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Home My WebLink AboutPermit Electrical 2004-8-23 225 FIFTH STREET. SPRTh'GFIELD, OR 97477 . PH:(541)726-3753 . FAX:: (54I)"--:q.~o~ 1f";t90 'c$l: 'I>. ELECTRICALPERJYIIT APPLICATION 0~ 0 ~../ "0':,o~91' ,. d ''7"7 ~t. \ 0& 9C CityJobNumberCOmZOO'{-DIOl{7 Date (?, V'AOl.t '1,., $ <t~. '-,,0'<1'.- '/f;~~~7!fijf'!j!jfJJj:0J: 'JffiFigg:!i'Kf~~";=~~~iiif1l: LEGAL DESCRIPTION A"G~$~iI~@1itt~i[~@E~t:J~~;:~~ .~ -~~JIf~~(~~!iZ _T7QZ s3({L. '035':00 JOB DESCRIPTION =< I'1./!b.> GU~ ~ .; Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. t!t":,:::~': '/"::7',':'-,:;'f':'":'.;'l'i:':';~,':'l''0.~,'nT:.''''';,;-,:::;_,,~-,,;;,::f!,,-_'~"'_~"~l'r.?~~'~'.'~.-.:a,';~":;;$,:.':?':~~r::;;'~"~~F,:! ~~ 2. ;t~/?Jt!!/~49};C}!};.[J$~~'f!1!l2J:[!J?!fJl!f~;Y;~j Electrical Con1Jllctor I!(;[' ffl Address (,;KIO ~ ~~ City ~~ Phone l/y(' --->5c/~ , Expiration Date L{Jf fib ..'PPr /1g 17~ tRio:; Supervisor License Number Consu'. Contr. Number Expiration Date SignaUlff'pervlsing Electnclan /<J_~ (/ '^ /Z-'& J~ vrfG"d dnl "- Address <;7 ~ I YYJlhrl....1 S?r0- Owners Name City Phone OWNER INSTALLATION Service Induded 1O00 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B.{~:~t:\:i~~~;~!L~?~~~~~!TK~r~h~M~~tiiitt~~i:~1~~~~~iill1~ . 200 Amps or iess 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 -"unps to I 000 Amps Over 1000 AmpslV oilS Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 :'g'l"~~';r,l"!.ii1!':~u,'r."~i~;":'f)s.il1r,;~$F'*:!.f:'ir~~"7~~",;'?~t:'"~~~~~~zt#~:':Omb~~~~ C. ,~;ITemporarY.).-Sercvlces~or~'Feeders~'1(,~~.:!~~~-'}!~'j}~':'"J~~7\lfi'"';~..5;'.'i;';.,),~"Q-W2"'2i ~~':"-:~-';'...;'l,~:"~~'",,"A~~~.:.:::~~.....~~;:;.~"JOf~~1'!::'.t.."I.:~~_......:.:.~_-.:b'i~:.S:.~~~ Installation, Alter.ation or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 VollS see "B" above. D. ;~~~~~r~Ei?~~~tj~i~{~~fuiFlgft{ith~fs~itI~,[)~Gr-~~~ . New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 S 3.00 E..~y#~;h~'K~~;~;!~;f:3i~;i~E~~:~fi!~~l~~f~~';~~s8ci~i,f~~~~~.~? Pump or irrigation SigniOudine Lighting Limited Energy/Residential '":? S 50.00 S 50.00 15"0'- S 25.00 TIle ,nsmlla[ion is ~'ljl(~PCl~gqBrI'~!\Wlf'e'qulres'YIl\\JIto r..imi[e~ Energy/Commercial ,S ~5 .00 !S not !meINcTfJ?I"lle. '~dse ~ed'By the Oregon Utility MiMSX!Cj.crric i',e,r~tl >t'l,\l~i'fE'(fFj;~\i; \M~Jillf,~ Surcnar"es _ .Iou~w~ulesa o~r. Those rules are setlorth lH~~YERM\1:i.t)~-ul~PERMIT"SN01" /So- ',;wno" .ii!fttii\!rNltIOn Cent 10 through OAR 952-001. J. Atl'l'hlbWLE~EmvVE . ONEO FOR '. /125"0 in OAR 952-001-0~. copies of the rules bV CQMMENCED ORIS ABAND . . . _ 0090. You may 0 alO'U_Hr 'hot"lephone N,j ;.tall &,t'P~IOD. /5: eo ailing the cem".., - ... 'I'dl,tion A T ill " . c f the Oregon Utility Nab I ,0% ,!.dminiSlTnnve Fee '"",,",'" l':''::~:'~:''!'';-80_$)' ~"T '~"". "".. c, """"'. >>,"'.."",",,, '0'" "'''~,~:: 0 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5781 MAIN ST ASSESSOR'S PARCEL NO.: 1702334103500 . CITY OF SPRIrljljt<!J!,LlJ Building/Combination Permit PERMIT NO: COM2004-01047 ISSUED: 08/30/2004 APPLIED: 08/23/2004 EXPIRES: 02128/2005 VALUE: . $ 10,500.00 Springfield TYPE OF WORK: Sign PROJECT DESCRIPTION: Signs - 3 wall signs Owner: THURSTON MEDICAL CLINIC-CORP Address: 5781 MAIN ST SPRINGFIELD OR 97478 TYPE OF USE: New Commercial I CONTRACTOR INFORMATION' Contractor Type Electrical Sign Contractor SIGN GROUP LLC SIGN GROUP LLC License 145755 145755 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: , DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street ImproA~ON: Oregon law requires you to Storm Sewe'idl~!l!s adopted by the Oregon Utility Special Ins\Qe~elon Center. Those rules are set forth In OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by . - ':t- -:-- .a.L._ ---...... (t-I-"'to. thQ h:alpnhnne --.....0 ~..