HomeMy WebLinkAboutPermit Electrical 2003-12-15
,,.. . ~.." -:~-. '" jt\< - to." ..:J. ~.....~ .~. -.;. "f::f .
// , >CIIY 9FSl:,t4N.9E!ELlp';"O~@.9~f: ';" '7~ ,j- ',' "',
, ad haS the toll owing
. roject as 5ubm1tt ' ifie land use
245 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54'l)'71z1l'~*~~toes not require spec
ELECTRICAL PERMIT APPLICATION / ~';;~;v~ (l Q... _
City Job Nwnbercom7..oO]'OIZtI Date ~r/o.J Zoning - \'i).-,6.-()J
I~"'. -"""'Y~"'" '-',"1:'"", ';_ _~"'-'~'---.".~~'" rr""""~"""~""",,;_w'i1"'",,",-""'-"'~-Oa\e,,,~,_./ .____..,.." .'. !"__,~~
L I ;LOcATION OF LIvSTALLATION.:.,'. ,',' 3, i;'COMPLETE'FEESCHEDUL{;j!jAh.(iJfW,:' " ",' ,,' '. ,,)
~L\(64 ;I~ ,4~j+ ',' 'r~~'o'",~-',-~-,~:::~::=-"-.--~,,-..-:,,.~-:.~:', ,_~
LEGAL DESCRTPTT/W A, ~~~~;,~e~ige,~,2~..:.-;J,~~~gl~'~r M~F!:cF;~~il)':PZ,t~~IJ~!l~lIii.t:;' ,.,',
, 17Dl 3/3/ 66700
-... . ,-, \ -
JOB DESCRIPTION . j
~:~~:~~~~fer:~ ~~~~~o~'
not started within 180 days ofissuance or if work is
Suspended for 180 days,
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00 f-o,cJ:)
OWNER INSTALLATION 0 gon laW reqUIres YOU\~I imited Energy/Residential $ 25,00
!\TTENTION: re , lhe o,egon Ut ny , ,
The installation is'1:ieing made on I'ropeitYl[.(lkJ which ""\ L1P1"ed Energy/Commerclal $ 45,00
.. "'c""''1' 1UlC.~!.l. a rUH3b are s.... 1\::1
IS not lRtended for sale, lease or,rent,sr, ThoS OARMinimu-ni Electric Permit Inspection Fee is $45 00 + Surcharges
fficatlon ,-,G'" gh -- '
'lo \ 001-0010thIO~ rul'~:s'~-'c'. . ,-,' ,'~ ," _ ~--:;;r,"'~=-:-,
Owners SIgnature: OAR 952- a" obtain cOpIes of::,e 4:101~.!!B!OT~'OF.4BQ:Y1~",':',:,'.' ':' ~":,';:. ,:,:1
0090. You mI. (NO~3: thll \<:>IS,p" ',' - ,-_. ,-~--., ",~-------,-,,-, -~ -,~_. ,
call\ng th3 ,~e!'~~~nnn unlit'i NO\If;Ca~~,;'State Surcharge
numoer lUI "'~, ", 8QO-332-23~A). 10% Administrative Fee
("pntPPf> ,-
;..;,:" '. ".'.': "." :," ." ...~.>.-;_; ..~.,'.<';. '."_"-', """.. ;."'''.<".. ....' .,,:::.<1
",CONTRAcrOR'INSTAEEATION.ONLYii
2. l......'.., :""',.""'.. n ,'.,' ':" ..'; ;;':'" " ".,.-..,' .',"''':::, ..... ,:'n P_;. , ""'.~.~
Electrical Contractor E'~~A ~~4{ ~ l~J~
Address ~'ZJO ~i1 M,
City Wcpu 1 (Sf Phone GLtlLlP'b.6l:Lltp
Supervisor License Number ~qu ~f.,...
lDlI \oLo
Expiration Date
Con:tr, Contr, Number' 620 ,;).L...c....,~ L L.,
\d l \Dlp
Expiration Date
Signature of Supervising Electrician
;I), ,-tk"-<-
"----><
Owners Name ~ tj L 0V r.
