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Home My WebLink AboutPermit Signage 2013-7-1 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 N& Phone: 541-726-3753 • OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01498 www.springfield-or.gov permilcenter @springfeld-or.gov • . PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013 STATUS DATE: 07/01/2013 APPLIED: 07/01/2013 SITE ADDRESS: 483 SHELLEY ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703271008900 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Signs-2 wall signs for Oregon Electric Group — OWNER: MITCHEM JAMES L TE Phone Number: ADDRESS: • 2263 LAKEVIEW DR EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Sign Contractor IMAGE KING INC CCB 161313 09/01/2014 541484-1482 IMAGE KING SIGNS (CLS)Electrical 0 20-530CLS 07/01/2014 541-484-1482 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. 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. • 7603 = - Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telepl-,.,ir COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification Center is 1-800-332-2344). ANY 180 DAY PERIOD. • Springfield Building Permit 7/1/2013 1:43:01PM Page 1 of 1 SPRINGFIELD'- - CITY OF SPRINGFIELD A. e 225 Fifth St tOREGON TRANSACTION RECEIPT S5Fifthld,OR97477 541-726-3753 811-SPR2013-01498 www.springfieldorgoy 483 SHELLEY ST permitcenter @springfleld-or.gov RECEIPT NO: 2013001406 RECORD NO:811SPR2013-01498 DATE:07/01/2013 hlz.Yolah [07� ___,,,,-,..-ur � -u..h�-s. � ^" ?S ACCOUNT:CODE/TRANS-CODE: Admin fee(10%of applicable fees) 224-00000-426605 1098 16.00 Sign Plan Review 224-00000-425602 1018 84.00 Sign or outline lighting 224-00000-426102 1037 138.00 Signs:0-35 Square Feet 224-00000-425602 1007 160.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 16.56 Technology fee(5%of permit total) 100-00000-425605 2099 14.90 TOTAL DUE: 429.46 PAYMENT PE OR -c#0178f ' M ,,,O Check IMAGE KING SIGNS 429.46 20058 TOTAL PAID: 429.46 • • Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD, OREGON Permit no.: SI3 –61N St 225 Fifth Street*Springfield.OR 97477*PH541726-37534 FAX54t)726-3689( ) ( ) OREGON Date: 6ith 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. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential I ❑Government I/Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq.ft.or less(4) $147.50 S ` �� / S Each additional 500 sq. 0t or portion $ 27.50 $ Job site address: 5 .0 f- thereof City: 5,Q/;n i'e /� State: C. ZIP:q�0) Limited energy(2) $ 35.00 $ Reference: /763277t TaxloLOg276b Each manufactured home or modular $ 69.00 $ dwelling service or feeder(2) DESCRIPTION OF-WORK I t/0-Crn 4 I/C t � I VYYI t nAX-C Services or feeders:installation,alteration,relocation O( 200 amps or less(2) $ 89.00 $ (,v0..Ci 9)gh5 PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: Yom' 2 77fek-^_ 401 to 600 amps(2) $174.00 $ Address: z Z 43./ L.�•j .FYie1_/ t�L 601 to 1,000 amps(2) $225.50 $ City: /=�,6�/V 2E( I State: 012_ ZIP: 9'7,"4S Over 1,000 amps or volts(2) $516.00 $ Phone: - - I 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(1)and 479.560(1). 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: Q Ki/2/ 5 i!'/7o a.Fee for branch circuits with purchase of a service or feeder fee: Address: Lied)7 W iqv-, Each branch circuit I I S 6.50 I $ City: C(Jq'2.Aic State: 0/e_ ZIP: 5 7((0; b.Fee for branch circuits without purchase of a service or feeder fee: Phone,!4- 4-t f 1/4 4$.7 Fax:—'7t4-/ 444 c'go y First branch circuit(2) $ 60.50 $ E-mail: Olaf/e2t d ;Not cf i'rti 1' 1 ,can, Each additional branch circuit $ 6.50 $ CCB license no.:/6/ -3/ 3 BCD license no.:)Q,�?