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HomeMy WebLinkAboutPermit Electrical 1991-9-19 S'.'IINGt-'IELO 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number ~~I'~~ OFFICE: 726-3759 1. LOCATION OF INSTALLATION 1$$77> 7Js . LEGAL DESCRIPTION JOB DESCRIPTION ~/..,:;.....,. t:9'.-e,,/.~.... ~~~~,$>-5. Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical contractoll.-R\\(\ \.nf\ ~\O~_ Address.:fID4 ,\~4~.rs~) Citydl.~I\L_ P~\J- ~~-\\\d=\ Supervisor License Number ...- 4.3'1 S.-L Expiration Date- 1"/, !q3 Constr Contr, Number -- (0 I.{{" J f? Expiration Date /' ~r /<;~ Signature of Supervising Electrician ~J\? m O'4,,^j~ Ovners Name Address City Phone OVNER INSTALLATION The instalration is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~A~;~------~~l\CJ\-~\-~-----~~-~-- RECEIPT #: .~' [,,:, ~ \LJ'"'t ~ RECEIVED BY: \.... \ 'I.. k , - - 3. COHPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dvelling unit, Service Included: Items 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 a~ps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Cost Sum S 85.00 $ 15.00 $ 40,00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 S 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 S 55,00 $ 80,00 see nBIt above Nev, Alteration or Extension Per Panel One Ci.rcui t Each Additional Circuit or vith Service or Feeder Permit S 35.00 S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting ./' $ 40.00 ~- Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL .:,./~- ?-- &.,1':;:>. ..~ city of springfield 225 n. 5th street . SPRINGFIELD . INFORMATION: 726.3753 ~ INSPEC'TJONS: 726.3769 S:~~ 1P}~~I~. f(l~9AiJ~~~~\ qoo A. LOCATION OF SIGN (ADDRESS) lV''''..-:' -:-;r., ~,::;'.' =~.. (\>IOI-U;:w... ~ 8o\ldi'i>l~T~) LECAL DESCRIPTIO~ e\-ll>..NlJ.~ \..e... "",RC; ~ wt.LL- TAX LOT -~. Q;INER OR PROPERTY A\M~\!.12. c CD, r ~'itAi:. \ I'HONE )4-:;:.10l"L ADDRESS .qL\ lU ~~~'1 a.." ZIP '\'7'101 ( OlINER OF SIGN (IF OTHER TIlAN PROPERTY OWNER)~~~Cl.r~b...,t\L..&:'..R_ .1.1.. ''2.<;.- '>'~ ADDRESS ~lo.o. \<'lto..I~~'''''..''' "T Z1'5 PHONE. c..1'>....-'Z.\'1.1l NAME OF BUSIllESS, FIRM, ETC. SiTAR. CARbg, TYPE OF BUSn:ESS.:\......., ,.CA1l.tl ~oi>. B. TYPE OF WORK: LERF.CT _ALTER _RELOCATE _OTIIER C. STRUCTURAL TYPE 'OF SIGN:. LHALL _FREESTANDING _ROOF _PROJECTING _MARqUEE _UNDER I1ARqUEE _OTHER [). USE AND CPJlRACTER OF SIGN: ><J IDENTITY _INCIDENTAL _DOUBLE FACE ~SINGLE FACE _MULTI-FACE _READER BOARD _BILLBOARD E. VENDORS, CONTRACTORS: . SIGN ERECTOR '\4A..'i2:riN \1~~. S\Gt-I" \~c... f.DDP.ESS 201..{ . 'lE!='PER..<'.n~ <;:+ 1>,., ~'"l"" (_Q6q CITY LICENSE ITlP.1BER <=\\0302 . Su, PilON!: ~'i 2- \ 1 ""l ZIP'l'1<1CY'l_ EXP. DATE rn - "3>0 - "\ 'L SIGN I1ANUFACTURER (IF OTHER THAN ERECTOR) <\.DDRESS ~AME I'HONE f, DlHENSIONS, U1STALLATION & CONSTRUCTIOn TOTAL HEIGHT ABOVE GRADE lR' c.,' VERTICAL DlHENSION OF SIGN 2.<l" HORIZONTAL WIDTII OF SIGN \ 'Z- I DlHENSION FROM GRADE TO BOTTOM OF SIGN \4' -Co" TIlICKNESS OR DEPTIl ~b~ \'2.~ DOES SIGN PROJECT BEYOND ~ PROPERTY LINE? YES 'f.. NO IF YES, DIMENSION BEYOND PROPERTY LINE '.N A NOTE: IF PROJECTIOn IS flORE TIlAN 12" . OVER PUBLIC PROPERTY THE 'SIGN ERECTOR tlUST FILE WInl THE BUILDING DIVISION COPIES OF HIS/HF.R LIABILITY AND PROP- ERTY DA}~GE INSURANCE POLICIES. . G. EXISTING SIGNS . . ARE THERE ANY EXISTI!1G f.IGNS? _YES@ . . . . . .. .. .. IlUUBE!'. SIZE IN S. . ALL F~ISTING SIGNS FOR BUSINESS, ETC. H. HI~L SIGN HAVE ELECTRICAL InRII~iO:~. IF YES, WHICH APPLY? ~ ELECTR~~L SI~ . _ILLll!1INATED (INDIP.f,Cm LIGH~D~ ELECTRICAL COllTRACTOR~>\ ~.' ' ADDRESS' t A.D \ l. \'.\0 LISC. NUMBER PI~ON!: I. DESCRIBE TYPE OR I'ATERIALS SIGN IS CONSTRUCTED OF. "S~~Iil'T' \\.\",-m~ A. (''i2. '^-..I C J'SITE INFOPMATIOfl (LAND USE) -- EXISTING USE OF BUILDING OR LAND (nR LAST USE IF VACANT) K. VALUE OF SIGN:"'Z.q~5"l! ~INDOOR BUSINESS __OUTDOO~ MERCHANDISING PROPOSED USE OF BUILDING OR LAND: ~,'- . L'I HAVE CAREFULLY E~IINED the completed application for permit and do hereby certify that all information is true and correct, and I further certify that all work performed shall be done in accordance with the Springfield Sign Ordinance, the Uniform Sign ,Code as adopted by the City of Soringfield,and all other Ordinances of the City of Sprinp,field and the laws of the State of :Jre~on per'talnin~ to t~1e work described nt:L~J..n. I further certify that: my S~Z!'