HomeMy WebLinkAboutPermit Electrical 1999-6-23
? 0 oWing prOject as su m.tled has the fol/owing
zOning, and does not require specific land use
approval.
Zoning
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pc........v ~ o:Jo_
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3 III 0 )> "" 0 nc n 3 '7
cr 3- ~ :0 &l ::; m City Job Number '''nO'l>
~<cotO=....z
() c;, 01 0 c: mi.R
~ Q i 3"~ ~~'uTE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION en :;: n ~ 0 <1l III Z
---1K81-fltJ1"\eerr PlaJA f!'AsT" ;;;. <1l gj. d\~;!l<@t &esidential-Single or
~ ~ en g: 0 ~i9. w.-Family per dvelling uni t.
I Q) .., - -. .10. tr. 1 d d
LEGAL DESCRIPTION ~<o':'" :j' 0 :jlonv).ce Inc u e :
\., () 'A. ~lo :f ':\ 0 I q O-() '? g ~ 8 ~ g ~ :?
J ~s~~gm9~.
JOB DESCRIPTION '1\ Lt M:;:~rg.g,OO~Sq.ft. or less
I ~.s-to..U I f:te+ I lMM ~ ~ So 0 $<Rlf addi tional 500
~a!!!.:;:~~~~'ft or portion
Permits are non-transferable and expi~{g ~ ~ <1l €h~eof
if \lork is not started vi thin 180 day~ 5S~~~~Manuf'd Home. or
of issuance or if \lork is suspended fy iil ~ g 0' ~<!plar 'Dvelling
180 days. .~ -;" g.!fervice or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
j.,_ .L. ~ 8 ~s~liBition, Alterations
Electrical Contractor VV\eA VO - k)s/ev/1. s:: ~ Re19.,l>ation:
. 0; s:: 0 '"0 ~
Address \7 ~ 2.. N. U z.~ Sf.. ~ ~ ~O ~m~ or less S 50.00
. ...... _ J I ~ m ~o,l :!lmps to 400 amps $ 60.00
City'6rr/.,~rfVl4f Phone~b-33/Z ~ g'tQlc.amps to. 600 amps $100.00
:D ~l5!imps to 1000 amps $130.00
Supervisor License Number 5"~ 5/9. g en QVielf=1000 amps/volts $300.00
) ,,_ I _ or. . ~~c~"tlnect'onlY $ 40.00
Expiration Date v -1'1 _ ~
C.~~~rary Services or Feeders
O~mllation, Alteration or Relocation
Z :D'"
m ~--i
~ 2Il}1 ~mps' 'or less
o:zmt ::!mps to 400 amps
:D 0l1:en5401 to 600 amps
. O~~OO amps or 1000 volts
Sign71;J)er~ian
, - _I D.
Ovne r s Name C I C1/{ 11th:>.. s r YJ ~CJIY"
AddressJ 8gL.J?ltrn~'IU'" (J/~?A E~r
Ci ty.:5f""v1J;:,~ Phone '"
OVNER INSTALLATION
Date
225 FIFTH ST,IiJllldiized Signature
SPRINGFIELD, OREGON ~7477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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Constr Contr. Number--12-~.58~
4-\5-00
Expiration Date
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
--------1-----~------------------------
DATE:(,? /?3tCl7
RECEIPT lI:n ~ 4- s"7/ A
RECEIVED BY:f}. rnd/~hC<.-d-o .
ELECTRICAL PERMIT APPLICATION
Items
Sum
Cost
$ 85.00
$ 15.00
.$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline J.,ighting >< $ 40.00 Jli2...
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00.,'
5. SUBTOTAL OF ABOVE $40. -
5% State Surcharge !fz,. 00
3% Administrative Fee I I 20
TOTAL $L1A. U
)
SIGN PERMIT APPLICATION.
225 Fifttl Street
Springfield, OR 97477
LOCATION OF pnOPOSEO WOnK: I 8'87 PI ~e.ef'"
l1D~"W ~~
OWNER: (' ~~.L) c.. V\ e (A. F eA---'
AODnESS: Il~7. ~ IIJY\ e ev- p{~ JA..
CITY SP/"Ivt.e/ r:;&
v I ~
BUSINESS NAME, FlnM ETC.: C (Of re. II e 5
I
JOB "1BER qq 0 '/1;3 '1
Inspection Line: 726.3769
Office: 726.3759
EIJ!Jr
-TAXLOT:~()
SPRINGFIIi:LD
ASSESSORS MAP:
PHONE:
Elf/sf-
STATE: t:rR..
l' \^ ec-..r~
ZIP:
Q?Cf 7?
