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HomeMy WebLinkAboutPermit Electrical 2010-5-28 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us {!ltJ. b35 Residential Electrical Authorization To Begin Work 69600-BEL-10-00232 Approval Code: 218240 5/28/2010 10:07 am E.mailed To: johnr@builderselectric.com ....PI!:ANiREVIEW . ", :'.... >>:"'.: > rPEQF 0 New Construction IKI Addition/a Iter~tion/replace ment ~.. \....,::;.'..\22..... CA TEGORy(ji;cONS1:R4e:TION. " ",.. ........./X . 0 1 or 2 family dwelling 0 Multi-family lRl Commercial 0 Accessory F~'5v;.~ .#FT.,' jOB'SI1:!'INF,ORMATIONAND'tl6cA.T(ONr'. ....;";.',....'. Job Address: 4136 MAIN ST City/State/ZIP: SPRINGFIELD. OR 97478 ~[,., t .' ~~, " -,,'.r Suite/bldg.lapt.no.: ; ::;'~ f,,;. .' i:f ., Project Name: Frisendahl Cross Street/directions to job site: Tax map/parcel no.: 1702323201400 r,;t~!.'Z;;.:!\f:;:;~;...,~..X[)!'l?~RIPTION.6f,WQB)<;',i'..,; ~;;~ .7: , -" Install circuillo hook up sign ;n parking lot , ..' r",r"....,;isi tAl> <iff. t !..;""j' :.--:' Name: John Risbrouqh ....:.: -,. ':~i ' :J' Phone: 541-485-0922 Fax: Email: .';,' .:;;:.:l~. :.; , """'r"'''''V''- ......"......,.......+F':>::.....'" .. ~"J:;..;~;'!< 51 "'i: j...;;~.,:CONTRA~TOR:s ..,,'- Elee lie. no.: 20-12C CCB tic. no.: 4296 Business Name: BUILDERS ElECTRIC INC ,. ,. ,,'+~1, ., . Contact: "" .. 2: Address: 195 MADISON ST i':~- .. City/State/ZIP: EUGENE, OR 97402 Phone: 5414850922 Fax: 5414854055 Emai1: FRED@BUILDERSELECTRIC.COM Metro lie. no.: City.lie. no.: Supervising Electrician's lie. no.: 32905 Supervising Electrician's Name: RUSSEL W CRANE Number of inspections included ;n paid services: ',';' , t .':" Residential Service: 4 "11 l .. . -- Reconnect Only: 1 . t}l' ~ ..' ';;" All Other Services: 2 .. Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health cafe facilities D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three star D Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys O "A" "E" or "1_2" or "1-3" . . D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal .0;.. ,.,;....../1. ,;'; FEE 'S.CHEDULE' Oty. Description :B~al1(ih circuits Branch circuits without service or feeder MisC9*IIClne~l!~ Balance of permit fees gl~~trlc-alpermii:.Fees' Subtotal State surcharge (12% of permit total Technology fee (5% of permiltotal) TOTAL PERMIT FEE ! ~~ <v \\) '\ . Cfry(WIO s-ug-I a $58 00 $6,96 $2.90 $67.86 ~~ ~~ ~~ CJ.:iI>3S hlY) .r:~.; .:" '":;', '~~1'- ;,.'- Inspections P-hone: 541-726-3769 This Authorization To Begin work.'';;';'st b~posted at the job site until replaced by a Permit "c.,.. ~', -.\}.. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00635 ISSUED: 05/19/2010 APPLIED: 05/18/2010 EXPIRES: 11/28/2010 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4136 MAIN ST ASSESSOR'S PARCEL NO.: 1702323201400 Springfield TYPE OF WORK: Sign TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign - B & A AntomoJ!y.e fr~es~.anding 'C'dll..::i ;~h~,JI,'J .~ Owner: Address: ,,"N':,,'-, FRISENDAHL RONALD & MARIE.f!!. . 475 RIVERVIEW BLVD ' SPRINGFIELD OR 97477 ,,-.. .' I CONTRACTOR INFORMATION ~ Contractor Type Electrical Sign Contractor License BUILDERS ELECTRIC INC 4296 DENNIS ROY HYDE " . .. 92628 BUILDING INFORMATION ~ --.. Expiration Date 12/10/2011 09/21/2011 Phone 541-485-0922 541-942-1059 # of Units: Primary Occnpancy 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT. INFORMATION ~ PUBLIC IMPROVE .,._.,c..:....: '>-". \-,-r.ni, ';.' . ", .overlay Dist: Total: # Street ~rees Rqd: .' Handic~8~6d: Paved Dnve Rqd: on laW req(l\~uh % of Lot Covera!ji;rTENT\ON: dOrered by the Oregon ~ I~h follow rules a op Those rules are set 0001 enter. 952- . .. 52-00 - . leS 01 the ru es ou may obtaIn cOf . the telephOne .caliing th~namllrk ~R~\i\ity NotificatIOn b lof.,the Oreg ~ 0'\44) i . Ii. ::n.um ~rceK&'r%P'PtjfsWWltJir. . '. !,,; 1" ~:,_'" \ u I.'