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HomeMy WebLinkAboutPermit Electrical 2004-8-24 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ~~o" ELECTRICAL PERMIT APPLICATION _ / ;o"ot- . z City Job Number ~260Lf-()O 9~~ Date ~/?lll~h <$'/<$''''<>:.0,. I '""- 0& 9-.9 Electrical Contractor ~ U\ ~~ ~"'-- 200 Am~~G{~s.N~?-~ r (0<:) .t\C~ r. t\~\..\.. ~'P~~~r(\~0I~ Address '-f 6 () ~,^c&"f'\tt.~\ s ~~Yr.\\4W\~~~Cf~~ps ,W-" ~~~\) \\ \S$fdl~s to 1000 Amps Phone G ~J~ G t.,,\~~r 1000 Amps/Volts \J\i\ '" ~Q O~'i ? Reconnect Only f\~'i \ Supervisor License Number 26 -197 GL~) c. )() ( OL1 ) \:(,~Cfq1 1. ~ 11s~=-0 r' , 2 \ L (3;)~ c::rt, p@ LEGAL DESCRIPTION 1/03 2.02YO \S'o \ JOB DESCRIPTION tf7 ~\~ V\ LL1\rr\~V\ ~ Permits are non-transferable ana expire if w~rk is i^ not started within 180 days of issuance or if work is Suspended for 180 days. 2. CHy ~~R- Expiration Date Constr. Contr. Number Expiration Date --. OJ Signature of Supervising Electrician .c: ~-;? _c 7 ~-' ~ -' /"~~~ ~ Owners Name U_J \ \ \ i ~ Q S-\ Phone 1 cf 7 -. (L-ZCrj Address ?-\ 7~ City ~~\A- OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 D. New Alteration or Extensi~~~l\\\)f~\\\\\1 One Circuit to.!' Otegon \~ \"8 oregon _~t\&~.OO E Alv~\i\1Mdnal (;",.iM8~t,th-.~es at" ~- ..00'\- s~\} ~~~W~ :iin05eW .oll.~ 9&2 $:. bno fb'\~. ca{1\~ fou9" e {U\e5 " E. P C'\o9(). ~~ubhP_cen\at. non \}\\\\\'I ~ A A\ ump O~\~<UI~\na Ota.", ~~_?~I- sign/8t\~~t\~ \5 \,&00-: Z- . Limitrd EnergPf{~sidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 i 0--0 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 10-0 "( 10 ~ I 7 7% State Surcharge ".. ~ ~'I$\ 10% Admini'trative Fee ~~~~ TOTAL ~ Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc Inspection Request: 726-3769 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00988 ISSUED: 08/24/2004 APPLIED: 08/11/2004 EXPIRES: 02/24/2005 VALUE: $ 5,200.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 212 Q ST ASSESSOR'S PARCEL NO.: 1703262401501 Springfield TYPE OF WORK: Sign Overlay Dist: Total: # Street Trees Rqd: _~~dicapped: Paved Drive Rqd: ~~pact: % of Lot Coverage: ~'..I'4\'U~~ of' V8f' ()1~ fJI. ~\. ~~ ~J~ J.~yp- aff,..f!. vt I PUBLIC IMPRO~~t()9~~ "\'(\O~~" O~ ~e~. ~ ~O'f" ~ ce~_&tte~t ~i va\e9"(\O-/tm(\ \O~\~\C'a.{\~~~,\)()\~~t\:1~~~o~~ \~ O~~ ~O\) ~'a.~e~ef. ~~~..?'~V ~9'i). \'t\e e 0' C~ o c~\\(\Q, 'O~ ~ \Ii ,\"Y) t\u~'Oe~ Cefl.\0' I Valuation DescriPtion' TYPE OF USE: PROJECT DESCRIPTION: Sign - wall and freestanding Owner: DAVID WILLIS LLC Address: 2276 36TH CT SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Electrical Sign Contractor CHAPCOINC CHAPCOINC License 153989 153989 I BUILDING INFORMATION' # of Units: # of Stories: ~Q\\'" Primary Occupancy Group: Heiglh\'t1~~~ ~O' Secondary Occupancy Group:. ~~ ~\\ Primary Construction Type t..\Q"\\t~. ~\\ ~"~~~~ ~~t.\) rQ\\ Secondary Construction Typ~'!' ~\~ ~t.~ t.\) U~\) ~~\j : # of Bedrooms: '\ ~ \\~Ci\\\-Z; c.D Ci\\ ~ffgy Path: ~'v "I\~t.~\'~ ~ ?t.~kled Building: n/a (''',''~ ~ n~ .