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Home My WebLink AboutPermit Electrical 1996-8-21 . . .' zoning, and does not require specific land u approval. 225 FIFTH STREET Zoning ij I SPRINGFIELD, OREGON 97477 Oate~ INSPECTION REQUEST: 726-3769 . OFFICE: 726-3759 AUthorized Signature '. 'l' " . 1. LOCATION OF INSTALLAT}:ON n8'5 QI-.'j,YYlPlc. S-r / Kf2C. - ~ MLLS) JfmtI.jf?ffI~fYI) JOB DESCRIPTION . :rnIJMII1ArEiD /,MIL ~/e-n 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 Y/,("112--1::111 6/V)~, Address;)Ol/ ..1ttFE/235i'J 81, City Cuq-ef'U Phone .p,/f~-J1hi t.t:? s- {O/ tJ17 101tcl~ Supervisor License Number Expiration Date Constr Contr. Number Expiration Date .:3/q+ Signature of Supervising Electrician /Z~ ~n/ Owners Name 1;t;;f.JfflIJ11fl. (Ji(/)('A.s/(;ru Address fo !3Jx 1~/c:' City 0XYN Phone 1d6-7bft:;,~ OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ..... DATE~---------------~~~----~~ RECEIPT .: I j _ r ~(\'r') RECEIVED BY: C7\ \ j 'Ill ~ ) ?1..~ . SPRINGFIELD " 3. ELECTRICAL PERKIT }liPLICATION '1M Ci ty Job Number ljfpI.L~.1..p COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sq, ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15,00 Each Manuf'd Home or Modular. 'Dwelling Service or Feeder $ 40,00 Sum 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 $ 50.00 $ 60.00 $100.00 $130.00 $300,00 $ 40.00 .' C. Temporary Services or'Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 ,amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" soove New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2,00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 1./0- Limited Energy/Res $ 20,00 Limited Energy/Comm $ 36.00 5. LjO- ,~- /,.:}{) 1/t:I"5. :J-b SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL r"SIGN PERrVlIT APPLICATION- ", '. SITE ADDRESS: ASSESSORS MAP: 1-9)'? 5 +O:J. '!J('J bO SPRINGFIELD JOB .BER Q0U;l(t? 225 Filth Street Springfield, OR 97477 Inspection Line: 726-3769 Ollice: 726-3759 TAX LOT: 0 ~ CJr'lrl CITY: IJJLtiA-~ 170 v&,~ : C LXlf V\.R BUSINESS NAME, FIRM EOC.: AR1C43 t<rru 1~llo PHONE: ~4 L - 1 -;L1o -7lolofo OWNER: ADDRESS: STATE: 0JYZ.P~6-n ZIP: iOJ7.lf:o/ KR.C> IE.-oIIS DESCRIPTION OF PROPOSED SIGN(S): lplease check and complete all appropriate information) A Wall _ Freestanding _ Projecting Roof Marquee 1 Single Face Double Face Billboard Other Square Footage: 110m Total Height above Grade: \0 I Vertical Dimension of sign or enclosure: I,-{' I '3/~'" 4.1 ',-" Horizontal Width of sign or enclosure: ,J '0 Material Sign is constructed of: 'l "",' Electrical Installation: ~ Yes No VALUE /2. ,~o9... J (If yes additional electrical permit is required) OF SIGN: : } , A J...) '3t+ffilYYleTftL.- t..WVY\\lJlJM / fVNUC,- fwol2~V\ts- \Jtf\I{L Dimension from Grade to bottom of Sign Enclosure: Sq. Ftg. \'lor}. ~ \J2.., 'r&mDved. Sq, Ftg. Ie) Type Sq. Ftg. (dl Type Sq. Ftg. CONTRACTOiMNSTALLER: M A le.-r;(1 (3<oS ADDRESS: IJD~ .1f1r0fS()y) sf" EUCY'VLO. - CONSIRUCTION CONTRACTORS REGISTRATION NUMBER: $;rqro PHONE: 134:;),,-/1 6'1 CITY: STATE: teLf to i8 (l(lEr'--a21L ZIP: L11.lfD'L. EXPIRES: '3/ q 1- EXPIRES: b! q 9- CITY BUSINESS L1CENS~ NUMBER: 1:J-o 3lf1o OFFICE USE Sign Dist~ict: ~rt II NlliD () Zoning: ' ~'1- ffiPO Land Use: ...~Q qq Quad Area: ~ T rur ~ Code Section: a - '1 -- Iq (i I Approved By: W ) ~ ~~)/( J DATE: ~ .Iq.q{() Sign Permit Fee: REQUIRED INSPECTIONS: , Site to be mpde prior to ,sl.gn, placement Footing r---- prior to placement of concrete V Attachment after fasteners are installed/prior to cover ..-e;-ectrical prior to energizing electrical installation V;;nal completion of sign installation , Additional Comments andlor Conditions: i, By ,signature. I state and agree, that I have carefully examined the completed application and do hereb"( 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 fu.fther agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the p!'rmit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the installation of thesi{Jnls). /l'!J6 (l k1 ~ ,\11 ~ 11 Sign8tur~ (' l ATW'--!((/ I ~ ;t 1-182. 'I L- 'fJ \AJ C4=i7Z.... /) . , Amount Received: --1.fl,~ .~n Receipt Number: ~~ Date PI - Jr5 - 9 (", 'i' Date Paid: ." ~H":JJ)'C(0 Received By: ~ (1'1)..-/ Validatlcto: \ . . SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you 'are hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the RegistratiOn Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration date of each. If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed by either a supervising electrician, limited sign electrical contractor, or if you arc' tho business owner who also owns the building in which you are occupying, and you will be perlorming the electrical installation yourself, you may sign the electrical application. ' If there are existing waN .and/or Ireestanding signs, a photographls) 01 oach oxistlng sign noods to bo attachod to tho application. The size 01 each existing sign also needs to be listed on the application. PLANS To submit lor a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and a plot plan indicating where the proposed sign will be located. If you arc installing a freestanding sign which exceeds 20, .. leet in total height, the looting detail needs to be prepared and stamped by a registered engineer or architect. After t~e plan review process is completed, and, if your signlsl is approved, one set of plans 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 . Depending on your signlsl, you may be required to request one or all of the lollowing inspections during the installation of your sign: " Site: To be requested after indicating on the lot whore 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 01 the proposed sign. Footing: To be requested after excavation and the lorms arc 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 i~.~pc~,~ion. Attachment: To be requested when all lasteners arc installed but prior to cover. .. , Electrical: To be requested after the electrical c,onnection to the sign is made, but prior to energizing., Final: After all required inspections arc conducted and approved and the sign installation ,is complete, - The inspections that arc required lor your sign installation will be indicated on the application during the plan review process. Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the requiredjntervals of work. To request an inspection, phone 726-3769. This is a 24 hOur recording. On the recording you will need to leave your City Designated Job Number, location of where the sign is being In,stalled, tho type of inspection you are requesting, and when you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the sarre' working day, all inspections phoned in aller 7:00 a.m. will be made the lollowing work day." ' :,"" l'{'l";" " n you have any questions regarding the application, required plans or inspections, please leel free io phone the. Building' Safety Division at 726-3759. . . '. ,,, ",. ,,' ,q', I" 1 ,.' City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 " ":-:1", .. I . ~ ,;~ I \ , . . , , I, ~ ,',' !,~ .