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HomeMy WebLinkAboutPermit Signage 2000-4-6 r/ .. -- . . I Job# 99-00682-01 I . 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 . 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 . 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 " . . I'", .. r' SpAFIELD "r. 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> ~~6D -- . , .' .'-:-. '- ~ ...- ., TRANS#:01-0001151 DATE:APR 06 2000 AMT RECD:2 $ 128.00 CHANGE: CASHIER: 003 ',', .