HomeMy WebLinkAboutPermit Electrical 2005-3-7
I
"
CITY OF SPRINGFIELD, OREGON '
.
.:,
!
SPRINGFIELD,
,,&IQ.;; ~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~9>~; '" ~-1.'~> ~ Z. r
ELECTRICAL PERMIT APPLICATION of 0""", ~ b~,:m" ~ "-
City Job Number C()W\-z..oO~ -00-0 g) Date"'~\, -?!~"O~"''''^;''
1. I LQ0fFIONQE11'fST:itLEAtiQN 3, li~(!lM.fiIiA'Fli}.~E.~Giliii{~L'N",w 'C94~"2-;""
L~: ~S~RJP~N~ .. 7 ~ A. PNewRe~ide"ti~J~Sj"gl~MrM:~:~i~~e~~~~~ J
JO~~~C~~~;}~O 01 70'0 ~~~~i::.'~C~:~::s ' "', '.'. 1O:~ "Z~~~
Each additional 500 sq. ft. or "-
portion thereof
5~~
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 $50.00
Suspended for 180 days. ~ 63<?lo~~ Feeder
2. I CONTRACTOR INSTALLAtioN ONLY I B, ISer.vices or Feeders - Installation, Alterations or Relocation:
Electrical Contractor -.E..L... CdvI1. ,adt1.y 200 Amps or less ~ $ 63.00 &3 ~
t F_
,:> 9 'T, w'...rJ231~'\'.P,H~~0t%B'//esyouto $75.00
Address ..r 0 v3cnc ,,", ~ - ":,1,''; ae16~f"l{'!'b~t?fW61'1!t10n Utility $125.00
rlf ~"v)i(..."t[on Ce!\l,).!rA'l'~e99\eM!II!l set fort/' $163.00
Phone ;:> i/- / O'O"'-~')O POO11&qPn~J!W'iVelAA 952-001. $375.00
0090. You may~~EHllll'i'C~I~s of the rules by $ 50.00
Supervisor License Number 3 ~ 5? ~:~i~~r ~~~~e~;~j~~~{tfl.~rs
I I / A Center is 1.snO'3::l?-23441 .
o , v ? Installafion, Aneratlo14.or Relocation
I I 200 Amps or less
Constr. Contr. Number ';).~G 201 Amps to 400 Amps
CCe JII07 401 Amps to 600 Amps
Expiration Date to t:
Over 600 Amps or 1000 Volts see "S" above.
Signature of Supervising Electrician D. I. Branch Circuits
".of ')- /V-. J,/ /) Il , , New Alteration or ~ension Per Panel
~!.L-.-I"G (~OTICrOneCircuit $43.00
THIS PE!;:iAA"A!!4itidjl~l~ireuItDrlwiili.I-IE WUK~ 6 Q>o-
.f AUTHORService onFeeder.EermitJERMIT I" I""~ 3.00
Owners Name ---ALHAJ CrA-rtr- '-'-C lLLUU'-'lIUL"ll._II.I~.~_.. '-""J'
Address 0'''0 r->(_...r7-( ,~/~ GOMfv1i: :tMIS~ II:W-'1i'li'fs1'AA~~}re~~et~~i"~liided)-E.i,,Ji:lllst.llatiolll
D'1 U CI , _ !€L'- ANY 180Ji',Y i':JI:0:J. ' .. ...., .... . . ....,..,. 1
City <;'D<=~ Phone 7Ifh -<Z-I(I(i( Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
City' j+}'t:xL,
Expiration Date
$ 50.00
$ 69.00
$100.00
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature:
4,1 $RB!o,TM1ifA;Ii~f,#i .'
7% State Surcharge
10% Administrative Fee
I 69..<l()
y~ '({
,6.90
ff 550. '13
Inspection Request: 726-3769
TOTAL
Shared Drivc(T:)lBuilding FonnslElccrrical Permit Application I-03.doc
.
. CITY UJ:' ~rKlNGFIELD c
Building/Combination Permit
PERMIT NO: COM2005-00085
ISSUED: 01/25/2005
APPLIED: 01/20/2005
EXPIRES: 09/08/2005
VALUE: $ 20,700.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3346 Gateway St
ASSESSOR'S PARCEL NO.: 1703222001900
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - freestanding sign
Owner: NEWGATE LLC
Address: 840 BEL TLINE STE 202
SPRINGFIELD OR 97477
Phone Number: 541-746-8444
Contractor Type
Electrical
Sign
Contractor
IMAGE KING INC
IMAGE KING INC
, CONTRACTOR INFORMATION'
,.. I I t:1~ IIUI" U'''YUII law requires you to
]01!0w rules adorIllit'eIi'stihe OE1Pfi'MiHw Date
I'Jotification Centet.6if3nse rules arEiJ91lilwlttlll
in OAR 952-001-0~6illuough OAR0979'I~tm
BUlLDiNG:INFdlill~HIT~ ~~~r~~;h~' t~;=;~~;e""
# of Sl~;r for the. Oregon Utility ~~~~'?mie~n
Height of Str{;lto~~r IS 1-800-332-23'+Sli Ft Ist Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
Phone
541-484-1482
541-484-1482
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
. Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of LINCov,"erage:
-. "'1.:.
