HomeMy WebLinkAboutPermit Electrical 2011-8-8
225 Fifth Streett Springfield, OR 97477tPH(541)726-3753.FAX(541)726~3689
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;1' :;iDEPAR'fMENTUSE ONLY;'
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Permit no, 51t-DI9D7
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,
L0CAL ,GOVERNMEN1\'ARPROV AL /:: :4;\"
Zoning approval verified? 0 Yes 0 No
; 'CATEGORX OF i~ONSTRUCTION' 'e"
Jl1<:5;)
Address:
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 479560(1),
Signature of signing supervisor:
~
~~
440-2584-1 (9/08/COM)
~;;:;~i'FEE;S(:HI:POLE~<';;'; 'iv"',,
'- ,l'l :"':ci:e'ffilb;l~tYCost TotaL
., ,;" . :" 7e~;" k ~cost - ,
Residential, per unit, service included:
1,000 sq. ft. or less (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, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 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 $ 6.00 $
b. Fee for branch circuits without purchase ofa 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 $
Each sign or outline lighting (2) I $ 63.00 $ G. "3-
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
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(A) Enter subtotal of above fees $
(Minimum Permit Fee SS8.00) (''S-
(8) Enter 12% surcharge (.12 x [A]) $ 7. '){p
(C) Technology Fee (5% of [A]) $ "3. IS-
TOTAL fees and surcharges (A through C): $ 7'3:7 ,
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=: 225 FIFTH STREET. SPRlNGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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---' Business Name, Firm, etc. e.t "-1.1
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~\ll Description of Proposed Sign(s): (Please check and complete all appropriate information)
~ ' ..-/' Wall Freestanding Projecting Roof
~\ V Single Face Double Face Billb~ar~, Other
~I Square Footage: lr".lpS"' Total Height above Grade:.J B 1
r1 .:I. ., ~" 12.'+"
~ Vertical Dimension of Sign or Enclosure:_IZ ~ 7'I. ~ Horizontal WIdth of Sign or Enclosure:
, .,
I Dimension from Grade to Bottom of Sign Enclosure I If 5 Electricallnstallation:-0es _No
(If yes additional electrical permit required)
~ Material Sign is Constructed of: ~~tN\JM. wI ~L.I(:"~..6> + Value of Sign: 1.. q~-
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r 1 List ALL existing signage and attach a photograph of each sign: NON~ !=OIL -nnS ~r
r l (a) Type
r 1 (c) Type
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~1 Construction Contractors Registration Number:
~ .
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. 5.//-01 ? 07
CIty Job Number
Site Address: -Le>B~ nONL-'VR PAtUWtt\j
Assessors Map~ 7 0 :s. z b 2. 3.
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Tax Lot:
OZ.SC:l(
Owner: ~MW ~.kL.:r\{
Address: 1'2, (p,?<;' t-lu..) i!lo~ IclL- U>,
PO~f)
Phone:
~"3-S1'-f-~2-~
State
o(L
Zip 'l1U-"1
Marquee
Sq. FIg.
(b) Type
Sq. Ftg
Sq. Ftg.
(d) Type
Sq. Ftg.
Contractor/Installer:~~A- '51W AND Awl-.lI",!:, (!.).
Address: ffft!rS' 'Pl!-A1 /Z.t.G ~.
City: C:::1./~el
Phone: '9-f1.<Ifj;_~
State: O(L
Zip:~l.fO"2...
Expires: ~
1(P3t./""70
OFFICE USE
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001
Sign District:
cC-
Zoning:
CL
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information herein 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. I
further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project 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
timesduri~~ 7!ZI/'ZD(!
Slgnature_ Date_
Shflren nrivefT;VRuilrlinv F"ml.~/Sil1ll Pennir A""liclIrionl-02.noc
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.L_,.c,'" OREGON
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01907
IVR Number: 811190314935
www.cLspringfield.or.us
225 Fifth SI
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:
08/08/2011
08/08/2011
Issued
08/08/2011
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/03/2012
$0,00
SITE ADDRESS: 1883 PIONEER PARKWAY EAST, Springfield, OR 97477 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703262302301 WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign ~ wall sign for Sprint
Phone Number:
OWNER:
ADDRESS:
KRC PIONEER PLAZA LLC
3333 NEW HYDE PARK RD
NEW HYDE PARK NY 11042
Contractor Type
electrical Contractor
Sign Contractor
Contractor Name
E S & A SIGN CORP
E S & A SIGN CORP
CONTRACTOR INFORMATION I
Lie Type
eCB
eeB
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Sprinkled Building:
fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal J Development Code:
Plumbing Specially Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
lic No
163470
163470
Lic Exp
03/16/2013
03/16/2013
Phone
541-485-5546
541-485-5546
Lot Size:
Sq Ft 1 st 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:
Retaining ~IiT:ENTION: Oregon law requires you to
Soils Re~~!Re'qLl'i;.\al" adopted by the Oregon Utility
Notification Center, Those rules are set fortl1
in OAR 952-001-0010 through OAR 952-00.1.
