HomeMy WebLinkAboutPermit Signage 1994-8-9
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CITY OF SPRINGFIELD ,,-----
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
PHONE: (503) 726-3759
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GRANTS PERMISSION, ~~
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AND SIGNATURE OF ANY ADDITIONAL I '-.J I J.
MODIFICATION OF PROVISIONS APPLICATION
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LOCATION OF PROPERTY
EXISTING USE OF PROPERTY
DESCRIPTION OF MODIFICATION BEING SOUGHT
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APPLICANT NAME
ADDRESS
QlINER NAME
ADDRESS
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PHONE:
THAT THE INFORMATION IN THIS APPLICATION
THE UNDERSIGNED ACKNOWLEDGES
CORRECT AND ACCURATE.
APPLICANT SIGNATURE ~" ~ ~~_\. I
IF THE APPLICANT IS OTHER THAN THE OWNER, THE OWNER HEREBY
FOR THE APPLICANT TO ACT IN THEIR BEHALF,
OIlNER SIGNATURE
PLEASE ATTACH THE NAME, ADDRESS, PHONE NUMBER
PROPERTY OIlNER.
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THE APPLICATION PACKET
A COMPLETE APPLICATION CONSISTS OF:
1. 12* COPIES OF A PLOT PLAN DRAVN TO SCALE INDICATING THE NATURE AND EXTENT OF THE
MODIFICATION BEING REQUESTED AND RELEVANT SITE FEATURES. IF THE MODIFICATION
INVOLVES A SETBACK, THE PLAN MUST BE PREPARED BY AN OREGON REGISTERED SURVEYOR,
IF THE MODIFICATION BEING REQUESTED IS PART OF A,CONCURRENT APPLICATION INCLUDING
A SITE PLAN, PRELIMINARY' PLAN;' OR' TENTATIVE Pl;AN, iTHOSE DOCUMENTS MAY B-E
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SUBSTITUTED FOR THE REQUIRED PLOT PLAN, / ,,'
2, A VRITTEN EXPLANATION OF MODIFICATION BEING SOUGHT.
3, THE APPLICANT MUST ADDRESS THE FOLLOVING CRITERIA BEFORE THE DIRECTOR MAY ADJUST
'ANY QUANTITATIVE STANDARD OF THIS CODE INVOLVING UP TO A 20 PERCENT REDUCTION OR
:INCREASE:
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[I LOCATIONAL OR DIMENSIONAL PROBLEMS HAVE BEEN IDENTIFIED; 'AND
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THE PROPOSED ADJUSTMENT IS THE MINIMUM/MAXIMUM 'NECESSARY
IDENTIFIED DIMENSIONAL OR LOCATIONAL 'PROBLEM;' AND' ,
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TO ALLEVIATE THE
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[] THE FOLLOVING ADVERSE AFFECTS ON NEIGHBORING PROPERTIES VILL NOT OCCUR AS A
RESULT OF THIS MODIFICATION OF PROVISIONS:
1. CREATES A DEMAND FOR ON-STREET PARKING;
2. INCREASES NOISE, ODOR OR DUST;
3. CREATES VISION CLEARANCE HAZARD FOR PEDESTRIANS, ~ICYCLISTS OR MOTOR
DRIVEN VEHICLES; OR - ' . f ..-! ,
4. CREATES A HAZARDOUS FIRE PREVENTION OR FIRE SUPPRESSION SITUATION.
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[] PUBLIC SAFETY VILL NOT BE COMPROMISED.
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4. THE FILING FEE - A FILING FEE MUST ACCOMPANY ALL APPLICATIONS, THE FEE VARIES
DEPENDING ON THE TYPE OF APPLICATION. THERE IS A '$375.00 FEE FOR REVIEV OF A
'MODIFICATION OF PROVISIONS PLUS A $25.00 FEE FOR POSTAGE. APPLICATION FEES ARE
NON-REFUNDABLE.
