HomeMy WebLinkAboutPermit Electrical 2010-7-30
SPRINGFIELD
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City Of Springfield
225 Fifth $1
Springfield, OR 97477
Phone: 541~726-3753
Emai!: permitcenler@ci.springfield;or.us
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D New Construction lKI Additionlalteraljon/repla~emenl
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D 1 or 2 family dwelling D Multi-family IZl Commercial D Accessory
! .. , JOB.SITEINFORMA TloN AND.LOCA TlON ..,'
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Job Address: 220 S 42ND ST '.
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City/State/ZIP: SPRINGFIELD, OR 97478 ,
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Suite/bldg./apt.no.:
Project Name: c,hurch sign
Cross Street/directIons to job site:
Tax map/parcel no.: 1702323202600
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run power overhead from existing light pole to new sign
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Name: Garv Miller
Phone: 541~741-2596 Fax: 541.741.2596
Email:
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Elec lie. no.: 20.284C CCB lie. no.: 87145 .-". "
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Business Name: GERARD ELECTRIC _.._,~-~.
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Contact: -.--.-..-. ---" ..
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Address: 3954 HAYDEN,BRIDGE RD
City/State/ZIP, SPRINGFIELD, OR 97477
Phone: 541-741-2596 Fax: 541-741-2596
Email:
'Metro lie. no.: City lie. no.: :
Supervising Electrician's lie. no.: 36545
Supervising Electrician's Name: GERARD G MILLER
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Number of inspections included in paid services:
Residential Service: 4 -.,
Reconnect Only: 1
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 e permit is not obtained.
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The Jo~al building department mey dlllllrmino that an Authorl;r;atlon To ~~.I!l~\."I.~.'!...ls-:-~u~.._~n~ I'
void if it does not meet applicablo land use laws and local ordinances.
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CIQ,81(P
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00354
Approval Code: 051343 7/30/2010 8:01 am
E.mailed To: gerardelectric@comcast.net
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Please check all that apply: D Hazardous locations
o A service or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
10,000 Amps al150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for all other o Floating buildings
D Fire pumps o Commercial.use agricultural
buildings
o Emergency systems o Installation of a 150 't0IA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A", "E", or "1-2" or "1-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health ca~e facilities o Supply voltage for more than
600 supply volts nominal
,. ',' .' FEE SCHEDULE" " .:....,
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Description I Qty. I Ea, I Total
Br~nc~~circuitS . .,-,. ,,,,,'i r-, .-A' ' ,
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Branch circuits without service or 1 $55 00 $S5.00
feeder
Miscellaneous --; .' . . .> " ,
Balance of permit fees $3.00
ElectricaJ peh1)it Fees .. , ,. ':',' , ' .
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Subtotal $58.00
State surcharge (12% of permit $696
total)
Technology fee (5% of permit total) $2.90
TOTAL PERMIT FEE $67.86
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-008I6
ISSUED: 07/02/2010
APPLIED: 06/24/2010
EXPIRES: 01/06/2011
VALVE: $ 5,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 220 S 42ND ST
ASSESSOR'S PARCEL NO,: 1702323203200
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
PROJECT DESCRIPTION: Sign - monument sign for Restoration Fellowship
Commercial
Owner:
Address:
RESTORATION FELLOWSHIP
220 S 42ND ST
SPRINGFIELD OR 97478
Owner: MCCABE INVESTMENT
Address: 1200 GATEWAY LOOP
SPRINGFIELD OR 97477
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Phone Number: 541-747-6486
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I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Sign
Contractor
GERARD ELECTRIC
OWNER
License
Expiration Date Phone
I .BUILDlNG INFORMATION ~
# 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:
. S~~inkledBui.lding:"
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 DEVE'L6PMEN':~'INFORMATION ~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: ~~e(eOdn b~~he Oregon !lJ\UII\LIC IMPROVEMENTS I. ~
~rulesa P I saresellUll1I "v.it,;E'
Street e1!:l1rn;'lJen_~~16~~~:ur~heOAR 952-001- . ~HIS PE~Wr~l!fAll{!'rXPIRE IF THE WORK
Storm'B~l'l~~aflil~le6btain copies of the rules ~~:'.' '." -- '~lJTHOR!'2~1'J~!@!NPf~;I9:PERMIT IS NOT
speciallil!k~~~ c~nter. (Note: the te'ephOt7ci~4:. COMMENCED OR IS ABANDONED FOR
N t . number for the. Oregon 3U3tI21~t2Y3~~t)lflca, flNY 180 DAY PERIOD.
o es. Center IS 1-800- . _
Pa2e I 01'3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00816
ISSUED: 07/02/2010
APPLIED: 06/24/2010
EXPIRES: 01/06/2011
VALUE: $ 5,000.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
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Sien
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
Description
Total Value of Project
$5,000.00
$5,000.00
07/01/2010
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Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Sign 0-35 Square Feet
Sign Plan Review
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
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Amount Paid"":"h'.: ...;r~':~ f'"
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$8.oiJi:I.'" .
$4.00
$80.00
$42.00
$6.96
$2.90
$55.00
$3.00
Date Paid
Receipt N umher
7/2/10
7/2/10
7/2/10
7/2/10
7/30/10
7/30/1 0
7/30/1 0
7/30/10
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2201000000000000789
2201000000000000789
2201000000000000789
2201000000000000789
3201000000000000489
3201000000000000489
3201000000000000489
3201000000000000489
Total Amount Paid
$201.86
"I.:iJ?lan Revi~.ws ~
Sie:n Review
07/02/2010
07/02/2010
APP DJB
Sign location on contiguous parcel
part of development area.
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 '.:":.'~~,'...: ; ..
~i.~Ti~edJsjs~ecti'~ns ~
Sign Location: To verify the location of the proposed 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 bolts or welds.
Electric Service: Approval required prior to utility company energizing service.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are conducte.d ap'.d ape roved and the sign installation is completed.
. Rough Electric: Prior to Cover ....,. .. ..:: ::::'
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Final Electric: When all electrical work' is' complete.
Paee 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00816
ISSUED: 07/02/2010
APPLIED: 06/24/2010
EXPIRES: 0l/06/2011
VALUE: $ 5,000.00
By signature, 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 1 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 permission of the 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.
I further agree to ensure 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;"andthe approved set of plans will remain on the site at all
times during construction.
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Owner or Contractors Signature
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Paee 3 of3
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Date
225 Fjfth Str.eet
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000489
Date: 07/30/2010
8:49:32A!VI
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
COM2010-00816
COM2010-00816
COM2010-00816
COM2010-00816
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
njm
ONLINE
gerard In Person
Payment Total:
$67.86
$67.86
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7/30/20 I 0