HomeMy WebLinkAboutPermit Signage 1996-05-13SIGI{ PERMIT APPLICATION
lz5 Fif rlr street
Sprirrglield, OR
SIt]II?,'GFIELr}JOB /Iill q
Irrsl'lccli<ln Lirrr:: 7 26 3769
Of fice: 726 375997 477
1350 Mohawk Blvd
h,
SITE ADDNESS
ASSESSOIIS MAP:
6WNER: R-ichard & Diane Hickam
ADDRESS: 1360 Mohawk B1vd, Sprrlngfield, 0R
TAX LOT
pnoNE: 746*0549
CtTy: Springfield STATE: OR
BUSTNESS NAME, 61Fty 916.; Prime Time Sports Bar & Grj-11
DESCRIPTION OF PROPOSED SIGN(Sl: (please check and complete all appropriate irrformationl
x Wall __ Freestanding _ Proiecting _ Roof _ Marquee
X Single Face _ Double Face _ Billboard _ Otlrer
6.25 Total t"leigtrt above Grade:10'6"
30\tl 30\"Vertical Dimension of sign or enclosure:
Dirrrension lrorn Grade
to bottom ol Sign Enclosure:8r
Horizontal Width of sign or enclostrre
Electrical lnstallation: X Yes _ No Vn LUE
(lf yes additional electrical permit is requiredl OF SIGN:$523. 50
Material Sign is constructed ol aluminuim & plastic
List ALL existing sigrtage and attach a photograph of oaclt sign:
South lval1 36 36lal Type
(cl Type
Sq. Ftg
Sq. Ftg
(b) Type
(d) Type
East rnall Sq. Fto.
Sq. Ftg.
CONTRACTOn/INSTALLER: Ray-o-Lite SiFns. fnc PHONE:
ADDRESS: 101 N. Seneca
6BB-2500
CITY:Eugene
CONSTRUCTION CONTRACTONS REGISTRATION NUMBER 7L490
CII Y I]USINESS LICENSE NUMBER:950220
STATE: OR ZIP:97402
EXPINES 2-L-91
EXPITIES 10-1-96
OFFICE USE
Sign District Land Use:53CO Ouad Area \)
Zoning:
Sign Permit Fee:
REOUINED INSPECTIONS:
_ Site
to be nrade prior
to sign placement
AJ
Code Section:
Approved By:DATE:
Footing
prior to placernent
of concrete
\-rt Attaclrrnerrt
after lasteners are
installed/prior to cover
e Elcctrical
prior to energizirrg
electrical irrstallation
Firral
cor,rp,lotion of sign
installa tiorr
Additional Comments and/or Conditions
is true arrd correct. arrd llurther certify tlrat any arrd all work perlormed shall be done in accordattt:e with the Ordirtartces ol tlrc City of
Springliel<1, and the Laws of the State ol Oregon pertaining to tlre work described herein. I furttrer certify that only corltractors arrd
ernployees who are in compliance with OnS 701.055 will be used ott this proiect.
llurther agree to ensure that all required inspections are requested at the proper tirne, tlrat proiect address is readable lrortt tlte strcot, tllat
the pernlit card
of ttre sign(sl.
Signature
is located at the f ront ol the perty, and the approved set of plans will remain on the site at all times during the irrstallatiorr
Date 5-7-96
Amount Fleceived:Date Paid:Validation:
Receipt Nurnber:Received By
ztP: 97477
Square Footage:
\
SPll iFIELD
EI,ECTRICA-L PERHIT APPLICATION225 FIII]fl STREET d
SPRINGFIELD, OREGON 97477
INSPECTfON REQ{}ESTz 726-3769
OFFICE: 726-3759
L
5.tz-1b City
Thi fnlrr,,.;ih{J prr,{ocJ as *ubmilted tlfq tE
;. " '
. '','*r*u not require spocNic hnd
,irt gi,
fon qdl*l
1
r"r,;,,. , iirjl.'i
LOCATION OF INSTAILATION
1360 Mohawk Blvd
JOB DESCRIPTIONconnect to existjng circuit
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTAILA:IION ONLY
Job Number
BEtOg
Nev Residential-Single or
l,lulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eaeh Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
A
Sum
B.
ELectrical Contractor Ray-O-Lite Signs. fnc.
Address 101 N. Seneca
Ci ty Eugene Phone 688-2500
Supe rvisor License Number ZL9Sig
Exp iration Date L0-L-96
c
Constr Contr. Number 7L4
Expiration Date 2-L-97
s of Electrician
Ovners N Richard & Diane Hickam
Address 1360 Mohawk B1
City . Springfield Phone 746-A549
OVNER INSTALI,ATTON
The j.nstallation is being made on
property I ovn vhich is not intended
,:for sale, lease or rent.
Ovners Signature:
DATE:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
over 4b1 to 600 ambs
-
$ 80.00
Over 600 amps or rbOOEfts see 'Bu a6ffi-
Branch Circuits
Nev, Alteration or Extension Per Panel
200 amps or
201 amps to
40L amps to
6C1 anps to
Over 1000
Reconnec t
Iess
600 amps
1000 amps
/vo1 tsamPs
0nIy
s s0.00
$ 60.00
s 100. 00
$130.00
$300.00s 40.00
D
one Circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit ' $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
iieizoutr.ine Light inst
Limited EnergY/Res
Linited EnergY/Comm
--60-.00
STIBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAI
40^oo--2r/0--
$
$
$
s
00
00
00
00
40
40
20
36
RECEIVED
5
L+7,1P\