HomeMy WebLinkAboutPermit Electrical 2004-2-23
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: ~a.6riaO~OJGClftsSUbmi"GdhaSlhefo"owln
ELECTRICAL PERMIT APPLICATION zODlng. and dOGS not require specific lend use 9
approval.
City Job Number COWl ZOO '-\ .00 z( 7 Date r:?;J ~. Or.{
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1. ~I:.O~TPrv./iF INSTAf.L1!~ON '.."~~'.
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LEGAL DESCRIPTION Sf~\~-\.e;~'D, O~=.)
17023roo () z 103. ,\,'i'~
JOB DESCRIPTION X~ !\lu,.) (0')(6\
'i) I Po.ClL c.~,\eT -\I:> E\I-\-:m.",S (?> fdt.
~. r-lHV(l '\ "~~ -ft\ ~~~:. ~(""
Permits are non-transferabie and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~-'- .~_. - .- .. -_. -~-,.. ~ _.~-"- --- - ~- --'~
2. C9N]"Rft9T.OR IN~!.ALIATION ONLY'
\._ ...___.......r.:......_____L __........ _________-1
C-c..
ZOhlno
3. COMPll-TiJ.E;l!f&.~:u~ .;~....~-;;- .~~--, ~ -0 <lid. .
", ,....". , .. . ..' "
. '-'. ._-.. -- " .. Authorized Signature -. - .--. <::KI -
I"t,'" .. '. "-"-" ," ... ' .. _ . " . , ~.
A. . Ne"'.Residential-' SingiC'or Ji<Iulii~Famil); per d,i'elling.unit: .'
\_'__ ..;..-..-:.;:;^........... ~.' J,,,~. .....;.._...~... :,....... . _ ._..,_.i....;)..~_ _ .. ..',j,.:.~./.~_.~..:
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof .
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
i .. -',.' -----:.... _.. ~. -. -
B. ;,Serviees or Feeders -Installation, Ailerations or Relocation:
l...:~,_'\._.,____,._, _._. ___ _ _._,_ _._._ ~
s\"" .J ^",'I"'), :1:1'C.200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
Electrical Contractor ~wQsIl(j\)
Address
~03, 'S. c:,n! 51. 1i: 115
City 'SPl2: ,,0. C, ~ l T>
-- . -
Phone
I'I~. '6bl<-
Supervisor License Number 5~ SI G-
Expiration Date j~- 0/ - t::>S-
Constr. Contr. Number l;(l'i! 'S9> V
Expiration Date y. I 5. ol",
Sign?r~in~
,
Owners Name \:l.f\\->t\t\.'- ....c.
Address d 7~ ~ \<. :".en..V\..1 .\1 L~' p
~
City TtJ."f'.R..: r)~. Phone r.;}I.f./31'-
,
<111.\0 I
OWNER INSTALLATION
Th' II' . b . d' <-~. "(,r"''' VOl! tOh
e msta atJOn 15\ emg@3 e,on'prvperty ~own whie
. ';;;;r.Cd't"~)\I"J' ,,-. . 0 egonUtlllty
IS nol\m en ed lor saIU lease orycnt9 r
follOW rules ao Pl"Th~S~ rules are set 1011
O "'S" "","" ~enter. hOAR 952-00
wn~! 'gnalUre. 10throug
~-6AR 952-001-00tain copies 01 the rules l
""an You may ob .. '_'_' 'hI> telephone
calling the cem"', \' ---Utility Notification
nl}mber for tM o~e~~~_~~2_2344).
InspectIOn Request:-726-3769
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. r' !~i~I~~~:~~t~:i~!S ~~~l~~~~~-_~~~->~ --~~~~~ -~.~..j~" --_.- - J
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. ;-Sr--,;;;ci. Circ;i~~' --- .--:-. - . - . -,. --.,---- -- -----1
L..____... .__ ____ _ __ _~. __... n __ _.____.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
""~T;.~__--<"'-'.---'-" ---:-. . -;--._-'~ -- --.-......"[.- ..... __.R......._.
E. ':Miscellaneous (Service/feeder not included) -Each Installation
___"_.___. _..____ - ....---.,1
Pump or irrigation $ 50.00
Signl~Tf~hting \ $ 50.00 50.L""
Limit'l\-ft~,er~I&W!l<lYHALL EXPIRE IF ll!ENM~Rt\
Limil"tl~~NIlER THIS Pt:KMlfF~~Ol
Minimum EmlOfr'iMe!I.lriiA.Q\}'~,f}.~~Vs'$~f.Wo + Surcharges
. --. -ANY 160 DAy.pERIOO.. . ~
4. SliB1'OTAL_?!,eWOVE 50- 00
7% State Surcharge ~. ~
10% Administrative Fee F,. 00
TOTAL
~ &:-8.., '6D
Shared Dnve(T:)lBuilding FonnsJElectricnl Permit Applic:lIion l-D3.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00217
ISSUED: 03/04/2004
APPLIED: 02/24/2004
EXPIRES: 09/04/2004
VALUE: $ 5,400.00
:.
