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HomeMy WebLinkAboutPermit Signage 2013-7-1 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 i 41, ! Phone: 541-726-3753 OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01497 wvrx.springfield-or.gov permitcenter©spnngfeld-or.gov PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013 STATUS DATE: - 07/01/2013 APPLIED: 07/01/2013 • SITE ADDRESS: 500 INTERNATIONAL WAY,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703154000600 - TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-electrical only OWNER: R SPORTS PROPERTIES LLC Phone Number: ADDRESS: PO BOX 2440 EUGENE OR 97402 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor IMAGE KING INC CCB 161313 09/01/2014 541-484-1482 IMAGE KING SIGNS (CLS)Electrical C' 20-530CLS 07/01/2014 541-484-1482 INSPECTIONS REQUIRED • Inspections 6950 Electrical-Sign Sign Electrical: After connection is made but prior to energizing . 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 construction. / 7( 7/) Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility . Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010`hrnuci- ^?? 952-001- THIS PERMIT SHALL EXPIRE IF WORK • 0090. You may obtain c.teas of (he rulct by• AUTHORIZED UNDER THIS PERM IT IS NOT calling the center. (Note: the teiept-..:no number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800.332-2344). . ANY 180 DAY PERIOD. • • Springfield Building Permit 7/1/2013 1:46:13PM . Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD TRANSACTION RECEIPT 225 Fifth St Spnngfield,OR 97477 ""lOREGON 541-726-3753 811-SPR2013-01497 www.springfieldor.gov 500 INTERNATIONAL WAY perrnitcenter©spdngfield-or.gov RECEIPT NO: 2013001407 RECORD NO:811-SPR2013-01497 DATE:07/01/2013 {el�.'iol-11:4mIo]`L3 ,.,,,;: _ r���n!�„'..:,<t,� ;;,�~..°,..;-ACCOUNT=.CODEITRANS CODE4 ,-':59,- A AMOUNT,DUE;;:„; Sign or outline lighting 224-00000-426102 1037 69.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 8.28 Technology fee(5%of permit total) 100-00000-425605 2099 3.45 TOTAL DUE: 80.73 PfPYM-5171 YP.E IMVIONNOWESECCOMMENTSIEBROMMUNI,OUNTiliAlgrafflai Check IMAGE KING INC 80.73 20059 TOTAL PAID: 80.73 • • • • • Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD i CITY OF SPRINGFIELD, OREGON Permit no.: S ^7 7- 6 19 2 / 225 Fifth Street•Springliield,OR 9 7477•P6(541)726-3753•FAX(541)726-3689 OREGON 0/3 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 ISO days. If LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item () Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑Residential ❑Government Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq. R.or less(4) $147.50 S ,, ,, Each additional 500 sq. ft.or portion Job site address: TOO 1/(�tKA��t Oh 6d W rr eat thereof $ 27.50 $ City: spr;At (re-(4 State: O/Z ZIP: q(7y'i`/ Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ dwelling service or feeder(2) / DESCRIPTION OF WORK n,' n..I� /i`t-(.9'/t G l it r (\VM;hQ y-c rn°AV d�^-r c• Services or feeders:installation,alteration,relocation /^� 200 amps or less(2) $ 89.00 $ sir 0 4 r C it Ara 5 an. PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ rr Name: e. 5Po4 _fft Tre- (tc 401 to 600 amps(2) $174.00 $ Address: po Derr Z Z ton. 601 w 1,000 amps(2) $225.50 $ City: t-s44-&rtr C State: Ca ZIP: 9�(QZ 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 479.5400)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: IJ i)A6 q/(1 i il S 19 n 5 a. Fee for branch circuits with purchase of a service or feeder fee: Address: 4Q j i (rJ i 'f1-V Each branch circuit $ 6.50 $ , City: / Li?eirt,,c_ State:0/J ZIP:CJ]l-/V). b.Fee for branch circuits without purchase of a service or feeder fee: Phoneol/i ti--6 f P-6-2-22 Fax:rj-J 965-- f L./ First branch circuit(2) $ 60.50 $ N E-mail: C-AO.r/ea-C; q k, 4',15 1,-9/i 5. CD/YI Each additional branch circuit $ 6.50 $ CCB license no.: i G / 3/3 }I BCD license no.:02c-5 36t-(11 5 Miscellnneous fees:service or feeder not included Signing supervisor's license no.: G yci 5I(4 Each pump or irrigation circle(2) $ 69.00 $ 4j Print name of signing supervisor. � C'�, 10.14-- Each sign or outline lighting(2) I $ 69.00 $ t0 ( Signature of signing supervisor \ L„,/ Signal circuit or a limited-energy panel, $ 80.00 $ g g S P alteration,or extension 2 Each additional inspection:(1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ / 7(Minimum Permit Fee$80.00) (� (B)Enter 12%surcharge(.12 x[A]) $ 8Z S (C)Technology Fee(5%of[A]) $ Pit 440-2584-1(4/Ot2013(COM) TOTAL fees and surcharges(A through C): $ It on It go