HomeMy WebLinkAboutPermit Electrical 2001-5-25
JOB DESCRIPTION 1000 sq.ft, or less
r?J!!:>N/'J6c< ).J/hV "5;/4'# 'H> l!lL-O . Each addi tional 500
. CI/2eV11 sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. WCATION OF INSTALLATION
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LEGAL DE~CRIPTION
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2. CONTRACTOR INSTALLATION ONLY B.
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Electrical Contractor .!-~'-''''' YA.-l-~
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Expiration ~:;:t~:"i-> j-U~~;~ID~;'
Signatur~u~ Electrician
C I' D.
Owners Name/ I7dt?v- _<~, '" Tn/'
Address;?cy>~ drr'? c-,t:
Ci ty~.Jo/"/ Phone
O~ '-iNSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----'5~~70\--------------------
RECEIPT #: '7'::>Q" .
RECEIVED BY: ~A 1fl-
SPRI.IELD
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FAX (<;t,~ - 8 11
ELECTRICAL PERKIT APPLICATION
City Job Number (){ -00').4:1 - or
3. COKPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps r,t 0,<, WO,Q. amps $130.00
Over 1000 amps/volts $300.00
Reconnec ~-1'0!11y,:HMIT SHALL I::XPlrs: 40100 Wvnl\
T AlS'r~()p.17Fn I INnER THIS PERMIT IS NOT
emporary' erv1ceS'or-Feeders
Ins talla m:ti~IiiJH:tf"e&a:fl.onA6i\"''R:etoc'a H'.5h
200 amps ~~iYi~~pAYPERIOD. $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
..J....- $ 35.00 ~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting~ $ 40.00 'te.s~
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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I Job# 01-00242-01 I
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Page 1 of 2
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00242-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2005 Olympic St Spr
Assessors Map#: 17032542
Lot: Block: Addition:
Tax Lot #: 00800
Subdivision:
Owner:
Address:
LARRY POLEN
2197 OLYMPIC STREET
Phone Number: 541-746-6965
City/State/Zip: SPRINGFIELD, OR 97477
New Value: $9,000
Scope Of Work: Sign
Oregon's Own Dollar Store Sign
Contractor Type
Electrical Contr
Contractor
Doug Palmer Electric
123 Monroe, Eugene, OR 97402
Sun-tech
85519 Dilley Lane, Eugene" OR 97405
Registration #
20183c
Expiration Date
10/1/2001
Phone
541-434-5600
Sign Contr
541-746-7117
Quad Area: 2CNW
# 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.
Required Inspections
I' Electrical
Rough Electrical
Low Voltage
Final Electrical
- Prior to cover.
-When all electrical work is complete.
I Sign
Sign Location - To verify location of the proposed sign.
Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete.
Final Sign -After all required inspections are conducted and approved and the sign installation is complete.
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
["Area (Sq. Feet)
I Main: Accessory:
Sign District:
["Sign Dimensions
I Vertical: 8'
Height (Above Grade): 16'
Sqr. Footage: 100.
Illumination? 0
Community Comm
I Job# 01-00242-01 I
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Page 2 of 2
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Type of Sign: Free Standing
Face Type: Double Face
Horizontal: 12' 5"
Thickness:
From Grade To Bottom: 8'
Sign Material: sheet metal,plastic
Comments:
Property line is approximately 6.5 feet from face of curb.
Fee
Branch Circuits W/O Feeder or Service
Each Sign or Outline Lighting
State Surcharge - Electrical
State Surcharge - Electrical
Administrative Fee - Electrical
Administrative Fee - Electrical
Total Electrical
Sign Permit - 61 - 100 Square Feet
Total Sign
Grand Total
Plan Check Type
Checked By
Paid On Receipt#
Electrical
OS/24/2001 5507
03/28/2001 4783
03/28/2001 4783
OS/24/2001 5507
03/28/2001 4783
OS/24/2001 5507
Value/Quantity
I
1
1
Silln
03/28/2001 4783
9,000
Date Completed
Comment
Sign Kaye Wilson 03/15/2001
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 pertain' 0 the work described herein. I further certify that only contractors and
employees who are in pliance with ORS 701.055 will be used on this project. I further agree to
ensure that all . elVns Ions are requested at the proper time, that project address is readable
from the str '!h it card is located at the front of the property, and the approved set of
plans w' 0 ite at all times during the installation of the sign(s).
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Fee Amount
$35.00
$40.00
$2.80
$2.45
$1.20
$1.05
$82.50
$140.00
$140.00
$222.50
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