SITE ADDRESS: 3661 Olympic
ASSESSOR'S PARCEL NO.: 1702300002103
Springfield TYPE OF WORK: Sign
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Sign - freestanding sign
Owner: HOWAN INC
Address: 2783 RIVERW ALK LOOP EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
NICK HOWARD AMO
METRO WESTERN SIGN & AWNING
Phone
541-746-3312
541-746-3312
# of Un Us:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setbaek:
Side 2 Setbaek:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
128586
128586
Expiration Date
04/15/2006
04/15/2005
BUILDING INFORMATION I
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Fioor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Iml1c"'ii'U'j~urf/lce Area:
. ._._..I."..onnn law fC:4U' :-.:.,.~..
I DEVELOPMENT"INF.ORMkTlONPI3d by the ~~..~y:~ 's~t!i~rt
.1 t"'cation Ceruel- Those rUh 0 QY1IYW PARKING
,,0 II 10throug 1"\ ~
Overlay D,i,stDAR 952-001-00 . copies of Totol!Jles I
# Street ~!:~\Rqd:)U may obtal~Note: the t~l!'1dlt"pjled:
Paved Dnve ~9~;ng the cenoter. gon Utility r~.9mp_act:Jn
horfor the re 4)
% of Lot Coverage:' .~ 1_n(V)-~32-234 .
,............""..,_ r>
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
~Ol'CE:' XPIRE If "THE WORK DownspoutslDrains:
lHIS PERMll SHf.,~~ \HIS PERMll IS NOT
f.,U1HORIlED UON~ IS f.,Bf.,NDDNED fOR
COMMENCED
f.,N'i 180 Df.,'i PERIOD.
Paee 1 of 4
.
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Deseriotion ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,400.00
Sien
Use Bid Amount
Total Value of Project
l.Fppo PIilU
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00217
ISSUED: 03/04/2004
APPLIED: 02/24/2004
EXPIRES: 09/04/2004
VALUE: $ 5,400.00
Value
$5,400.00
$5,400.00
Date Calculated
03/0212004
, Amount Paid Date Paid Receipt Number
Fee Description
Sign Plan Review $40.00 2124/04 2200400000000000169
+ 10% Administrative Fee $21.00 3/4/04 1200400000000000275
+ 7% State Surcharge $3.50 3/4/04 1200400000000000275
Sign - Outline Lighting Each $50.00 3/4/04 1200400000000000275
Sign 101-150 Square Feet 5160.00 3/4/04 1200400000000000275
Total Amount Paid $274.50
I Plan Reviews I
.
Paee 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien Review
.
03/0212004
03/02/2004
. CITY OF ~rKJr~ul'1J!,LU
Building/Combination Permit
PERMIT NO: COM2004-00217
ISSUED: 03/04/2004
APPLIED: 02/24/2004
EXPIRES: 09/04/2004
VALUE: $ 5,400.00
APP DJB
8.258 Light-Medium, Special Heavy.
Paee 3 of 4
Industrial and Heavy Industrial
Sign Standards.
(1) Maximum Height. The
maximum height for all signs is 30
feet from grade to the bottom of the
sign.
(2) Single Businesses. Each business
shall be permitted a total number of
three wall or projecting signs with a
maximum of 350 square feet for all
faces.
(3) Free Standing or Roof Sign. In
addition to wall signs permitted
above, one sign from this group sholl
be permitted for each approved
development area. The total area
permitted shall be 100 square feet
for one face or 200 square feet for
two or more faces.
(4) Direetional Signs. Each approved
development area of at least 10 acre!
shall be permitted one directional
freestanding sign of 200 square feet
for one face and 400 square feet for
two or more faces.
(5) Logos are exempt from permit
requirements provided the logo is
the logo of the business residing on
the premises and provided the total
square footage of the permitted wall
signs and the logos do not exceed a
combined area of 350 square feet.
[Section 8.258 amended by
Ordinance No. 5862, enaeted
September 15, 1997; further
amended by Ordinance No. 6008,
enacted March 18, 2002.)
.
. U.l t. OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00217
ISSUED: 03/04/2004
APPLIED: 02/24/2004
EXPIRES: 09/04/2004
VALUE: $ 5,400.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspeetion call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspeetions requested after 7:00 a.m. will be made the following work
day.
I Rf'(lIIirf'1I1~
1 Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
2 Sign Eiectrical: After conneetion is made but prior to energizing.
3 Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I 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 ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and empioyees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that ail 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 ail
times during construction.
--o~ ~. 6~~0
Owner or Contraetors Signature
3. L{.o-\
Date
Page 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2004-00217
COM2004-00217
C0M2004-00217
C0M2004-00217
Payments:
Type of Payment
Check
~............~,c~..~ ".' .. '..:,.
i . ..... i
-''''.' - .
....",' j
..~.,~. ,.......... ~.' .~
Receipt #: 1200400000000000275
Description
Sign - Outline Lighting Each
Sign 101-150 Square Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
METRO WESTERN SIGN
L'heck Number
Received By Batch Number Authorization Number
djb 8483
City of S.,ringfield Official Receipt.
Development Services Department-
Public Works Department<.
Date: 03/04/2004 I:30:09PM
Amount Paid
50.00
160.00
3.50
21.00
$234.50
Item Total:
How Received
Amount Paid
$234.50
$234.50
.
In Person
Payment Total:
.