HomeMy WebLinkAboutPermit Electrical 2003-8-20
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225,FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . t~~fi~-'3C89~eqUj~~S~e~fl~ i~i,~"~;;: <.,'
ELECTRICAL PERMIT APPLICATION ' z . "fhlll:~<.f;,"."'c..,'i/:j, , ','
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City Job .Number COI'H200.5' OD b'6~ Date " , Date '" ~.6""0 3 " . " ,
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LEGAL DESCRIPTION
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JOB DES~RIPTION .
(Z vI,4-l! 519"'S)
..... I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for.180 days.
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
$106.00
5/6-;tI C'ZeL
$ 19.00 '
$50,00
l~~~""l;)i\:~;~:':*.':l~"''- ;...-~..:.~.:."...:_ ':....'H':;..~'l't.: ~.~\!t .~,..u.:l'''\.''~~l.. ';,~,_., '1;~ ::' ".n
B. t';~.~~~l~~~~_~~~~d~r~.f~!~.~iIJ.~~~~'~~_~'if~lleIl~;.~~~f.l2.':5~n ;,~~~'~1
r'.'c6NfIDf1ffOR":iNSTAiJJA?fioN'!ONl:!y.l'~ .
2. 1'l"'Vt"~-~~~"'~.'~<S;."-"~\" "i::.~!~ih'" .1".....'.,....,~,t'-~':i~:.!__...... .
~ \e..e-.:
'S.-c:. I...-
\
$ 63,00
$ 75.00
$125,00
$163,00
$375,00,
$ 50,00
200 Amps or less
20 I Amps to 400 Amps
L\\J'...C-G\"---- 'S-,,\ 40I'Ampsto~e.OAI11PS
601 Al!W-,j~{~ Amps
Phone So 9c;" -'13'b ,re"'\}\)~~~JI1Vl~ItS
\'\ \'O--.rl ~~~l~((!ii~OO
.....~u,e~06'ci'I\:~-.>\0~l>-~g 1..-.>\0'1>"" __,
Supcl\'lsor Liccnse Number t'/'?? 5~<.D~il.o'Q\a ....'(\'@ llej\lpll1'~ serC,-&s.llr Feeders ,,'
.> ~ \ ~o~'" --0" ~" ""0'" ". -- - '"
. \\'C-',~~a'" ",\0'\0">' '~0'1> \a\0.~c,'O-\~
/tJ - ;: ::\\~~\'" G~,,\,OO i\",fIQl'tllat!~n\~'t\l~ation or Relocation
,oJ .~.c,o-' <-.,/:V' 0'0'<;. ,...\0 ..-..\\\'1. .0,'\.
a!.~~ ~ 9>.) '0-'1 :l.a~' 20g,{\ilips nJess
Constr, Contr, Number ~ S 3 'i ~ -.Jo-'> ~ ", C,a'" o~'2OhAiilp:tto 400 Amps
\ '~cJV' ~\\"'~ \o~ \"'(:\a . '" '481 Amps to 600 Amps
Expiration Date \ \ :<;\0 ~ c,'l> ",a~ ~\a~ ~
, -.>,7 ;::~ Over 600 Amps or 1000 Volts see "B"'above.
. . (\ ~n~~,.F'~;"v'~~"'''~~~~J7t-m
Signature of Supervising Electrician D. ~.!i.!lli~~!;!Lc.'!.!~~':'l""
New Alleration or Extension 'Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Electrical Contractor
4<;(~
Addrcss
Cil)' t..v... \ ~
Expiration Dale
$ 50.00
$ 69.00
$100,00
~~'-~ ~-',
Owners Name Q -c.1~ 'Q,,~,.r-
Address { ,,.........:... ":~ \ I. . ~ l),~~~E. &Mi~fTh;;;;-~'t'lffisi~'ii~{eed~;::J;tfili'a"td~E..'a,1fii:s;aiiati'O;,~j
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OWNER INSt~~~~v '\)~'Vt. 'f;, t>..'Ot>..~'V Limited EnergylResidential $ 25.00
The in,stallalio~kJ;cl?\l~~I!.,uih ~~~~uY)I own which Limited Energy/Commercial $ 45,00
::::::~:~::~~~~~~~e~~ ~.n~~~iiiM;;~urchar:e~o
7% State Surcharge ' f
10% Administrative Fee / ()
, 1'//7<:::-
$ 43.00
$ 3.00
Inspection Request: 726-3769
TOTAL
. Shared Drive(T:VBuilding FonnsIEleclrical Permit Appl,i::,-lion 1-03.d~
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" ,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00683
ISSUED: 08/19/2003
APPLIED: 07/30/2003
EXPIRES: 02/19/2004
VALUE: $ 4,000.00
SITE ADDRESS: 4000 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703344202300
Engene
TYPE OF WORK: Sign
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Sign - 2 wall signs
Owner: GREEN VALLEY ENDEAVORS LLC
Address: 3998 FRANKLIN BLVD EUGENE OR 97403
Contractor Type
Electrical
Sign
Contractor
CHAPCO INC
CHAPCO INC
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
License
153989
153989
Expiration Date
01113/2007
01113/2007
Phone
541-686-9366
541-686-9366
VN
BUILDING INFORMATION I
# of Stories: lllOf'Size:
Height of Structure ~\\e":> ~sq,~t~Floor:
Type of Heat: :-l'< \001. \0QlO~q~li't ~8!!'Floor:
Water Type: !Co \'3' ':f;o.00 ":> '3-~Q:f.I1B~~ment:
Range Type: O\eQlO 6'0'1 'I e \~\0 o~Sli 'Kt;Ga'~~ge/Carport
Energy Pathb~' o~\e -{,.'r>0C:> ~Q;'r> o~~f~~h~u{\
<,,~-{,.'I. ":> '3-~ ~0\' ~ 'S'-\O <\\0":> In!pe~~9'~ Surface Area:
A'V .\0 ~....(\ ,.,;\ ...OY ,,'(\'0 _ ,n
I DEVELO~MENr:iNFORMA:iil()N' ,.\O\."'~\~\\\~b.b.",'
0\\\\- Q, 9V ~C>, ~\"" 0QlO{\ r:,"t,7: REQUIRED PARKING
~ ~,. O~ (,0 0\ Rl~'
Overla):Cj)ist: --{ " 'S'-0 _",0 \'~
\ ~V' .(\\., ~ \." . s
# Street$l'eesiRqd:\ \0 -e\ \ '
C-V '~0 ~<;>-\
Paved Drive ~d':' 0"
{\\)
% of Lot Coverage:
Total:
Handicapped:
Compact:
~t. '-NO?'/.
