HomeMy WebLinkAboutPermit Electrical 1996-4-18
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S.GFIELD
The following project as submitted has the fo
zoning, and does not require specifiC Ie.nd uS\:!
approval. . ~ e.-
225 FIFTH STREET . fO~li ~t;; ELECTRICAL PERMIT ~LIC~~
SPRINGFIELD, OREGON 97477 Date '1 . - l I>J..
INSPECTION REQUEST: 726-37~lAhor1zed Slgn81u", (\J) ~i ty 'ab Number Z. )
OFFICE: 726-3759 ~ \ - "
3. COHP.LETE FEE SCHEDULE BELOV
In LOCATION OF INSTALLATION
'<::'?SS rxYM PIc.. ~\
\ ---ffi~~ION ()\\')(J1,..
JOB DESCRIPTION
- .....1'x3Y,'
\nc,~\\ 1.)"\\ S-y' I
Permits a~e non-transferable and expire
if wo~k is not sta~ted within' 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor E.St A INL
,I
Address )'2..\ 0 OAlcPI'\RJ\ YLD
Ci ty Euae'V11" _ Phone
- U
Supervisor License Number SQO SIb
Expiration Date ID-l- 'H.
Constr Contr. Number \1 \~~~
Expiration Date 2-'2--"77
S~~O~ing Electrician
A.
New Residential-Single or
Multi-Family per dwelling unit.
Se~vice Included:
Sum
Items Cos t
1000 sq.ft. o~ less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feede~
.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
$ 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
Owne~s Name OYLEhOtJ \v\ent-c FeD 0tePI1 V~( orI
" .. New, Alteration
Add res s 6<02. r.:,ffi\ El... IJ it-
Ci ty F J.) a..e()C Phone 1000- '71L/ "I
. oJ
OVNER INSTALLATION
,
The installation is being made on
ptoperty I own which is not intended
for sale, lease or rent.
Ovners Signature:
$ 40.00
$ 55.00
$ 80.00
see "B" above
,
"
or Extension Per Panel
One Circuit
Each Additional
Circuit o~ with Service
or FeedeL' Permi t
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~ \
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
-tt& 5% State Surcharge
'71\'173% Administrative Fee
I . - , TOTAL
,lJradA. I
-------------------- -
$ 35.00
"
$
2.00
, '.
not lncluded)
. !.
$ 40.00 _
$ 40.00 ~) CXJ
$ 20.00
$ 36.00
'\\) 90
if. LJ i
l,1J)
A.'A .i{,L
SIGN PERMIT APPLlCATI.
225 Fifth Street
Springfieid. OR 97477
~
JeUMBER
, .
\\C6\ccAb
Inspection Line: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK: OI(FG-ij1J ~,tti) f'E.D (r(.E.DI r LliJroiJ 23S:S't)LVM (l1C- ~ T
\~~~'\\ ._ _. TA.:.~~.~: O\rfl2-
OWNER ORy'.!;"C)J M ETYln l;,FflFJZALCJZwli U10100 PHONE: ("AA- '7llJ9
ADDRESS: 9to'Z. '(?~11ta.. D~
tUlD80E
......
ASSESSORS MAP:
CiTY:
.STATE: ()Y<... .ZIP: Cf7YD'2-
ME,fl-t,o PeDE.Ylf\L CfZ..CDI T UtJtOr0
\
BUSINESS NAME, FIRM ETC.: CYLECoON
DESCRIPTION OF PROPOSED SIGNIS): (please check and complete ali appropriate information)
x ,
Wali Freestanding Projecting nool MarQueo
Y- ,
Single Face Double Face Billboard Other "
Square Footage: 11. 0Ll Totai Height above Grade: 8t0\\
I \\ I \\
lJ -, . Horizontai Width 01 sign or enciosure: i I \ 0
Electricallnstaliation: (\;"l'es No
lit yes additionai pe~eqUiredl VALUE: 15, i09D
Vertical Dimension of sign or enclosure:
Dimension from Grade 2 I 11\
to bottom of Sign:
Material Sign is constructed of: 0. 10m', (\UfV\ I 'IJ i n:jl , I\lton
List ALL existing signage and attach a photograph of each sign: NO E-X 1 S. T II\) (. SI ~0 "'J IJc.l-J ~ II....{)JI\J '"
lal Type
Sq. Ftg.
