HomeMy WebLinkAboutPermit Signage 2000-4-6
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I Job# 99-00683-01 I
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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:
"
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Job# 99-00683-01
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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),
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Signature ~ Date
Si!!n
04/06/2000 1151
750
$20.00
$20.00
$104,00
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,he following projeci as submitted has the following
zonmg, and does not require specific land use
approval.
Zoniri:
0,Q/
225 FIFTH STREET
SPRINGFIELD, OREGON 9749"pe
INSPECTION REQUEST: 72~g.9I\'9'd Signature_
OFFICE: 726-3759
-U-I, - 6'"b
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",LECTRICAL PERMIT APPLICATION
990{~f3 ?,
1. LOCATION OF INSTALLATION
t..{ ::l6 rl. V\^.J'>.. ~ ~ . c:, '\
LEGAL DESCRIPTION
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JOB DESCRIPTION / '
n"+\;,,,,:-C;c::.h~;i-'''''''-- -51<<:'0 /.I"''-L.
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if. work is suspended for
180 days.
':'~LY Job Number
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
. ' ("1. ~ I Installation, Alterations
Electrical contractor_Ab............\ )t~51"~<p'r Relocation: '
Address 78/9 KeAJF' i2d . 200 amps or less
I .~, 201 amps to 400 amps
City LA- f:l^J& Phone$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.
,
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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
$
$
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