HomeMy WebLinkAboutPermit Electrical 2006-7-5
. .. . . . . ,.~' ~~"'" " SP..-'ELD ZON
, 0 ยท : II of "i .~r" '''.~ ;1' ~ INITIALS
, loI!/rli~i L.I- DATE
225 FIITH STREET 0 SPRINGFIELD. OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689 ~ $'" SOURCE
ELECTRICAL PERMIT APPLICATION
City Job Number (.b<I'VI Z-C>OG.- oc..) bOZ.
1. ~OCArlON OF INSTALLATIOJl{. . ' .
I.,j... ,~".._.'. __..1. _' . ~_' -~_.",.,-_.:...
Z"] Z '7 0 (l- '14..C4'
LEGAL DESCRIPTION I I
170'"3. ZSY I C> ((d 0
'1~
JOB DESCRIPTION
Sl~v... \,~ l-J.... \ /'J \
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.
. . . y-:. ". .,. . ,t. _ _ . ..~ ;'''' ~ 't ,.'
CONTRACTOR INSTALLATI.ON 01':lLY
. ':-"':" .....'.. '-. .-".!. ".;" ... .':' .'.~ ", . '". -~~- .--
City ~-' .
Expiration Date /0/ / /,. p
, f l;. -
Constr. Contr. Number !l!1J- ~ <I-
Expiration Date a / /V / n-7
I, '/ -
Signature of Supervising Electrician
~ _-A\\:>/,'?"
Owners Name 0 (.AA.{. "-
Address ~' .!:Zz,,,,
eu~
City
OWNER INST ALLA nON
Owners Signature:
Inspection Request: 726-3769
, ~'ctzMPiETEiIiE;~EDtf4 b,
A.,~e';' Re;jd~,nii~l ~:Si~;lci.r-M~i;i--F:imil~: pe: d;"~lHng u~i;.
l.,__ _. . ..... ,(_.. d". ..__. .\.L. ,._ ..... . .__ ._~.. .. - - -.
Service Included
1000 sq, ft. or less
Each additional 500 sq, ft. or
ponion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19,00
$50.00
_, ",_:-"" '--c. ..;""' ~_. '0 . ""'.;'- '. . , .-." -.
B. > ~ervice~ or F~~~ers'.-:tns~aIl3tion, Al,terations or Reloc'atiOl{:
';:'.. _r.._,~,,-_ ._""...._ _..._'....~ >'-- _.....~~.... - -. '~-. . ~
Over 600 Amps or 1000 Volts see "B" above,
. .,. 1"'- --- Y'-~~' ,.-.~. ....
D. . Branch Circuits " :.., .
'_,.,.~~..'_, _~'..:._-..:...-.:;:_",,:,,_L._".~... _'_"_~___ .____ ~ -
, " ",,"":": "
4. .' SUBTOTAL OF.ABOVE "
, .. '_ t. ~ . : "~;;' _ '.....'. __ ' '_
8% State Surcharge
10% Administrative Fee
TOTAL
$ 63,00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
":', '-:".~~- -:-~-,--.~r'l
.._",___t _.,__ ...._ '_' ~___ !
$ 50.00
$ 69.00
$100,00
. ,,- ~ _ ""'~"--'l
,
$ 43.00
$ 3.00
s
$ 50.00
$ 50.00
$ 25.00
15"0
Electrical Contractor f/4.b~" ,. ." ;00 Amps or less
20" Amps to 400 Amps
Address Po ~m( 'V1LJ~ ,~ _ , 'Ii' 401'A\?ips,to/600 Amps
..: . _ 'Ut) 0. .~ JI)'~ -: IIAr~.
00";' "'-I2s~ 601)Amps.toJ!000IAmp.s
b. ~ ~I"i'<,...;' ,...O^ .t:::r "7-7 ./ fl'", ..,:J1fe
Phone ~t. ~ -"'U.LZTO(J Ii) 0veYdp,00 ~!!)psfV61~ S YO(J
I)u';;"flg the il,Re'ClnnQcilq~l/(J/es il '901) Utl/O
ber" Cel)t 'ill) Co l.igh 0 re Se Ity
.r- 5"""" / Ort/-, ,.er."'A - :OJel>:'C' {<1li'ni- tfO"fJ..---'"
Supervisor License Number ~ ~ c.. J.,. C9 Ceh, C.;> 0T~p(1I;a_n.: :se""ii:'s'or~.:e<:der's "
-- '!Ier is ~I -"Oii-~:-tfte t._lJe..,.tj~e' uUl,""---
"8n UtI/it.. e/eQll S bv
Inst3lH.ti.gn, ~terationroli,~elocation
"...<~ -(fIle ....
200 Amps or le~s1). <itiOIl
20 I Amps to 400 Amps
'401 Amps to 600 Amps
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
S~ .,~ f~. ~ ~ Service or Feeder Permit
"Zb( Z ';ritirIC/i'~I~~ella,;;~us (S~~~.i;e/feede~ not included) -Each hlSiallation
. PE . '.. ..... ...-.-- -. .... .'
..,/ ,ql~ RM/r~ ."