~~'{ \Q I-DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pal!e 1 of 4 New Commercial Phone Number: 541-747-1499 Expiration Date 01/13/2007 01/13/2007 Phone 541-686-9366 541-686-9366 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sil!n Sil!n Use Bid Amount Use Bid Amount Fee Description Sign Plan Review + 10% Administrative Fee + 7% State Surcharge Sign - Outline Lighting Each Sign 0-35 Square Feet Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00988 ISSUED: 08/24/2004 APPLIED: 08/11/2004 EXPIRES: 02/24/2005 VALUE: $ 5,200.00 $1.00 $1.00 300.00 4,900.00 08/11/2004 08/11/2004 Total Value of Project $300.00 $4,900.00 $5,200.00 ~ Amount Paid Date Paid Receipt Number $80.00 8/11/04 1200400000000001208 $26.00 8/24/04 1200400000000001253 $7.00 8/24/04 1200400000000001253 $100.00 8/24/04 1200400000000001253 $160.00 8/24/04 1200400000000001253 $373.00 I Plan Reviews' Pal!e 2 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sil!n Review 08/20/2004 08/20/2004 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00988 ISSUED: 08/24/2004 APPLIED: 08/11/2004 EXPIRES: 02124/2005 VALUE: $ 5,200.00 APP DJB Pal!e 3 of 4 8.248 Community Commercial and Major Retail Commercial District. These standards apply for all property located in CC or MRC Districts except those located in the Downtown Sign District, 1-5 Mall Sign District and the 1-5 Commercial Sign District: (1) Single Businesses. Each business shall be permitted a maximum number of three wall signs totaling 350 square feet for all faces. (2) Free Standing, Roof and Projecting Signs. In addition to wall signs permitted above, one sign from this group shall be permitted for each approved development area. The total area permitted for a free standing sign, roof or projecting sigll shall be 100 square feet for one face or 200 square feet for two or more faces at a maximum of 20 feet above grade. (3) Second Story Businesses. Two wall signs per business shall be permitted with a maximum sign display area of 175 square feet for all faces. (4) 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 the permitted wall signs and the logos do not exceed a combined area of 350 square feet for single story businesses and 175 square feet for second story businesses. [Section 8.248 amended by Ordinance No. 5862, enacted September 15, 1997.] Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00988 ISSUED: 08/24/2004 APPLIED: 08/11/2004 EXPIRES: 02/24/2005 VALUE: $ 5,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Insoections I Sign Location: To verify the location of the proposed sign. Sign Footing: After excavation and forms are in place, but prior to concrete. Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts 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. By signature, 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 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, and that N~ OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that 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, that each 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 construction. o4L C-'~ ~ \ Owner or Contractors Signature ~r ;2..~/ovt I j Date Pa2:e 4 of 4 225 Fffth Street Springfield, Oregon 97477 541-726-3759 Phone 'ty of Springfield Official Receipt Oevelopment Services Department Public Works Department RECEIPT #: 1200400000000001253 Date: 08/24/2004 8:59:12AM Job/Journal Number COM2004-00988 COM2004-00988 COM2004-00988 COM2004r00988 Payments: Type of Payment Paid By CreditCard JOHN CHAPMAN Description Sign - Outline Lighting Each Sign 0-35 Square Feet + 7% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Received By Batch Number Number How Received djb 024255 In Person Payment Total: Amount Due 100.00 160.00 7.00 26.00 $293.00 Amount Paid $293.00 $293.00 8/24/2004 Page 1 of 1