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Home My WebLink AboutPermit Signage 2013-6-3 SPRINGFIELD 225 Fifth St , i CITY OF SPRINGFIELD Springfield,OR 97477 r Phone: 541-726-3753 OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax:541-726-3676 PERMIT NO: 811-SPR2013-00932 www.springfieldor.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/03/2013 EXPIRES: 11/29/2013 STATUS DATE: 06/03/2013 APPLIED: 05/10/2013 / SITE ADDRESS: 1401 21ST ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703250000802 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-wall sign for Wilco OWNER: JERRYS BLDG MATERIALS INC Phone Number: ADDRESS: PO BOX 2611 EUGENE OR 97402 OWNER: OLYMPIC LLC Phone Number: ADDRESS: PO BOX 26125 SPRINGFIELD OR 97475 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor VANCOUVER SIGN COMPANY INC CCB 63951 01/24/2014 360-693-4773 Sign Contractor VANCOUVER SIGN COMPANY INC CCB 63951 01/24/2014 360-693-4773 INSPECTIONS REQUIRED 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. 0 By signature, state and agree, that uf� examined the completed application and do hereby certify that all information hereon is true anti srlct 3a bib rr ify that any and all work performed shall be done in accordance with the Ordinances of th?�c. ®QSc ftgte P� l9&}s Rbt(1e State or Oregon pertaining to the work described herein, and that NO OCCUPI 13i1'ba ��pg_n O�tk 6ai Pp fission of the Community Services Division, Building Safety. I further certij c e$rltr csf$�":E,YIJwy' t�FparaW R,compliance with ORS 701.005 will be used on this project. I further agree to el�tyvt@, r tQ et�us at a proper time,that each address is readable from the street,that the t . o� peat V 417 btaVaitahC ftttte1151(6Relgyl\'ttne approved set of plans will remain on the site at all times during consKyQ1 iOV rot. 01\\'' 3441 p0�a\\tn9 the the Ote$0.332-23 ), ';c'y_„, . n�mbet t entet 1st '; ;:ci . RK Owner or Contractor Signature Date \F N �y�o Q� \S 0 .LASED 000. COVI* DO PO Springfield Building Permit 6/3/2013 6:57:39AM Page 1 of 1 SPRINGFIELD" CITY OF SPRINGFIELD 225 Fi t TRANSACTION RECEIPT Spnngfeld,OR 97477 OREGON 541-726-3753 811-SPR2013-00932 www.springfieldor.gov 1401 21ST ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013001083 RECORD NO:811-SPR2013-00932 DATE:06/03/2013 (DESCRIPTION =— ACCOUNT CODE/TRANSCODE ':AMOUNT DUE Admin fee(10%of applicable fees) 224-00000-426605 1098 8.00 Sign or outline lighting 224-00000-426102 1037 138.00 Signs: 0-35 Square Feet 224-00000-425602 1007 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 16.56 Technology fee(5%of permit total) 100-00000-425605 2099 10.90 TOTAL DUE: 253.46 _ - - — . -AMOUNT PAID_: �� PAYMENT TYPE PAYOR.' casrlleR:DSOwLSev' � ; COMMENTS� .u. -- �-- -: ..°�� Check VANCOUVER SIGN COMPANY INC 253.46 75772 TOTAL PAID: 253.46 • SPRINGFIELD - • CITY OF SPRINGFIELD - "' 225 Fifth St a � �GON TRANSACTION RECEIPT SpringfiSd,OR 97477 541-726-3753 811-SPR2013-00932 www.spnngfield-or.gov 1401 21ST ST permitcenter @springfield-or.gov RECEIPT NO: 2013000927 RECORD NO:811-SPR2013-00932 DATE:05/10/2013 (DESCRIPTION ACCOUNT CODE(fBANS CODE AMOUNT DUE Sign Plan Review 224-00000-425602 1018 42.00 TOTAL DUE: 42.00 LPAYME"NT TYPE PAYOR- CASHIER:DBOWLSBY ,z _: COMMENTS„ ,AMOUNT,PAID,.-- .