Ibl T'ipe
Sq. Ftg.
Icl Type
Sq. Ftg.
Id) Type
Sq. Ftg.
CONTRACTORIINST ALLER: E. S -t' A... .I f'\c..
ADDRESS: I'Z..IQ 0 A l<.. P A TL\-\ lZ.l)
CITY: F-(,\ QpV'lf - STATE:
,,J
CONSTRUCTIDNCONTRACTORS REGISTRATION NUMBER: \ \ \ -z.B(,
.PHONE: Cl!2>:S-SSl.fI.
oi'L ZIP: CJ740'L..
.EXPIRES:
CiTY BUSINESS LICENSE NUMBER:
QSP2.>cq
EXPIRES:
Sign District:~~
Zoning: ~
10~
Sign Permit Fee:
OFFICE USE
La~ Use: ~~y) Ouad Area: cI.l ~ J\ )\lJ ____
. Code Section:. . (). ~ ~~} 1.. )
Approved By: lili\.) ~ \\JV DATE: -1~g In
REOUIRED INSPECTIONS:
V Site
to be made prior
to sign placement
Footing
prior to placer'!1ent
of concrete
J
Attachment
after fasteners are
instal!ed!pricr to cover
~ctrical
prior to energizing
~FinOI
completion 01 sinn
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inforrndtion herein
is true and correct, and I further' certify that any and all work performed shall be done in accordance with the O1dinances 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 aU required inspections are requesled at lhe proper time. that project address is readable irom til" street, that
the permit card is located at the front of the property, and the approved set of plans wiU remain on the site at aU times during tilt: ,nstallation
of the sigrrls).
Ah..nh~ J{fJLJd.L
Dace
4/17 J 910
,
Signature
Validation:
Amount Received:
\ V\ ,'l.CJ
~
} Z-11Z17
Dcte Paid:
Receipt Number:
Received By:
.
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SIGN PERMIT APPLICATION
Tile ClppliC"lion on the reverse side needs 10 be completed entirely. if you are the sign 'contractorlinstaller. or if you are
I"ring u COll\ractor. you need to make sure that both the City of Springfield Business ~icense Number and the Registration
Number irom the State 01 Oregon Construction ContractorS Board are iisted on the application along with the expiration
Jate of e~H.:ll. '
i
II tile sign you are proposing is illuminated. an electricai permit application also needs to be completed and signed by either
u supervising electrician. limited sign electrical contractor, or if you are the business owner who also owns the building in
wllich you are occupying. and you will be performing the electrical installation yourself, you may sign the electrical
appiication. ~
II tl,ere are existing wall and/or freestund"'g signs. a photogrephlsl of each existing sign needs to be attached to the
application. The size of each existing sign also needs to be listed on the application.
PLANS
T II :-;ul)1l1l1 lor J sign permit, you Ileed \0 Ilf~p~HC two complete sets of drawings showing all dimensions, total height, and
u pial plull illdicating where the proposed sign wiil be iocated. if you are installing a freestanding sign which exceeds 20
Ieet in totullleight. the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
prlJcess is completed, and, if your signts) is npproved, one set will be returned to you. The approved set of drawings need
to be at the site when an inspection is requested for the inspectors reference.
INSPECTiONS
llcpt;lIdillU on your signlsl. you may be required to request one or all of the following inspections during the installation
oj your siUn:
Site: To be requested aiter indicating on the lot where the proposed sign will be located but prior to any work
being performed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign.
FUOllllg: To be requested after excavution and the forms are installed. but prior to pouring concrete. If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
;'\lt~lcllfl1erll: To be requested when all fasteners are installed but prior to cover.
