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HomeMy WebLinkAboutPermit Electrical 2001-10-25 . SPRI.IELD The. following project es submitted has the tollowing zonmg. and does not require specific land use approval. Zoninr .M tU'./ /0.:::;5. D J D ~LPJ v( 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Dale llltflUzed 8jgnalure 726-376!1 ELECTRICAL PERMIT APPLICATION Ci ty J~b Number Of - 0 0 q).. 2- 0 I 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INST~LATION a3St::.... C')l'jM.V1'C. LEGAL DESCRIPTION 11 0'3 2'5 1I1 Im>?- ~+. JOB DESCRIPTIO~f'-' cz.}i"'JeCii tr -s/!)n5 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 Electrical Contractor f:: S 'if A Address I 2/ () {)o.-k 'iXJ..-k f] Rei. ( . . Ci ty F 1A oe...rlL- Phone -'185- c; 5"1'h supervisor~cense Number I~<;-S I c-... Expiration Date JO / &---'L- Constr Contr, Number JL;1/j7!5?) Expiration Date 0~?o - 61-\ S~~Electrician own!rs Name OY'{'qrJ n rlno.}l/5 Fe t.>. Address3 /g7n-k'rv4p'o~ / W~'I' City .s,'prr~Phone 7 ~0~ 79(1) OVNER INSTALLATION The installation is being made on property I own which is not:intended for sale, lease or rent, Ovners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: New Residential-Single or Multi-Family per dwelling unit. Service Included: . Items Cos t , A. 1000 sq. ft. or less Each additional 500 sq. ft or portion the reo f \ Each Manuf'd Home. or Modular'Dwelling Service or Feeder .B. 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 Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00' $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res - Limited Energy/Comm One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 no t i neluded) $ 40.00 I ~ -$ 40.00 -'jQ..- - $ 20.00 $ 36.00 -." ~-(:)) -I. 0 n'~ c::- '1 ~....J 0 . i ..... . I Job# 01-00922-01 I . Page 1 of2 SEP 05 2001/3:50 PM ACCT#:821-00000-215004 RCPT#:01-0006612/ESA JOB#:Ol-00920-01 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00922-01 225 North Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2355 Olympic St Spr Assessors Map#: 17032541 Lot: Block: Addition: Tax Lot #: 01002 Subdivision: Owner: Oregon Metro Federal Credit 2355 Olympic Street Phone Number: Address: City/StatelZip: Springfield, OR 97477 Value: $10.680 Scope Of Work: Sign New Oregon Metro Federal Credit Union Sign Contractor Type Sign Contr Contractor Registration # Expiration Date ES&A 1210 Oakpatch Road. Eugene. OR 97402 Phone 541-485-5546 Quad Area: 3CNC # 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 Sinn I 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 an~ ~~ELS~,?~n~la:l!a\i~l,?:i~ corpplete. 'S PE.P' "T - ~, -. _ lj'-:DER THI ,.It.;' '.~ :: ::P.ISAB,^,\IDO'.:J ~().... Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) I Main: Accessory: (:.. # Of Stories: Current Units: Census Code: Does not apply /,' - Height (feet): Proposed Units: J: -'::,:)) ': Total: '. " "c; \ ~ " c. . I. i ..... . Job# 01-00922-01 I Type of Sign: Free Standing . Page 2 of2 Face Type: Double Face Sign District: rSign Di ,. ~iv ~ Vertical: 6.7 Height (Above Grade): 19.7 Sqr. Footage: 73.6 Illumination? 0 Community Comm Horizontal: 11' Thickness: From Grade To Bottom: 13' Sign Material: Aluminum. Steel Comments: Existing Freestanding Sign pole being used, Fee Plan Check Type Checked By Paid On Receipt# Value/Quantity Fee Amount I Sign 09/05/2001 6612 10.680 $140.00 08/24/2001 6528 1 $40.00 $180.00 $180.00 Date Completed Comment Sign Permit - 61 - 100 Square Feet Sign Application Plan Review Total Sign Grand Total Sign Kaye Wilson 09/05/2001 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 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 inspec . s are requesled at the proper time. that project address is readable from the ;>treet. that the per t ca d is located at the front of the property. and the approved set of ! plans,w'n ~~mcr he site aDJ7~ureg/h; in~ation of the sign(s), () i . <107 sign'atur5 \ r Date