OESCIIIPlION or I'nOPOSED SIGNISI: (please check and complete all appropriate information)
.X- W;l1I FreestarHJinu Projectill{l Roof Marquee
-X Single Face Double Face Billboard Other
"2-0 S~ /q /
Squ,lre Foowge: Total Height above Grade:
Vertical Dimension of sigll or enclosure:
I I
;J... Harizon!i11 Width of sign or anclosure: I ()
Electricallnsta~ -b Yes _ ~ ." ~ .c7\
IIf ves aq\li\ional permit is required'. . ~E: (0 JU
Y\'I~ / f/'Px'
I
IUJ
Dimension from Grndc. / ') I
to bottom of Sign: v
MCJterial Sign is constructed of:
List ALL existing sigenge and attach a photograph of each sign: ~
(;I) Type
Sq. Ftg.
Ib) Type
Sq. Ftg.
(c) Type
Sq. Ftg.
Id) Type
Sq. Ftg.
CONTRACTon/lNSTALLEH: M1dro - We5neYJ/1
ADDRESS: I 7q L N. l.J z. ve;l s 1- .
CITY _ 5 f2. n' VI..tJ Fi 'e/,I_
s{?~ + 19W71/ ~ PHONE: 7Cf(; - ~3 I z.
STATE:
tYR.
ZIP:
C17'f7l
Lf-/5"'- ao
CONSTllUCTION CONTltACTOHS REGISTRA TtON NUMB En:
12 8'58'~
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District:lf) ''\\.XIu.c...vtL , rA1lHlll~"Land Use: C;:;L.,1'l'T\
V'
Zoning: (' t ./ Code Section:
Quad Area:
, (1..,,-11.<.)
Sign Permit Fce:
;It 4.0 .
Approved By:
'i~. .? ~ g (, \
~~ lAJ~
DATE: Ir )/- '1 "')
REOUIRED INSPECTIONS:
Site
(0 be made prior
to sign placement
Footing
prior 10 placement
of concrete
~achment
after fasteners are
installed/prior to cover
.,/ Electrical
prior to energizing
~inal
completio'n of sign
installation
AeJditiollal Comments and/or Conditiuns:
By sigrKlturc, I state and aUree. that I have carefully examined the completed application and do hereby certify that all information herein
is ltu(: WId correct, ;:Jnd I further certify tt!QI ally ami all work perlormcd shall be done in accordance with the Ordinances of the City 01
Springlield, and the Laws 01 the State 01 Oregon pertaining to the work described herein. I further certify that only contractors and
CmpIOYI:CS who arc in compliance wittl ORS 701.055 will be used on this project.
Ilurllwr agree to ensure that all required inspections are requested at the proper time. that project address is readable from the street, that
the permit card is locmed at the frollt of the property. and the approved set of plans will remain on the site at all times during the installation
Of. the sign(s'. .....-./1. h ~ .
Signature '/ ft./\/ ~ ~ Date 6 -/ t;/ - '1P
Validation:
Amount Received~ 4-cJ . av
l1eceipt Number: 0'3 '-I c::;[ L4
Date Paid: (,,j ;)"''5 ) q 7'
{- .
Received By: n . rYlCLc.1.-4Jf <2> .
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SIGN PERMIT APPLICATION
The applicatio,n on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you me
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 is illuminated, an electrical permit application at so needs to be completed and signed by either
a supervising 'electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in
which you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical
application.
If there are existing wall and/or freestanding signs, a photographlsl 'of each existing sign needs to be ellached to the
application. The size of each existing sign also needs to be listed on the application.
PLANS
To submit for 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 are installing a freestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, it'your signlsl is approved, 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
Depending on your signlsl. you may be required to request one or all of the following inspections during the installation
of your sign:
Site:
To be requested after 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.
Footing:
To be requested after excavation 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.
Attachment: To be requested when all fasteners are installed but prior to cover.
.,-
Electrical:
To be requested after the electrical connection to the sign is made, but prior to energizing.
Final:
After all required inspections are conducted and approved and the sign installation is complete.
The inspections that are required for your specific sign will be indicated on the application during tho plan review process.
Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required
intervals of work.
To request an inspection, phone 726-3769. This is a 24 hour recording. On the recording you willnccd to leave your City
Designated Job Number, location of where the sign is being installed, the type of inspection you are requosting, 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 same
working day, all inspections phoned in after 7:00 a.m. will be made the following work day.
If you have any questions regarding the application, required plans or inspections, please feef free to phone the Building
Safety Division at 726-3759.
..
City of Springfield
Building Safety Division
225 Fifth Street
Springlield, OR 97477