E!i;ctrictll: To be requested after the electrical connection to the sign is made, but prior to energizing.
F",al: After all required inspections ore conducted and approved and the sign instailation is complete.
nle inspeclio.ns that are required for your specific sign wjll be indicated on the application during the plan review process.
F"dure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required
intervJls of work.
To request on inspection. phone 726.3769. This is a 24 hour recording. On the recording you wili need to leave your City
DeSignated Job Number. iocation of where the sign is being instalied, the type of insp.ection you are requesting. and when
you will be ready lor the inspection. All inspections called in to the recorder prior to 7:00 a,m. will be made the same
working day. ali inspections phoned in <lIter 7:00 a.m. will be made the following work day,
II you hove any questions regarding the application. required plans or inspeclions, please feel free to phone the Building
S"iety Division at 726,3759.
.
.
Cit)' or Springfield
Buildillg Sarety Divjsioll
225 Firth S~'eet
Spriugficld, OR 97477
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SIGN PERMIT APPLlCATI~
225 Fifth Streel
Springfield. OR 97477
~
J.U~BER C\ ~\ rcAs
Inspection Line: 726.3769
Office: 726.3759
lOCATION OF PROPOSED WORK: 2355 OL'--itvlPIC- ST
ASSESSORS MAP: \"1 03a c:A \ '
.-
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OWNER: ORE-CooN ME:fYZ.O ~L. C'f.6)lT UI\lIn-J PHONE: L 8B- '7lyq
ADDRESS: '8(0'2. beTl-ta Drt...
TAX lOT:
()\OOQ<
CITY:
flJ{')t')-.JE
STATE:
()(L..
ZIP:
'17L/01-
,
BUSINESS NAME. FIRM ETC.: Ol2.E:.lcoN \vI.~ PEDe;vtA-l.- C,\'2A::;DIT 1)10100
DESCRIPTiON OF PROPOSED SIGN(SI:
X. Willi
f--. Single Face
(please check and complete aii appropriate iniormationl
Freestanding
_ Projecting
':.
nool
Marquee
Double Face
Biiiboard
Other
.
"
Square Foolage:
I. V-l
Total Height above Grade:
Q'7"
Dimension from Grade
to bottom of Sign:
cf
hi'
. I ~I . ontai Width 01 sign or enclosure:
Electrical Installation: es No
(If yes additional pe lit i requiredl VALUE: ~4m
Le:.x Ct Y1, N ('Ck-\ C\ \ u m i () VfY'>
?'LJ~. .
Vertical Dimension of sign or enclOsure:
Material Sign is constructed of:
lal Type
SQ. Ftg.
one..p(t>po~ (Y1\)()u(Y)Gn+
0D eXlsn~ Si~)').s
(bl Type SQ. Ftg.
s;,gr\
list All existing signage and attach a photograph of each sign:
icl Type
Sq. Ftg.
Idl Type
SQ. Ftg.
CONTRACTOR/INSTAllER: FS+ A, ::t ,,\( .
.. ). .
ADDRESS 1'2.10 DAICPMl.H ~
CITY: E..v '" eN E.'
PHONE: q9,:s- S'S,I.(_L.
CONSTRUCTION CONTRACTORS REGiSTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER: ~.3-Cj '7.
.STATE n~ ZIP: '1'7LJOiL
II \z..~ La .EXPIRES: 2.- 2-9'7
EXPIRES: (o- 30- q lo
Zoning:
Sign District:-loN\N\O(('- \ tl \) .
W0...
. 00
Sign Permit Fee: 4tl,
OFFICE LISE
la~ Use: :\ W ) Oua~rea: A.~ll)
Code Sectlon\ I '" ~ _f ,~~ \.\ )
Approved By: 'Jill... '" nJ \J~ f ) DATE. A-, \~.ct(O
REOUiRED INSPECTiONS:
Site
to be made prior
to sign placement
Footing
prior to placef')1ent
of concrete
~achment
after fasteners are
insta1!ed/pricr to cover
V;lectrical
prior to energizing
~
Fillil!
completion 01 sinn
installation
Additional Comments and/or Conditions:
By signature, I state and agree. lhat I have carefully examined the completed application and do hereby certify that all infoflnation herein
is true and correct. and I further' certify that any and all work performed shall be done in accordance with the Ordinances 01 the City of
Springfield, and the laws of the State of Oregon pertaining to the worl, described herein. I further certify that oniy conlractors and
employees who are in compliance with ORS 701.055 will be used on this project.
