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Home My WebLink AboutPermit Electrical 2010-7-30 SPRINGFIELD ~i\.-.""",, - ~'<-L d ,'" ',( ~~ . .'.~..~:,\- OREGON City Of Springfield 225 Fifth $1 Springfield, OR 97477 Phone: 541~726-3753 Emai!: permitcenler@ci.springfield;or.us , ':J"c -'" ~ .., .- . TYPE'OF WORk:, ., '..' """.. , - 'H ,. , " , - D New Construction lKI Additionlalteraljon/repla~emenl , .. 'CATEGORY OF CONSTRUCTION , . L -- 0 . D 1 or 2 family dwelling D Multi-family IZl Commercial D Accessory ! .. , JOB.SITEINFORMA TloN AND.LOCA TlON ..,' .- .. 0.. , Job Address: 220 S 42ND ST '. ., h' .. City/State/ZIP: SPRINGFIELD, OR 97478 , ." .. Suite/bldg./apt.no.: Project Name: c,hurch sign Cross Street/directIons to job site: Tax map/parcel no.: 1702323202600 i ~ -:...' ;-~ ,7c,""-~. ,. .,OESCR!PTIONOF WORK,o i::;-",." . , ,.,.,.... -',,!. :i'-." .. run power overhead from existing light pole to new sign .!.' , .. :;' - .- : \' .., ' --, , SITE CONTACT,' , " , '.-.. :,' Name: Garv Miller Phone: 541~741-2596 Fax: 541.741.2596 Email: ;",,.' , . "", CONTRACTOR ~ . . . ., , Elec lie. no.: 20.284C CCB lie. no.: 87145 .-". " ... ,. u__L.,. ,~ , . Business Name: GERARD ELECTRIC _.._,~-~. .,' Contact: -.--.-..-. ---" .. " 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 _.. _.. H'_ .., ". 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. ..~. . 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. ........ _u.i. 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 ,. " i'. '; "'PtANREVIEW, '. ,. .' 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" " .:...., .. . '. ,"- ~:;l Description I Qty. I Ea, I Total Br~nc~~circuitS . .,-,. ,,,,,'i r-, .-A' ' , . Branch circuits without service or 1 $55 00 $S5.00 feeder Miscellaneous --; .' . . .> " , Balance of permit fees $3.00 ElectricaJ peh1)it Fees .. , ,. ':',' , ' . " Subtotal $58.00 State surcharge (12% of permit $696 total) Technology fee (5% of permit total) $2.90 TOTAL PERMIT FEE $67.86 ~~~ ~ C)',O \\~ t~:~ ~~~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CJJffiVJIO - OO'61~ '( -80--- LQ n~ . .~,. '" c, 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 .{..;; .,: .'"~~:~ '.:.l;;~~\,p. Phone Number: 541-747-6486 , ..~ ~ . 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 '::;;1', '..:t..'f. ,..'J ..' : ..,,,~..,.,::,, .:." '__;?'~~" . !_"~ ~\L":.:~ ." .. ." '.....:.,.,. '~~,. 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 ,,,,:__or ~..:.l~:,',!", ..... i11'51;!!'.~:;;'", ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ " 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 ~ 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 .:}~:t .)!.:~:~~::: '...; Amount Paid"":"h'.: ...;r~':~ f'" ., .~ \ .l.....,' " ....:,\~. '.' ." $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 r 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 ....,. .. ..:: ::::' .;..,: ili~ ":\ '. . :.\ Final Electric: When all electrical work' is' complete. Paee 2 of 3 :'. .1'(;,:/,;:',,:,; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,I,' . . \~ " _,..,," I ~+;~~~:~~ :; '.,:/Jf~ ,~ 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. ': :'" :: .0; Owner or Contractors Signature ,,~::,~;'!.. "'~' ,',j':' , ~t.;;:~:~.( ... )~i,,~;. .,',;.:;. ~p.'5'r''j'' -. ,.'.. ~ ." .i,," . <'4'1': t Paee 3 of3 , Date 225 Fjfth Str.eet Springfield, Oregon 97477 541-726-3759 Phone !U::;'; <'.r';;;. .!, i7~( ----~.; 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 $67.86 ~.'.....D i';i~f..t .d. :t" ~'~~~,:X{i:', . ..~. ~4:f ;( .....>U:'.Y.! I~~~, . 1',- ..k;P ". . . ., .,; I"~ ........., .' .,.~ ..." 'L~~$h .~~\~~~~~,; t~~i(,.i.{: :..:~}il '"' '~;:~! .;! !......, cReceiotl Pa"e I of I 7/30/20 I 0