HomeMy WebLinkAboutPermit Signage 2000-11-28
Job# 00-01661-01
SPRINGFIELD
~*'
Page 1 of 2
TRANS#:Ol-0003882
DATE:NOV 28 2000
AMT RECD:2 $ 114 00
CHANGE.
CASHIER: 032
COMMERCIAL PERMIT
CIty Of Springfield
Community ServIces DIvIsion
BUlldmg Safety
Job Number 00-01661-01
225 North Fifth Streel
Springfield, OR 97477
Office 726-3759
InspectIon Lme 726-3769
Location Of Proposed Site 1701 Cenlennlal Ave Spr
Assessors Map# 17032534
Lot Block AddItIon
Tax Lot # 04502
SubdIvIsion
Owner Elks Lodge
Address 1701 Centennial
Scope Of Work Sign
Elks Lodge Sign
Phone Number 541--
City/State/ZIp Springfield, OR 97477
New Value $6,414
Contractor Type
Sign Conlr
Contractor
Martin Srolhers
204 Jefferson, Eugene, OR 97402
RegIstration # Expiration Date
Phone
541-342-1769
Quad Area 2CSW
# Of Units
Constr Type
Water Heater
OffIce Use
Land Use
ZOning Code
Bedrooms
Range
# Of BUlldmgs
Occupancy Group
Heat Source
Sq Footage
To request an mspectlon call the 24 hour recordmg al726-3769 All mspectlons requested before 7 00
a m Will be made the same working day, mspectlons requesled after 7 00 a m will, be made the followmg
."v,.\.Ir-
workmg day _.
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NO r
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
ReqUIred Inspections
Electrical
Low Voltage
I SI!ln
SIgn Footmg/Attachment - Footmg After excavallon and forms are m place, but prior to concrete
Fmal SIgn -After all reqUIred mspectlons are conducted and approved and the sign Installation IS complete
)
ConstructIon Types
Occupancy Groups
# Of BUlldmgs
# Of Bedrooms
HandIcap Access? 0
iArea (Sq Feet)
I MaIO Accessory
# Of Stories
Current Units
Census Code Does not apply
Total
HeIght (feet) \7v"'<:''''-'' ..,0' ""'j~"J
Proposeal Willts'lljlln uooeJO e41 JOf JEJqllH1U
,1lI0udelel au! elON) lelU6') 841 OUlIIBO
,iq sajrl! a41 10 ~eldoo U1elqo lieUJ nOA 0600
- , (1(1-Z96 !:!Iv'O 415noJ4! 0 WO- .OO-Z961:l'1I0 UI
-, ,"0 '''I' ~~lIn' 'lSOU I 'Blue'; JOllBOIlI10N
\, An 'JOOB.lO 34. IlL, )elOOp-e ~alnJ 1'1\01101
. ~c ':.~4 -:":.2 :"";,~,.. 1\ J N31J)/
Sign District
,SIgn DI...~..~ u ~
I VertIcal 10'
HeIght (Above Grade) 20'
Sqr Footage 100
illuminatIon? 0
Comments USlDg eXlstlDg pole, sign cablDet due to be replaced
eXlstlDg sign
I Job# 00-01661-01 I
CommuDlly Comm, Type of SIgn Free StandlDg
Page 2 of 2
Face Type Double Face
HOrizontal 10'
Thickness
From Grade To Bottom 10'
SIgn Material AlumlDum & Lexan
Truck sheared off
Fee
Paid On Recelpt#
Electrical
11/28/2000 3882
11/28/2000 3882
11/28/2000 3882
Value/Quantity
Fee Amount
Each Sign or OutllDe LightlDg
State Surcharge For Electncal Permit
Eleclnc AdmlDlstrallve Fee
Total Electrical
$40 00
$280
$120
$44 00
Sign Permit - 61 - 100 Square Feet
Total SIgn
Grand Total
SIgn
11/28/2000 3882
6,414
$70 00
$70 00
$11400
Plan Check Type
Checked By
Date Completed
Comment
Sign Kaye Wilson 11/28/2000
By signature, I state and agree, that I have carefully examlDed the completed application and do
hereby certify that alllDformatlon herelD IS true and correct, and I further certify that any and all work
performed shall be done In accordance with the OrdlDances of Ihe City of Spnngfield, and the Laws of
the Slale of Oregon pertalDlDg to the work descnbed herelD I further certify that only contractors and
employees who are ID 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
/'...% ~e~alD on Ihe slle at all times dunng the IDstallatlon of the slgn(s)
J I Z/fL----" D-!~ 7h-z) d--S)~
ISlgrt~ture Date
zonmg and does not require specl IC an
approval U
Zomng (' /
1\- 'lA,,,,
l'-"""
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974770ate
726-3769
AuthorJzed Signature
1. LOCAt;ION J!F INSTALLATION 5l2A I' jJ .../
1101 El24110AlAJ.l..j1 0 --' -; Ur:-v'-
LEGAL DESCRIPTION ' q7<+77
110 '3 '2.'5 -a ~ 0 '1st) L-
S JOB DESCRIyrWtl I / ,
0-1'111 d J 't' J?/iS f'7\1Jd/J..t'. -# 2f 4S
f t7t/ /
Perm1ts are non-transferable and exp1re
if work 1S not started with1n 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
i'lectncal Contractor'!JL~
Address f to, ~ 2-IJbq
City ftM~ _ ()!r- Phone q4:A- n b::j
superv1lr L1cense Number .:Jq{) SI b
ExpiratlOn Date /01/ /2-001
B.
18-z05
..
Constr Conn. Number !/Ju/,,/fS
r:xpiratlon Date
ID (, /2-001
SlB~at~ervising Electr1cian
l;w ~~~~ 590 S:rc.---
Owners Name {J.k.s X:~..p D.
Address /?o( ~~te;~~~
C1ty_~~P( Phone
I IP
OVNER INSTALLATION
The 1nstallat1on 1S be1ng made on
property I own Wh1Ch 1S not 1ntended
for sale, lease or rent,
6m~::S,gnature:
: 39N\JH8
OO'9~~ $ G:a83~_lWI;j
OUU6-~4~~--------------------------
388DM1E., lQ.: #,8NI;j(Jl
ne"r..Ll'r ,:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
,., >'1- Job Number Db ~O \t-llll- 0 I
3. COHPLETE FEE SCHEDULE BELOV
A.
New Res1dent1al-Single or
Mult1-Family per dwell1ng un1t.
SerV1ce Included:
Items Cost Sum
1000 sq.ft or less $ 85.00
Each addit10nal 500
sq ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder $ 40 00
Serv1ces or Feeders
Installation, Altelat10ns
or Relocat1on: .
200 amps or less 'f.- $ 50.00
201 amps to 400 amps $ 60 00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300 00
Reconnect Only $ 4.o.bo
C. Temporary Serv1ces or Feeders
Installation, Alteration or Relocat1on
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40 00
$ 55.00
$ 80.00,
see liB" above
Branch Circu1ts
New, Alterat10n or Extension Per Panel
One C1rcu1t
Each AdditlOnal
C1rcu1t or with SerV1ce
or Feeder Perm t
$ 35 00
$ 2,00
E. M1scellaneous (Serv1ce/feeder not 1ncluded)
-Each installat10n
Pump or 1rr1gat1on $ 40.00
SIgn/OutlIne LIght1ng $ 40.00
LImIted Energy/Res $ 20,00
Lim1ted Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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EUGENE MICROFILMING SERVICE