HomeMy WebLinkAboutPermit Electrical 2003-12-31
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA,X: ~i~b'1l1,9,iMWojecl as submitted has the tollowing
ELECTRICAL PERZW1T APPLIC~TION zoning. and does not require specific land use
. - 0 I b ,? /. / approval. 11 "
CIty Job Number COVIA z..oc'5 - I Date' c.;/ :> ~/ 0'3 . Zoning ~
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.Authorized Signature
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Expiration Date (; h 0 /0 LJ.
I ,
Signatu7 of S,uperviSing Electrician
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Owners Name IJ ~ ~ f rvf.trh'~.s
Address 5"'<llJv', J/;am.elf-e:., 5:+
City Eu.gtM...- Phone (,'1;) GJ'ft,-/to.7. Pump or irrigation $50.00
{j Sign/Outline Lighting I $ 50.00 950-
OWNER INSTALLATION NOTICE: Lil)lilef EnerrortR..,idT'/PaNORK $ 25.00
TU\c; PERMIT ~H~~a tM'lIlnr "_...,' ,
TIle installation .is being made on property [own whicf110RIZED bYJ'O'EREff1(Wf~'i"q@INOT $ 45.00
IS not Intended tor sale. lease or rent. AU I, , ~e~iTe?llHeAt5i~tr19amEih~ion Fee is $45.00 + Surcharges
CONlME ..,. ]:nmY,,~' "..;:".,'j::'!"'''''''''''''''''7\'7'-.'~')'",''''''':'-
Owners Signarure: ANY 160 lilAY~BT<>!A'LPF~o,~,;,,:~::;:,:;~?,;.t,:',::: 50
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/OtJ 7
J.Jme IrMl Rd
LEGAL DESCRIPTION
17037-Z~ ~
004.00
JOB DESCRIPTION
~b/"/7s-h1-11 {, J 5<.1- (J -f {J~
"--=7 nm
Permits are non~transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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::iCONFIDrCTORflNSTALEATION,ONEYcTIi
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Electrical Contractor E S itA
Address rZ{o Oa K.Oo/-r.h....
,
City fwIuu, drL- Phone ~r5 ~5S'f1o
u
. Supervisor License Number 1-0 - J 5 J; r 1 S
Expiration Date ~~
Cons!!'. Contr. Number
fnspecrioll KClluesr: 726-3769
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A. 1""..New'Resideritial,-'-'Siiigle'Or.,MUlti' Falilily:per..dwellirii,; ul\ie...~
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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
$50.00
$106.00
$ 19.00
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200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpslVolts
Reconnect Only
$ '63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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C. r.~~Temporarv.l'Se'iYICes:.orjFeeders~'i!.,.::J;jf~\jg;x:~j';;!~'~;~'2:f',~-l-,s":}~t4" l't-.:;<'~,,~:.b1~~
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Installation, Alteration or Relocation
200 Amps or less reS ynll to $ 50.00
.<1'J\6Rre\~~'Sreci~~ol1llt1\itv $ 69.00
AiTE'4"OIc&n~'(ifJll Ml,me, s are,Cl.Attort $100.00
tol.'OW ru ~~ Jl'S~9 ru e@AtB ~rla~~.
\jot,tICe.~~I'\~!{'l~'iI'!.'tt!\~.I::lfI\~e~~,,,'''''I~''!V''.\i''I''Vi' .:!ii)iI';!:;:;II
n oA\\ ~~ivi~~~~riOf~!t~"'1i3\ii>hC;n~,::S~;t"*,"2~\4j?>."y~,., ;"I~~
0090. ~~i\\It&'J\WtI\'.o~l~n WJ,#:flon
ca\l18~~fI)~~we oregon Ut\llty 44' $ 43.00
nU#1~!lJp;M\li~OBa1 mooji\,v.w~ '
Service or Feeder PermIt
$ 3.00
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E. :' MisceIl3iieo'tis'(Ser.YiceJfeeder~iiiit included), -Each1,Iiistallation"
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7% Stale Surcharge
[0% Administrative Fee
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TOTAL
Shared DrivClT:VBuilding FonnsiElet:tncal Pcnnit Appiicalion l.n3.Joc
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01166
ISSUED: 12/31/2003
APPLIED: 11/20/2003
EXPIRES: 06/30/2004
VALUE: $ 8,000.00
.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1007 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300400
TYPE OF WORK: Sign
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Sign - 1 wall sign. Refer Combo Permit #COM2003-00983 for variance approval.