� o_ 't `�iscellaneous fees:service or feeder not included Signing supervisor's license no.: G�i 5 Each pump or irrigation circle(2) $ 69.00 $ Pr it name of signing supervis r ` Q,�/ -. - nor outline lighting(2) $ 69.00 $r3� • Si afore of signing supervisor • S If I Signal circuit or a limited-energy panel, $ 80.00 $ �_ alteration,or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ / (Minimum Permit Fee$80.00) bbjj (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ 6/r O • 440-2584-1(4!012013/COM) TOTAL fees and surcharges(A through C): $/ 2416 S;Qn 6 CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX:(541)726-3689 �,. el 7 C, . > 0 City Job Number S/J - 6 N Y, II* Site Address: ` °i 73 SAi i,f S r� Assessors Map 1-7 O 3 Z7/O Tax Lot: O K/o 6 I \ Owner: O( 9��n l- /C. 1/.'(.��llr(�(/Vre/7�h�"&'T�Phone- A Address: 21 3-63 L `—o'3-/,&' C �/ City ��or��WG State ` Zip ,Nita �i Business Name,Firm,etc 0 2LS4r 6.(6-(6 r to 4, Description of Proposed Sign(s): (Please check and complete all appropriate information) �� / Wall Freestanding Projecting Roof Marquee �ji{�J / Single Face /l /�/7 Double Face Billboard Other I1��11{{ Square Footage: (9O LF' Total Height above Grade: �/ I Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure: / / Dimension from Grade to Bottom of Sign Enclosure I/ Electrical Installation: Yes _No (If yes additional electrical permit required) �-1� )m , Piro /IUan-i die , 1710°U— NO Material Sign is Constructed of: Value of Sign: III List ALL existing i ge and attach a photograph of each sign: (a) Type Sq.Ftg. (b) Type Sq.Ftg (c) Type Sq.Ftg. (d) Type Sq.Ftg..� // //// �// `` // l •,` Contractor/Installer- �ma 9 P 6 9Th Phone:,1''f�-7�`1" �7'��' l�'UJt{IV/,\1 Address: 705/ t4 / 6454 VC- �/� City:( U9"Q State: 6e--- Zip: I r" 3" Construction Contractors Registration Number: I6 13)3 Expires: / -1-13 g ,,t OFFICE USE Sign District: �V t i Zoning: L-GeA- (i) ) 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 l the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I II* further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. �AI further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the street,that the ermit card is located at the front of the property,and the approved set of plans will remain on the site at all times duringi tallatio n{� //d// 3 Signature ((`` / Date ---- Shared Ddve(T:)/Building Forms/Sign Permit Applicationl-02.doc Sign 0 gCITY OF SPRINGFIELD, OREGON 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX: (541)726-3689 /�'t 'f i 0 City Job Number--S/S-- " ///?ef 1101 Site Address: LEY J J &l b/ 51"- 8"�j iAssessors Map / 76 3 2710 Tax Lot: 0 < �-o Owner: �1)/P On t& ^1t K `� O ()flA �� Phone: t4Address: 2263 t. -e-(l/t/ he_ City bee° State ONO_ Zip 5 7y6 0 ' Business Name,Firm,etc U (2-6-'6-6 eV 6' -t-Cra«— &-d1 CYn.t° r p),,,, Descnytion of Proposed Sign(s): (Please check and complete all appropriate information) 4 _ Wall Freestanding Projecting Roof Marquee -X Single Face Double Face Billboard Other Square Footage: 32 ift Total Hero/titL�.bove Grade: 1 i Vertical Dimension of Sign or Enclosure: 'f Horizontal Width of Sign or Enclosure: l Dimension from Grade to Bottom of Sign Enclosure Electrical Installation: I/Yes _No ,,//�� L (If yes additional electrical per nj4 requuir/eld) pt' f IP�nt eI; C - Value of Sign: �t°VO ✓ Material Sign is Constructed of: v I / g is List ALL existing signage and attach a photograph of each sign: (a) Type N //1. Sq. Ftg. (b) Type Sq.Ftg (c) Type /�" Sq. Ftg. t (d) Type Sq. Ftg. C' / / /ty �y'�1 Contractor/Instaaller. ��4 9 P /"I h 1 J / 9✓)5 Phone: '- �6 `I �'Y Q IV I ) Address: 146:11 ( I f� - Q -KIP- (0) 4 City: ' 1 'C/4 / z State: Q/`- Zip: ` 1 Construction Contractors Registration Number: r J I Expires: / ---( /3 1 OFFICE USE I Sign District: l �� Zoning: L�4 ` (p ( By signature,I state and agree,that I have carefully examined the completed application and do hereby certify that all 3 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 rii I, further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. 0 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 e it and is located at the front the property,and the approved set of plans will remain on the site at all times during a nst lattil�on�of sign(s). /////Q� �. Signature ( C.h-aC.0 - e,(,,,, `� l o/1 Date Shared Drive(T:)/Building Fonns/Sign Permit Applicationl-02.doc