HomeMy WebLinkAboutPermit Signage 2000-1-25 (2)
SIC].,N PERMIT APPLlCA.
. NUMBER hJ - fs1r'b Ci.S- - 0 I
.
.
225 Fifth Street
Springfield, OR 97477
r / 0 -., ~ ~ 4- 1I ~
OWNER: -\-\D\.Ulm S1Y\ 1 *\" ,
ADDRESS: 4t?'S ~\Xl b~V&
CITY: S~r\x\'6\ie.o.cl ~ , STATE: ~
BUSINESS NAME. FIRM EK:\t)\\!\S \Q~~ \TU}.Q}c.h
.. -
TAX LOT: f) Cj ((57)
PHONE:I2&~ 50S4
Inspection Line: 7 4'k~N~ft: 01-0000350
Office: 726-3759 DATE:JAN 25 2000
AMT RECD:2 $ 99.00
. - LHHNbt:
lJt1\..H JIll,. 65')
SITE ADDRESS:
ASSESSORS MAP:
ZIP:
9-,lU)3
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate informati(~ Sit')Yl. 'L.:) ~
_ Wall 'f. Freestanding _ Projecting _ Roof __ ;v;alquee \_ ~
- J ~
_ Single Face i Double Face Billboard Other. 'v--<;:;'';''
Square Footage: ~S ~ k Total Height above Grade: IS
. \)V n.
Vertical Dimension of sign or enclosure: .........1
Horizontal Width of sign or enclosure:
5/
\ m~rfl-
)
Dimension from Grade / \ etrieal Installation: -J:;... Yes _ NO\ VALUE
to bottom of Sign Enclosure: ---10 (If yes additional electrical permit is r~ OF SIGN:
Material Sign is constructed of: 5nJ/ 0+. l'<\Plo.Q.J:_~(lSh". \ ~~, Ifu..,ILJ
List All existing signage and attach a photograph of each sign:
lal Type'
Sq. Ftg.
Ib) Type
Sq. Ftg.
Icl Type
Sq. Ftg.
(d) Type
Sq. Ftg.
CONTRACTOR/INSTAllER: M~^\O-L~\k S\CtYl..c.". ~)~
ADDRESS: \DI 10, StM..'0k"L.. M.
CITY: F~ l~eV\..Q", STATE: ~
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: f'f'fl14Cll)
PHONE:
106g,- '2ffi)
ZIP: Ql4D?
EXPIRES: Do/i()I!O I
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Sign District:
u.!J{
OFFICE USE
land Use: S ?L1{) Quad Area:
Code Section: ~ ~$~ (", ')
Approved By: ~ Lu...r... .. .
1c....;0L0
Zoning: litHlWi..l0 11l~.:.J':tLI
Sign Permit Fee: $'5S.-
DATE: I - ~l- (r{)
REQUIRED INSPECTIONS:
. / Site /Footing Attachment
to be made prior prior to placement after fasteners are
to sign placement of concrete installedlprior to cover
Additional Comments andlor Conditions: ~.l.." tV.1 r'\ J.J tiA .k b;
~ fo-ob ~""'-4tA.~, t?t-lLI (X.i/U/MvT>L.
Electrical
prior to energizing
electrical installation
~inal
completion of sign
installation
~ ~.u nIL/off\". ~. (p rr J- th.p- ~'-
;brh'" A-t ~~
y
By signatLiic, I stale and agree, that I nave carefully examined the completed application and do hereby certify that all information herein
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. I further certify that only contractors and
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. that
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 installation
of the slgnls). ~./ ~~
Signature -C X tv 1 fj
Amount Received:-1l' qfj. 00
Date
IQ~~3"r;q
.. r
Receipt Number:
:,sc.
Date Paid: i I:l..<,! of!.>
Received By: VJJ)
Validation:
.....
.
.
SPRINGFIELD
The following project as submitted has the,toliowing
zoning, and does not require speCific land use
approval, I V\f\ 1
Zoning -1A1-V\
1-2S~dt>
~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~1f7,
A1JII6FiiBi'l6llgnature
1. LOCATI~~F INSTALI4r;rON
41)C\:=\ yvuX\ fuvv tiuL
LEGAL DESCRIP,TION
17 () ?, 'J c.f '1'1 0'1/ tf7)
JOB Dj::SCRIPTro~, ~
'WiJ'L --\h DCif-,t\ ~ t\Kr LL1X
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
.ELECTRICAL PERMIT APPLICATION
City Job Number 00 -ooo-QSc I
3. COMPLETE FEE SCHEDULE: BELO\!
A. New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
Sum
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Or. T\ I . ~~<" Installation, Alterations
Electrical Contractor \i17\~-'\ l'-t()C>'\)'\D or Relocation:
Address \ D \ 10, ~~ ./ . 200 amps or less
r:. _ A.. ^ ~r^~' 201 amps to 400 amps
City ~ Phone ~~~ 401 amps to. 600 amps
'-.5 QT(\ 601 amps to 1000 amps
Supervisor License Number ?~\~~~ Over 1000 amps/volts
Reconnect Only
Expiration Date
1l>llXJ
Constr Contr. Number ;;1(;-\ IdX LS
Expiration Date \Dlea
Signature of Super 'si
'bfV<</ . .
Owners Nam'-"\t::t ffi 5X\~ l~\~'
Address L\t5\~ \'\O..\~ bDxL
Ci ty S'Il0. \'\(\\\~hone i2lc- <tt6L\-
\ . U
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Oit!ttSignatu/;JaW
-~-----~----~---------------------
DATE: \-~S -00 .
RECEIPT II: .,50
RECEIVED BY: W5
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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
$ 55.00
$ 80.00
see "Bft above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
1'% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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