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HomeMy WebLinkAboutPermit Signage 2013-11-6 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 .1";!R G�,..y a Phone: 541-726-3753 } ' Building I Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02388 • www.springfield-or.gov permitcenter©springfield-or.gov • PROJECT STATUS: Issued ISSUED: 11/06/2013 EXPIRES: 05/05/2014 STATUS DATE: 11/06/2013 APPLIED: 10/25/2013 SITE ADDRESS: 4360 MAIN ST,Springfield,OR 97478 SCOPE: Sign ASSESOR'S PARCEL NO: 1702323102800 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign for White Horse w/Elec OWNER: SULLIVAN JOINT TRUST Phone Number: ADDRESS: PO BOX 41404 EUGENE OR 97404 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor DENNIS ROY HYDE CCB 92628 09/21/2015 541-942-1059 • INSPECTIONS REQUIRED II Inspections • 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. 6940 Sign Attachment 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 contractorkapd employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure'that alt- quir d in pections are requested at the proper time,that each address is readable from the street,that the permit card-is.locat at-tb,e front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or,0on ctor Signature Date NOTICE: ATTENTION:Oregon law requires you to follow THIS PERMIT SHALL EXPIRE IF THE WORK rules adopted by the Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT Center. Those rules are set forth In JAR 952-001- . 0010 through OAR 952-001-0090. You may obtain COMMENCED OR IS ABANDONED FOR copies of the rules by calling the center(Note:the ANY 180 DAY PERIOD. telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 11/6/2013 10:05:47AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD �I.•t?:.C.a. zzs Finn St " `O OREGON TRANSACTION RECEIPT 225 Fifth 97477 541-726-3753 811-SPR2013-02388 www.springtield-or.gov 4360 MAIN ST permitcenter©springfield-or.gov RECEIPT NO: 2013002361 RECORD NO: 811-SPR2013-02388 DATE: 10/25/2013 ;DESCRIPTION . • ACCOUNT_CODE/TRANS CODE ` . . • . . AMOUNT DUE'_ Admin fee(10%of applicable fees) 224-00000-426605 1098 8.00 Permit Fee Adjustment- Electrical • 224-00000-426102 1004 11.00 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 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 8.00 TOTAL DUE: 227.60 ;_ ,PAYMENT TYPE ;_PAYORcASNIER:JLARSON . � COMMENTS;.-_ _ ;AMOUNT PAID •` Check White Horse Saloon 227.60 1088 TOTAL PAID: 227.60 • • • • • t ,xi^ n as v�§i+ry; *�'Hi2'KfaN}Uti" #�, ',r, ` ' CIrTYVartriTNrtIarder : e 225 FIFTH STREET • SPRINGFIELD, OR 97477 • PH:(541)726-3753 • FAX: (541)726-3689 i 0 •7 ry p fi City Job Number/J -0 Z ie o Plan Review Fee of$42 per sign is due with application. 1i ' Site Address: 43L,p0 MAdt4 %V '— �i fD 1 ca 97411 . • N 7°Z 323 f oet") IlAssessors Map _� 7 ��� � , raj y� Tax Lot jl�, � 4�X‘y i. Owner: K O< _ 1.'V�� `fl \rP ' hone:_CAA' 779 ' 4 /Z �(d FA �� k Address: ��' '� ��� g c57/ � City / State 74-77 Zip Business Name, Firm, etc. FS I / ' d Description of Proposed Sign(s): (Please check and complete all appropriate information) - �( XS r -t Wall 7 Freestanding Projecting Roof Marquee pigil i Single Face Double Face Billboard q Other Square Footage: 17". `"Z Total Height above Grade:. t / ��Zt�N 4145 I If y Vertical Dimension of Sign or Enclosure: I Horizontal Width of Sign or Enclosure: V219-117_11 Dimension from Grade to Bottom of Sign Enclosure Electrical Installation: /Yes _No (If yes additional electrical permit required) �I l;._ a .. _ . J.:. s5� (QO ; Material Sign is Constructed of: Value of Sign: / , �, 4 emu, y List ALL existing signage and attach a photograph of each sign: (a) Type Sq. Ftg. (b) Type Sq. Ftg. �'' (c) Type (� {` ' Sq. Ftg.�-7 1 1 (d) Type Sq. Ftg. 'r Contractor/Installer: , .."-k-v—tS \'�--� `A..ACC Phone: 'I • �J AN WI Address: 7 B85� \t�P�.TQXLI N. AvY . 1 ��4� / \} City: `, f;�LAtL State: o2 Zip: ` { Construction Contractors Registration Numbere-C. 3 9 Z2� Expires: "ill I 24919— r— /r OFFICE USE Sign District: rote, . Zoning: thBy signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all s 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. I firoll further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. f I further agree en e that all required inspections are requested at the proper time, that project address is readable from the street,that the it c. d is located at the f>:ont of the property, and the approved set of plans will remain on the site at all --4 times duri g the insta_0 '.n oftltb s gn(s). Signature - . - Date 1-�/f Z Shared Drlve r'VRuddlnn Parma/Glen Permit Annhraimn l-07 der. Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD 225 ent'OF SPRIRNGFI�ELID, RESG)®NB9 ' OREGON Permitno.:-S13 -OZ3 if ti et Fifth 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 CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑Government [2/Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq.0.or less(4) $147.50 $ �31jt7 1 t A-`N CC there additional 500 sq. 0.or portion $ 27.50 $ Job site address: tVbPr v thereof �(( City: State: ra ZIP: 'tut} Limited energy(2) $ 35.00 $ E7O1 ;a3PRIPONOF Zq Each odu WORK - ! dwelling service or feeder(2) $ 69.00 $ ``{{C l (��-� �,( '�"'fJ Services or feeders:installation.alteration,relocation t kg9i�W+ x""ACS WO-"` W } ) `— 200 amps or less(2) $ 89.00 $ a AT C T PROPPERTY ERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: Q‘UL vicrwamo /LA.a, 401 to 600 amps(2) $174.00 $ Address:"'*�/6.,J IAghl St 601 to 1,000 amps(2) $225.50 $ City: Vr I State: I ZIP:9'74-71 Over 1.000 amps or volts(2) $516.00 $ Phone: Sl 1 =729. 4.492.4 Fax: - - Reconnect only(2) $ 69.00 $ E-mail: �µs l°'Dd2� MSN r no-4 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: \//""� ^ r3 �(9l f ; a. Fee for branch circuits with purchase of a service or feeder fee: Address: `"lea '1 L( .Ij�A& }'{$'/2 Each branch circuit $ 6.50 $ City: UDC/ MTA, State: ZIP`: Gel b.Fee for branch circuits without purchase of a service or feeder fee: Phone: 5" - "/ . ` Fax: - - First branch circuit(2) $ 60.50 $ E-mail: •' / l0• --j�i/'�'p��S` Ss tv•.•1. Each additional branch circuit $ 6.50 $ CCB license no.: C) 2 I BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's lic se r ... 00-', J/(5 Each pump or irrigation circle(2) 7$ 69.00 $ Each sign or outline lighting(2) / -- Print name of signing su.ervisor. •�i _ � _ +�' K K K O $ 69.00 $ �`j'� Signature of signing supe i.or: .,.1� Signal uitexlensi limited-energy(d-energy panel. $ 80.00 $ Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees � $ (Minimum Permit Fee$80.00) Hi(KS tepiv (B)Enter 12%surcharge(.12 x IA)) $ (C)Technology Fee(5%of IA)) $ ,,����''•• 440-2584-J(4/012013/COM) TOTAL fees and surcharges(A through C): $ /�4,