0090. You may obtain copies of the rures I-y
calling the center. (Note: the lelel;I1<'('
number for the Oregon Utilily Notifi"Giwn
Center is 1-800-332-2344).
: ~'.::;,,;>~~>r .
NOTICE: 1'\1'11: \filiE WORK
THIS PERMIT SIi"'~~ ~\S PERMIT IS NOT
AUTHORIZED UND\S ABANDONED FOR
COMMENCED OR
{i.NY 180 DAY PERIOD.
Springfield Building Permit
8/8/2011 2:43:14PM
Page 1 of 3
Sfl~H..~.:L~
~~
~OReGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01907
IVR Number: 811190374935
225 Fifth SI
Springfield,OR 97477
Phone. 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/08/2011
ISSUED:
APPLIED:
08/08/2011
08/08/2011
EXPIRES:
VALUE:
02/03/2012
$0,00
SITE ADDRESS: 1883 PIONEER PARKWAY EAST, Springfield, OR 97477 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703262302301 WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Sign - wall sign for Sprint
DEVELOPMENT INFORMATION ~
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
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Description
Type of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
Description Amount Paid Date Paid Redet #
Sign Plan Review ~ $42.00 08/08/2011 2011002211
~dm!~.~~29!~_<:! appli':."~I~es) $8.00_._L.08/~8/~___~___. 2011002211
State of Oregon Surchar~e (12% of applicable fees) $7.56. 08/08/2011 2011002211
Technology fee (5% 01 permit total) $7.15 08/08/2011 2011002211
Signs 0 - 35 irq;:;;;F;.;t-----.--~._------~----$80.OD----- 08/08/2011 2011002211
Sign or outline lighting $6300 .-_.-08;Q!lE~_' -===- 20~1.002211
Total Amount Paid $207.71
Springfield Building Permit
8/8/2011 2:43;14PM
Page 2 of3
SPR IN.G..F.IEL.~
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','''''OREGOH
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building ( Sign Permit
PERMIT NO: 811-SPR2011-01907
IVR Number: 811190374935
225 Fifth SI
Springfield,OR 97477
Phone. 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/08/2011
ISSUED:
APPLIED:
08/08/2011
08/08/2011
EXPIRES:
VALUE:
02/03/2012
$0.00
SITE ADDRESS: 1883 PIONEER PARKWAY EAST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703262302301
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Sign'
New
Commercial
PROJECT DESCRIPTION:
Sign - wall sign for Sprint
Plan Review
,
DeDartment
Permit Issuance
Received Due Date ComDleted Result
08/08/2011 08/08/2011 08/08/2011 Issued
Reviewer
David Bowlsby
Sign Review
08/08/2011 08/08/2011 08/08/2011 Approved
David Bowlsby
INSPECTIONS REQUIRED ~
Inspections
6940 Sign Attachment
6950 Electrical - Sign
6999 Final Sign
Sign Electrical: After connection is made but prior to energizing
Sign Final: After all required inspections are conducted and approved and the sign
installation is completed.
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
construction.
~g/~
JIt!J&rl
Owner or Contractor Signature
Date
Springfield Building Permit
8/8/2011 2:43:14PM
Page 3 of 3
. .
ST1N~:~.L~.
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~~OR~GON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.OLUS
811-SPR2011-01907
1883 PIONEER PARKWAY EAST
permitcenter@ci.springfield,or.us
RECEIPT NO: 2011002211
t[)ESCRIP..TION."..!t_'/";\-:~:-.7 .:L: ..
Admin fee (10% of applicable fees)
Sign Plan Review
Sign or ~~ghting
~gns: 0 - 35 Sq~are Feet
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-01907 DATE: 08/08/2011
.. '':'0 iI. ,.. ;"!':C60UN:r:CQ^[)E..' ':. .:.:. ','"AivldTlN:r:'[)UE . -, .-
.J
224-00000-426605
224-00000-425602
224-00000-426102
224-00000-425602
821-00000-215004
100-00000-425605
TOTAL DUE:
8.00
42.00
63.00
80.00
7.56
7.15
207.71
Ar.ftOUNT P A!2:: .
207.71
oJ
bJiAYMENJ':'ryJ~.t:,:;;.: PA,(O~~- CAsHIER: OBOW!-.SBY'.::;
Credit Card es and a sign corp
008585
~'c:~ ~
C,OMMENIS, ..
; ;". '~Tt:::,0
TOTAL PAID:
207.71