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Home My WebLink AboutPermit Signage 2013-10-24 SPRINGFIELD 225 Fifth St hir.......716.-; CITY OF SPRINGFIELD 225 97477 1.....0 OREGON Phone: 541-726-3753 Building I Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02362 www.springfield-or.gov p8rmitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 04/22/2014 STATUS DATE: 10/24/2013 APPLIED: 10/24/2013 SITE ADDRESS: 4743 MAIN ST,Springfield,OR 97478 SCOPE: Sign • ASSESOR'S PARCEL NO: 1702324202200 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Signs-wall signs for Jackson Hewitt OWNER: 0&S MCKENZIE LLC Phone Number: ADDRESS: 157 S 47TH ST SPRINGFIELD OR 97478 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 Sign Contractor IMAGE KING INC CCB 161313 09/01/2014 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. ar,--___ 4114,E • /o —Z [ /3 Owner or Contractor Signature Date . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility , {-ICE: Notification Center. Those rules are set forth IIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-009 ll You may obtain copies of the rules by UTHORIZED UNDER THIS PERMIT IS NO calling the center. (Note: the telephone OMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ,Y 1 g0 DAY PERIOD. Center is 1-800-332-2344). • Springfield Building Permit 10/24/201 11:04:46AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD ;I .aw.. 225 Fifth St «; TRANSACTION RECEIPT Springfield.OR97477 OREGON 541-726-3753 811-SPR2013-02362 www,springfield-or.gov 4743 MAIN ST permitcenteragspringfield-ar.gov RECEIPT NO: 2013002343 RECORD NO:811-SPR2013-02362 DATE: 10/24/2013 [DESCRIPTION " ACCOUNT CODE/TRANS CODE AMOUNT DUEL] 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 LPAYMENT TYPE - PAY,OR caswER:':uasi e COMMENTS - .AMOUNT PAID • - ' I Check IMAGE KING INC 429.46 20594 TOTAL PAID: 429.46 • • t Electrical Permit Application SPRINGFieLu DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON 1616.0 Permit no.:YJ -0z 3Q 225 Fifth Street4Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 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. Cost Total ea. cost CATEGORY OF CONSTRUC IEIN ylyL Residential,per unit,service included: ❑ Residential ❑Government Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq.ft.or less(4) $134.00 $ Each additional 500 sq.ft.or portion Job site address://y�C/3 �y]al A 5+ thereof $ 25.00 $ . City:5p ;, qri CIl I State: OIZ. ZIP:g74-7i Limited energy(2) $ 32.00 $ Reference:1 707 32C(Z Taxlot.:0 ZZ 00 Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK dwelling service or feeder(2) I /t /1 G(�/11 / /urn i/lGl K-C . Services or feeders:installation,alteration,relocation 200 amps or less(2) $ 81.00 $ CU W SiQnS- PROPERTY OWNER 201 to 400 amps(2) $ 95.00 $ Name: 0' )1/5 aA'k'e a fE. it (-„ 401 to 600 amps(2) $158.00 $ Address: /5-'7 .5 .. Int(' ,S 1< 601 to 1,000 amps(2) $205.00 $ A Over L000 amps or volts(2) $469.00 $ City: 5(h'Q I State: CA__. ZIP: S��" Phone: - - Fax: - - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders:installation,alteration,relocation This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) - $ 87.00 $ property is not intended for sale,exchange, lease,or rent.OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $126.00 $ 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: , /,41G q�/2u'/\9 5;94 a.Fee for branch circuits with purchase of a service or feeder fee: 7 ~ 9 / Each branch circuit $ 6.00 $ Address: yO 5/ (,J / �- /�}V`'L- I City: e6 .Q-tit 1_/I State: GrL I ZIP: 91L-102, b.Fee for branch circuits without purchase of a service or feeder fee: Phone-]l-g( ig(-/f'Z Fax:9-t/ C+CG r s S i y First branch circuit(2) $ 55.00 $ E-mail: �16.A.0 -- t ? 0.gtt4 n 1 S, 9/J5. COM _ Each additional branch circuit $ 6.00 $ CCB license no.: /b / 3/3I BCD license no.: . -5)o-c LS Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 6"i V S 4 Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervises-/(al, C IQrK, Each sign or outline lighting(2) 2 $ 63.00 $ Signature of signing su ervi4\ � � $ 63.00 $ !