HomeMy WebLinkAboutPermit Electrical 2004-9-15
,95/27/04
CITY OF SPRINGFIELD
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ns....,.nSTREET. SPItlNGFIELD,OR97477 . PH:(S41)716-37S3 .FAic:(S41)726-3~G\ .. ::. .
ELECI'RICALPERMIT APPUCATION .. . ~. ~- ~ %
CityJobNumbo:r COW1,.UJOL(.-Otl7'f . Dare q I, 'j'Oc.j . . o-~ o"'~/"''''
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LEGAL DESCRIPTION I,;> A. ;"''1f'...",,,,l1.~~,,,.,,, ". "",.>,."t!~&4;!'.~ _"" ~v~o- '%
~cllun.."\l"~ ~?_S 03~OO ServkeIncluded * 0 ~'" 'ti,
JOBDESC~ON. S \ FAce wo..\\, lOOO.q.~orless . $106.00 .
Ct:\'D,,,e.-t ':>,.,r\ \\~\~cl -uP 1oEll'~S EachaddilIonal500sq.ft.or \s:J
4>-'-:"""'- <;'~t\'. porlion1bercof , $19.00 \:~
Pennil$ are non-transferable and upire. if work Is Each Manufac!'d Home or
nor.luted witbin 180 days of.issuance or ir_rk is . Modular Dwel1illg Service or
Suspended for 180 days. . Feeder
~l'~~l'~li"'~ib.;,"'t.~~" B'lj~~~~~_
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Address ~Q .:w,'\\""f."..-fi\~~:Jl.1i\~:~\)(}\\t.\)~Y Amps to 600 Amps $125.00
. \\\\'0 Y'-~\lt.\) \l\W\'O f','OP-\ 601 ADlJlsto 1000 Amps $163.00
City ~q;i,~.f\':;L..~'1 \'i\1lilollllrY\J~~jr\3ol;J Over 1000 AmpsNolts $375.00
,0) '\,()~~'t.~ \)f',i \'''''.. RecoJlnectOnly $50.00
XSupcMsorLiC_eNum~\'\'{}-58" Slq c.~~~~~~~
)(El\piration Dille 10- i) I ..; ~
$50.00
Consrr, Centr. Number I .:;> ~ '5 ~ /,p
Expiration Dare ~ II 5" / ",-,
I
~igna~re S '/2' gEA[ ~-.1.
New Alteratinn Or E:denSiou Per PaaeI
Ooe CiICuir .
, l....,../". Each Additional Circuit Or wilh
...... G . ~ .- - Service or Feeder Permit $ 3.00
OwnonName ...efu~ L. ""'-'\St>f' ~~US\ E ~._.. .~ "'rs- ""'-~"""""&I(~clliii"t.1IiI> ...~~-utii~
AddreSs \ 1.0:> \Jo\lp.\ V";"P..........;"<> SJt\r_ll.O ., c .~. ~==~I,!:!l~,,_~~!'~.-.:!!!.'Jil_~~-.~~
. . .. - .._H ,.... .. laltHea: U\ili~ ,-,_._-~ '''/i'il
CIty <{",:""Q . o'l.. Phone l.,'&.l,.,~ \\'Ieelfiil~9~\rnt:WPln $50.00
q('l.d, ~i1~b~se~'ting \ $50.00 ~).oi)
OWNER INSTALLATION '0110'14 tu cen\el. 1'1 0~~li~~idenlia1 $ 25.00
!'fICa\\On 1\Q~O\'tI1 .~e\ .
!he i~lD.\lation ia being made &'!'=',J- p.~L~lii~'\ain CO~\ \e~ercial $ 4S.OO .
IS nor mlended for sale, lea"" o~/i!. 'lO\lllla'l 0 1M",'Q;~'ll.eKIeeQ\i~t Inspection Fe. is $45.00 + Surcharges
0090. C8n\81. ~i\ii:\i1\'I~ .. - -.
O S- .. "\1'9\\'18 Ole9on~."71l1~~~ -"
wne'" 'gnalure. cal' I \\'18 ~O' -- - ,.~ -~ - -~-- ,~. ~ CU
\llllb61'0 \S ~.ao li1l ~ ~., ,~~~ . - - ~'.'~ "- .
tl cen\81 7% SllIte Sun:.ha;ge . -'. SO
10% Adminislnltive Fee '5 . a2..
S 1:> .~
s SO.oo
.$ 69.00
$100,00
$ 43.00
Inspection Reqnest: 726-3769
.' :.~
TOTAL
_ Driv<(T:)/B1IlIdOls fomlsIEI"""coll'l:rmi1 AppI...... I.g;,doc
SITE ADDRESS: 5515 MAIN ST 'tla\\~Springfield
ASSESSOR'S PARCEL NO.: 1702334203300\r \\\t. \S ~a\
oyi-?\\\'c. \\\'SI\\
PROJECT DESCRIP.\UR!'I: S!g'1t,'WaU\\\\S ?~~t.\) ra\\
~~, ~c\\\'SI\'- ~;",\)t.\\ . uc..~\)\J
-(1'\\;) . _QII.\Y. 09. \;) , .
