HomeMy WebLinkAboutPermit Signage 2000-4-6
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I Job# 99-00682-01 I
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Page 1 of 2
TRANSU:01-0001151
DATE:APR 06 2000
AMT RECD:2 $ 128.00
CHANGE:
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-00682-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3521 Gateway St SPR
Assessors Map#: 17031533
Lot: Block: Addition:
Tax Lot #: 01300
Subdivision:
Owner:
Address:
Atlantic Richfield
4 Centerpointe Drive
Phone Number: 714-670-5300
CitylState/Zip: La Palma, CA
New Value: $750
Scope Of Work: Sign
$750,00
Contractor Type
General Contr
Contractor
Nomad Sign Installations Inc
1493 Westfield Ct, Stayton, OR 97383
Registration #
84033
Expiration Date
7/30/01
Phone
503-769-3817
Quad Area: 4CNE
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspections 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
working day,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq, Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Sign District:
,Sign Dimension!:.
I Vertical:
Height (Above Grade):
Sqr. Footage:
Illumination? 0
Comments:
Type of Sign: Face Type:
Horizontal:
Thickness:
From Grade To Bottom:
Sign Material:
/l
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Fee
Sign
Total Transfered Records
Each Sign or Outline Lighting
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Sign Permit - 0 - 35 Square Feet
Total Sign
Grand Total
Job# 99-00682-01
Paid On Receipt#
Transfered Records
05125/1999 34177
Electrical
04106/2000 1151
04106/2000 1151
04106/2000 1151
SiAn
04106/2000 1151
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Page 2 of 2
Value/Quantity Fee Amount
I
40
$40,00
$40,00
1
$40,00
$2,80
$1,20
$44,00
750
$20,00
$20,00
$104,00
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information herein 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, I further certify that only contractors and
employees who are in 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
plans will remain on the site at all times during the installation of the sign(s),
~ t:), :z;;,.-__1
Signature t/
Lj-r;,-OCl
Date
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SpAFIELD
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The following project as submitted has the followi
zoning, and does not require specific land use
approval.
, /l Q./
Zoninc" G
, )(.-t-,-(J'7)
'"1<.J
225 FIFTH STREET
SPRINGFIELD, OREGON 97477Date
INSPECTION REQUEST: 726_~916'1ized Signature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
3<;..:;1,\ C:A-TE01\..-\ A.
\,&GAL DESCRIPTION nO )/t;3;, D( 3rf7J
A rL ~ A::-t->- \ t> \L-I. ,
JOB DESCRIPTION
n I..\.-\ ~....". Ul;h~~""j \ -:';'iu <.JY-\iL
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if, work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ,}"......o S;~.,'l..,.:.{1...,<,
l2.eAll;, Qd
Address 7G I "I
Ci ty LA: P; f'Jc:.
Phone 541-<;sL-f\j\<n
Supervisor License Number 5/ d- 51 c..
Expiration Date
In I, / ~
Cons tr Con tr. Number <;<"LJ D ~ ~
Expiration Date l../ 0 I
Signature of Supervising Electrician
g., ... LJ ' -eOA.rJL
- \J . fI D.
Owners Name~.k..h(_ l?,;'\"-;lJiV-tl
Address 4 ~h:.aL- \:M'IJ-'L-
Ci tyh ?o...lVV'1l, (/+ Phone 7tU,~ 1.10 _<?,,>ui)
(
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
------------------T~------------------
DATE: '4/'400 '
RECEIPT 11: '/), _ //C;/
RECEIVED BY: (~~
, ,
ELECTRICAL PERMIT APPLICATION
~Job Number
9Jo(P~ 2.
3. COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600,amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circui t ~ ,$ 35.00 4
Each Additional
Circuit or with Service
or Feeder Permi t tftt: $ 2.00
,
-
-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00 ~'
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
#,1,00
'2-,80
1,2-C>
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TRANS#:01-0001151
DATE:APR 06 2000
AMT RECD:2 $ 128.00
CHANGE:
CASHIER: 003
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