HomeMy WebLinkAboutPermit Electrical 2005-3-8
~ '/2 'g .
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FA~(S41)72<<~(.1I~/)'o,
cs> 06) "'61
ELECTRlCALPERMITAPPLICA110N /- ~ "I" t& <0". '-";''''-
i"? "'-:1: 'I/':. .r~
City Job Number (()111 z.oo.J - 0> 0 C:>77Date :::5 70S- or,~ 'g &9v.~0/
f I &0' ',&'i'&
. -. .s>.. '-.0 0'1
3. . COMJ>1,E1'EFEESC~ &c;.~"'-~
v....E1 "l E1"
Ql..,O' Oqo~
"'or. "-?:
elling ,?nif>
::m",~,:,...:"t'1V,1l;,;v;~;~",..t~1'1!Jt~~~',_~i,L;'P":~1'.;T7"~' -
1..,.E.Q@.TIPIt(Q1!1INS:!.@.i!JA,'l'lON
I / ~ to ~1f~ J1;;;DP
LEGAL DESCRIPTION a I
170J '2-7-:2.0 OZL{(
JOB DESCRIPTION
...Df)P r(!Je'U\.t fn( rrDf -koSi~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
eoNrtJtAiifi()k.iiiVSTAbLATION ONLY
2. ,. "T".:M "_1" ,,,,.~,.: ,;,' ......;p;;:I'!',~:,..",.,.,,~...,. .,.','" "',' ,
Electrical Contractor Sui Iclers 6 t-"C.-t r-iC ]('l(
Address 1<=1 5 #-J1Clcks () r'\
City ~Vjene
485 - 09'Z:Z.
Phone
Supervisor License Number 3:1 '1 0 ., S
Expiration Dale J 0 - /- 07
Constr. Conlr. Number 4 '::f1l.tJ
Expiration Date /2 - 10 - Dt
_L-
Owners Name 7\olM. rlAwimEVL
+>0 - (JO;K 2.2 bb
. f:;. . r .hv~ J. ,l-
c.t) _. ~ ,J' . =- ~ rhone.:v \I
Address
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
.... ,~,..~.
~r'
A.
Service Included
1000 sq. n. or less
Each additional 500 sq. n. or
portion thereof
$ 19.00
Each Manufact'd I-Iome or
Modular Dwelling Service or
Feeder
$50.00
D. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps 10 600 Amps $125.00
601 Amps 101000 Amps $163.00
AtpT't!:tIJQQ~l~e'~lm law requlres you t$375.00
to~l)'i'v'1'ffi'ih,O.!/lropted by the Orenon Utilityso.oo
Notification Center. Those rules are set forth
irYOAffIN'82rl\l:fl~()'ji~0AR 952-001-
OO?O. ~wma~ ,obta.!n copies of ~e rules by
c~fl\~ga\wg'ctl"Mjl!''\WUtU.'t\ij'llll~phone
trtll\\OOl~'lI1e'Oregon Utility flIotif1C8.tkm50.00
201 AI~WIi\IC/i'luooO'a3a.2344). $ 69.00
401 Amps to 600 Amps $100.00
Ove! 600 Amps or 1000 Volts see "Bn above.
U. Brnneh Circuits
New Alteration or Extension Per Panel
One Circuit }
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
4~-OU
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
N~~1J"&~!ine Lighting _,-_J ~ ,11m ~t; '.D8f-O
Tt't-,ig>i~oef~f,rFY6~fArE.n~~PIRE I~ Tt IE \',cfti1<'uO
A&i'pit5Ml~l}\Y~lf,'rI~Pf'fi':ls PER~.lIT IS f\lltNOO
J\1iri!.rjjY!!htJl~Oi(/,fm'iEI~ii~\1Jmwf!l!Ji ~~oo + Surcharges
4. A~'ir.iJ~P~ g~VE
7% State Surcharge
10% Administrative Fee
~- 43-00
~.\~.
~.5CJ
~? .(05
TOTAL
Shared Drivc(1.:)/Building FOrlllSIE1cctric<l1 Pefm;t Applicalion I-03.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00077
ISSUED: 01125/2005
APPLIED: 01119/2005
EXPIRES: 09/07/2005
VALUE: $ 6,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1186 GATEWAY LP
ASSESSOR'S PARCEL NO.: 1703222002411
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - rooftop
Owner: HAMMER JOHN P
Address: PO BOX 2266
EUGENE OR 97402
, CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
IMAGE KING INC
IMAGE KING INC
. License
161313
161313
Expiration Date
09/0112008
09/01/2008
Phone
541-484-1482
541-484-1482
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUlL"",,,, ",.ORMATlON I .