* IS-COPIES FOR PROPOSALS VITHIN SPRINGFIELD'S URBAN GROVTH BOUNDARY,
NOTE: VHEN, AS PART OF THE DEVELOPMENT APPROVAL PROCESS, THE APPLICATION HAS BEEN
CONDITIONED\SO THAT THE RECORDATION-OF, A DOCUMENT IS' REQUIRED,:'THE APPLICANT SHALL BE
RESPONSIBLE FOR PAYING THE LANE COUNTY RECORDING FEE FOR ANY iSUCH ' REQUIRED DOCUMENT,
DOCUMENTS 'REQUIRING RECORDATION INCLUDE BUT ARE NOT LIMITED TO: DEVELOPMENT
AGR.EEMENTS; IMPROVEMENT AGREEMENTS; DEED RESTRICTIONS; FUTURE DEVELOPMENT PLANS;
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~ASEMENTS; JOINT USE ACCESS/MAINTENANCE AGREEMENTS; AND DEDICATION OF RIGHT-OF-VAY,
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01/27/92! 14:22
SPFD DEV, SER,
IiIl002
/702~2 320 J 200, flU ' ti1
WPIm S'itiiT C ~ ~Ll!CTRICAL PEIUlIT APPLICATION
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sPRINGPIBLD. OBECOH 97477 'g><<::'1 ...,.. ./ L1.U '
IRSPBCTIOR REQUBSTI 726-3769 jJ' i\.A. ,- 'CffS' Job NUDlber / U'"1/{,/ ,.
omell U6-3759 du!uoZ a~\4alC'2
, 3. COKPW~laD SCHEDULE BBLOV - {\\j \-10
1. LOCATION or INSTALLATIOIIm pU"f "lM09ds 9J!"beJ IOU S!lOp pue 'Bu!uo.
4- J f) 'l m /LV.-. S-f-eu!,"Oll'" 941 $WI.! pOlllwqns s>mefO-fll!llll'b!ft'd4mtial-Single or
, Hulti-FaDlily per dwelling unit.
LBGAL DBSCRIPrION Service Includedl
tJc.1lJ\..Jt -r/'Wvr:JA It ems Cos t SUIII
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JOB DESClWTION 0 'oO'k,1000 sq.ft. or less'
AJe.w ~ G\.c, ~~- m~.n D~ Each additional 500
sq. ft or portion
thereof .
-- Each Hanuf'd Home or
Modular DwelUng
Service or Feeder
; to
Permit. are non-transferable and expire
if work i. not started within 180 days
of issuance or if work is suspended for
180 days.
2. ",,,.o.J.crOR INSTALLATION ONLY
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Electrical Contractor / fA) & / w C
Addre.. Po g~ -J.. '/ x-I
Chy lS,12, NC, Phone
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Conltr Contr. Number ~(.,- ~S~C
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Supervisor License Number
~piration Dete
Expiration Date
Signature of Supervising Electrician
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OWners Neale
Addre..
City Phone
OVNEll INSTALLATION
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The installation,is being made on
proparty I own which is not intended
for sale. lease or rent.
Owners Signature.
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$ 85.00
S 15.00
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$ 40.00
B. ' Services or Feeders,
Installation. Alterations 9r
Relocation I
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
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) 60 ll!
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00,
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C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.~
201 amps to 400 amps $ 55.00
Over 40l'to 600 amps $,80.00
Over 600 amps or 1000 vol tll see "B" above ,,'
D. Branch Circuits
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Nev. Alteration or Extension Per Panel
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One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit :?O
$ 35.00
S 2.00' ~,:,
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E. Hiscellaneous (Service/feeder not includ~d)
-Each installation '
Pump or irrigation $ 40.00
Sign/Outline Lightin~ S 40.00
Limited'Energy/Res $ 20.00
Limited Energy/Comm S 36.00'
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DATIl
RECEIPT II
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SUBT01AL OP ABOVE
5% State' Surcharge
TOTAL
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