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HomeMy WebLinkAboutPermit Signage 2000-2-25 ;-\.; ___... ..1~ Job# 00-00297-01 Page 1 of 2 FEB 25 2000/10:48 AM/$ 70.00 ACCT#:100-00000-425602 T#:01-0000714/MARTIN BROTHERS JOB#:00-00297-01 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00297-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection line: 726-3769 Location Of Proposed Site: 223 Q St Spr Assessors Map#: 17032631 Lot: Block: Addition: Tax Lot #: 02103 Subdivision: Owner: Address: Q Street Investors P.O. BOX 7455 Phone Number: 541-484-4623 City/State/Zip: Eugene, OR 97401 New Value: $3,246 Scope Of Work: Sign The Medical Center Contractor Type General Contr Electrical Contr Contractor Martin Brothers , 204 Jefferson, Eugene, OR 97402 Martin Brothers 204 Jefferson, Eugene, OR 97402 Registration # Expiration Date Phone 541-342-1769 541-342-1769 Quad Area: 1CNW # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: #. Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections 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 working day. Required Inspections Electrical Low Voltage I Sign I Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete. Final Sign -After all required inspections are conducted and approved and the sign installation is complete. ., Job# 00-00297-01 I, Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ~Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Sign District: Community Comm Type of Sign: Wall Si.gn -Sign Dimension~ Vertical: 7' ' Horizontal: g' Thickness: Face Type: Single Face Height (Above Grade): 16' 2" Sqr. Footage: 63. . Illumination? ~ Comments: From Grade To Bottom: g' 2" Sign Material: Aluminim Fee Paid On Receipt# Electrical 02/25/2000 714 02/25/2000 714 02/25/2000 714 Value/Quantity Fee Amount Each Sign or Outline Lighting State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 1 $40.00 $2,80 $1.20 $44.00 , Sign 02/25/2000 714 3,246 $70,00 $70.00 $114.00 Sign Permit - 61 - 100 Square Feet Total Sign Grand Total' Plan Check Type Sign Checked By Kaye Wilson Date Completed 02/25/2000 By signature, I state and agree; that I have 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 qf plans will remain on the site at all times during the installation of the sign(s), n1r\ f? dfP;- . XSign<at-ure Q' t).:< / ~s- /0-0 Date ,~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. LOCATION OF INSTALLATION ~~ 3 6) /~.teJ LEGAL DESCRIPTION J./Jkr. 1 LU,m :5~.y.n-' JOB DESCRIPTION 1",.5).1/ .7~h. :1 LLlM", 11 O? Zlp'l OJ.-l Q~ , <~~ Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if 'Work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~;"~I'.fi~~ I~ Address2~st' ~.ra~~ Ci ty ?~--'i tU~ ,t;~ Phone.J..,q-2-/h~.9 Supenisor License Number IGZ--4~ J Expiration Date ./0/01/ f"J/,,) I -- Constr Contr. Number-..t'lI'(/r Expiration Date b3/e>qIOI signatur~ O~~g Electrician ,-J t~f;;//)~~4/L) · Uners Name q sh.uJ- '\ V\(\..PD~ Address ~ P.O.!~ 1qss'" ' Ci ty 9~ Phone \A~ -4Vz..:"J o ~ , OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. O~ners-;'Signature : DATE: RECEIPT If: RECEIVED BY: ELECTRICAL PERMIT APPLICATION Ci ty Job Number (J7)- Db J.q '7 - 0 I 3. COMPLETE FEE SCHEDULE BELOV A. Ne~ Residential-Single or Multi-Family per dvelling uni t. Service Included: Items Cost Sum 1000 sq. f t. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular'D'Welling 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"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits ," Ne'W, Alteration or Extension Per Panel One Circuit Each Additional Circuit or 'With'Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 S 20.00 $ 36.00 5. SUBTOTAL OF ABOVE pI.: State Surc.harge 31.: Administrative Fee TOTAl. jp 40. - 2.'t)D I. '2.,0 --.#_1!J. --