. Co:'"\tractor 1..1- cense with the City of Springfield is in full force and effect as required by Sprinr,field Codes S-2-6(3) and 9-7-20(2). I will request all required sign inspections listed on the approved permit. ' NAME (PLEASE PRINT) GA.~'" \\)~YE"-' ~~ SIGNATURE MA~\N 1>120,,>. ~\C:;N ~ \MC. \lATE q - l-z.. - ClI . PLEASE READ . 1) Separate Si~n A~plication: A separate application ie required for each separate sign as defined ~n the Sign ~ode. 2) Electrical: Any permit issued under this application viII includ~ wiring in or on sign structure, the supply wires for connection must be covered on an e~ectrical permit. Electrical connection must be made only by a State Licensed Electrical Contractor. Illuminated signs (both internally and externally) must. conform to Sections 9-7-4 (4) & (5) and 9-7-18 of the Springfield Sign Or- dinance. ,. " '. . .... ~ 3) Plans ReQuired: This application is to be submitted vith two complate' sets of plans shoving di- mensions and ne~ght qf sign; advertising message on s;gn; location of sign on property with di- mensions to property lines, structural details of 8upp~rt framing, bracing and footines; materials of construction for sign and sign structure; electrical equipment and lighting; size and location of existing signs on property for the same busienss. all as required to determin~ com~liance with the Springfield Sign Ordinance (Article 7 of. the Springfield City Code). Also,. show the follow- ing information on the plot plan (plan shoving property lines and location of signs): a) Show the location of all existing sign(s) as well as proposed sign(s). b) Show the length of the street frontage taken up by the business or building. For wall signs, shov the length of the building frontage. c) Shov the location of antrances open to the public and driveways. When required, because of design, size, etc., engineered drawings .and calculations must be pre- pared by a licensed enginear or shall conform to design standards on file at t~e Building Divi- sion Office. Plans of insufficient clarity or detail viII be returned to the applicant with no permit being issued. oj 4) 5) 7) Signs must meet corner vision clearance requirements as described in Figure 9 of the Springfield Comprehensive Zoning Code. NOTE: No sign may be erected vhich is less than 12 feet horizontally or vertically from overhead electrical conductors in excess of 750 volts, or less than 5 feet in any direction froo overhead electrical lines vhich are energized at less than 750 volts. If a sign is not installed vi thin 60 days aftar the date of issue of this permit, the permit shall be void. . Inspections: 6) 8) 9) a) Site Ins~ection - to be made before the sign is placed. Usually, the' Footing Inspection (it applicable) may be made at the same time as the Site Inspection. lhe Yooting Inspec- tion is to be made after hole(s} is excavataci, but prior to the placement of concrete. b) Final Inspection, - to be made upon completion of' all york. . c) .nectricBl _ all electrical aigns muat be inspected for electrical hook up after the sign is erectea and before the sign is turnad on. . '. CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 SIGN D~STRICT ~\JN~ ZONE DI~R~~: O~I~ TOTAL SQUARE FOOTAGE OF SIGN ~ l3' - ONLY JOB IF SIGN PERMIT C\\\T'J-J\\ FEE~~ .~O REOUIRED INSPECTIONS.; SITE/LOCATION ~OOTING OR METHOD OF ATTACHMENT XELECTRICAL A-FlNAL ELECTRICAL PERMIT FEE: -. OTHER \C:09~!'nJ \)\ Q ru1r ~fr (- Ln0{0 IlJ) I , 5% STATE SURCHARGE: TOTAL: 3?-J .~ DATE q . ~ C\.(\\ RECEIPt5)l ~ I CLERK tl\, [\(\ ) SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: . APPROVED q.ll.c~ \ DATE SECTION: SPRINGFIELD SIGN ORDINANCE