THIS PERMiT SHill I CVn'n~ ,__
I PUBLIC IMiROXEMENisWWER THIS' PE'RM~c/~VUHK
"'-"vcu uR IS ^1O^"<or NOT
ANY 180 DAY PERIOSiilewiilklJ;W:FOR
~'ownspoutslDrains:
Total:
Handicapped:
Compact:
Notes:
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Sien
Use Bid Amount
Fee Description
Sign Plan Review
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Sign 61-100 Square Feet
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Exlend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amouut
20,700.00
Total Value of Project
Fpp< P~ULI
Amount Paid
Date Paid
$40.00
$19.00
$3.50
$50.00
$140.00
$6.90
$4.83
$6.00
$63.00
1/20/05
1/25/05
1/25/05
1125/05
1/25/05
3/8/05
3/8/05
3/8/05
3/8/05
$333,23
I Plan Reviews I
Paee 2 of4
. L11 i' OF SPRIrlib1<lELD
Building/Combination Permit
PERMIT NO: COM2005-00085
ISSUED: 01125/2005
APPLIED: 01120/2005
EXPIRES: 09/08/2005
VALUE: $ 20,700.00
Value Date Calculated
$20,700.00 . 01/21/2005
$20,700.00
Receipt Number
1200500000000000090
1200500000000000113
1200500000000000113
1200500000000000113
1200500000000000113
1200500000000000302
1200500000000000302
1200500000000000302
1200500000000000302
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Sien Review
.
01/21/2005
01/2112005
. CITY OF ~rK.ll'\jld<lJ!,LD .
Building/Combination Permit
PERMIT NO: COM2005-00085
ISSUED: 0112512005
APPLIED: 01120/2005
EXPIRES: 09/08/2005
VALUE: $ 20,700.00
APP DJB
Paee 3 of 4
8.2561-5 Commercial Sign District.
Area Covered. The 1-5 Commercial
Sign District applies only to
properties designated CC and NC
that are within the geographically
bounded area located on Map No.2.
(I) Single Businesses. Eacb business
shall be permitted a maximum of
three wall signs totaling a maximum
of 350 square feet for all faces.
(2) Free Standing or Roof Signs.
Either one (1) free standing or roof
sign shall be permitted per approved
development area. The total area
permitted for each free standing
sign shall be 100 square feet for one
face or 200 square feet for two or
more faces, with a maximum height
of 20 feet above grade.
(3) Second Story Businesses. Each
business shall be permitted two wall
signs per business with a maximum
sign display area of 175 square feet.
(4) Additional Freestanding Sign.
Each approved development area
shall be permitted one additional
freestanding sign. The total area
permitted shall be 200 square feet
for one face and 400 square feet for
two or more faces, with a maximum
beight of 65 feet above grade. The
additional freestanding sign that is
over 100 square feet shall be
installed at a minimum of 30 feet in
height from grade to the bottom of
the sign.
(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 for
single story businesses and 175
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00085
ISSUED: 0112512005
APPLIED: 01120/2005
EXPIRES: 09/08/2005
VALUE: $ 20,700.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
square feet for second story
husinesses. (Section 8.256 amended
by Ordinance No. 5862, enacted
September 15, 1997; further
amended by Ordinance No. 6008,
enacted March 18, 2002.]
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.
I Reuuired Tnmeetinns I
Sign Location: To verify the location of the proposed sign.
Sign Footing: After excavation and forms are in place, but prior to concrete.
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 aU required inspections are conducted and approved and the sign installation is completed.
Rough Electric: Prio~ to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utililY, company energizing service.
By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informalion 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
.
Ittt-'~' "'"',~''''''_i ~'''',,''''- "
'.. -.. . -I
J \
f: ~
.'.. .. ,
,~: '"
' WIIf.~( .... f
,,,,,.'O.,,,-,,,,,,,,..~..=-.j:" '-,j
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
1200500000000000302
Date: 03/08/2005
8:16:40AM
Job/Journal Number
COM2005-00085
COM2005-00085
COM2005-00085
COM2005-00085
Description
Penn ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 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
63.00
6.00
4.83
6.90
$HU.73
AmouDt PaId
Check
EC COMPANY ALBANY
djb
3051
In Person
Payment Total:
$80.73
$HO.73
'.
3/8/2005
Page 1 of1