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Home My WebLink AboutPermit Electrical 2007-7-27 . ~ ",""' .... .l', """" '" 'It >", ' '. ",I '. .: _ r ~ ' .' , . CTTYOF'SPRlNDFIEED',:OREGON' : '. ' . , . ..~ j :;.," ~.,J' ~... "",' ',r'- " ; ~~ ~6 INITIALS r-J M DATE "1-- 'm "'0'( SOURCE ~~ \ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION / City Job Number t.._O VV\ ~oc 7 - L:) II J b 1. LOCATION OF INS1'ALLA1'ION: 3000Cn~~. 5f~~~ LEGAL DESCRIPTION: l). 1-/03. Z7CC~ 0 Z..'5c-a JOB DESCRIPTION: t1QW S\~ _tlJ...a.ruL~~h Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~. r\ ~'-'{)"'C '.' Address ~, r ~rt'~~.all'~Q _ ~Si. City ~~ ~ Phone ~s-~<i.da.// Supervisor License Number ~ q Cf .. S lku_ Expiration Date -1D / b i , - Constr. Contr. Number M?L I Expiration Date ~';<. Signature of Supervising Electrician ~~ ~ ::; -=- P'l'V~ 7%tl~ Owners Name 6RrT1:;' wA-t. 1/\.1 A- Ll Address / (O;j L ~ A C($~ City c k t c.~ 0 I r~hone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~I;:~M1T ~.ETXHPISIR~~~~~{I~~~~ Insp~<N~~~D If}.4Vl:.WlW COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . .cr f!:P 7..- ZON Date 7 3. · COMPLETE ~FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Services 01" Feeders -Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Tempprary Services or Feeders Installation, Alteration or Rel'ffl~TION: Oregon law requires you.~o 200 Amps or less follow rules ~ed by the Oregon Utllit) 201 Amps to 400 Amps Notification C$~()OThose rUles arl:# setfo~ 401 Amps to 600 Amps in OAR 952-0~1r&A1~ tmo~gl~e9~~~~ I:l ooaQ., '!.~u may obtam WI..II':;;" Over 600 Amps or 1000 Volts 1ree 3.'~f~lrffia' center. (Note: the telephone D. Branch Circuits n~arnlber for the Oregon Utility Notificatior r.enter is 1-800-332-2344). New Alteration or Extension Per Panel" One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. Miscellaneous (Service/feeder not included) -Each Installation . Pump or irrigation $ 50.00 Sign/Outline Lighting / $ %00 s:lj"-- 5S- Limited Energy/Residential (25.00 ~ Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. . SUBTOTAL OF ABOVE . .. . sS- 8% State Surcharge 10% Administrative Fee 5% Technology Fee '1 ~ SO - - "77j~ _ v _ 67 {,r TOTAL Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application 8-06.doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01116 ISSUED: 07/27/2007 APPLIED: 07/27/2007 EXPIRES: 01/27/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3000 GATEWAY ST SPACE 226 Springfield ASSESSOR'S PARCEL NO.: 1703220002300 TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign lighting for Lane Bryant Owner: GATEWAY MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 A TTN PROP TAX ADMIN CHICAGO IL 60606 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MARTIN BROS INC License 64761 Expiration Date 03/05/2008 Phone 503-364-2211 BUILDING INFORMATION I # 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: 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 INFORMA nON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street ImprovementNOTICE: Storm Sewer Availaif1\i~S PERMIT SHALL EXPIRE IF THE WORK Special Instruction: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I All ~ti: 'WpQon law requires you.~o follow rules adopted by the Oregon Utility NotifiBRTtRfrmm~'~~Ylo>Se rules are set forth In OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note:. t.he tel~~ho~e number for the Oregon UtlllW N~tlficatlon Center IS l-t)UU-""'-'oI"t-l). Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01116 ISSUED: 07/2712007 APPLIED: 07/27/2007 EXPIRES: 01/27/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $5.50 $2.75 $4.40 $55.00 7/27/07 7/27/07 7/27/07 7/27/07 2200700000000001203 2200700000000001203 2200700000000001203 2200700000000001203 Total Amount Paid $67.65 I Plan Reviews I 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 Reouired Insoections I Sign Electrical: After connection is made but prior to energizing 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 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. 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 construction. Owner or Contractors Signature Date Pal!e 2 of 2 225 Fifth Street Springfi~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01116 COM2007-01116 COM2007-01116 COM2007-01116 Payments: Type of Payment CreditCard cReceint I RECEIPT #: Description Sign - Outline Lighting Each + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By WILLIAM STONE City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001203 Date: 07/27/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 027527 In Person Payment Total: Page I of I 3:31:10PM Amount Due 55.00 2.75 4.40 5.50 $67.65 Amount Paid $67.65 $67.65 7/27/2007