.',.-l,;~,,, REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction : ,,;, Notes: NOTICE: THIS PERMIT SHALL EXPIRE iF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT :;OMfVlENCED OR IS A8ANDONED FOR '(\I -I n" nt,\' pr.:qln'1 . 'iA~t'1.\+~;;l(t, L ,( '. ':1:~ii.;;'" .,it:;;";ii:Page ;];.of.3 ./,..'1'". e';";' "..". ':'Ok,. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541_726-3676 Fax 541-726-37691nspection Line Description Type of Construction Sien Use Bid Amount Fee Description Sign Plan Review ***+ 100/0 Administrative Fee*** + 5% Technology Fee Sign 61-100 Square Feet + 12% State Surcharge +5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid Sie:n Review ,il.,:::' .:UjT ,....."'."o~,. '......... _,..;;;".::,i,\; ._ .., ;r,~) 'I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00635 ISSUED: 05/19/2010 APPLIED: 05/18/2010 EXPIRES: 11/28/2010 VALUE: $ 10,000.00 I v alu~tionD~~~;'i~tion ~ ! ..:~, : " " \ ITt:~1' ..: ' Square Footage or Bid Amount 10,000.00 Value Date Calculated $ Per Sq Ft or multiplier $1.00 Total Value of Project $10,000.00 $10,000.00 05/19/2010 ~, , t',-j{)P '.::~ ."i-l': '.'. . !.tt.zi h::o~~ :;::i..;.,"i.. Amount PaJ<<!.r;::.t ''l $42.00 . $14.00 . $7.00 $140.00 $6.96 $2.90 $55.00 $3.00 $270.86 :' '. . ,.;,,,',, Date Paid Receipt Numher 5/18/10 5/19/10 5/19/10 5/19/10 5/28/10 5/28/10 5/28/1 0 '5/28/10 . 1201000000000000495 1201000000000000501 1201000000000000501 1201000000000000501 1201000000000000583 1201000000000000583 1201000000000000583 1201000000000000583 .~. ~ .., . '. , f. ,....! ~' I{Plan Reviews ~ 05/19/2010 05/19/2010 APP DJB 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. ':~Jft':-{:~">~;"'~'f( L.Reri::iireI1,;,Tn,~necti~ns ~ Sign Location: To verify the location ofthe p~oposed sign. Sign Footing: After excavation and forms are in place, hut prior to concrete. Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of holts or welds. Sign Final: After all required inspections are conducted and' approved and the sign installation is completed. Sign Electrical: After connection is made but prior to energizi'1g. Paee 2 of 3 Status Issued -~:~,,~~ ....~~ ,,.,,~ / " ,~~~~:~~ :;-~.\~l~;:~~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line :',t' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00635 ISSUED: 05/19/2010 APPLIED: 05/18/2010 EXPIRES: 11/28/2010 VALUE: $ 10,000.00 By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 that NO OCCUPANCY will be made of any structure without pe.rmission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are i'1 cO,mpliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requisted at the proper time, that each address is readable from the street, that the permit card is located at the front'o(\he property; and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature ~. h;~... ;~:Lt ;'itiil, . .:~ ,<.' , '. . ~. -i, ;;..., ... ,. .~ ,- ...7~':r< . 11>,.,'.,' ; '\~ . !~' , . :, -:1 , , ':;:: i ,. 1 ,,-',,::, ~i f .', it;..~ .,j.~""..;.. ;';,":' "m_':;: .; ;~.~^~ ~f J,i t;:;'/1; . "i.,:.},. ~ 'i' .':;'t~'~.: '.' .:.' Palie 3 01'3 .'t", ". , Date '. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~'iiiii""."""~,','~.':',w'"..,...,.""", '.... r.:. i," . ' " , j ,., <. " ....n.>; ."".....,,' ~i City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000583 Date: OS/28/2010 10:26:43AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 3.00 6.96 2.90 $67.86 Job/Journal Number C0M20 10-00635 C0M20 10-00635 C0M201O-00635 CO M20 10-0063 5 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 12% State Surcharg~ + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid njm ONLINE builders Online Payment Total: $67.86 $67.86 cReceint 1 Page ] of] 5/28/20 I 0