HomeMy WebLinkAboutPermit Electrical 1995-6-15
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The following prC'>ject us su.bml'rt€ld .~.:I\S tho 1?lIowing
zoning. end does not mqulIEt np..:...crrtc land use
approval.
225 FIFTH STREET Zonina
~~~~~~:fREg~~~~ 9m~J_l-t;i f1 f'^
OFFICE: 726-3759 AU1I1vrized SignuM"
3.
1. LOCATI!lli OF INSTALLATION r. nJ '1'\
2l(tJo t- f'YV'h1J \...Jpe..I-i.-v,
!,&GAL DESCRIPTION
//t92. 2.1 3 I
K~E~PTIONL ~,
~2..?~o
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor 1SR \)\rJ "lYtYELr-
Address 'f27 f<DSJ /'tLf' TYZ ,
City ff,tC-L/: F'f Phone '770-1'19'L
Supervisor License Number 3<J 1'1 S
/O/OI/'7':r
Constr Contr. Number ''t?IO ? (
Expiration Date 0 :?/,/Y:7 7
~~,su~ Electrician
Owners Name!S1f 1r10'-' 'D/t-'j'
Address 'f 2.. 7 Ro:DJt-(.r,61... ,
City El'teu'" t'7' Phone 77(f,-!9'7<-..
Expiration Date
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners, Signature:
----------7~----~---"--.--------------
DATE: fCJ -/ ;; -:-/5
RECEIPT 11: l7 ~ c:. y
RECEIVED BY: /. ~~..J--
A.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number, ,'5'SCJ 5" / ~ ,
COMPLETE FEE SCHEDULE BELOll It::''
New Residential-Single or "
Multi-Family per dwelling unit. ' '
Service Included:
Items Cost Sum
1000 sQ.ft. or less $ 85.00
Each additional 500
sQ. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
"
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 ampS"OT less
201 amps to'400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
._''7'-
$ 40.00
$ 55.00
$ 80.00
see nB"
above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00
Each Additional
Circuit or wlth Serv~ ;
or Feeder Permi t ~ $ 2.00
3.r
~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~;7,gC
*).J'
~...I
? 3 ::~~
4n
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
SIGN PERMIT APPLlCATIQI\.
225 Fifth Street
Springfield, OR 97477
OWNER:
3 !~CJ AI\.~\ /oJ
'-/0'1/ -')\7,\
K.u<<-).n-s
;>"sI~ Ml'\l,J
SITE ADDRESS:
ASSESSORS MAP:
ADDRESS:
SPRINGFIELD
JDB.BER
q t) ()O 7 7
Inspection Line: 726-3769
Office: 726.3759
S/D,..~/oJ:jFl..d-~ ,~.
. TAX lOT: 0 l.2-,I)7)
PHONE:
') <I (p- '-/'I'I~
sT.
STATE:
~.
Cf.7479
CITY: -"",0....;.....,.., Ft~L'r)
. I I
BUSINESS NAME, FIRM EOC.: It' 1J e.. <.. HI>
ZIP:
Pc>..v-r-\
,4.,Ptt!:l
DESCRIPTION OF PROPOSED SIGN IS): (piease check and complete all appropriate information)
1 wall/ Freestanding _ Projecting Roof
Single Face
Double Face
Square Footage:
/60
111
1
II
3"
v'
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed of:
Sf/.e..t..r-
Marquee
Biliboard
Other
/5/
......0 ~ ,..., fr /'
v' Horizontal Width of sign or enclosure: ol c::> '-' ...
Electrical Installation: ~ Yes _ No VALUE Jt
(If yes additional electrical permit is required) OF SIGN: . r!J / ddC)
..""".:\,.{ L. "J...its..'i, <.. 1. I. \Q<91'.l J...' or HTt'r-x.
/ . f '(
Total Height above Grade:
la) Type
Sq. Ftg,
List All existing signage and attach a photograph of aach sign:
fU.. -..wU<. IN! ~~ I"'S 7' fNq to fl.d ') ('<yN )
<I. rrrro/r~ ~ t.y 36c!J m
(b) Type Sq, F(g. r
(cl Type
Sq. Ftg,
'CONTRACTOR/INSTAllER: f6t~ 55
ADDRESS: S' t!:l,).~-S II-'Ul
Idl Type
Sq. Ftg,
'5/'70
~I
(t9~"'rJ!
PHONE: 1J..11- ~8.)"8
ST ATE:
r'f<!,
"l7~~ (
CITY: Ill.. '6At-l fJ
f
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER:
ZIP:
" '/?rJ.1
EXPIRES:
EXPIRES:
OFFICE USE
Sign District: f1(l/ land Use: ri7;f)() Quad Area: ?;l5iJ~/
Zoning: ~t- Code Section: q, 1-1 J 1.-_"/"" .'
Sign Permit Fee: t1(). ~ Approved By: ff,tJ11u ()Fl/ DATE: 1/~/qy
REOUIRED INSPECTIONS:
Site
to be made prior
to ,sign. piacement
Footing
prior to placement
of concrete
Additional Comments and/or Conditions:
v
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
Finai
completion of sign
installation
By ,signature. I state and agree, that I have carefully examined the completed application and do hereb~ certify that all information herein
is uue '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 p.ermit 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 'signls), '
//)/f_., _'_
Signat~ 4#;' -
{/'
......
Validatino:
'I"
Amount Received:
Receipt Number:
Date
~--]-?~-
'7() ,tJO
(){'1~~()
6,:jA0
PfJON
Date Paid:
Received By:
,
.
.
t ,;
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you 'are
hiring a contractor. you need to make sure that both the City of Springfield Business License Number and the Registration
Number from tha State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each. '
If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed
by either a supervising electrician. limited sign electrical contractor, or if you are the business owner who also owns the
building in wh;'ch you are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application. '
If there are existing waN ,and/or freestanding signs. a photograph!s) of each axisting sign naads to ba attached to tha
application. The size of each existing sign also needs to be listed on the application.
PLAN S
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions. total height, and ,
a plot plan indicating where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20, "
feet in total height. the footing detail needs to be prepared and stamped by a registered engineer or architect. After t~e
plan review process is completed. and. if your sign!s) is approved, one set of plans will be returned to you, The approved
set of drawings need to be at the site when an inspection is requested for the inspectors reference. '
INSPECTIONS
Depending on your sign!s). you may be required to request one or all of the following inspections during the installation
of your sign:
Site:
To be requested alter indicating on the lot where the proposed sign will be located but prior to any work
being performed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign. .
Footing:
To be requested alter excavation and the forms are installed, but prior to pouring concrete, If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection,
Attachment: To be requested when all fasteners are installed but prior to cover,
Electrical:
To be requested after the electrical connection to the sign is made, but prior to energizing,
Final:
Alter all required inspections are conducted and approved and the sign installation is complete,
The inspections that are required for your sign installation will be, indicated on the application during the plan review
process. Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the
required intervals of work.
To request an inspection. phone 726,3769. This is a 24 hour recording. On the recording you will need to leave your City
Designated Job Number, location of where the sign is being installed. the type of inspection you are requesting, and when
you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a,m. will be made the saryle'
working day, all inspections phoned in after 7:00 a.m. will be made the following work day.
. . ; ~ .
. ,
If you have any questions regarding the application. required plans or inspections, please feel free to phone the Building
Safety Division at 726.3759,
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477