~ V reqUires you to
- #f of ~r~lies: . ~dopted by the Oregol\,lJV~e:
"H"'''' 1'1i':t'JI'f's"'t CAtnIP' Those rules are ~ L-..ih. FI
. elg o. ruc ure' I'f'lSl oor:
1~*P~t;!f'HiaHU1-U01 0 through OAR 9S -Fllind Floor:
With Tyflr:'ay obtain copies of the r.ttQasement:
Rari'~e"fylle\1 center. (Note: the telepsqlRl Garage/Carport
E1ierg9<Piltli: the Oregon Utility Notifi~ther:
Sprinkled:BiilIiliiJg:1-800-33:Dla344). Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
NOT! CE: DownspoutslDrains:
THIS PERMIT SHALL
AUTHORIZED UNDER ~~~~~\~ THE WORK
COMMENCED OR IS ABANDON MIT IS NOT
ANY 180 DAY PERIOD. ED FOR
Notes:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Sien
Fee Description
Sign Plan Review
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Sign 61-100 Square Feet
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00077
ISSUED: 01125/2005
APPLIED: 01119/2005
EXPIRES: 09/07(2005
VALUE: $ 6,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,000.00
Value
Date Calculated
. Total Value of Project
$6,000.00
$6,000.00
01/21/2005
Fpp~ ~
Amount Paid Date Paid Receipt Number
$40.00 1/19/05 1200500000000000080
$19.00 1/25/05 1200500000000000112
$3.50 1/25/05 1200500000000000112
$50.00 1/25/05 1200500000000000112
$140.00 1/25/05 1200500000000000112
$4.50 3/7/05 1200500000000000298
$3.15 3/7/05 1200500000000000298
$43.00 3/7/05 1200500000000000298
$2.00 3/7/05 1200500000000000298
$305.15
I Plan Reviews ,
Paee 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien Review
.
01/21/2005
01/21/2005
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00077
ISSUED: 01125/2005
APPLIED: 01119/2005
EXPIRES: 09/07/2005
VALUE: $ 6,000.00
APP DJB
Paee30f4
8.256 1-5 Commercial Sign District.
Area Covered. The 1-5 Commercial
Sign District applies only to
properties designated CC and NC
that are within the geographically
bounded area located on Map No.2.
(1) Single Businesses. Each business
shall be permitted a maximum of
tbree wall signs totaling a maximum
of350 square feet for all faces.
(2) Free Standing or Roof Signs.
Either one (1) free standing or roof
sign shall be permitted per approved
development area. The 10tal area
permitted for each free standing
sign shall he 100 square feet for one
face or 200 square feet for two or
more faces, with Ii maximum height
of 20 feet above grade.
(3) Second Story Businesses. Each
business shall be permitted two wall
signs per business with a maximum
sign display area of 175 square feel.
(4) Additional Freestanding Sign.
Each approved development area
shall be permitted one additional
freestanding sign. The total area
permitted shall be 200 square feet
for one face and 400 square feet for
two or more faces, with a maximum
heigh1 of 65 feet ahove grade. The
additional freestanding sign that is
over 100 square feet shall be
ins1alled at a minimum 000 feet in
height from grade to the bottom of
the sign.
(5) Logos are exempt from permit
requirements provided the logo is
the logo of the business residing on
the premises, and provided the total
square footage of 1he permitted wall
signs and the logos do not exceed a
combined area of 350 square feet for
single story businesses and 175
.
. CITY OF ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2005-00077
ISSUED: 01125/2005
APPLIED: 01f19/2005
EXPIRES: 09(07/2005
VALUE: $ 6,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
square feel for second story
businesses. (Section 8.256 amended
by Ordinance No. 5862, enacted
September 15, 1997; further
amended by Ordinance No. 6008,
enacted March 18, 2002.]
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day. .
I Reouired Insnedion""
Sign Attachment: Method of moun ling the sign to a structure or pole. Method of attachment of bolls or welds.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signa lure, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I fur1her 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, and
that NO OCCUPANCY will be made of any slructure wi1hout permission of the Community Services Division, Building Safety.
I further cer1ify 1hat only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, 1hat each address is readable from the
street, 1hat the permit card is located at 1he fron1 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00077
COM2005-00077
COM2005-00077
COM2005-00077
Payments:
Type of Payment
CreditCard
3/7/2005
.
RECEIPT #:
~.
~
Jii.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000298
Date: 03(07/2005
Description
+ 7% S1a1e Surcharge
+ 10% Administrative Fee
Add, Alter, Ex1end Circ
Minimum/Adjustment Electrical
Paid By
BUILDERS ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 085997 In Person
Payment Total:
Page 1 of 1
1:30:29PM
Amount Due
3.15
4.50
43.00
2.00
$52.65
Amount Paid
$52.65
$52.65