HomeMy WebLinkAboutPermit Signage 2010-11-19
.Electrical Permit Application
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225 '?ifth Strcet.Springfidd, OR 97477. PH(541)726~3753. FAX(541)7,26-3689
DEPA~J;MENT USEONL Y
Pennit no.:
Date:
II
10
This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
. 'LOCAL GOVERNMENT APPROVAL,. .
Zoning approval verified? DYes D No
CATEGORy OFCONSTRUCTIOIII
o Residential 0 Government Commercial
.. JOB SITE 'INFORMATION AND LOCATION .
Job site address: :><i?O"?J (l\q'l\ S'"\'
City: Ie \do State: Oe. 7'f79
n,'J:: L<':i?PROPERTY''';OWNERwc
Name: tv/(/rvI,IL 112--
City: ZIP: 7')"2-2
Phone:
E-mail:
This installation is being made on residential or fann 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(J).
City:
Phone:
E-mail:
CCB license no.: 1'67- 3 81-
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440.2584.J (9/08/COM)
'" '.. .. -" ;. FEE SCtlEDULE , . -c-
,
,Nurriberofinspections per item""'{'}w. Qty. .Cost; Total
.-.K. .~_:. .. ". .. .- . ,,'.. ea. ". . cost.,
Residential, per unit, service included:
I ,000 sq. fl. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereo f
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) . $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1.000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation. alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $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 I $ 6.00 I $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) I $ 55.00 $ C;,
Each additional branch circuit '==- $ 6.00 $~
Miscellaneous fees: service orfeeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) \ $ 63.00 $ (, "
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
:'~,';; ~:~::.;,'.AI?~L1CANt:USE'" "'S>:;""." ,
(A) Enter subtotal of above fees $~'I I~
(Minimum Perm it Fee $58.00)
(B) Enter 12% surcharge (.12 x [AI) $ J~ 1'1
(C) Technology Fcc (5% of [AI) $ ~ .~
TOTAL fees and surcharges (A through C): $ IV~ "'" "
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CITY OF SPRINGFIELD
S..P~IN. G...FIE.L..~
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'-OREGON
Building I Commercial Permit
PERMIT NO: 811-5PR2010-00755
IVR Number: 811130330122
www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
perm itcenter@ci.springfield,or,us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
11/19/2010
11/19/2010
11/19/2010
SITE ADDRESS: 5808 MAIN ST, Springfield, OR 97478-6965
ASSESOR'S PARCEL NO: 1702334102301
EXPIRES:
VALUE:
05/18/2011
$0.00
SCOPE: Electrical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Retrofit exterior lighting to lED
Phone Number:
OWNER:
ADDRESS:
MONK E M TR
PO BOX 711
DALLAS TX 75221
CONTRACTOR INFORMA TION ~
Contractor Type
Contractor Name
LARRY WILLIAM FRENCH
# of Units:
Lic Type
CCB
BUILDING INFORMATION ~
o 008- i ~ gf, ;>totle.:
'(\7\782-288- . ,.. ." .o","nu
, n u068JCHe,ght.of.Structure:
UO!\130Il!\ON ,,\II!\ ). e 'M ~'.'l 0\1)1\130
d818\ 8l\\ .8\ON J Type of Heal. '0600
8UOl\ d UI,,\on A13ill nO},
Aq s81nl 8l\PO S81 00 . ~ o'f(!'~l\\:l~l\\'i \:1110 U\
-iOO-2S6l:JVO l\6nO;~; Oi'l~~.'.'g:, Typ.e"ollI\ON
l\\JOl \8S 8J13 S81nJ 8 A Its\t!ili'~mat:II"J MOllol
A\II!m U068J~:Jl\~13~U068JO :NOI1N31111
0\ noA S8J!"
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
'OO\'-'::lrl A\1I' lid> AI.
c'Residential,Specialty Code Edition:
W SI un n~' \\"ju~U"V"
"n ' 03NOON\;/lh Structural Specialty.Code Edition:
)-1 ], ,. . ,.,n"ln n=iIl:-'UI1.Ll: t
10N S\ 1\IJ\\\:I3d ~dl\1~ l:ll-iu~ I IIJ\\'t:Site r;;formation
)\\:I0M 31-\1:1\ 3\:1\ ^ ' :3:J\llJi~
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:"
Springfield Building Permit
11/19/201 11:07:21AM
Lic No
187387
Lie Exp
07/13/2011
Phone
503-339-6674
lot Size:
Sq Ft 1.t Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy load:
o
I
Page 1 of 4
..
.
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00755
IVR Number: 811130330122
permitcenter@ci.springfield.or.us
PROJECT STATUS:
. STATUS DATE:
Issued
11/19/2010
ISSUED:
APPLIED:
11/19/2010
11/19f2010
EXPIRES:
VALUE:
05/18/2011
$0.00
SITE ADDRESS: 5808 MAIN ST, Springfield, OR 97478-6965 .
