HomeMy WebLinkAboutPermit Electrical 2005-1-5
!. '
I 225 FIFfH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (54i):1>>-,l689
. ~ :I)' o~
ELEt;l1<ICAL PERMIT APPUCATION ~.o",;".9. ~o~~()
I City Job Number CoVYI1-11fiJ.-D1l S <g Date Dec-:>rnber 30, 2004 o~ t-~! 1')0'0'0.0",%
_ " "'IS> ~ &oS' "I
4. ,,~ L '", '" O"t.,,?~ ~,~.
1. ~ .
:i;;~;~:-;~:'<"~;-:. .7,:....,....:.:~C.. .... '.:~'.., -'_'~ :" ":"''', "\"'-", ".... .:..... .:.~-~.-~. ......
j.~:.' "i-' ..~: .,,~, .:-.', rrx.OF~9 RING FIELD . 'OREGON.' -,.... ,.,.",:, , ..." ..
:.:~~~c:;:..:..:I'......: .... ....".........-.._:.:.,....:..:~ l~'. ~.....::..: ....:;,.; ..':. .' ',- . ..'..'.. \,. '~-".':
LEGAL DESCRIPTION
\ ~ O?-f)J7 \ D
JOB DESCRIPTION
rYb~O\
Sign Connection
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Electrical Contractor Olsson In<;h1strial
Address 1919 Laura St.
City Sprinqfield
Phone 747 -8460
Supervisor License Number 3334S
Expiration Date 10/01/07
Constr. Contr. Number 63473
Expiration Date ,1/26/05
. s~:g,:mcmn
Owners Name
Pad 'N' Lock
Address 633 Shelley St.
City Springfield
Phone 726-1446
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
Inspection Request: 726-3769
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
$50.00
B. '" lto
, ~ ..ow rules adop'ted by the Orego~ 1 /tiljt\.1,.
200 wmP.KQrt~~ Center Those ....' S"'t'6f3.w
. . lUll;;;.::> QI t: St:l ~Irth
201 ~pS~9fJW-UqP~01 0 throu;~ ~,A,n 3 $2~ r~
40 I ~~ ~l6(6@er...s;:,tain copit:lc: 'J~ ~~: r~~~ ~o
601 ~~~(flfJoO ~p~r, (~ote: the tPJ.ept~JR~'~
Over ffibO'Wtlifrs'NBI~Oregon Utilitv Notific~ib1ilOO
Reconnect On~rnter IS t~800-332-2344~ $ 50.00
InstaUation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100,00
New:AI,t~rati~1l o~ E;~t~J.l~tol!r.~~f~~~T:'1t Wl1Hf(
One, Circuit. , ~.. ,;i! ,:~: ;~.-~;.1i11~1~t99
Each 'A:dditiona1'Circuit~oI' with . . , ~ ,- . 'r: 0 F"" R
Servi~ orlt~ Pe~it I::' ,~\ Ji-\l\luUi\oL lS S.OO
I 'uU UI.\ 1 U'.IUu,
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting 1 $ 50.00 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
50.00
3.50
5.00
58.50
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drivc(T:)/Building FonnslElectrical Permit Application l-03,doc
,)
~~~
. Status.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 633 SHELLEY ST
ASSESSOR'S PARCEL NO.: 1703271008401
PROJECT DESCRIPTION: Sign - wall sign
.
. CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMIT NO: COM2004-01158
ISSUED: 09/21/2004
APPLIED: 09/20/2004
EXPIRES: 03/21/2005
VALUE: $ 2,050.00
Springfield TYPE OF WORK: Sign
TYPE OF USE:
New
Commercial
Owner: DENNY MCGUFFIN
Address: 633 SHELLEY ST SPRINGFIELD OR 97477
Contractor Type
Electrical
Sign
Contractor
CHAPCOINC
CHAPCOINC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
"''' ~,",' '," '.~ (~.
~.'~, ,w.'-'~'~. I ..,", I r"r'):I"'C 114 -r1._Ie 'idr',;I/
I "'Ie: lJ,.,_; ,\ T <:'(-/" ,L '-'\ I'-'L ( II ,c., - ' ,.\
I' u r Ll il t 1 \.~ 1 \0- :"'.,. , . , _,.
