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Home My WebLink AboutPermit Electrical 2007-8-13 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01184 ISSUED: 08/13/2007 APPLIED: 08/13/2007 EXPIRES: 02/13/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 111 58TH ST ASSESSOR'S PARCEL NO.: 1702334102601 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Sign electrical for invisible sign TYPE OF USE: New Commercial Owner: AMIGOS III LLC Address: 32929 ROBERTS CRT CO BURG OR 97408 I CONTRACTOR INFORMATION. Contractor Type Electrical License 163470 Contractor E S & A SIGN CORP BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height of Structure: Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: A. I cNTION: Oregon law ~~,,"i1ding: n/a iUlluw rUIVD aUUtllt".1 .. i" k;. - j Notification Center. Th FORMA TION In OAR 952-o01..Q010 through OAR 952.001. Frontyard Setbackpoeo. You may obtain COPieSi'mtlfilW Side 1 Setback: calling the center. (Note: th . ?lto.Mes Rqd: Side 2 Setback: number for the Oregon Utlllty~Rqd: Rearyard Setback: Center Ia 1-800-332- 0 Lot Coverage: Solar Setbacks: 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: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: NOTICE:. Jlo sm . THIS PERMII W~tr t1.Mf\'!:IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR AMV 1S\fl nAY PERIOD. I Valuation Description' Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01184 ISSUED: 08/13/2007 APPLIED: 08/13/2007 EXPIRES: 02/13/2008 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 $5.50 $2.75 $4.40 $55.00 8/13/07 8/13/07 8/13/07 8/13/07 Receipt Number 2200700000000001282 2200700000000001282 2200700000000001282 2200700000000001282 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 SJreet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0] ]84 COM2007-0] ]84 COM2007-0] 184 COM2007-01184 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: Description Sign - Outline Lighting Each + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ES AND A SIGN CORP City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001282 Date: 08/13/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 013253 In Person Payment Total: Page 1 of I 9:44:32AM Amount Due 55.00 2.75 4.40 5.50 $67.65 Amount Paid $67.65 $67.65 8/13/2007 3. ZON ~C./ INITIALS N '^' _ DATE 7, l;z. - O~ SOURCE .b"- ~ B/~,k,/ COlVIPLETE FEE St:HED~EBEL,OW ~ y,_._-~,,~%li-.~ .w~.".____,~ ~~, "~'__'=...w.w.,. ". '_' SPRINGFIELD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COtA-^- 'Z-CO 7- C> II 8'<-( JOB DESCRIPTION: 1000 sq. ft. or less Each additional 500 sq. ft. or 1Zi:::Lo~ et.ISnA.u. ~NCU.r ~ portion thereof Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 1. LOCATIONOFINSTALLA'['10N:. ~:'"''''<'''';:::~<::''''"''''''';''''''' ":<4,;~.,,,.,,;:},'>.-_.,,, I 'S'5" ~1\f- ~ LEGAL DESCRIPTION: J 7D z.. 55C(( 02 bor 2. CONTRACTOR INSTALLATIONONLY Date ~,- <"'::S.- :_;.T~ ::., ,.'-'. _;,~; '::,: .-;:::.::,::. ,;-"'~:_- -::':: "~'>_',:, ,):~:. '; A. ! New Residential ~ Single; or Multi-Family per dwelling unit. ""::~:'" ...::.... .;.../:..- ~- -., '--- "." 'Jt:::.".~.":"'"", ~,:K~_.~d:...... ...:: -_.,___~A,,~,. '- ::',~._""""k<".,.,..,t,. " , ........ ....H"'O:: _ , ,,,' Service Included $117.00 $ 21.00 $55.00 B. Services or Feed~r~ -Jnst~!'ation, i\lterathms or Relocation: Electrical Contractor ~5-t-k~ldJ ~t:> Awt41~00 Amps or less 201 Amps to 400 Amps Address '1'2.10 0IrI- p~ 'PO 401 Amps to 600 Amps 60 I Amps to 1000 Amps City ~ Phone 16r ~S'-f{, Over 1000 AmpsNoIts Reconnect Only Supervisor License Number ...50 s S fer Expiration Date 1 0 ) (') i I Constr. Contr. Number I~ ~ '170 Expiration Date ~1""1 , , Sig",,,,,,'Or SOP'~i'i'€7i'i,n\ n ~\_n\,J_ d~~ II Owners Name ~ l"'~ rn: ~ Address ~ )..q'2.-'1lU>~~ &tw1- City Cot;UtU,.. Phone3l>"2.~r OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: N./A- Inspection Request: 726-3769 $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 C. Temporary Services or feeders Installation, Alteration or Relocat~~O"~ 200 Amps or less ~t \~ \~\\ \<a \\O~$ 55.00 20~mp:to 40~\.~?~ ?t.~~ \"OVt.- $ 76.00 \\()~~~t~~tw'\\~ ~O~t.U" $110.00 "'i\\\&~~~~'/9~ts ,eo "B" above. ~\~~~c~tt~\O~. C~W ~.Q~n or Extension Per Panel ~e Circuit $ 48.00 Each Additional Circuit or with Service or Feeder Permit $ 4.00 --~,." > ,> ',.:::,:". ,'-'"., - ~'~ - c_ \, _ ,< E. Mi~cellaneou~.(~er:vice/(eeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting --.1 $ 55.00 Limited En~tlWt~'res yoU to _ $ 28.00 ATTEt-UJQ~B~tid~rOl~gon 'r:Jh $ 50,00 aaa~~o,OO+~U";; Ol) 0090.. yP)f.~I':::~ote: .the te'eifiP~~~:n '-f:'tO ceJh~~ .~~ ~\'&9~I'1ty Not \iau ~.1fi1} num~t~V1 ~~eo-332.2344). "2-.1~ (01.Ui) ~5'.(It) TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07,doc