/ aSitgenraatl ocnircour it eoxr tea nlsimon ite(d 2nergy panel \ Each additional inspection:(I) $58.00 . $ APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$58.00) (B)Enter 12%surcharge(.12 x[Al) $ (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through C): $ 440-2584-1(9/08/COM) tih .W k.Y.'i . Le ,,r 4- r a+nt 7i t tk + a S ' e & n . ' CITY:OFT SPRINGFIELD<OREGON 1- 3 .�f..1. >,.7„'� .Y'g-µii Vl -?� ti..'e - �ST �w3`." e4t,� t t t5 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH(541)726 3753 •FAX:(541)726-3689 I 0) CityJob Number J C /-7. '02362 o,� L1I)y3 �a%i, 37'- Site Address: i I Assessors Map ( 7 Z / zit Z Tax Lot: 0 o Z 0 o 1 l Owner: 0 /5 SAzi t Kfv0/e " L Phone: UPI' Address: � S 7 5 , 4/74 L 3 Oa p , 74{7e �3y': City SpN'� l /� State Zi ,�,�,� Business Name, Firm,etc. �/17JCS OA/ h/e2✓/7r-- P3 lYescrip/tion of Proposed Sign(s): (Please check and complete all appropriate information) I v Wall Freestanding Projecting Roof Marquee a-f Single Face Double Face Billboard Other r i i / ' t ti Square Footage: . Jr� Total Height above Grade: '7 /� I Vertical Dimensionbf Sign or Enclosure: /a Horizontal Width of Sign or Enclosure: Dimension from Grade to Bottom of Sign Enclosure / / Electrical Installation: Yes _No /� /- (If yes additional electrical permit required);) Material Sign is Constructed of Muni/Uhl,,/r K,�/AU/1! to-t- �— Value of Sign: /c) OV - 9s0? , (....1 List ALL existing signage and attach a photograph of each sign: ,,_ (a) Type Sq.Ftg. (b) Type Sq. Ftg. . 1 (c) Type, Sq.Ftg. (d) Type Sq.Ftg. i? Contractor/Installer. rill&Q( K/,ig 5, 971 5 - 2 � f�- Phone-614 ��/ �� I Address: `7��5/ () /- VC . City: �(JQ (-1 L // State: lJ/e Zip:917 /v/1[. 411. Construction Contractors Registration Number: 16( 3/ 3 - Expires: I Gu I 1 T i OFFICE USE Sign District: 6 / p Zoning: L � i t 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 , ..J, further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. fi1 I further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the (` f 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 i 1 times during i �Ilatio/n�of the sign( / Signature during -f�il't.�. Date ! /I/ /1 3 Shared Drive(T:)Building Fmms/Sign Pennit Application I-02.doc S. 9n 6 cJI CITY OF SPRINGFIELD, OREGON { 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(54I)726-3753 •FAX:(541)726-3689 1 0 City Job Number so azs6z 11't '1 Site Address: t71' L 3 /ha)a//.7 Sf Assessors Map /�I 7o z 3z el z Tax Lot: o o ZQ O 4 I-i� Owner: 0 l S //a C teen %t er, a C Phone: U)) Address: / z 7 5 . 1.771-1- S T IIJ� City 57 I-�fJ �7'.I� State Zip ? 7�7 er .1+ Business Name, Firm,etc. �1 �"'LKSG!!/ fj��(,t//�-- Description of Proposed Sign(s): (Please check and complete all appropriate information) 1 ) Plii —I/ - Wall Freestanding Projecting Roof Marquee Single Face �� Double Face Billboard Other a Square Footage: 3z11 Total Height above I /I , Grade: '/t t I d t t 1 I�, Vertical Dimension of Sign or Enclosure: 3d - Horizontal Width of Sign or Enclosure: 3 Dimension from Grade to Bottom of Sign Enclosure /Q Electrical Installation:_Yes _No �',,� / (If yes additional electrical permjf reguired) fy r� Material Sign is Constructed of:AU/1,P/?/(QI 'Lite— Value of Sign,:(/775-d0 r i List ALL existing signage and attach a photograph of each sign: r i (a) Type Sq.Ftg. (b) Type Sq. Ftg. r (c) Ty Sq. Ftg. (d) Type Sq. Ftg. AR-1 Contractor/Installer:_ y//121Qt1 K!/'l9 517/75 Phone: 1Lat/ Yell J Vim_ Address. 17057 W I / / r City: �-U9'�/�A--- 6 3/ State: De_ Zip: ! 77"t/,°1 Construction Contractors Registration Number: /6 / 3/ 3 Expires: I Q I/ (7 I r �� OFFICE USE ({r!J /'I Sign District: ( C- Zoning: (�- ri ..,r 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 t 1jJ1 further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. r Z� 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 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 /ta'll'ati//o7n/of the 71A-A --). / /,/) Signature C-A /� Date /o/i I ( 3 Shared Drive(T:)/Building Fonma/Sign Permit Application I-02.doc