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,.
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Electrical Contractor ~ U\ ~~ ~"'-- 200 Am~~G{~s.N~?-~
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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
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Supervisor License Number 26 -197 GL~) c.
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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
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Signature of Supervising Electrician
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Owners Name
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Phone 1 cf 7 -. (L-ZCrj
Address
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City
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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~.
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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-'~
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Owner or Contractors Signature
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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
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