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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