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HomeMy WebLinkAboutPermit Signage 2010-11-19 .Electrical Permit Application ,~t;I~Ty~6F $~RiNii\.ElLn~ O~E'GQN ;f~~ 4:. .' ~~.~ d- ~~.'~ '/"'"Jh' '" ~ ",":",~,7_"'*' 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: ~~ 0i~~ ~~~ \<~ 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~ "'" " ,.') Zl &1( txJ IV " tl'1)! ~ ~ ,; ~ CITY OF SPRINGFIELD S..P~IN. G...FIE.L..~ ~~..~. .~.~. :(.~. '-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