Phone 7vo ~rf,l~/1/2E. P.i11}}~Of1mgatlon
1J/1;;v'Il1ENCE 0 is!t~dutfi~e>,wghting
! 80 D'A!! C1Simit~d.i:ner~y~/,fsi(jential
'l,p '''AD -18. "CIAI
'f:--- ,'liJ,'..~A" Y:(,)
The installation is being made 9n propeny I own which . . 1J1~I~ea En~11if r~~Jl1!&cMI ~I( . _ $ 45,00
IS not IDtended for sale, lease or rent. MlDlmum ElectriC Perml(!'.'~peQlOn Fee IS $45.00 + Surcharges
ISO
ll'
J')
1,7-
Shared Drive(T:)lBuilding Fonns/EleclriC<J1 Pennit Application 1.Q6.doc
-Wi"
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00602
ISSUED: 05/31/2006
APPLIED: 05/19/2006
EXPIRES: 11130/2006
VALUE: $ 21,200.00
Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2329 Olympic St
ASSESSOR'S PARCEL NO.: 1703254101100
Springfield TYPE OF WORK: Sign
, TYPE OF USE: New
PROJECT DESCRIPTION: Signs - 3 wall signs for The Mattress Company
Commercial
Owner:
Address:
OL YMPIC STREET PROPERTIES " " I "
PO BOX 26125
EUGENE OR 97402
, ,nr 13"1 requires you to Phone Number: 541-726-1751
, , :" l:18 Oregon Utility
: ,U, vlOd,Jr. 'I ,~-,8 rule~ a~e _s~~ I~.::h
.' LJI~U\JIUlil'UU'tJlI\J'-"''''''''''' --.
'~'O~J' GONl'RAGTORIINF0RMA'I'IONT by
cz.:ilng the center. ~I\lOlt::; lilt:: lv,~t:'I,v,.le
Contractor number lor the Oregon Utilit\lJiceii's~tlon Expiration Date
DENNIS ROY HYDE Center is 1-800-332-292l>lis 09/14/2007
DENNIS ROY HYDE 92628 09/14/2007
"
Contractor Type
Electrical
Sign
Phone
541-465-9059
541-465-9059
BUILDING INFORMATION I
# of Units:
Prima'1' Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total: :
#, Street Trees Rqd: Handicapped:~.
Paved Drive Rqd: Compact:
% of LY~6vtt,,!ge: PIRE IF THE WOHK
, THIS PERMIT ~~~~~ ~'C: D~RMIT IS NOT
I PUBLIC IMPROVE~E:NTSI;RisABANOONEb FUK
ANY"180 OA'< PEf\ISldewalk Type:
DownspoutslDrains:
i
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of4
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
Sien
Sien
Use Bid Amount
Use Bid Amount
Use Bid Amount
Fee Description
+ 10% Administrative Fee
Sign 151-200 Square Feet
Sign 61-100 Square Feet
Sign Plan Review
+ 10% Administrative Fee
+ 8% Slate Surcharge
Sign - Outline Lighting Each
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00602
ISSUED: 05/3112006
APPLIED: 05/19/2006
EXPIRES: 11/30/2006
VALUE: $ 21,200.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
8,000.00
6,600.00
6,600.00
Value
Date Calculated
Total Value of Project
$8,000.00
$6,600.00
$6,600.00
$21,200.00
05/19/2006
05/19/2006
05/19/2006
F,.p. P'\W
Amount Paid
Date Paid
Receipt Number
$48.00
$200.00
$280.00
$120.00
$15.00
$12.00
$150.00
5/31/06
5/31/06
5/31106
5/31/06
7/5/06
7/5/06
7/5/06
1200600000000000756
1200600000000000756
1200600000000000756
1200600000000000756
3200600000000000353
3200600000000000353
3200600000000000353
$825.00
I Plan Reviews I
Paee 2 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien Review
.
05/19/2006
05/19/2006
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00602
ISSUED: 05/3l/2006
APPLIED: 05/19/2006
EXPIRES: 1l/30/2006
VALUE: $ 21,200.00
APP DJB
,Paee 3 of 4
8.248 Community Commercial ond
Major Re- toil Commercial District.
These standards apply for 011
property locoted in CC or M RC
Districts except those located in the
Downtown Sign District, 1-5 Mall
Sign District and the 1-5
Commercial Sign District:
(I) Single Businesses. Eoch business
shall be permitted a maximum
number of three wall signs toto ling
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 sigll
sholl be 100 square feet for one face
or 200 square feet for two or more
faces at 0 maximum of 20 feet obove
grade.
(3) Second Story Businesses and
Above. Two wall signs per business
shall be permitted with 0 maximum
sign display area of 175 square feet
for all fac~s.
(4) Logos. Logos are allowed in
addition to the permitted woll signs
listed above provided the logo is the
logo of the business residing on the
premises and provided the total
square footage of the permitted woll
signs and the logos do not exceed a
combined orea of 350 Square feet
for single story businesses and 175
square feet for second story
businesses. A permit is required for
each logo that is being installed
based on the square footage of the
proposed logo.
(5) Illumination From Signs on
Non-residential Property. Externol
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00602
ISSUED: 05/31/2006
APPLIED: 05/19/2006
EXPIRES: 11/30/2006
VALUE: $ 21,200.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
illumination shall be shielded so thaI
the light source elements are not
directly visible from property in a
residential zone which is adjacent to
or across a street from the property
in the non-residential zone. ISection
8.248 amended by Ordinance No.
5862, enacted September 15, 1997;
further amended by Ordinance No.
6114, enacted February 7, 2005.1
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 RpolI\rert Insnections I
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, 1 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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.
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726~3159 Phone
Job/Journal Number
COM2006-00602
COM2006-00602
COM2006-00602
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
Description
Sign - Outline Lighting Each
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DENNIS HYDE
.
~
~...
~
ill' of Springfield Official Receipt
_elopment Services Department
Public Works Department
3200600000000000353
Date: 07/05/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 078649 In Person
Payment Total:
Page I of I
I: II :24PM
Amount Due
150.00
12.00
15.00
$177.00
Amount Paid
$177.00
$177.00
7/512006