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Permit Signage 2013-5-16
• • SPRINGFIELD 225 Fifth St ` it CITY OF SPRINGFIELD Springfeld,OR 97477 --l Phone: 541-726-3753 OREGON Building I Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00969 www.springfield-or.gov permitcentert springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/16/2013 EXPIRES: 11/11/2013 STATUS DATE: 05/16/2013 APPLIED: 05/15/2013 SITE ADDRESS: 1920 OLYMPIC ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703254201601 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-Winco OWNER: WINCO FOODS LLC Phone Number: ADDRESS: PO BOX 5756 BOISE ID 83705 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED II Inspections • 6940 Sign Attachment 6950 Electrical-Sign Sign Electrical: After connection is made but prior to energizing 6999 Final Sign 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 or 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 701.005 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 constructi5n. 07(er or Contractor Signature Date requires you to . . ATTENTION: Oregon law req on Utility NOTICE: .. ' ;.:;�;;: ;:- • follow rules adopted by the es ar Notification Center. Those rules are 52-0 forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 352'001-00 10 through OAR the rule by AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtainrlo p1e h fttIerule�by COMMENCED OR IS ABANDONED FOR calling the center.. ( thlity Nnti..•, •.-,rl ANY 180 DAY PERIOD. number ¶or the Ore.„ , _• is -- . V, - Springfield Building Permit 5/16/2013 8:17:06AM Page 1 of 1 SPRINGFIELD -- CITY OF SPRINGFIELD I `t4 225 Fifth St c\1 TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2013-00969 www.springfield-or.gov 1920 OLYMPIC ST • permitcenter©springfield-or.gov RECEIPT NO: 2013000957 RECORD NO:811-SPR2013-00969 DATE:05/16/2013 [DESCRIPTION _ _ACCOUNT CODE/TRANS CODE ' - - AMOUNT_DUE___i Admin fee(10%of applicable fees) 224-00000-426605 1098 14.00 Sign Plan Review 224-00000-425602 1018 42.00 Sign or outline lighting 224-00000-426102 1037 138.00 Signs: 61 - 100 Square Feet 224-00000-425602 1007 140.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 16.56 Technology fee(5%of permit total) 100-00000-425605 2099 13.90 TOTAL DUE: 364.46 LPAYMENT TYPE • •PAYOR CASHIER JLARSON- COMMENTS.__ - `. • - AMOUNT PAID -_- i Credit Card ES&A Signs 364.46 016195 TOTAL PAID: 364.46 • ;I CITY OF SPRINGFIELD, OREGON r 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX: (541)726-3689 p O� City Job Number 613 "d0 % ,i't 'i Site Address: /7ZU aWIt10/A S'7 . ifJLSf/a a 47777 ) Assessors Map n 3 J /� 7 76 J ` 4 0 .2 4 Z— Lot: C'/ a ( ti Owner: Ohveo os Phone: Address: /% x) Oxjnzt'/et S �j./ .y ��� City � 4A06'lieta State a Zip Y7V / 7 1101 Business Name,Firm,etc. Q\01 Description of Proposed Sign(s): (Please check and complete all appropriate information) 4 _2, Wall Freestanding Projecting Roof Marquee Single Face Double Face Billboard Other Square Footage: en Total Height above Grade: 34 fi� n 2g ' G re i Vertical Dimension of Sign or Enclosure: (I Horizontal Width of Sign or Enclosure: .J . Dimension from Grade to Bottom of Sign Enclosure /5 Electrical Installation: .VYes _No ��.'.1� n 'I ,y (If yes additional electrical permit required) � Material Sign is Constructed of: MAW/2 14ca ntiann Value of Sign: 2 ZDo• 1101 List ALL existing signage and attach a photograph of each sign: r (a) Type L/)/t !t (00.5 Sq. Ftg. 2o2.7 (b) Type 29kk Sq. Ftg. Co. (c) Type _ Sq. Ftg. (d) Type Sq. Ftg. Iv_ cc j C n ' �` Contractor/IInnssttalllleery:CG-S 7 A �t'4cAI J`X�Zu�Nq Phone: (I�j�l/►l\, Address: O9 /5 (AiG LA. �f 4tCity: [•y State: �� Zip: �� /AY Construction Contractors Registration Number: Jlp 3Y(0 Expires: ✓-/4 ' AY 5 OFFICE USE fr Sign District C c_____- Zoning: GC . ti, 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 11* further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. 0 1 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 locate. . - ont of the property,and the approved set of plans will remain on the site at all times duri a nstallfla/a •yon of •- Signat t �`"•`--' _I' / / / • Date 4(23-/S Shared Drive(T:)/Building Forms/Sign Permit Application!-02.doc Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD �j �7+ CITY OF SPRINGFIELD, OREGON '� �- permit no.: S/7-00 / 6 / 225 Fifth Street*Springfield,OR 97477•P11(541)726-3753•FAX(54t)726-3689 OREGON Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item () Qty. east Total CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑Government Q()Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq. ft.or less(4) $147.50 $ �7 P/tA .-.Sr• Each additional 500 sq. ft.or portion Job site address: ?e 0 �2[ IJI thereof $ 27.50 $ City:�lQ( F/60 State::7DL ZIP:9977 Limited energy(2) $ 35.00 $ Reference: 170 3 Z S 'f [_ Taxlot.:Q(bjO( Each manufactured home or modular $ 69.00 $ dwelling service or feeder(2) DESCRIPTION OF WORK C /SSTAGe (25.62.71$ 4'/4VN& Ire$ Services or feeders:installation, alteration.relocation 200 amps or less(2) $ 89.00 $ PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ �/AJg . o 5 401 to 600 amps(2) $174.00 $ Name: A/f:AJ r,+f�:,�A�s Address:•••• /9 zO ay of A e Sr• 601 to 1,000 amps(2) $225.50 $ City: cQ4Ffc_cO State: ZIP:97V177 Over 1.000 amps or volts(2) $516.00 $ Phone: Sty•- 94,4 •E4S93 Fax: - - Reconnect only(2) $ 69.00 $ E-mail:. L Attar; 2 *EV .56Sols •Com Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ • property is not intended for sale, exchange, lease,or rent.OAR 479.540(1)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:new alteration,extension per panel Business name: -41��N a. Fee for branch circuits with purchase of a service or feeder fee: Address: g997s 1p j' (E Each branch circuit $ 6.50 $ City: lit,• e State: ale ZIP:97902- b.Fee for branch circuits without purchase of a service or feeder fee: Phone: S,CH - fO S-SS 1141 Fax: - - First branch circuit(2) $ 60.50 $ E-mailL gt S 6,,5/64J5• CO/!f Each additional branch circuit $ 6.50 $ CCB license no.: /4 31P70 BCD license no.: 205'/5U5 Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 5/7 se G Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: ��//��,��ppA�'' )1 0 e. Each sign or outline lighting(2) $ 69.00 $�38 Signature of signing supervisor: '�-J t i Signal circuit or a limited-energy panel, $ 80.00 $ Signature g e • / alteration,or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $/)jQ. (B)Enter 12%surcharge(.12 x[Al) $ /4•SIP (C)Technology Fee(5%of[A]) $ 4,q0 440-2584-3(4/01/2013/COM) TOTAL fees and surcharges(A through C): $MICI (o