Owner: MCKf;.l\l~lE'Pj:;A~IiI:C\(\\).
Address: 1600 V ALI:Ey",RWER! DR'STE 160 EUGENE OR 97401
(',a~\I , ~(\ \)\'-' '
t>-~' ,-
Contractor License Expiration Date
NICK HOWARD AMO 128586 04/1512g06-0
METRO WESTERN SIGN & AWNING _' P.8.~~~,()n laW reqii~l1~a!l9.5,~tv
BUILDING INFORMA:iioN:,Jted by tn"u~~~;r'e set lorth
'U,,- . Center. 1\1oSe rOAR 952-001-
# of Storli,i:tiliCatlOn 001-0010 t\1rour'i;ot.size: rules bY
,,^<=l q52- pies tll ,,,-
Height of. Structure may obtaifl co Sq H 1 st.I\loor.:
"'0 '(aU N te" i"'IP l~IV'"
Type ofHeiit: '. e center, ( 0 ~~JI~~\1,~iE!oor:1
Water Type:cal\lng to t"'e Oregon USlJ'Ft Basement:
ber lor" 03r,,') q"""J.
Range Typenum ter is 1-80 - "q'Ft Garage/Carport
Energy Path: Cen Sq Ft Other:
Sprinkled Building: nla Occupant Load:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Contractor Type
Electrical
Sign
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
.
. CITY OF SPKlj~l>J'lJ'..LD
Building/Combination Permit
PERMIT NO: COM2004-01194
ISSUED: 10/11/2004
APPLIED: 09/27/2004
EXPIRES: 04!1I/200S
VALUE: $ 400.00
TYPE OF WORK: Sign
TYPE OF USE:
New
Commercial
~l \o~lo . ~rltO
I CONTRACTOR INFORMATION I
Phone
541-746-3312
541-746-3312
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
Downspoutsmrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 of4
Status Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien
Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Llgbting Eacb
Sign 0-35 Square Feet
Sign Plan Review
Total Amount Paid
.
Amount Paid
$13.00
$3.50
$50.00
$80.00
$40.00
$186.50
. CITY OF SPRINul'.....LD
Building/Combination Permit
PERMIT NO: COM2004-01194
ISSUED: 10/1112004
APPLIED: 09/27/2004
EXPIRES: 04/1112005
VALUE: $ 400.00
$1.00
400.00
Total Value of Project
$400.00
$400.00
09/2712004
F'pp< p"w
Date Paid
1 0/11104
1 0/11104
1 0/11104
1 0/11104
1 0/11104
Receipt Number .
1200400000000001456
1200400000000001456
1200400000000001456
1200400000000001456
1200400000000001456
I Plan Reviews I
Pa~e 2 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Si~n Review
.
09/27/2004
09/27/2004
. CITY OF SPRINl>J<l....Lu
Building/Combination Permit
PERMIT NO: COM2004-01194
ISSUED: 10111/2004
APPLIED: 09127/2004
EXPIRES: 04/1112005
VALUE: $ 400.00
APP DJB
Pa~e 3 of 4
8.248 Community Commercial and
Major Retail Commercial District.
These standards apply for an
property located In CC or MRC
Districts except those located In the
Downtown Sign District, 1-5 Man
Sign District and the 1-5
Commercial Sign District:
(I) Single Businesses. Each business
shaU be permitted a maximum
number of three wan signs totaling
350 square feet for an faces.
(2) Free Standing, Roof and
Projecting Signs. In addition to wan
signs permitted above, one sign from
this group shaD be permitted for
each approved development area.
The total area permitted for a free
standing sign, roof or projecting sig.
shan 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
wan signs per business shan be
permitted with a maximum sign
display area of 175 square feet for
an faces.
(4) Logos are exempt from permit
requirements provided the logo is
the logo of the bnslness residing on
the premises and provided the total
square footage of the permitted wan
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 15, 1997.)
.
.
CITY OF ~nuNGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01194
ISSUED: 10/1112004
APPLIED: 09/27/2004
EXPIRES: 04/11/2005
VALUE: $ 400.00
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. AU 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.
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
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 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 construction.
~OU\" -V, ~.""~~
Owner or Contractors Signature
LoLLtL Fll[)
Date
Pa~e4 of4
, 225 ~irth Street
Spr.ingfield, Oregon 97477
54i-726-3759 Phone
Job/Journal Number
COM2004-01194
COM2004-01194
COM2004-01194
COM2004-0 1194
COM2004-01194
Payments:
Type of Payment
Check
10/1112004
.
RECEIPT #:
Description
Sign - Outline Lighting Each
Sign Plan Review
Sign 0-35 Square Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
METRO WESTERN SIGN
ii:~
1200400000000001456
Received By
djb
(;hec::k Number
Batch Number
Page I ofl
,ay of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
Date: 10/11/2004
Item Total:
Autborlzation
Number How Received
8826
In Person
Payment Total:
1:30:37PM
Amount Due
50.00
40,00
80.00
3,50
13,00
$186.50
Amount Paid
$186.50
$186.50