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Home My WebLink AboutPermit Electrical 1996-3-4 (2) . . ".. , The hI/owing pr 'e . zoning, and doe~ n~ ~:;~bmltted has the folio n(l,_ 225 FIFTH STREET approval. We specific "''1rt.mrRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning LI'\'\~ INSPECTION REQUEST:, 726-3M? ;::,~ OFFICE: 726-3759 AuthoriZed &g ~~KPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION "'- T.._ /4 ",-, hl"l' \ ...~.;r" I~..FT A. New Residenn!l.l-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION .' 1?~-2/~:2V_ cY~ - . , JOB DESCRIPTION ALARM S'(STFM 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 ContractorAllT "'F,r.l1RTTV Address 1501 P"ad ""rpp' .....51ll..P R City Eue"ne. 97407 Phone(503)342-111J Supervisor License Number R-1777 HI' Expiration Date 10-I-Oh Constr Contr. Number 59944 Expiration Date 4/?Q rSigilatu~e jf,;:up!!rvisiDg'Electrician ] 'Wit--/ ' .- ^ D. Owners Namet vAM~(")R.r 1=',=",,) ~ Address-,q,F; I h...d 0'TlZc..ET' Ci t~D ~1J-7z.Phone ,~..J-J, L~l~lli= YET) OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: /- '7' ,?,r.: RECEIPT I: ~;5J2!l;~ ,~CEI\lED BY: '. ~.~" \~:..,; :.:: .:;.,:,: ;+A......;.~,~r:; .::~\;fj{r:~:. :,:,,,;.:.:~ City Job Number Q"'&:r'29S- Items Cost Sum 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 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to. 600 amps $100.00 601 amps to 1000 amps $130.00 .- Over 1000 amps/volts $300.00 Reconnect Only $ 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 . Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Misceilaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limi ted Energy/Comm $ 36.00 ,~I~.O() 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL :.'.1;..,,'..-;.......', .;..,...:..... " ....;.. ..::'~.- ,,' ,;:z,lr,OD UiD J. D g' ",(.IiR "<.. '....,.. . . ; :>f/<l.<:~/i~j~~ ....... , "'I.'..\:. ,", SIGN 'PER~IT APPLlCATION,e JOB .BER . C\~1.\6 nS Fifth Street ~ Inspection Line: 726-3769 SP:i~gfield~ OR 97477 ~ __ ~ Office: 726-3759 SITE ADDRESS: fu\umb\t^. ~o.~ <?xJ<\qSl A Dol.) Sm"'Pi ASSESSORS MAP: L1{)~ .': __ TAX LOT: ,o.rtl7f I)' ,...... -,",\ OWNER, R'wmv"'(\ ~r.hm\ cra++ PHONE: 'ILl r7]- ()q:3?, ADDRESS, \g:=;1 LDNST. SUITE D f 'CITY: Spri (')3 t\e)d . STATE: . BUSINESS NAME. FIRM EOC.: C,o\\){Y)b!o,fu.[v~,W nt2 Bo'i Co. Ir:JC:' ,-- / ZIP: q7477 OESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information) ~ Wall Freestanding _ Projecting Roof ~ Single Face Double Face Billboard Other Square Footage: ~ \~~S! Total Height above Grade: 131 (" II :--I ,AI I) C:U . . ..... /j ,c=.. 2> /' Vertical Dimension of sign or enclosure: ~ c:::>( -u . . Horizontal Width of sign or enclosure: '7'f'.. ~ J Electrical Installation: _ Ye ~:o VALUE $~.: 2lf) CD (If yes additional electrical permi~edl OF SIGN:~' ' I ' . IDS? ~'<<e_C-\-ljO!' tAJ~\Oinj (we,~:J I List ALL existing signage and attach 8 photograph of each sign: I\) IA Marquee Material Sign is constructed of: Iq' r:x:Ai nkd I Dimension from Grade to bottom of Sign Enclosure: Ie) Type Sq. Ftg. (b) Type (d) Type Sq. Ftg, I Sq. Ftg. lal Type Sq. Ftg. CONTRACTOR/lNSTALLER: Ef;-tA {EUc::'EJ.j[, S\l,,01' ALJIJlul,J "- ADDRESS, YZ-l 0 t>A \(.01\1(.1-\, '\2..OA D PHONE: I..{c;{.c; '5~Y (" EXPIRES: ZIP: COLI 0 2- 2 -/--'1 (p (/3D-9" I I i .1 CITY: l--u'2/.-ne..- STATE, CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: CfS791- .. 9503'11 f)Y2. CITY BUSINESS LICENSE NUMBER: ., ;._ _ _.,_ _'_ _.,_,EXPIRES: Sign Oistric\. '\J\[\ \ Zoning: \.. \i\ \ , eO .w Sign Permit Fee: OFFICE ).!SE . . \ Land Use: (-'1Ql\0 GU~A'fa: .\I1ULLJ Code Section: U .....'7,1 III J 'I ' Approved By: \ I 1'\.