HomeMy WebLinkAboutPermit Electrical 2005-1-10
~
o "/.
. FAX: (541)726-3681)\:>", "1, o~ .
....0' ~.
o t-~/~., 19
C;9f': . 0' ..0...
-f @ ~ OO~.
v ~ @ &.
o '- 0., OS' ('I,...
0""." ~ "0 ~d'
',,;;COMPLETE.nIi'sCHEDi.'ii>J<' L;;>'.~0~?'''~~~6''',,:~ "':,." J
3. ~(,,,_,,, ,"';"_'H'." -'",,'::i"'-"'~' .'"'' .,,'c"..... "'7'~~...... "u:.;;;...~;l:,<;.':.r0;.~~%.::~~ic.::j
"'", /, ~ "'1
!".;"~':'.~~.~._;.~>'.:!"':ot<~:.i.:V.....,:"..,;.-:-:7:;~~r6',..."'--s.', '-:-"-. .~,'t~~q..h"~~oJI~-~.~
A. :;J'le~S,~~j~!~!t~I:~Single;O:r)"!idthl';~ i1y, ,.. 'e!lil:ig~Ma;/.:o,.:,)
...........' ....,..."......,-.,,'"'... .... . ..........- -.......... "'''-"",-,,,,,,,v'''';'" v.o---:'
Service Included Go.. "'.;
.. ;;>
225 FIFTR STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753
ELECTRICAL PERMIT APPLICATION
City Job Number COm 2-00~ - 0000'7 Date
Electrical Contractor .c::'>rA- SlbtJ ~I) k.oN,,,,,,=-200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
. Rel'P..l1I1f'iCilJ'IDregon law requr,.... ./50.00
IO~J'i!;l)~~c,!QI?!!i.a;by;thei~_'",,,,,,,,. '~"''';'?;P_''\_
. ICGll!ill.~lSlJm~'ffl8m:ofWWei'ig;~Pjifl"S!f;:'\'V)!":;'~
In OAR 952-001-001 0 tIlr~_uJlh OM. 962~ .
00~tlltl!limlvW6IlfNf~~VHi1uleS ..
~~ (Note: 1hete!.-rL~...)' 50.00 .
nlWlbtM:.fGn4hw~ UlIIity t.IllCi. ,..,$ 69.00
401 ~<!D~*aa1tl $100.00
.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
~!,l,UC~:.... ,~...... .. ..
23Z> - \ r M<>,A + E. T-&ffisallSil~~l$' ;~.~ "~f ".,. ", f"':"-:E:iC:iitiiiftiill.liti~fi:i
M AtffRO'R'(Zf6'UN~ ~~E~:f!I~~K' '-. ,-"..." -,
"WI "(If. ~ .. OOWlri1'E~IJ<>eR IS ABANDONm+AA ~b.oo
?W'l"Q'8!i'\'l},>igpmOD. . '-l'J-' y" $ 50.00 ].a:>-
limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
1. ~'LOclTibN6FINsTAiiATiON.:'~.~':~
~,,,:~~,,,.'~."'_""'.J .,... "'_"'" " ~, ..":"..,.[._;.......'''-..~:..'..l~
.~I Mt1/N::>I. :z 99/ JIY1,4-IN sr
LEGAL DESCRIPTION
170 Z. 3100
00600
JOB DESCRIPTION
i~nn..J~1 WloM-~lto-1.S ~(/) 1'''L€ ~l~
Permits are non-transferable and expire if work is
not startcd within 180 days of issuance or if work is
Suspended for 180 days.
fc~C6NTRAcTOR:iNsTAL.ruiTION'oNLk:l
2. ~~,::,>t"r".i'";~,;.''''' ""';-~~ '."~;~ ".,'. 1. .. .ii~,;i,;;,;'at:il:tzd.;,:::.1....1.-'7;,;~,~
Address
\ "2-iO cM-"..P.t'rUt tti>
City ~~
'f8S'- S'Pf '"
Phone
Supervisor License Number
~~Slbl
Expiration Date
10105
(.
Constr. Contr. Number 14-~1 ~
"'I !oJ De
Expiration Date
cl1.~::~~ -
Gezxz..&~WltYf:r{I(l..~
Owners Name (1.,...., Il.....€ I~..
Address 11 ?J ~
e;.-a.#r'lr.
City MlQItP.\<t- T.J Phone
. a.t.b6IE o.t.J6l8~
OWNER INSTALLATION
The installation is being made on property r own which
is not intended for sale, lease or rent.
Owners Signature~1 Pr
Inspection Request: 726-3769
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Over 600 Amps or 1000 Volts see "B" above.
D WiB-,v~l"', ."'Ii'~'C"': ~~W~"!\'''''~-[';~:i~~'~;:'P,:;jf~~~.;~)\;r.~,: \.c,;'S1>~;''1.~.h ".,..,"it'f)\.'';i\'!j.:~~
. "~ rane "lrCUh.~;tt:" :f", j'<mti"'>~.:""~ :p"3h~"i!,~'t";-", Y;'?;,)::',.L.\_, '.~"',;:1',.:'" ."\''''~~'':'1!
