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HomeMy WebLinkAboutPermit Signage 2000-4-6 - ~ . I Job# 99-00683-01 I . Page 1 of2 TRANS#:01-0001151 DATE:APR 06 2000 AMT RECD:2 $ 128.00 CHANGE: CASHIER:003 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99,00683,01 225 North Fifth Street Springfield, OR 97477 Office: 726,3759 Inspection Line: 726,3769 Addition: Tax Lot #: 01701 Subdivision: ~ V Location Of Proposed Site: 4202 Assessors Map#: 17023232 Lot: Block: Main St Spr Owner: Atlantic Richfield 4 Centerpointe Drive Phone Number: 714,670,5300 City/State/Zip: La Palma, CA New Value: $750 Address: Scope Of Work: Sign $750,00 Atlantic Richfield Contractor Type General Contr Contractor Nomad Sign Installations Inc 1493 Westfield Ct, Stayton, OR 97383 Registration # 84033 Expiration Date 7/30/01 Phone 503,769-3817 Quad Area: 4CNE # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726,3769, All inspections 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 working day, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Sign District: iSign 0" . ~ ~ ~ I Vertical: Height (Above Grade): Sqr, Footage: Illumination? 0 ' Comments: Type of Sign: Face Type: Horizontal: Thickness: From Grade To Bottom: Sign Material: " . Job# 99-00683-01 . Page 2 of2 Value/Quantity Fee Amount Fee Paid On Receipt# Transfered Records 05/25/1999 34176 40 $40,00 $40.00 Sign Total Transfered Records Each Sign or Outline Lighting State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 04/06/2000 1151 04/06/2000 1151 04/06/2000 1151 1 $40,00 $2.80 $1,20 $44.00 Sign Permit, 0 - 35 Square Feet Total Sign Grand Total By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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, I further certify that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time. that project 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 the installation of the sign(s), ~kIJ ;;; J. ~_,-~ '7'~~--oo Signature ~ Date Si!!n 04/06/2000 1151 750 $20.00 $20.00 $104,00 f' .. " .... . 0".' J 'J' 'I' . . ,- l _I.':. . n '.. SPAtl'ELD .. (, ~ ". ,he following projeci as submitted has the following zonmg, and does not require specific land use approval. Zoniri: 0,Q/ 225 FIFTH STREET SPRINGFIELD, OREGON 9749"pe INSPECTION REQUEST: 72~g.9I\'9'd Signature_ OFFICE: 726-3759 -U-I, - 6'"b ~ ",LECTRICAL PERMIT APPLICATION 990{~f3 ?, 1. LOCATION OF INSTALLATION t..{ ::l6 rl. V\^.J'>.. ~ ~ . c:, '\ LEGAL DESCRIPTION ~D ~lP"""- JOB DESCRIPTION / ' n"+\;,,,,:-C;c::.h~;i-'''''''-- -51<<:'0 /.I"''-L. v v { Permits are non-transferable and expire if work is not started within 180 days of issuance or if. work is suspended for 180 days. ':'~LY Job Number 3. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders . ' ("1. ~ I Installation, Alterations Electrical contractor_Ab............\ )t~51"~<p'r Relocation: ' Address 78/9 KeAJF' i2d . 200 amps or less I .~, 201 amps to 400 amps City LA- f:l^J& Phone$I-C;-:?&-~'7;' 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Supervlsor License Number Sf.J... S 1 b 10{\!('\rlo. , ~'+D J, '3 ~/c>1 . Signature of Supervising Electrician ;13:. "L fA L~~-.R Expiration Date Constr Contr. Number Expiration Date ~ Owners Name Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------~-7:--------------- DATE: 4/0/0-0 RECEIPT II: " _ /P,/ RECEIVED BY: /v') ff..rl.-/' .-l.{ /- - S 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600,amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above ,. New, Alteration or Extension Per Panel One Circuit -:::l>- $ 35.00 ......~- Each Additional Circuit or with Service or Feeder Permit ~ $ 2.00 _ll"O E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting v- Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge, 3% Administrative Fee TOTAL not included) 40.00 40.00 20.00 36.00 $ S $ $ .4r)o.P I Z...~ / .:>'0 ~,6"J "1-0 -