HomeMy WebLinkAboutPermit Electrical 2001-10-25
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SPRI.IELD
The. following project es submitted has the tollowing
zonmg. and does not require specific land use
approval.
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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
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LEGAL DESCRIPTION
11 0'3 2'5 1I1 Im>?-
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JOB DESCRIPTIO~f'-'
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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
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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
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I Job# 01-00922-01 I
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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:
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Job# 01-00922-01 I
Type of Sign: Free Standing
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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