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Permit Signage 2013-10-29
• SPRINGFIELD- 225 Fifth St 4 CITY OF SPRINGFIELD Springfield,OR 97477 , + Phone: 541-726-3753 OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02379 www.springfield-or.gov permute nter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/29/2013 EXPIRES: 04/27/2014 STATUS DATE: 10/29/2013 APPLIED: 10/24/2013 SITE ADDRESS: 875 7TH ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703351202600 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-wall sign for Springfield High School OWNER: SPRINGFIELD SCHOOL DISTRICT 19 - Phone Number: ADDRESS: 525 MILL ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 Sign Contractor OWNER CCB 000000 08/01/2025 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 at 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. 41 Ow If Con -ctor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 10/29/201 10:27:01AM Page 1 of 1 • • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St - G TRANSACTION RECEIPT SpringfieId.OR 97477 ' OREGON 541-726-3753 811-SPR2013-02379 www.springfield-or.gov 875 7TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013002379 RECORD NO: 611-SPR2013-02379 DATE: 10/29/2013 (DESCRIPTION ' AC000NLCODE/TRANLCODE' ; ..._AMOUNT DUE_i 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 I PAYMENT TYPE_ .;FAVOR.:CASFeER:JLARSON ,. COMMENTS :,....2, , . S- e, AMOUNT PAID fir J Credit Card SPRINGFIELD SCHOOL DISTRICT 1E ...,,_ — 214.73 133539 TOTAL PAID: 214.73 • • If Electrical Permit Application :, DEPARTMENT';USEONLY &e..Z^. —w. i w. n5"x,:,:m ozw p,#.YW 3i y T &IT§Y 0E SPRINGF ELD GREG N - ILL,-G FIELO Ft -S/J - O�l 2. 3 7 5 r N i ermit no.: ,. 225 Fifth Street•Spnngfield,OR 97477•P13(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. t2_aL A1100L;GOV,ERNMENTrAFPROVALk- r,_ - 9Mi: S, .g#F,.EEXSCHEDULE4 k gi pT ` ;* Zoning approval verified? ❑ Yes ❑No ° [ pAu r fpdos tm, <4r.Cos i Toa ;mb o . senpewe -G Qty " a .7 t ost ,,2. ` 4° ;CATEGORY AOFSCONSTRUCTI0N w _ t$a „ s:: .. . x.r , r,. Residential,per unit,service included: ❑Residential ❑ Government a u❑Commercial 1,000 sq. ft. or less(4) $147.50 $ JOB,rSIT,E INF.ORMATION'�AND.-LOCATION'C iii Each additional 500 sq.ft.or portion Job site address: g115 f]+J 31. thereof - $ 27.50 $ City: SPA,,,,(Ir'rrj�j StateO ZIP: 97y 77 Limited energy(2) $ 35.00 $ Reference: I 7c) 3 3 S/ 1 Taxlot.: O 0 6ocs Each manufactured home or modular ' ,,,. „,, % lDESCRIPTION 'OF&WORK`: *,,�tfe '''A"';„ dwelling service or feeder(2) $ 69.00 $ A /ham / S/G� Services or feeders: installation, alteration,relocation V / 200 amps or less(2) $ 89.00 $ "" .,,,'i'Se;)rt,r>PROPERTY,=rOWNER N": 4a + °;;I^l 201 to 400 amps(2) $ 104.50 $ Name: ,S p/�,r- -/—,'tai) SV_c L. �;lj [5 401 to 600 amps(2) $174.00 $ Address: !/r4 6 fit/ 'f.2."� 601 to 1,000 amps(2) $225.50 $ City: �1,,f 6-7(a0 State:cr ZIP37/77 Over 1,000 amps or volts(2) $516.00 $ Phone: Stj(7y47—L3)S - Fax: - - (,,,. -751 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. /.0(1). 401 to 600 amps(2) $138.50 $ Sign. re: Q[' ft Over 600 amps or 1,000 volts,see services or feeders section above `e-i t+«,1tT T' ' TOR;INSTALLATION rer,.es"§V;ry' j Branch circuits:new alteration, extension per panel Busin+ s na SOS t Vr' t 37 a. Fee for branch circuits with purchase of a service or feeder fee: Address: jc o , c./244 Each branch circuit $ 6.50 $ City: a,.t,1 c r (-3.(State: ZIP: (r'7.77/ b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - /- - Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: //o 73 ) • Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: /G � C4.AA, Each sign or outline lighting(2) / $ 69.00 $ Signature of signing supervisor: ccc��� Signal circuit or alimited-energy panel, $ 80.00 $ / alteration,or extension(2) Each additional inspection:(1) $80.00 $ • (A) Enter subtotal of above rrc (Minimum Permit e$80. $ O o (B)Enter 12%surcharge(.12 x[A]) - $ (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges (A through C):- $ q (h 440-2584-I(4/012013/COM) Cniti ®F SPRIINGFIE3L•°-D (0121~GON . 225 FIFTH STREET •• SPRINGFIELD, OR 97477 •• PH:(541)726-3753 •• FAX: (541)726-3689 r O1 �+ . S(3 - Q Z-- 7 7 Plan Review Fee of$42 per sign is due with application. {� City Job Number ,f'I '' Site Address: 0 p75 ---' Si. Spick_A_itn% C.LC 6.6 97q r1,9 Assessors Map r >O: 3 -5 7 Z Tax Lot: dz 6 a 0 Owner: se vcirt CS') del col-"NO0:;.?i-S9 Phone: S-4/- WI' 6375 . Address: l FS 7 b AI ‘70-,4d. l �_ City R et.Lai n" (1-- State 6 C Zip 97%1 72 '+'' '; S A->1 C 6 wNtte-- Business Name, Firm, etc. PDescription of Proposed Sign(s): (Please check and complete all appropriate information) r--,3 x Wall Freestanding Projecting Roof Marquee Single Face Double Face Billboard p �/ Other Square Footage: Z� Total Height above Grade:Grade: /� S/t / a Vertical Dimension of Sign or Enclosure: t /I(.// Horizontal Width of Sign or Enclosure: 3 �� II I Dimension from Grade to Bottom of Sign Enclosure 7� Electrical Installation: )( Yes _No (If yes additional electrical permit required) ' ' Jr r I 1 Material Sign is Constructed of: 3-ICE L Value of Sign: tQ,o°13 40..1 List ALL existing signage and attach a photograph of each sign: (a) Type Sq. Ftg. (b) Type Sq. Ftg. _ (c) Type Sq. Ftg. (d) Type Sq. Ftg. r Contractor/Installer: tit,:ND---- Phone: I g" Address: 4J City: State: Zip: ,i Construction Contractors Registration Number: Expires: OFFICE USE ' Sign District: ' r L Zoning: 1 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all i information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with s the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. 1 r 1 further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the Istreet,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 times during t e in allation of the sign(s). Sign ure Date 16 (IS( (3 Shared thive/T'VRlildine FnrmJSlnn Permit Annliraiinn IA)dnr