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
.:,./~-
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&.,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