HomeMy WebLinkAboutPermit Building 2001-11-27
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I Job# 01-01037-02 I .Page 1 of 2
NOV 27 2001/2:27 PM/S 3.50 '
~"'j'lh'f~j'/~ ACCT# :821-00000-21.5004
1\~:FIT#: 01-0007346/CARLSON SIGNS
J08#:Ol-0103?-02
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division,
Building Safety
Job Number: 01-01037-02
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 870 Beltline Rd Spr
Assessors Map#: 17031530
lot: Block: Addition:
Tax lot #: 00900
Subdivision:
Owner:
Sycan B Corp
3405 Baldy View Lane
Phone Number: 541-746-8444
Address:
City/State/Zip:
Springfield, OR 97477
Value: $6,543
Scope Of Work: Tenant Infill
Gateway Precision Cuts
This is a copy with a new Sequence Number
New
Contractor Type
Electrical Contr
Contractor
Carlson Sign Co Inc
Po Box 524, Bend, OR 97709-0524
Carlson Sign Co Inc
Po Box 524, Bend, OR 97709-0524
Registration #
64549
Expiration Date
2/21/02
Phone
541-382-2182
Sign Contr
64549
2/21/02
541-382-2182
Quad Area: 1 CNW
# Of Units:
Constr. Type: (V) Wood Frame
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Office/Professionc
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
,I Electrical I
-After connection is made, but prior to energizing.
Sign Electrical
I Sign I
Sign Footing/Attachment -Footing: After excavation and forms are in place, but priorto concrete.
Final Sign -After all required inspections are conducted and approved and the sign installation is complete.
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NOTICE~
THIS PERMIT SHALL EXPIRE IFTHE W9RK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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I\~ ....l.~.~~ca~ion CG(;t0r~ Thvse i"U!0S .;.~. \-:. t t~ >.
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I 'JOb# 01-01037-02
Page 2 of 2
!
Construction Types:(V) Wood Frame
Occupancy Groups: Office/Professional/Rest
# Of Buildings: # Of Stories:
# Of Bedrooms: Current Units:
Handicap Access?D Census Code: Does not apply
-Area (Sq. Feet)
Main: Accessory: Total:
Height (feet):
Proposed Units:
Sign District: Community Comm Type of Sign: Wall Sign
-Sign Dimension!:" .
Vertical: 25" Horizontal: 216" Thickness:
Face Type: Single Face
Height (Above Grade): 15,'
Sqr. Footage: 37.5
Illumination? . 0
Comments:
From Grade to Bottom: 12' 11"
'Sign Material: Aluminum
Fee
Paid On Receipt#
Electrical
11/27/2001 7346
11/27/2001 7346
11/27/2001 7346
11/27/2001 7346
Value/Quantity
Fee Amount
I
Minimum Electrical Permit Fee.
Each Sign or Outline Lighting
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
1
$.00
$50.00
$3.50
$4.00
$57.50
I
Sign
11/27/2001
11/27/2001
7346
7346
6,543
1
$110.00
$40.00
$150.00
$207.50
Sign Permit - 36 - 60 Square Feet
Sign Application Plan Review
Total Sign
Grand Total
Plan Check Type
Checked By
Date Completed
Comment
Sign Kaye Wilson 11/13/2001
By signature, I state .cmd 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 NO 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 701.055 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.
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Signature {j
" P-;;r-f
, 1/~t5l7-dJ
Date
225 1'11'1 H STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
}) \ ELt'~''i1UCAL PERNrrT APPLICATION
C~~ City Job Number Ol-oln'j 1-DV
1. LOCATION OF INSTALLATION
8 70 'R~/f{I~ KJ.., Ew"(J,,'tUf. 3
b^-k..J~ ~~.{.I' &vu.. V
LEGAL DESCRIPTION
II' (').~ . I~. 30 . 00C10f)
JOB DESCRIPTION
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~ t'tsr-t.- ~ +/ ..J-o ~ (r r ~ C-f 's ({v... Cv.. t.s "..
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical" Contractor CQ.I( (.s f)V\.. S i 'r'"
Address / b () 5 IV E Fo yb~ ?Co J.
City :B~ ( () ~ Phone 5c((~ 38' 2....;2( 82--
Supervisor License Number .5 1-) - S lj
Expiration Date /6 - / - (3 2.. ..
Constr Contr. Number C c.{{#4 f S'P7
Expiration Date /0 - 0 Z-
Signature of Supervising Electrician
L.... h-1c-n-,~~_
OWIlerSNam~~ e ('~~
Address <l~o &ih~ (J &tL. LO '2-
Cit)"~f>~
Phone
11-/<,- f~4Lf
OWNER INSTALLATION
TIle installation is being made on
property lawn which is not intended
for sale, lease or rent.
Owners Signature:
3. COi'v1PLETE FEE SCHEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost SUQl
1000 sq. ft. orIess
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
$ 19.00
$ 50.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
20 I amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or 'Relocation
200 amps or less
201 amps to 400 amps
Over401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
$50.00
$69.00
$100.00
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
$43.00
Each Additional Circuit or with Service
or Feeder Pennit $ 3.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $50.00
Sign/Outline Lighting /('1$50.00 So ~
Limited Energy/Res $25.00
Limited Energy/Conlll1 $45.00
Minimum Electdc Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
TOTAL
3.50
(/.01)
S-7, 50
, l"'1J
~~00 ...."
\ '225 FIFTH;STREET &;0: ~lle,J~llo
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... 1. LOCATION OF S'11A l:1~!A::F:rnNr i'!:\
.... 2~7~~ ~.td c-;nZi[Y;;l!l~i~ol~W
LEGAL DESCRIPTION
)703,J'5'30 00700
Items Cost SUJ:ll
JOB DESCRIPTION I' r '
~~&7Z.vLCe. jJ(~O (J{LLS.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$106.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance pr.if work is suspended for
180 days. /"'~
2, CONTRACTOR INSTALLATION ONLY B.
r::>';, ,!-iJPI Q
Electrical'C~'ri~actoi"Ov ~' r 1 i J l) r c :5
Address",. l~(' ~+'I I'
f'
City I
$ 19,00
$ 50.00
Services or Feeders
Installation, Alter.
Relocation:
,I",
Minim
4. SUBTOTAL. F,':ABOVE.
: ~""1::,,,':C,>,'~,J,.,, ::
7% Stat~~urcharge;:'"
8% Ad~i~&trativeFe~~\'
."~,,, '~j?,:/ 'l~f:rl
TOTAL
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