Address 12..( ~~I
City ~WlS. ,,;-t/e Phone
\
..J-rlL'
:::Dr
72b-7670
Inspection Request: 726-3769
Service Included
1000 sq, ft, or less
Each additional 500 sq, ft, or
portion thereof
$106,00
$ 19,00 ~
$50'OO~
Each Manufac\' d Home or
Modular Dweiling Service or
Feeder
ffJ1:~",.,.,.,~\t;~,.......... :"'7~~""" t!i.:ze ~'~'r.i;'''''' . '!.j\)f:"""';--:t'>'...~;l;~ J:i."-'::-\;-1~:':::':'~'~"'~~~
B. ,:Servlces;or Feeders;"'ThstaIIatlOn;Alterahons.or,Relocation:." . I
":...._- '0: ..-":; ,.,' '" ~':. 'v,,;:_,, .._'''". ,. ~ ,'OJ,,:.. ......"'. ,.."'.< .. - ';,.- ".__ ~":'L,'~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN oIlS
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
I .' -" ".-" . '--<:,..,~. .',.... '-'-~"",',' ,,~.,,\r,;;"i':::-'", :.'-"''''''''':l,;' ,'.'A"_,,,"'. _ ".\.~ '""'~-"'-' ",'...-:" "" .. "~"'i:r".-.' ?." ._", ."j
c. .' Te'niporary'~Services;6'r Feeders~;.,j-~~~.~~ ....~,::t'~,~:",-,'_,;,::.: ,,:: '~..:'~'~'/ ;;""~',.-~"'{' ~ '.
r..'_, ... '.~.....\:loo:..:.:..~~-.,--,,,,, ....,' '="~';~';"-"61i"""'~>>'''''-''~\ :.'.~,.">iI""'Ii:
Installation, Alteration or Relocation
200 Amps or less $ 50,00
201 Amps to 400 Amps $ 69,00
401 Amps to t~~t!llPS $100,00 ,
D Orf~~~~, ::!.~~~~U,~r~~~~~~~1~.;~9i."~0t~i',,,~
, "-"',[.~~C~~!'IU=II"-m'~\J" " '''~'''6oNEB'FOR'''''''''' I
New AlteOOW.ME!lt~~Q~~r an~
One Circui\NY 1 BO GAY PERiO' , $ 43,00
Each Additional Circuit or with
Service or Feeder Permit
$ 3,00
E. ':,.:~_,fis~~il~~~~~'~~:(S~t,~~(~~'f~~~~~'n~:(~~~'~~d):'?~~~f{'~.~~t~P~t.i9rtJ
TOTAL
i
4,0. eo
35-0
SoD
58 ;?:>
Shared Drive(T:)/Building Forms/Electrical PCnnil Application I-03.doc
.
. CITY OF ~rKll~tJ1<u'LD
Building/Combination Permit
PERMIT NO: COM2003-01211
ISSUED: 12/12/2003
APPLIED: 12/04/2003
EXPIRES: 06/12/2004
VALUE: $ 15,000.00
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3415 MAIN ST
ASSESSOR'S PARCEL NO.: 1702313106700
Springfield TYPE OF WORK: Sign
TYPE OF USE:
PROJECT DESCRIPTION: Sign - awnings with copy. North and East elevations
New
Commercial
Owner: V & L ENTERPRISES INC
Address, 121 CARMEL DR AUMSVILLE OR 97325
'.