ASSESOR'S PARCEL NO: 1702334102301
SCOPE: Electrical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Retrofit exterior lighting to LED
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
Descriotion
Branch circuits without service or feeder - 1st circuit
Sign or outline lighting
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
FEES PAID
Amount Paid
$55.00
$63.00
$14.16
$5.90
$138.06
I
Date Pa id
11/19/2010
11/19/2010
11/19/2010
11/19/2010
Receiot #
374939
374939
374939
374939
Springfield Building Permit
11/19/201 11:07:21AM
Page 2 of 4
SP~~;.. ~~:iJ
.<(~
co:., OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00755
IVR Number: 811130330122
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
11/19/2010
ISSUED:
APPLIED:
11/19/2010
11/19/2010
EXPIRES:
VALUE:
05/18/2011
$0.00
SITE ADDRESS: 5808 MAIN ST, Springfield, OR 97478-6965
ASSES OR'S PARCEL NO: 1702334102301
SCOPE: Electrical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Retrofit exterior lighting to LED
Plan Review
~
DeDartment
Application Acceptance
Received
1111912010
Result
Over the Counter
Due Date Completed
11119/2010 '11/19/2010
Electrical Review 11/19/2010
Comments: Over the counter permit
Mechanical"ReJie:w<.' "",~~'b~: . 11/19/2010
,~"""/''''''",, .. ;' '-:',.. ...... .. ,~-...'r"'/~J~"'-'. ~--.. -
_ . Comments:: .. Over'tne':counter'perrrihi( ".~.:
L .,~-'-- -,-_~::c",," .. ~ ..
Plumbing Review 11/19/2010
Comments: Over the counter permit
11/19/2010 11/19/2010
Not Required
Reviewer
Chris Carpenter
Chris Carpenter
111/19/2010 ::,tl1/19/2'01~O::~NOliReqlJired~' t'^ Chrrs Carpent~J~-:~~-'-~-~-:"'~-'"-:--l
~~:;~:,;~:\-, ~,,::\~,,:~t~'.";~i/~"':"~:'!~ ,',(\~r~~;~~6->;~~'~~~' '___ ~_~____^j
11/1912010 11/19/2010
Not Required
Fire Review
11/1912010 11/19/2010 11/19/2010
Not Required
Comments: Over the counter permit
PubJicWo'rksB.ev,h:~W~'::'C,{~,'i;j11/19/201 Q ':,);11-19/2910 '
: Cbfum~nts:~'" 0~'e;- th'~ ~:o~1it-et0~~f~it ::~~ ~~:~~ ,:;, -
-:if.H_, ' '4' ~ - ~ -~ ~ "'" ~ ~
Energy Code Review 11/19/2010 11/19/2010
Comments: Over the counter permit
.1.1/19(f,O~!9:t: f'.!~t Requir~dP>,
, .
. ~, .
.. "::".~,,"" "1-~;' -'
11/19/2010
Not Required
Structural Review
11/19/2010 11/19/2010 11/19/2010
Not Required
Comments: Over the counter permit
Chris Carpenter
Chris Carpenter
,J".'
-~-~. j
.Ch-risfCa rpe'fiter' ",:',;,cr;,'~' . <..:..c.... :
." ,'" :;, A. 't'"""" ~,.- '_-'Y"t:;,':.,'T#10.J',;:::.-',,<
. M, "'tl,~::~~~_~', ~"", ,:;,./", ;:<,",,'0,/,f ~4i>:
Chris Carpenter
Chris Carpenter
INSPECTIONS REQUIRED ~
Inspections
4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Springfield Building Permit
11/19f201 11:07:21AM
Page 3 of 4
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00755
IVR Number: 811130330122
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
permitcenler@cLspringfield,or,us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
11/19/2010
11/19/2010
EXPIRES:
VALUE:
05/18/2011
$0.00
11/19/2010
SITE ADDRESS: 5808 MAIN ST, Springfield, OR 97478.6965
ASSESOR'S PARCEL NO: 1702334102301
SCOPE: Electrical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: . Retrofit exterior lighting to lED
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each. address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
constructi n.
//l1 lID
, I
Date
Springfield Building Permit
11/19/201 11:07:21AM
Page 4 of4
Sf~~~;=~
.~~
;:+S:~ OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00755
5808 MAl N ST
C!TY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-72603753
perrnitcenter@ci,springfield.or.us
RECEIPT NO: 20 I 0000877
RECORD NO: 811-SPR2010-00755
DATE: 11/19/2010
lQ.!;_$CRIPTION <"'''<','' ) id;"~'Y;"-;-:.'-(;0f;;.-J;'L-::-;;::):-AG.c9.Qr-i:fiC:&PE<;; - ;' . c:AMe>j:C~JbUE-- . - .
Branch circuits without service or feeder - 1st circuit 224-00000-426102 $55.00
224-00000-426102 $63.00
821-00000-215004 $14.16
100-00000-425605 $5.90
TOTAL DUE: $138.06
1',p.A.vritgRfTYFLE:(T-PAYcOR,;-:e CASHll':RiC,CARPENTER '(e>MMENIS_: --;' --, ""'(';.I-Ar.jQJJHrPAlb:_:.,:~_,L:j
J
Si~~~~tline Ij~!1~tin~L
State of Oregon Surcharge (12% of applicable fees)
TechnalogY feeJ5% afpermit tatal)
Credit Card
060314
LARRY WILLIAM FRENCH
$138.06
$138.06