(\ ) ~ CJQJ2-( DATE: \1l.W 45 ---IJ.l>-lI., I _ n. . \' \ I I Site to be made prior to sign placement Footing prior to placement of concrete Attachment after fasteners are installed/prior to cover Electrical prior to energizing electrical installation ~inal completion of sign installation' REQUIREO ,INSPECTIONS, Additional Comments and/or Conditions: I ,- ~ .\ , ..c" By sig,mlure. I state and agree. that I have carefully examined the completed application and do hereby certify that all information herei, . \ is true and correct. and I further certify that any and all work performed shall be done in accordance witn the Ordinances ,jf the City 0 1 Springfield. and the Laws of the State of Oregon pertaining to the work described herein. I further certify.that only contractors an , employees who are in compliance with ORS 701.055 will be used on this project. ,. I further agree to ensure that all required inspections are requested at the proper time, that project address. is readable from the street, thl' the permit 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 installatio of the signlsl. Validation: ~~K~II Amount Received: --EfJ. cr.J Receipt Number:' \C\2\d~) Date IO(ZSJS$ , , , , Signature .9ate Paid: ID' ~ \ ,qS Received By: ~ f'f't:. ./ ~J- - .. . . '.' , i SIG,N PE~MIT APPLICATION The a~~lication on the reverse side needs to be com~leted entirely. If you are the sign contraclorflnstaller, or if you are .I hiring a contractor, you need to make sure that both the City of Springfield Business License NU'11ber and the Registration Number from the State of Oregon Construction Contractors Board are listed on the application ~Iong 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 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 photographls) of each existing sign neads to be attaehed,'to the application. The size of each existing sign also needs to be listed on the ~pplication. ," . I PLANS To submit for a sign permit. you need to prepare two complete sets of drawings showing all di~ensions. total height. and a ~Iot plan indicating where the proposed sign will be located. If you are installing a freestandirig sign which exceeds 20 feet in total height. the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan review process is completed, and, if your signls) 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. ,I I INSPECTIONS Depending on your signlsl, you may be required to reJuest lone or all of the following inspe~tions during the installation of your sign: Site: To be requested after indicating on the lot whore the proposed sign will be 10caJed but prior to any ";ork being performed for the installation of the sign. This inspection is required if there is a question on the location of the proposed sign. ' .1 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. Final: To be requested after the electrical\onnection to the sign is made, but prior to energizing. , After all required inspections are condu6ted and approved and the sign installation is complete. I I Electrical: The inspections that are required for your sign installation will be indicated on the applicatior during the plan review process. Failure to request ANY of the required inspections could result in sign removal ill order[ to inspect the sign at the required intervals of work. i To req~est 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 installed, the 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 same working day. all inspections phoned in after 7:00 a.m. will be made the following 'work day. , , . . I If you have any questions regarding the application, rJquired' plans or inspections. please feel free to phone the BLilding Safety Division at 726.3759.' .I ,I Cit~ (.f S'pringficld ,3uilding Safety Division 225 Fifth Street Springfield, OR 97477 "