I PUBLIC IMPROVEMENTS I
s v~u to
laW reqlS\m\vA e:
ATTENTION:Oregon the Oregon t1lm
folloW rules adopted ~se ruleR'IDQS9110IlaDrains:
~otification Ce~er. Th ah OA~ 952.00
OAR 952-001'-O01~!~~ts!b1 the rul.s I
~090. Vou, J!iay obtai!' N~fe: the telephO~e
calling the center. (on Utility Notification
nUll1ber for the.orll~nn_~32_2344).
. r~"'.I"\."le 1.., .
O:l.
Owner: WILLAMETTE MEDICAL CENTER LLC
Address: 975 OAK ST # 780 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
SIGN GROUP LLC
SIGN GROUP LLC
License
145755
145755
BUILDING INFORMATION'
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VN Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
", "'U \1(,'" ... - ,,:-r'f-. \~ "i\-\~,~~~,~
" S Pt\\\'NITIlR'''..,v.ME,~JNF(l)RMATION ,
SETBACKS 1\11 ODI2tOUMU Q ^~boikJ 1 ~"
II-Ijl \1" D O\\~II-U"
Frontyard Setback: W\W\t\,\Ct lay Dist:
Side 1 Setback: C~\~ ,\)O DII-'{ pt reet Trees Rqd:
Side 2 Setback: 11-" Paved Drive Rqd:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
..'
Paee 1 of 4
Expiration Date
06/30/2004
06/30/2004
Phone
541-485-5546
541-485-5546
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
, Handicapped:
Compact:
,
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection 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 36-60 Square Feet
Total Amount Paid
.
. CITY OF ~rKll~u1<l"'LU
Building/Combination Permit
PERMIT NO: COM2003-01166
ISSUED: 12/3112003
APPLIED: 1112012003
EXPIRES: 06/30/2004
VALUE: $ 8,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
8,000.00
Value
Date Calculated
Total Value of Project
$8,000.00
$8,000.00
lII20/2003
Fpp< P"iiJ
Amount Paid
Date Paid
Receipt Number
$80.00
$16.00
$3.50
$50.00
$110.00
lII20/03
12/31/03
12/31/03
12/31/03
12/31/03
1200200000000002499
1200200000000002677
1200200000000002677
1200200000000002677
1200200000000002677
$259.50
I Plan Reviews I
Paee 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien Review
.
12105/2003
12/05/2003
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01166
ISSUED: ' 12/3l12003
APPLIED: 1l/20/2003
EXPIRES: 06/30/2004
VALUE: $ 8,000.00
APP DJB
Paee30f4
Per approval of sign variance,
COM2003-00983, the following code
language applies:
8.248 Community Commercial and
Major Retail Commercial District.
These standards apply for all
property located in CC or MRC
Districts except those located in the
Downtown Sign District, 1-5 Mall
Sign District and the 1-5
Commercial Sign District:
(1) Single Businesses. Each business
shall be permitted a maximum
number of three wall signs totaling
350 square feet for all faces.
(2) Free Standing, Roof and
Projecting Signs. In addition to wall
signs permitted above, one sign from
this group shall be permitted for
each approved development area.
The total area permitted for a free
standing sign, roof or projecting sigo
shall be 100 square feet for one face
or 200 square feet for two or more
faces at a maximum of 20 feet above
grade.
(3) Second Story Businesses. Two
wall signs per business shall be
permitted with a maximum sign
display area of 175 square feet for
all faces.
(4) 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 0050 square feet for
single story businesses and 175
square feet for second story
businesses. (Section 8.248 amended
by Ordinance No. 5862, enacted
September 15, 1997.J
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01166
ISSUED: 12/31/2003
APPLIED: 11120/2003
EXPIRES: 06/30/2004
VALUE: $ 8,000.00
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.
I ~~\lJJired Insnections I
1 Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts 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 complcted.
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 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 readahle 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.
'7If1 tz/t ;f.
otned Contr. ctors Signature
Izhl3
Dal~1
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01166
COM2003-01166
COM2003-01166
COM2003-01166
Payments:
Type of Payment
CreditCard
"
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Receipt #: 1200200000000002677
Description
Sign - Outline Lighting Each
Sign 36-60 Square Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CHERY FLETCHER
Received By
djb
Check Number
Batch Number Authorization Number
000264 031476
City of Springfield Official Receipt
Development Services Department
Public Works Departnlent
Date: 12/31/2003
Amount Paid
2:10:53PM .
Item Total:
50.00
110.00
3.50
16.00
$179.50
How Received
In Person
Payment Total:
Amount Paid
$179.50
$179.50-
.
.