"__.L.i$;c<;:, ;r"_,,,_,._,"_>__L_~~~ Zoning approval verified? 0 Yes 0 No _1&:~~~f!:lEG1'lRYdlQ~9:c;rf;l$mRW~:illjQfi!I~ljI\li"~J\t~ D Residential D Government Commercial ~(:iE!I$Imgilfi!.6(;5~RM:t,>:jfIQl{lfAN'gl~!:1'Q'~'Ii[(:jt:li~i Job site address: ~ IIJ8 St!> 5<1- City: >In'^ F<ID Subdivision: \ r'J D to Lot no.. f"J ~~I:lE$.9RrFi4'iil~~tic;r~'1N0'RK~~ UrJrftFE WLrLDJb ;~t~~!~~lf:~'if~ fl14ni<E- r ZIP: 972 "or Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: ~!'[(;)J'.jjI[~G:TlQ8~iNSm~!J!~ml,0fi!~g~\~-ilW:~: Business name: STEvE /fftiXl'- Address: . Q. 50)(' 1-136/ City: Gu State: Qrz. ZIP: 7'No{ Phone: -5", - ~ 1- 01&'" Fax: 141-IOSf E-mail: S S ;+iJ<JcJ'- @, CCMCIIsT. /'JET CCB license no.: !'i'f"18 BCD license no.: 20- '172- c. Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~ l\ p.. J-, ~\\\ ~\,V 0' b.;:'tJ ~~\~ ~<6< \P 440-2584-) (9108/COM) 1.000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 40 I to 600 amps (2) 60 I to 1,000 amps (2) Over 1,000 amps or volts (2) Reconnect only (2) Temporary services or feeders: installation, alteration, relocation $ 81.00 $ $ 95.00 $ $158.00 $ $205.00 $ $469.00 $ $ 63.00 $ 200 amps or less (2) 20 I to 400 amps (2) 40 I to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) Each additional branch circuit 3 $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ 63.00 $ $ Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (1) $58.00 $ ,,"''''e'' 'f!I.},,.,;rN.."'!!t'iiS'-~' '.", ,- c' ", .t'_r:E. ;!!i~~~_~_cJ!l#"':'L""I;_~~~, (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ 63.00 $ $ (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ TOTAL fees and surcharges (A tbrough C): $ Status Issued 'i ',,': CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00414 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: $ 13,300.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,,-,_,}1, SITE ADDRESS: 1128 5TH ST ASSESSOR'S PARCEL NO.: 1703263402700 Springlield TYPE OF WORK: Awning TYPE OF USE: New Commercial PROJECT DESCRIPTION: Awnings Owner: EVERYONES MARKET #1 LLC Address: 1225 E GRANT ST LEBANON OR 97355 I CONTRACTOR INFORMATION I Contractor Type Electrical Sign Contractor IMAGE KING INC IMAGE KING INC License 161313 161313 BUIUDlNG INFORMATION I Expiration Date 09/01/2010 09/01/2010 Phone 541-484-1482 541-484-1482 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: ArrENTl, Handicapped: follow ON, Oregonlh!w'pG,ct:. Notific rUles adopted by th qUires YOu to in OAR a9tlso2n Center. Those rue/oregon Utility (n . -001- es are I PUBLIC IMPROVEMENTS ~c~liin~ th;ay obtain COPies oflh 952-00,. , umb~IJ(JW~:~(Note: the lel:p':::: by . Center is~c:Jon Utility Notlfi 8 -,... ':1.'" Downspoutl~Phhaa2-2344). catlOII ,i.:~J.,' ~ (',,-, Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR !-\;\JY 180 DAY PERIOD. Pa2e' lof 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Constrnction Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Building Permit Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Structu ra) Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00414 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: $ 13,300.00 I ValuationDescriotion ~ $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Receipt N umher Date Paid $27.96 ' $11.65 . $55.00 $175.00 $3.00 $8.76 $3.65 . $55.00 $18.00 ..:",-;,;:..'"":' 4/5/10 4/5/1 0 4/5/10 4/5/10 4/5/10 4/26/10 4/26/10 4/26/10 4/26/10 1201000000000000294 1201000000000000294 1201000000000000294 1201000000000000294 1201000000000000294 2201000000000000402 2201000000000000402 2201000000000000402 2201000000000000402 -' ~. .,.......;, $358.02- ,'-- <" . 04/05/2010 I Plan Reviews ~ 04/05/20 I 0 APP DJB engineered awning / placement 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. t....R~~,.,iredJnsnections ~ Final Building: After all required inspections have. heen requested and approved and the huilding is complete, Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete, '-;"'" " ','~::,., /:-:i, ',I. Pa2e 2 01'3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ::', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00414 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 V ALU E: $ 13,300.00 By signatnre, 1 state and agree, that 1 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 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 tbat NO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 fnrther agree to ensnre tbat all required inspection's~'i'e requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the' priiperty, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature 1;( LI",. Page 3 of 3 "} ~'. ,.;..~ j ..."", Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000402 Date: 04/26/2010 8:57:20AM P"id By STEVE HAUCK Item Tot"l: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 18.00 8.76 3.65 $85.41 Job/Journal Number COM2010-00414 COM2010-00414 COM2010-00414 COM20 1 0-00414 Description Add, Alter, Extend Circ Ad~, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Amount Paid nJm 095905 In Person Payment Total: $85.41 $85.41 ,I. ,r..l;.w ..",'",.;;d' ",,' "" .:i'eo k~~I~~1, ."., , ""1"" >.j...;. ');,,/ ". "-:0':"" , . 1'\'1'" cReceintl Page I of I 4/26/20 I 0