I lurther agree to ensure that all required inspections are requested at the proper time, that project address is readable from th" street. that
the permit card is located at the front of the property. and the approved set of plans will remain on the site al all limes during till: installation
01 the signlsl.
Signature sAt n\ruiYW K~
Ii
Date
Lj 117/ qt..
f
......
Validation:
Amount Received: P;J ~ .W
Receipt Number: ~
z)(Q7
Date Paid:
~
i!fr/t{4b
t:-~~
Received By: .
.
.
SiGN PERMIT APPLICATION
Till: appllcJtion on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are
IlIring a COlltractor. you need to make sure that both the City of Springfield Business license Number and the Registration
Number Irom the State 01 Oregon Construction Contractors Board are iisted on the application aiong with the expiration
ll:JlU of cael-,. '
i
II tile sign you are proposing is illumin1llCd, an electrical permit appiication also needs to be completed and signed by either
a wpervising electrician. iimited sign electrical contractor, or if you are the business owner who also owns the buiiding in
welicl) you are occupying. and you will be performing the electrical installation yourself, you may sign the electrical
application. ':..
11 there ure existing wall and/or frecswnuing signs, a photograph(sl of each existing sign needs to be attached to the
nppiication. The size of each existing sign also needs to be listed on the application,
PLANS
T\l sulJll1il tor a sign perlnit, you Ileed to pr(:p~lre two complete sets of drawings showing all dimensions, total height, and
o plot ploll indicating where the proposed sign wili be localed, If you are instaliing a freestanding sign which exceeds 20
Icot in totol height, the looting detail needs to be prepared and stamped by a registered engineer, 'After the plan review
prucess IS completed. and. il your signls) is 1lpproved, one set will be returned to you. The approved set of drawings need
to be at the site when an inspection is requested for the inspectors reference.
iNSPECTIONS
Dcp"ndillg on your signlsl, you may be required to request one or all of the following inspections during the installation
tlt yuur siUn:
Site: To be requested aiter illdicatlng on the lot where the proposed sign will be located but prior to any work
being performed for the installation 01 the sign. This inspection is required if there is a question on the
location 01 the proposed sigll.
Fuoting: To be requested alter excavation and the forms are installed. but prior to pouring concrete. If there will be
electrical conduit placed in the looting. it must also be in place prior to requesting this inspection.
f'dlJCllf110fll: To be requested when ,111 fasteners are installed but prior to cover.
E!ectrical: To be requested alter the electrical connection to the sign is made, but prior to energizing.
Final: Alter all required inspections are conducted and approved and the sign instaiiation is complete.
Tile inspectia.ns that are required for your ~pecilic sign will be indicated on the application during the plan review process.
Failure to request ANY 01 the required inspections could result in sign removal in order to inspect the sign at the required
lllterv;)ls 01 work.
Tu request an inspection. phone 726.3769. This is a 24 hour recording. On the recording you wiii need to leave your City
Design"ted Job Number. location of where the sign is being instaiied, the type of insp.ection you are requesting, and when
yuu wiii be rcady for the inspection. AIi inspections caiied in to the recorder prior to 7:00 a,m. will be made the same
working day, all inspections phoned in "iter 7:00 a.m, will be made the following work day,
II you hove "ny questions regarding the application, required plans or inspections, pi ease feel free to phone the Building
Salety Division at 726.3759.
:-
.
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Cit)' or Sprill~l'icld
Building Safely Div.ision
~25 Fil'ih S~'cet '
Springfield, OR 97477
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