<: I Check vancouver sign company inc 42.00 75611 TOTAL PAID: 42.00 Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD, a� 7 CITY OF SPRINGFIELD, OREGON Permit no.: 517 -66 '32 225 Fifth Street*Springfield,OR 97477•PB(541)726-3753•FAX(541)726-3689 IIIE?REGON 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? in Yes ❑No Number of inspections per item() Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑Residential ❑Government El Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq.ft.or less(4) $147.50 $ Each additional 500 sq.ft.or portion Job site address: /got Z sr 5t y'ter* thereof $ 27.50 $ City: 4 6pft f ttesit State: oR 1 ZPr']y77 Limited energy(2) $ 35.00 $ Reference: ty�� zis O C Taxlot.: - Each manufactured home or modular DESCRIPTION OF WORK 0Og0? dwelling service or feeder(2) $ 69.00 $ Services or feeders:installation,alteration,relocation (z) ill IA•VV)I nal ea, Lct4I) SKI(IS 200 amps or less(2) $ 89.00 $ PROPERTY OWNER J 201 to 400 amps(2) $ 104.50 $ Name: 401 to 600 amps(2) $174.00 $ Address: )41 0) ,+ ST ccc rs- f&P,.1- 601 to 1,000 amps(2) $225.50 $ City: pr j nci-�PA ft State: OA ZIP: 9 717 7 Over 1,000 amps or volts(2) $516.00 $ Phone: - - Fax: - - Reconnect only(2) $ 69.00 $ E-mail: 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(I)and 479.560(l). 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: 1 C ' a.Fee for branch circuits with purchase of a service or feeder fee: Address: Z.(,00 ,Vr A✓1.d re.s ri. Rd, t:5O Each branch circuit $ 6.50 $ City: V vol to(.4 VL f State: (,J A ZIP: 9,8(a Li i b.Fee for branch circuits without purchase of a service or feeder fee: Phone:31,o-613 I/77 5 Fax:36oQ 673 2.7 t{7 First branch circuit(2) $ 60.60 $ E-mail: re,ids GVaa�f f nGOrCO ) Each additional branch circuit $ 6.50 $ CCB license no.: 63A 57 B D license no.: -6 7-ija L5 Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 626-- si G Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: L n'&n Ho I-7- Each sign or outline lighting(2) 17.1 $ 69.00 Signature of signing supervisor: Signal circuit or a limited-energy panel, �/ $ 80.00 $ g gn g P alteration,or extension(2) Each additional inspection:(1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ 'Se (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[Al) $ /51. q(C)Technology Fee(5%of[A]) $ /� 440-2584-1(4/01/2013/COM) TOTAL fees and surcharges(A through C): $/// We SF'IMMGPOtIILD _-1 CITY OF SPRINGFIELD, OREGON 4 j 225 FIFTH STREET •• SPRINGFIELD,OR 97477 •• PH:(541)726-3753 •• FAX: (541)726-3689 L 62,, • ;, ® City Job Number 513 rC5 V n Z mrilSite Address: Pi LIST Stcet.'I' p Assessors Map 170 3 ZS-0 0 Tax Lot: on U t 7 • IIli) (AJ£ ito Owner: ' Phone:— 0 Address: _ L)0I Z�•! 51 S't redeA- (J City firm 9144,e id , State n� - Zip 9 77 7 / 404 Business Name, Firm,etc. I L�— U 4 Description of Proposed Sign(s): (Please check and complete all appropriate information) 4, Wall Freestanding Projecting Roof Marquee Single Face 1 Double Face Billboard Other Square Footage:.l.L Total Height above Grade: id r °"- I S t / . i Vertical Dimension of Sign or Enclosure) 5 ( °` / ---,Horizontal Width of Sign or EE / osu e: )2- + ,o Dimension from Grade to Bottom of Sign Enclosure Enclosure 1 `t"%S lectrical Installation:�Yes`o (If yes additional electrical permit required) Material Sign is Constructed of: Plastic 4 A I Well 1 n UM Value of Sign �C:) List ALL existing signage and attach a photograph of each sign: (a) Type W tU I Sq. Ftg. (b) Type Sq. Ftg. (c) Type WQ.'�` ' Sq. Ftg. (d) Type Sq. Ftg Contractor/Installer: y�-n-.LOLL-V2.'(� SI Y1- Phone. 3enl (o93 II 773 Address:1Zten0 Ale AnSArtsar? L ,DSO 41 City: JCL/VIGOuula.0 WA, 9864o1 Slate: Zip: Construction Contractors Registration Number: &�i R c ( Expires: OFFICE USE / Sign District: Zoning: L" tf By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all 011 i information herein is true and correct,and I further certify that any and all work performed shall be done in accordance with di the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I ,a 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 located at the front of the property,and the approved set of plans will remain on the site at all times during the installati, oft.- sign(s). C -- Signature a —- — -' Date Shand Drive(T:)/Building Forrns/Sign Permit Application1-02.doc