- . number for the Oregon Utilit~ll~Ull"""'~'''' .. I Center is 1-800-332-2 ~MaluatIon DescnotlOn $ J;'er Sq Ft Square Footage or multiplier or Bid Amount Notes: Description Type of Construction Paee 1 of 4 Expiration Date 06/30/2008 06/30/2006 Phone 541-485-5546 541-485-5546 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutsJDrains: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ,...n.a'''~''It'\,..,." "n It"' ...",....].....!)'!...!:' ""C'r ~_.................~ ...... Co ........1....;.;;1,......, tu., ANY 180 DAY PERIOD. Value Date Calculated . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sien Sien Sien Use Bid Amount Use Bid Amount Use Bid Amount Fee Description + 10% Administrative Fee . + 7% State Surcharge Sign - Outline Lighting Each Sign 36-60 Square Feet Sign Plan Review Total Amount Paid Amount Paid $48.00 $10.50 $150.00 $330.00 $120.00 $658.50 $1.00 $1.00 $1.00 Total Value of Project )?pp< PIilLI Date Paid 8/30/04 8/30/04 8/30/04 8/30/04 8/30/04 I Plan Reviews I Paee 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01047 ISSUED: 08/30/2004 APPLIED: 08/23/2004 EXPIRES: 02/28/2005 VALUE: $ 10,500.00 3,500.00 3,500.00 3,500.00 $3,500.00 $3,500.00 $3,500.00 $10,500.00 08/2312004 08123/2004 08/23/2004 Receipt Number 2200400000000001110 2200400000000001110 2200400000000001110 2200400000000001110 2200400000000001110 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Sien Review . 08/27/2004 08/27/2004 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01047 ISSUED: 08/30/2004 APPLIED: 08/23/2004 EXPIRES: 02/28/2005 VALUE: $ 10,500.00 APP DJB Paee 3 of 4 8.248 Community Commercial and Major Retail Commercial District Tbese standards apply for aU . property located in CC or MRC Districts except tbose located in tbe Downtown Sign District, 1-5 Mall Sign District and tbe 1-5 Commercial Sign District: (1) Single Businesses. Eacb business shall be permitted a maximum number ofthree 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 sigm 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 of 350 square feet for single story businesses and 175 square feet for second story businesses. (Section 8.248 amended by Ordinance No. 5862, enacted September IS, 1997.] . . Lll f OF SPRIr\jljt<1ELD Building/Combination Permit PERMIT NO: COM2004-01047 ISSUED: 08/30/2004 APPLIED: 08/23/2004 EXPIRES: 02/28/2005 VALUE: $ 10,500.00 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. IR"olli~ Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of holts or welds. Sign Final: After all required inspections are conducted and approved and the sign installation is completed. Sign Electrical: After connection is made but prior to energizing. 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 ofany structure without permission ofthe 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 yermit rd is located at the front of the property, and the approved set of plans wiD remain on the site at all times during con ction. /?Co~ - v er or Contractors Signature c:-? , 8/Jolo(( I Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01047 COM2004-01047 COM2004-01047 COM2004-01047 COM2004-01047 Payments: Type of Payment Check 8/30/2004 . RECEIPT #: Description Sign Plan Review Sign - Outline Lighting Each Sign 36-60 Square Feet + 7% State Surcharge + 10% Administrative Fee Paid By ES &A SIGN 8"'~''H.!'~"!1lLD._ _'.._'_ _ ...... Wit. , I :, . .,:1 ) ..-',,,_. ..~-.. Aity of Springfield Official Receipt .evelopment Services Department Public Works Department 2200400000000001110 Date: 08/30/2004 Item Total, Check Number Authorization Received By Batch Number Number How Received dIm 32961 In Person Payment Total: Page I ofl 1l:21:40AM Amount Due 120.00 150.00 330.00 10.50 48.00 $658.50 Amount Paid $658.50 $658.50