/U!\HG'tIL(--d LJ~',:L:..(1 litl0 i--'~fd~'al\ 11,." \",11
I CONTRACTORINf'ORMATION. '.,.,12 ,. ,,',,':U~:\,:L) : 1.:,\
, d. I iti~~n~e: LI 'E~piration Date
153989 01113/2007
153989 01113/2007
Phone
541-686-9366
541-686-9366
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION.
hi I CI\lIIUl\l: uregon law requires yoWf8UIRED PARKING
overlr~CW1~tr ~ules adopted by the Oregon lJIiot~d:
# Street~r:~1~:tf~dpenter. Those rules are seHandicapped:
paveJ~n~~qlI:-001-001 ~ through OAR 95~0.9mpact:
% of-eb'pe~vrrag~::lY obtain copieS of the rules 1:)"
calling the center. (No'9: ih~ lc.':":J::o~,"
nl Imh""r f,.... th" rI... _, _ '. " ,'. '
-;:';'# . ......~..,~.i ,...c...~ .....il
I PUBLIC IMPROVEM~N\fSjl,-8CC ,332-23<,;).
Sidewalk Type:
DownspoutslDrains:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien
Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Sign Plan Review
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01158
ISSUED: 09/21/2004
APPLIED: 09/20/2004
EXPIRES: 03/21/2005
VALUE: $ 2,050.00
$1.00
2,050.00
Total Value of Project
$2,050.00
$2,050.00
09/20/2004
~
Amount Paid Date Paid Receipt Number
$13.00 9/21/04 1200400000000001367
$3.50 9/21/04 1200400000000001367
$50,00 9/21/04 1200400000000001367
$80.00 9/21/04 1200400000000001367
$40.00 9/21/04 1200400000000001367
$5.00 1/4/05 2200500000000000008
$3.50 1/4/05 2200500000000000008
$50.00 1/4/05 2200500000000000008
$245.00
I Plan Reviews'
Paee 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien Review
.
09/20/2004
09/20/2004
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01158
ISSUED: 09/21/2004
APPLIED: 09/20/2004
EXPIRES: 03/21/2005
VALUE: $ 2,050.00
APP DJB
Paee 3 of 4
8.258 Light-Medium, Special Heavy.
Industrial and Heavy Industrial
Sign Standards.
(1) Maximum Height. The
maximum height for all signs is 30
feet from grade to the bottom of the
sign.
(2) Single Businesses. Each business
shall be permitted a total number of
three wall or projecting signs with a
maximum of 350 square feet for all
faces.
(3) Free Standing or Roof Sign. In
addition to wall signs permitted'
above, one sign from this group shall
be permitted for each approved
development area. The total area
permitted shall be 100 square feet
for one face or 200 sHuare feet for
two or more faces.
(4) Directional Signs. Each approved
development area of at least 10 acres
shall be permitted one directional
freestanding sign of 200 square feet
for one face and 400 square feet for
two or more faces.
(5) Logos are exempt from permit
requirements provided the logo is
the logo of the business residing on
the premises and provided the total
square footage of the permitted wall
signs and the logos do not exceed a
combined area of 350 square feet.
[Section 8.258,amended by
Ordinance No. 5862, enacted
September 15, 1997; further
amended by Ordinance No. 6008,
enacted March 18, 2002.]
:-.U;:~~, .
~."
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01158
ISSUED: 09/21/2004
APPLIED: 09/20/2004
EXPIRES: 03/21/2005
VALUE: $ 2,050.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
10 Request an inspection call the 24 hour recording at 726-3769. All inspection 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
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
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 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
Page 4 of 4
225 'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.j:.~;~
lIaL.. .
jJay of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
RECEIPT #:
2200500000000000008
Date: 01104/2005
10:13:22AM
Job/Journal Number
COM2004-01158
COM2004-01158
COM2004-01158
Description
Sign - Outline Lighting Each
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
50.00
3.50
5.00
$58.50
Amount Paid
Check
OLSSON INDUSTRIAL
ELECTRIC
ddk
38924
In Person
$58.50
Payment Total:
$58.50
1/4/2005
Page 1 of 1