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Home My WebLink AboutPermit Electrical 2011-4-6 Electrical Permit Application ~il:rY <;.iF SP1MNGFJlEtD,'GjREGlSNk- . -f'~' , , 1 225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 ~ DEPt-RTMENT USE ONlY S 1tZt:J{(~OO SbL Permit no.: Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. lOC~L::GO\iERNMENlAPPRO\iAL:' r Zoning approval verified? DYes D No CATEGORY OF CONSTRUCTION o Residential 0 Government ~Commercial -' -JOB .SITE INFORMATION AND lOCATION . Job site address: 113/0 00"'lIk1L"~4V City~ rJ'-h1/ll.O State: 0 Reference~ . I. 7 (FJ z- 71 0 faxlot.: 0 530 DESCRIf>TIONOF WORK '''.IS ?)~?~ ~ ~ M N~ ~N~Ll:o~ - ,,- . PROPERTY OWNER Name: City. Phone: E-mail: This installation is being made on residential or farm 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(1). I Signature: "-l ~ .- CONTRACTOR INSTAlLATION' ~ D ATTENTION: Oregon law requires youto ,~\-{\ / w rules adopted by the Oregon Utility ~'$\~"\ ~~~icatlOn Center. Those rUhle~t~e ~:~_fg~;~ ~ N In OAR 952-001-0010 throug .l.\ If 0090. You may obtain copies of the rules by ':";:\l.. At callin the center. (Note: the telephone '(}J~ numb~r for the Oregon Utility NotificatIOn C( Center is 1-800-332-2344). M 440-2584-J (9/08/COM) I',' ~. ..:..<, FEE SCHEDUlE . '" .- I. Cost Total Number of inspections per item () Qty. ea. cost . . " Residential, per unit, service included: t .000 sq. ft. or tess (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, ai/era/ion. relocation 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to t ,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 $ 20 I to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or fceders section above Branch circuits: lie"'. alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $ b. Fce for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 S Each sign or outline lighting (2) :3 $ 63.00 $IM- Signal circuit or a limited~energy panel, $ 63.00 S alteration, or extension (2) Each additional inspection: (I) $58.00 $ ;,< ."fet: .....CApP-UCANT.USE . ~ Enter subtotal of above fees $I~- J I"r;:. . , . '.~... I' ,"Imum Permit Fee $58.00) ~::jIi!~\J. gJ:mm~lt IHt ..v",,, $ 1-:l-. (,~ :.I~r;i;q, ~~!E!ml~~' ."". I" I~U I S q. 'fs" yTOif.4.',fj>$s ".1 r,.lg~s (A thro'ugll'C)':' . $1.Z.I.I~ S_.P..~.IN GFIE.~ ~i'~;,- . " 7:- ~~ .*~~, ;! '\ ~REGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00562 IVR Number: 811184227161 www.cLspringfield.or.us 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 04/06/2011 04/06/2011 Issued 04/06/2011 EXPIRES: VALUE: 10/03/2011 $0.00 SITE ADDRESS: 1810 PIONEER PARKWAY WEST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003302 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Electrical Only New Commercial PROJECT DESCRIPTION: Electrical for 3 wall signs Phone Number: OWNER: ADDRESS: SKYVIEW LLC 515 W PICKETT CIR STE 400 SALT LA'KE CITY UT 84115 Contractor Type Electrical Contractor Contractor Name E S & A SIGN CORP CONTRACTOR INFORMATION I Lic Type cca BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal J Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 163470 Lic Exp 03/16/2013 Phone 541-485-5546 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: ATTENTION: Oregon law requires you to Retaining Wall: follow rules adopted by the Oregon Utility 50115 Report RequJ11u\lfication Center. Those rules are set torth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/6/2011 2:28:37PM NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of3 . ..:, SPRIN...G F.IE L~ ~A4 __ .~': ~ ",~~\ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00562 IVR Number: 811184227161 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT S~ATUS: STATUS DATE: Issued 04/06/2011 ISSUED: APPLIED: 04/06/2011 04/06/2011 EXPIRES: VALUE: 10/03/2011 $0.00 SITE ADDRESS: 1810 PIONEER PARKWAY WEST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003302 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Electrical Only New Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: electrical for 3 wan'signs DEVELOPMENT INFORMATION ~ Overlay Dis!: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutJDrains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion State of Oregon Surcharge (12% of applicable fees) Sign or outline lighting Technology fee (5% of permit total) Total Amount Paid Amount Paid $22.68 $189.00 $9.45 $221.13 Date Paid 04/06/2011 04/06/2011 . 04/06/2011 ReciDt # 2011000675 2011000675 2011000675 Springfield Building Permit 4/6f2011 2:28:37PM Page 2 of 3 . 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CITY OF SPRINGFIELD Building I Sign Permit PERMIT ,NO: 811-SPR2011-00562 IVR Number: 811184227161 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 04/06/2011 ISSUED: APPLIED: 04/06/2011 04/06/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us EXPIRES: VALUE: 10/03/2011 $0.00 SITE ADDRESS: 1810 PIONEER PARKWAY WEST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003302 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Electrical Only New Commercial PROJECT DESCRIPTION: Electrical for 3 wall signs Plan Review I DeDartment Application Acceptance Received Due Date ComDleted 04/06/2011 04/06/2011 04/06/2011 Result Over the Counter Approved Sign Review 04/06/2011 04/06/2011 04/06/2011 Reviewer David Bowlsby I INSPECTIONS REQUIRED ~ David Bowlsby Inspections 6950 Electrical - S'gn 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 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 ro"c2~k %/~/I Owner or Contractor Signature Date Springfield Building Permit 4/6/2011 2:28:37PM , Page 3 of 3 . .,' '- S~~I,N G,~L~ ~.-........ ..' ~ ""~""\ OIUGON' TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth Sl Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00562 1810 PIONEER PARKWAY WEST permitcenter@ci.springfield,or,us ACCQUNTj;ODE 224-00000-426102 821-00000-215004 100-00000-425605 TOTAL DUE: _'_.9_()MiVlENIS~:L_:_. . . .' DATE: 04/06/2011 . 'AMOUNT-DUE ., 189.00 22.68 9A5 221.13 AiVlOUNT PAID_~__~.__) 221.13 RECEIPT NO: 2011000675 lDESCRI~TION~. ~ Sign or outline lighting State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: B11-SPR2011-00562 I ..P.~YMEN:rTYeE:~',.'... .J'A'y()R_S~SHIER; DSOWU;BV", ,..: Credit Card cheri fletcher powell 061207 TOTAL PAID: 221.13