I CONTRACTOR INFORMATION"
Contractor Type
Eleclrical
Sign
Contractor
SIGN GROUP LLC
SIGN GROUP LLC
License
145755
145755
BUILDING INFORMATION I
Expiration Date
06/30/2004
06/30/2004
Phone
541-485-5546
541-485-5546
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type,
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFo.R~-TION I "
THIS P-tRMIT SHALL EXPIRE IFR1iHilJi!OO>'<rARKING
, THIS PE~M T IS NOT
Overlay Dlst: AUTHORIZED UNDER .,\:,'
# Street Trees(R'l.d'MENCED OR IS ABANDO ~&\>ped:
Paved Drive ~Wi"180 DAY PERIOD. Compact:
% of Lot Coverage:
"
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I ,PUBLIC IMPROVEl\-l"Ju;, I
Street Improvem.epts:
Storm Sewer Available:
Speciallnstruclion: laW reql.llreS YOI.l to
ATTENTION:Ore~onb tho Oragon Utility
Notes: follow rLlIGs ad?p\,,:~ :is3 rules are set fort
\la\iiicatio~ ce:l:e~1 ~~h;Ough OAR 952-00'
) OAR 9~,~-O,O I ~t->t",,, C''Cr:';;'' elf th'9 rules t
0090, You may ; '1\:0'3: tr.e telephone
calling tt~'~ce:~:~~on 'Utility Notification
num~er lor th_, 1" ;"~_"3?-?344),
r'"\r""i-or:s ~rrUv v --
Sidewalk Type:
Downspouts/Drains:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Description
Tvpe of Construction
Sien
Use Bid Amount
Fee Descrintion
Sign Plan Review
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Sign - Outline Lighting Each
Sign 36-60 Square Feet
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01211
ISSUED: 12/12/2003
APPLIED: 12/04/2003
EXPIRES: 06/12/2004
VALUE: $ 15,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
15,000.00
Value
Date Calculated
Total Value of Project
$15,000.00
$15,000.00
12/1112003
Fpp< PiIilIJ
Amount Paid
Date Paid
Receipt Number
$40.00
$30.64
$13.75
$146.40
$50.00
$11 0,00
12/4/03
12/12/03
12/12103
12/12/03
12/12/03
12112/03
1200200000000002551
1200200000000002601
1200200000000002601
1200200000000002601
1200200000000002601
1200200000000002601
$390.79
I Plan Reviews I
Paee 2 of 4
. . CITY OF ~rKlj''<IlJt<mLD
Building/Combination Permit
Status Issued PERMIT NO: COM2003-01211
225 Fifth Street, Springfield, OR ISSUED: 12/12/2003
541-726-3753 Phone APPLIED: 12/04/2003
541-726-3676 Fax EXPIRES: 06112/2004
541-726-3769 Inspection Line VALUE: $ 15,000.00
Sien Review 12/1112003 12/1112003 APP DJB 8.248 Community Commercial and
Major Retail Commercial District.
These standards apply for all
property located in CC or MRC
Districts except those located in the
Downtown Sign District, 1-5 Mall
Sign District and the 1-5
Commercial Sign District:
(1) Single Businesses. Each business
shall be permitted a maximum
number of three wall signs totaling
350 square feet for all faces.
(2) Free Standing, Roof and
Projecting Signs. In addition to wall
signs permitted above, one sign from
this group shall be permitted for
each approved development area.
The total area permitted for a free
standing sign, roof or projecting sig.
shall 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
wall signs per business shall be
permitted with a maximum sign
display area of 175 square feet for
all faces.
(4) Logos are exempt from permit
requirements provided the logo is
the logo of the business residing on
the premises and provided the total
square footage of the permitted wall
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.)
Structural Review 12/1112003 12/1112003 APP DJB Engineered awnings/awning
attachment with sign copy
Paee30f4
-U;::'
'...
.
. CITY OF SrKll'l\_d'lELD
Building/Combination Permit
PERMIT NO: COM2003-01211
ISSUED: 12/12/2003
APPLIED: 12/04/2003
EXPIRES: 06/12/2004
VALUE: $ 15,000.00
Status
Issued
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. All 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.
~ Renuired InsnedionsJ
1 Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of holts or welds.
2 Sign Electrical: After connection is made hut prior to energizing.
3 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 readahle 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.
"'N,,~~f.~r~[\l t
clrzJ~
Date
Paee4of4
~'
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-012I I
C0M2003-01211
COM2003-01211
COM2003-01211
COM2003-01211
Payments:
Type of Payment
CreditCard
...
WI--,~. _9fJ; "D'~."c."",:.
: " '
-'">,'=_"'0 . ';; i
_H'._~..-. .'.. . ~'. ..~
"
Receipt #: 1200200000000002601
Description
Building Permit
Sign - Outline Lighting Each
Sign 36-60 Square Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
KELL! KEPHART
Received By
djb
Check Number
Batch Number Authorization Number
000248 012416
City of Springfield Official Receipt
Development Services DepartmC'llt
Public Works Department.
Date: 12/12/2003 1:51:59PM
Amount Paid
Item Total:
146.40
50,00
110,00
13,75
30,64
$350.79
How Received
In Person
Payment Total:
Amount Paid
$350,79
$350.79
.
.