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Home My WebLink AboutPermit Signage 2013-8-28 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Sprmgfield,OR 97477 •J:k.t, '- Phone: 541-726-3753 R•OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR201 3-01 929 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/28/2013 EXPIRES: 02/23/2014 STATUS DATE: 08/28/2013 APPLIED: 08/27/2013 SITE ADDRESS: 212 Q ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703262401501 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-wall sign for State Farm OWNER: DAVID C WILLIS LLC Phone Number: ADDRESS: 2276 36TH CRT SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor E S&A SIGN CORP CCB 163470 03/16/2015 541-485-5546 Sign Contractor E S&A SIGN CORP CCB 163470 03/16/2015 541-485-5546 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. ^ / /. .2.44J 3/2 Own: .r Contractor Si..nature Date NOTICE: ATTENTION: Oregon law requires you to • THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT - • in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by . ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). • • Springfield Building Permit ' 8/28/2013 10:09:23AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD r\> 225 Fifth St S .afr- N TRANSACTION RECEIPT Spnngfeld,OR 97477 541-726-3753 811-SPR2013-01929 www.spdngfeld-or.gov 212 Q ST - permitcenter@spnngfeld-ar.gov RECEIPT NO: 2013001905 RECORD NO:811SPR2013-01929 DATE:08/28/2013 del clef:�1�I�Co��ItF g. k,- ii ,Wfarig. ..3,rL1 ACCOUNT.CODE/TRANS CODE.t T Il o o Admin fee(10%of applicable fees) 224-00000-426605 1098 8.00 Sign Plan Review 224-00000-425602 1018 42.00 Sign or outline lighting 224-00000-426102 1037 69.00 Signs: 0-35 Square Feet 224-00000-425602 1007 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 8.28 • Technology fee(5%of permit total) 100-00000-425605 2099 7.45 TOTAL DUE: 214.73 PAYMENTTYPE' +PAYOR. cnSwe-"gR:�ueSOR COMMENTS .�. AMOUN.PN.Dr% "� �.�''-3 ( Check E S&A SIGN CORP 214.73 059797 TOTAL PAID: 214.73 • • • Electrical Permit Application DEPARTMENT USE ONLY �YY r+S9 SPRINGFIELD— s:+1" S•r. N u ' 1 0 .. ` 4 ,a»,-„ "4+.x Permit no.: .S( J -l5/ 5Z 9 225 Fifth Street.Springfield OR 97477♦PH(541)726-3753•FxX(541)726-3689 OREGON !I _ Date: P 1 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 j days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? 0 Yes ❑No Number of inspections per item () Qty. Cost Total CATEGORY OF CONSTRUCTION ea. cost Residential,per unit,service inclu clod: C ❑ Residential ❑Government 'Commercial I 1,000 sq.ft or less(4) $147.50 $ JOB SITE INFORMATION AND LOCATION Each additional 500 sq. R.or poi ian Job site address: 2-/ 2- 4' Si- thereof $ 27.50 $ City:50-1H -(;` j0/ State: 06 ZIP:Onzpi Limited energy(2) $ 35.00 $ Reference: 1 70 3 Z 6 z C f Taxlot.:0/3-0/ Each manufactured home or modular DESCRIPTION OF WORK duelling service or feeder(2) $ 69.00 $ n� (Q� f41.4--\ /r��%_� ( _ J _ p /' Services or feeders:iuxlrrllallne,alteration,relocation 9. /`( t ns Lv0 ��( rK,C7'C'FA (/.�.0-e.� 200 amps or less(2) $ 89.00 $ ,� 14.12 ) PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ i _ Name: 32A VI 0 . (N i I! L S 401 to 600 amps(2) $174.00 $ I i Address: Z'27 4.. '3 61L Citr 601 to 1.000 amps(2) $225.50 $ City: 5 f'(c,) State: Olt-_. ZIP5 74 71 Over 1,000 amps or volts(2) $516.00 $ E Phone: - - Fax: - - Reconnect only(2) $ 69.00 S f 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 $ i owned by me or a member of my immediate family.This 201 to 400 amps(2) g 96.00 $ t 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 k Business name: _-- 5 iiryt -RiA..Y1 iAly a.Fee for branch circuits with purchase of a service or feeder fee: f Address: er7 77 S ,/2Lt`rre ,d' Each branch circuit S 6.50 $ City: Er ne State: `-)h 1 ZIP: 97LJg7 b.Fee for branch circuits without purchase of a service or feeder fee: Phone/-yl- 59.-Kc, Fax:l/ j 5- chi First branch circuit(2) $ 60.50 $ E-mail: 3 Obers-J- eesa.-c ync, Coyy Each additional branch circuit $ 6.50 $ CCB license no.:/631/70 BCD license no.:205113 as. Miscellaneous fees:se,rice or feecle, not included Signing supervisor's license no.: Sit/ 5/G Each pump or initiation circle(2) $ 69.00 $ Each sign or outline lighting(2) $ 69.00 $ �— Print name of signing supervisor:GGr– r att. • , • ' lf)� � Signal circuit or a limited-energy panel, Signature of signing supervisor: a alteration,or extension(2) $ 80.00 $ Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fet($80.QJ1 $ (B)Enter 12%surcharge(.12 x[Al) S (C)Technology Fee(5%of(Al) $ ��yyy f 440-2584J /J r(4/01/2013/COM) TOTAL fees and surcharges(A through C): $ . > 6 ,° ` 'GIFS OF''SPRINGFIELD,'OREGON - " ' I j 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX:(541)726-3689 aCity Job Number 513 - 0 I " ` , ,' 4 57 _IS Site Address: ZI 2 It) Assessors Map \ 1 (J3-2 Z Co \ Tax Lot: v 1 \ t Owner: I JGC1IId (A)2t 111s LL-C_ Phone: 59 1 -747'1 C - U Address: 2.27 „no, r4 C:J i � /( State CC Zip 9-747-7 41r I <kde n.,'L. Business Name, Firm,etc. i I Description of Proposed Sign(s): (Please check and complete all appropriate information) Psi P Wall Freestanding Projecting Roof Marquee ' ! —0' Single Face Double Face Billboard Other i Square Footage: Z! _- Total Height above Grade: -(0 r 3 i �t-0 „ i Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure: n i IDimension from Grade to Bottom of Sign Enclosure /o �o Electrical Installation:ZrYes _No (If yes additional electrical permit required) -' Material Sign is Constructed of:4 ,"Ytilvt� �O ua✓C rc Value of Sign: 27 2° ►1 rii List ALL existing signage and attach a photograph of each sign: // ( (a) Type Sq. Ftg. 32 (b) "type �' R Sq.Ftg. 12, 5 ,...41 (c) Type Sq. Ftg. 7 S (d) Type Sq. Ftg. Iiii Contractor/Installer: ✓'t7 411- S1'al n A7"-4't i v Phone: a Ds • – �p 3 //��/� (f // U Address:_87 73 Pew tIr,'e Pea/ 4 City: bike?' P State: 6/ Zip: �� - Construction Contractors Registration Number: ��3y�0 Expires: .06/2-0/,� OFFICE USE " cc_Sign District: � Zoning: c_ 4° , ,h}}} By signature, 1 state and agree,that I have carefully examined the completed application and do hereby certify that all information herein is true and correct,and 1 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 sstrJ I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. t I further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the iI street,that the permit =rd is located at the front of the property,and the approved set of plans will remain on the site at all d 1 times during the in . lation of the sign(s . Signature / A , ,�'`-�`--� l Date l I l Shared Drivc(T:)/Buiiding Forms/Sign Permit Application l-02 doc