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Home My WebLink AboutPermit Electrical 2008-7-14 (2) Building/Combination Permit PERMIT NO: COM2008-01050 ISSUED: 07/14/2008 APPLIED: 07/14/2008 EXPIRES: 01114/2009 VALUE: . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 1.726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD SITE ADDRESS: 3333 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Sign lighting for Emergency entrance TYPE OF USE: New Commercial REQUIRED PARKING Tota~: ~'\ Hand' ~ C~ ~~~ ~~\~Q;.~~ ~t;S I ~ .u\.<:o ~I:\~ I PUBLIC IMPROVEMENTS I ~'. A. ~~~~~Q;. ~~~ .t.\\J'Y,,:,,~' ~':,fo ~t::i' ~f{.,m~~ W':~~~. . '\~<:o ~~~~~ains: ~~~~~'O~ ~ 'J# . Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 Contractor Type Electrical I CONTRACTOR INFORMATION I ,\0~,~\'1 . \~e'O ^ ,'i'\r'lBlcense O,~' 0" ...~IiJ'. .. ,,(<I!J ....,eQi~ ",'9".j:fl~}~70 In:. .... - .;~. .~.... '-~. I Bl.IIDlliNG.lNFORMA<FIONI ." \," 'e l\ , .V' ~e" 0'>'" ~. ~"''l!!f?'''~'IS'' ~O:~~0~eIt.tt~91~~~;e ;;'Q~""'" N 0~ ~ lructllre, ~.. ~ ~ c; DV~;"~ 'iff: . ,"" ;''l1~lifl ....~O ~O fl,JJ ~D"~O~(l.q), $'/:" o$lt/i'~~ ~~ 1t'5~tYgp''O ~<,O ......0 ~e ligt<oT'Y'P~: ()~#<'~e\\<t~~y Path: <'~~~ cgprinkled Building: Contractor E S & A SIGN CORP # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of2 Expiration Date 03/16/2009 Phone 541-485-5546 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Value Date Calculated -~ ~,.,) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01050 ISSUED: 07/14/2008 APPLIED: 07/14/2008 EXPIRES: 01114/2009 VALUE: Status Issued 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 + 100/0 Administrative Fee + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Amount Paid Date Paid $5.50 $6.60 $2.75 $55.00 7/14/08 7/14/08 7/14/08 7/14/08 Receipt Number 1200800000000000774 1200800000000000774 1200800000000000774 1200800000000000774 Total Amount Paid $69.85 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. ~r"d Tnsn""tionsJ Sign Electrical: After connection is made but prior to energizing By signature, I state and agree, that 1 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 ofthe 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, 1 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' ocated at the front of the property, and the approved set of plans will remain on the site at aU times d .mg construction. l lh 7-/48 w;& ~r. Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-72'6-3759 Phone Job/Journal Number COM2008.0 I 050 COM2008-0 I 050 COM2008-0 I 050 COM2008-0 1 050 Payments: Type of Payment CreditCard cReceintl . RECEIPT #: Description Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ES AND A SIGNS -'~"""'"-,''' " u-" . .~~" ." .f!ty of Springfield Official Receipt ~evelopment Services Department Public Works Department 1200800000000000774 Date: 07/14/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 014804 In Person Payment Total: Page 1 of I 1 :38:00PM Amount Due 55.00 2.75 6.60 5.50 $69.85 Amount Paid $69.85 $69.85 7/14/2008