-'re. \~ '\ ,~ ,e. "01
I PUBLIC IMPROV~~..~ S~t>-\..\.. \:.~~\~ ?t.\\~~ ~\)?
\'~ ?r.~\~\ ~\Ii~II:.m..~?O~
,~\S ?\1'i:.\l ~\~ p,\'1IW .
t>-~'~~'i:.~C'i:.~tt\~slDrains:
CQ\tI 0.'\ \l~
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Paee I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Sien
Sien
Fee Description
Sign Plan Review
+ 10% Administrative Fee
+ 7% State Surcharge .
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Sign 36-60 Square Feet
Total Amount Paid
.
I Valuation Descriotion J
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
2,000.00
2,000.00
Tota. Value of Project
Ifr". PiilU
Amount Paid
Date Paid
$80.00
$29.00
$7.00
S100.00
$80.00
SlIo.oO
7/30/03
8/19/03
8/19/03
8/19/03
8/19/03
8/19/03
$406.00
I Plan Reviews I
Paee 2 of4
. CITY OF ~rKll'\j~~u.LD
Building/Combination Permit
PERMIT NO: COM2003-00683
ISSUED: 08/1912003
APPLIED: 07/30/2003
EXPIRES: 02/1912004
VALUE: $ 4,000.00
Value
Date Calculated
$2,000.00
$2,000.00
$4,000.00
07/30/2003
07/30/2003
Receipt Number
1200200000000001861
1200200000000001978
1200200000000001978
1200200000000001978
1200200000000001978
1200200000000001978
Status
Issued
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
Sien Review
.
08/ll/2003
08/11/2003
. CITY OF ;sr'K1J'I\J,HI:!,LD
Building/Combination Permit
PERMIT NO: COM2003-00683
ISSUED: 08/1912003
APPLIED: 07/30/2003
EXPIRES: 02/19/2004
VALUE: $ 4,000,00
APP DJB
8.248 Community Commercial and
Major Relail Commercial Dislrict.
Paee30f4
These slandards apply for all
property localed in CC or MRC
Dislricls exccpl those localed in Ihe
Downlown Sign Dislricl, 1-5 Mall
Sign Dislricl and Ihe 1-5
Commercial Sign Dislricl:
(1) Single Businesses. Each business
shall be permilled a maximum
number of Ihree wall signs tolaling
350 square feel for all faces.
(2) Free Slanding, Roof and
Projecling Signs. In addition 10 wall
signs permitted above, one sign from
Ihis group shall be permilled for
each approved developmenl area.
The tolal area permilled for a free
slanding sign, roof or projecting sign
shall be 100 square feel for one face
or 200 square feel for Iwo or more
faces al a maximum of 20 feel above
grade.
(3) Second SIOry Businesses. Two
wall signs per business shall be
permilled with a maximum sign
display area of 175 square feel for
all faces.
(4) Logos are exempl from permit
requiremenls provided Ihe logo is
the logo of Ihe business residing on
the premises and provided Ihe lolal
square foolage of Ihe permilled wall
signs and Ihe logos do nol exceed a
combined area of 350 square feel for
single story businesses and 175
square feel for second slory
businesses. (Section 8.248 amended
by Ordinance No. 5862, enacted
September IS, 1997.)
.
. CITY OF ~rKlNGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00683
ISSUED: 08/19/2003
APPLIED: 07/30/2003
EXPIRES: 02/19/2004
VALUE: $ 4,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To 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.
, ~p.n~p.dionsl
1 Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of baits or welds.
2 Sign Electrical: After connection is made but prior to energizing.
3 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 fnrther 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 witb 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
tic;a~onst~~n. ~/,C? 103
/-' t
Owner or Contractors Signature Date
Paee40f4
225 Fifth Street "
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00683
COM2003-00683
COM2003-00683
, COM2003-00683
COM2003-00683
Payments:
Type of Payment
CreditCard
Mi8!"JNAFI~...=.,,=. '~.'.~-_. '--.".'~.' '.......:...
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Receipt #: 1200200000000001978
Description
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Sign 36-60 Square Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JOHN CHAPMAN
Check Number
Received By Batch Number Authorization Number
djb 000147 019902
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/19/2003 8:33:50AM
Amount Paid
100,00
80,00
110,00
7,00
29,00
$326.00
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$326,00
$326.00
.
.