t.... ...~.._'_.. "'..."~~"" "(,.",.,..~.,~.~,,..~~,.,. ,;;.,.... _c' l,~ "_' .....,'. -.,A-~t"_:1,. "0 ~~
$ 43.00
$ 3.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
, ,', ".,',,'.. ,'~P::;:'-~:,??;'~tt<l:- ~,,;;v.:.':,r +"~;'i,:.,}'4~.;'r:___~ ,~':,.~:i
4. S&BTOTA[jiOP.'ABOVE-r,~ ,,< ';~:'~!~Tf;;'" ;.',,:",
:';.l :lJ..:"",->ib,;~~)~';':;;;:' ';'I~ ,~~;:." .',' "~"f;;:\!. 'i.1~",I ~'<.d~~Jto'i::'"~:k")
Uo-
14-
'1-0 -
'2.'Z.>c.f.-
7% Stare Surcharge
10% Administrative Fee
TOTAL
"
Shared Drive(T:)/Building Forms/Electrical Pcrmit Applicalion I.OJ.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00007
ISSUED: 01107/2005
APPLIED: 01103/2005
EXPIRES: 07/07/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2991 Main St
ASSESSOR'S PARCEL NO.: 1702310000600
Springfield TYPE OF WORK: Sign
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Signs- AutoZone
Owner: WINGARD GEORGE F & RHEA M
Address: 2323 FAIRMOUNT BLVD EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
SIGN GROUP LLC
SIGN GROUP LLC
License
145755
145755
BUILDING INFORMATION'
Expiration Date
06/30/2008
06/30/2006
Phone
541-485-5546
541-485-5546
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure t~Ft 1st Floor:
Type of Heat: on laW requIres YOUT Ft 2nd Floor:
A iff&tn~p'reg d bV the Oregon Uti t Basement:
10\\~.~.qgetEyp~ppte Those f\lles ale set t!f'S .t Garage/Carport
Noti*~N.gj\ &tIller. through OAR 952 t Other:
. O~iy&e6(8\,{/lHh~: Opies ~e f\lle~ pant Load:
In _. . ....ht~m C . _ _...."''"'"
I DEVEiu~MFN~Ai1d& Il~~ric;a\iol\
~~mber ior tn~ \J~~~~_2344).
OverlaY/Dt1flr is
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Frontyard Setback:
Side I Setback: .
Side 2 Setback:
. Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer A vaUable:
Special Instruction:
I PUBLIC IMPROVEMENTS I
ICE: S'd Wi IJ&.'f "'()RK
NO! . 1 SHf\LL (XF\l"~ "a.. y~eNOl
lHIS p(RMI UNO(R lH~own'?~ms\nrains:
f\U1HORII~~O OR \S f\Bf\NOONto FOt\
~~~~i~ Of\'< P(RIOO.
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 4
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee DescrIption
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Sign 101-150 Square Feet
Sign 36-60 Square Feet
Sign 61-100 Square Feet
Sign Plan Review
Total Amount Paid
.
Amount Paid
$77.00
$14.00
$200.00
$320.00
$110.00
$140.00
$160.00
$1,021.00
Total Value of Project
Fpp<, P'IilLI
Date Paid
117105
1/7/05
1/7/05
1/7/05
.117105
1/7/05
1/7/05
I Plan Reviews I
Paee 2 of 4
. CITY OF ~rJ:UNGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-00007
ISSUED: 01107/2005
APPLIED: 01103/2005
EXPIRES: 07/07/2005
VALUE:
Receipt Number
1200500000000000031
1200500000000000031
1200500000000000031
1200500000000000031
1200500000000000031
1200500000000000031
1200500000000000031
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien RevIew
.
01105/2005
01105/2005
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00007
ISSUED: 0110712005
APPLIED: 01103/2005
EXPIRES: 07/0712005
VALUE:
APP DJB
Paee30f4
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:
(I) 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 sign
shall be 100 square feet for one face
or 200 square feet for two or more
faces at a maximum of20 feet above
grade.
(3) Second Story Businesses. Two
wall signs per business sball be
permitted with a maximum sign
display area oft75 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 IS, 1997.)
.
. CITY OF ~r1Ul'lld<lJ:'.,LD
Building/Combination Permit
PERMIT NO: COM2005-00007
ISSUED: 01107/2005
APPLIED: 01103/2005
EXPIRES: 07/07/2005
VALUE:
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.
I Re/luire1 ~~
Sign Location: To verify the location of the proposed sign.
Sign Footing: After excavation and forms are in place, but prior to concrete.
Sign Attachment: Method of mounting the sign to a structure or pole. Metbod of attachment of bolts or welds.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are couducted and approved and tbe sign installation is completed.
By signature, I state and agree, that I bave carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furtber certify that any and all work performed sball be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described berein, and
that NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety.
I further certify tbat 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 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 construction.
Ih/o~
Owner or Contractors Signature
Date
Pal!e 4 of 4
225 Fifth Street.
Springfi~ld;Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00007
COM2005-00007
COM2005-00007
COM2005-00007
COM2005-00007
COM2005-00007
COM2005-00007
Payments:
Type of Payment
Check
1/7/2005
.
RECEIPT #:
GP~AI~.QF\. "!-D . '.
lilt, :
....' :
~,_..~-........- ,
1iJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000031
1:42:05PM
Description
Sign Plan Review
Sign 36-60 Square Feet
Sign 61-100 Square Feet
Sign 101-150 Square Feet
Sign - Outline Lighting Each
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ALLEN INDUSTRIES
Received By
djb
Page I of I
Date: 01/07/2005
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
160.00
110.00
140.00
320.00
200.00
14.00
77.00
$1,021.00
Amount Paid
2942
In Person
Payment Total:
$1,021.00
$1,021.00