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Permit Signage 2013-12-2
SPRINGFIELD _...... 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ". ati Phone: 541-726-3753 - OREGON Building I Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02573 www.Springfield-or.gay permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 12/02/2013 EXPIRES: 05/31/2014 STATUS DATE: 12/02/2013 APPLIED: 11/25/2013 SITE ADDRESS: 395 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703274402000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sign-freestanding sign for First Christian Church of Springfield OWNER: FIRST CHRISTIAN CHURCH OF SPRINGFIELD Phone Number: ADDRESS: 395 W CENTENNIAL BLVD 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 General Contractor E S&A SIGN CORP COB 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. / .u... -Al ' IZlZ/l� O , e r or Contractor.nature Date ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility NOTICE Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE 1F 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 number for the Oregon Utility Notification ANY 180 DAY PERIOD. (1=.riv-,:,=t- Center is 1-800-332-2344). Springfield Building Permit 12/2/2013 11.33:38AM Page 1 of 1 SPRINGFIELD CITY OE SPRINGFIELD _4.1 p. 225 Fifth St = O1- TRANSACTION RECEIPT springfield,OR 97477 541-726-3753 811-SPR2013-02573 www.springfield-ar.gov 395 W CENTENNIAL BLVD permitcenter@springfield-or.goy RECEIPT NO: 2013002580 RECORD NO:811-SPR2013.02573 DATE: 12/02/2013 "DESCRIPTION _ •_ ;H.' ACC,OUNTSODE/TRANS CODE _._..,<:'AMOUNT;DUE'_ 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_-_ , .PAYOR- -.CASHIER:CCARPENTER 'COMMENTS • AMOUNT PAID . =i Check E S&A SIGN CORP - 214.73 60390 TOTAL PAID: 214.73 • • • • • �� {•` „t ` G T ' (4F{{[.§, ji NGF1EGD OREGON' ^,1t�: /'� eP".uM'* xz°$ ,�+ :q:�,F 5F5.P�g``� u..0 fiII. :wo r� ly„" .,..b.=.�" �t �aiCR l d 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH (541)726 3753 •FAX:(541)726-3689 r 1 C.)) City Job Number r1.7 z S 73 '�6'.1.�'!11 Site Address: 395 t4 Ce✓riC. nv-i /fJ Bl UG1 r� Assessors Map ri '—03—71—ye-t Tax Lot: 02-000 Itj Owner r71rs,i- fCkriS nh (lntAr(C.v Orr cprin� -Pl e: li-ii.-525-- 3y8"7 U� Address: %95 4 (evi4enn lM VCI City State Zip Q7�7-1 °�� r el �� Business Name,Firm,etc. rlrSk C�I['IS�2�v� ��42r7.�n O�� S�(�v�a, �( 1—Psi J 1 Description of Proposed Sign(s): (Please check and complete all appropriate information) r Wall Freestanding Projecting Roof Marquee a I Single Face Double Face Billboard Other y ,r 1_� J Square Footage: 2� _ Total Height above Grade: i Vertical Dimension of Sign or Enclosure: CD D Horizontal Width of Sign or Enclosure: O / i Dimension from Grade to Bottom of Sign Enclosure Electrical Installation: Yes _No (If yes additional electrical permit required) iiirej /J �8 SO C) Material Sign is Constructed of: -//r/u.�'f rl1u�! La `'- Value of Sign: J 11rii 1 i List ALL existing signage and attach a photograph of each sign: (a) Type Sq, Ftg. (b) Type Sq. Ftg. (c) Type Sq. Ftg. pp (d) Type Sq. Ftg. r 1 Contractor/Installer: E5 k S t 3441.4 n 1 Phone:91/-866-238 77 I' b'99-7s Dn�in� I � Address: /�� piii City: / ! t'7 / 2 State: v"C Zip: 9 75'0 Z Construction Contractors Registration Number: (O J ��� Expires: J)/ e/zoic- OFFICE USE /f r 1 Sign District: g,CS a .r:.t.1— Zoning: Lis A 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 J the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I S,�� 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 U� street,that the permit card i located at the front of the property,and the approved set of plans will remain on the site at all times during the installa 'on of the sign(s). Signature v // Date / ///3//5 Shared Drive(T:)/Building Fomu/Sign Permit ApplicationI-02 doc Electrical Permit Application DEPARTMENT USE ONLY ae •.F r°^' ti ',64 fq,_rt '•y I. E6. .i 5PRINCfIeLD , il.CITy "O Sl?,-, CElE -t.QRE ON"l --.w Permit no.: S / J -O e S7 7 225 Fifth Street•Springl-ield.OR 97477*PR(541)726-37531t \S(541)726-3689 1' ''\OREGON t i Date: 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? Yes No Cost Total Zoning PP ❑ ❑ Number or inspections per item( Qty. ea. Cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑Residential ❑Government /31 Commercial 1 JOB SITE INFORMATION AND LOCATION 1,000 sq.it.or less(4) $1a7.50 " p /� Each additional 500 sq. Il.or portion $ 27.50 $ Job site address: 5j tAi Ce44610 I ax (31�d thereof City: Spr J Pej 6( State: pa_ ZIP: qty-T1 Limited energy(2) $ 35.00 $ I Reference: 1--1_02,-21-41 Taxlot.: Q 2000 Each manufactured home or modular k DESCRIPTION OF WORK dwelling service or feeder(2) $ 69.00 $ Services or feeders:installation,alteration,relocation _tin*Vl (1) One_ ■rlkrl'1a((j —11'1 200 amps or less(2) $ 89.00 $ I PROPERTQ OWNER 201 to 400 amps(2) $ 104.50 $ I I� t Name: 5444—C.l,t rr,�4v CIAtLCIt 0t- S Ira 401 to 600 amps(2) $174.00 $ Address: 3 9J 4.). Carib.IS•t 1 601 to 1,000 amps(2) $225.50 $ Il City: 5 '/:3 State: 0L. ZIP: 7 21/4 71 Over 1,000 amps or volts(2) $516.00 $ Phone: - - Fax: - - Reconnect only(2) $ 69.00 $ l E-mail: Temporary services or feeders: installation,alteration,relocation C 200 amps or less(2) This installation is being made on residential or farm property $ 69.00 $ 1 owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ I 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 $ t Signature: Over 600 amps or 1,000 volts.see services or feeders section above CONTRACTOR INSTALLATION . Branch circuits: near alteration,extension per panel Business name: EW AT Si3"),? A-Ly-ci t. a.Fee for branch circuits with purchase of a service or feeder fee: 1 Address: •�gis' ?ac_'int. kci Each branch circuit $ 6.50 5 City: E u_ ne_ State: O2 ZIP:q-79 Ca_ b.Fee for branch circuits without purchase of a service or feeder fee: Phone5t I-8b5-2351 Faxfj 1-ifs-5-5/3 First branch circuit(2) 5 60.50 $ E-mail: j O b:CSQeSct.?yic. CO✓s'\ Each additional branch circuit $ 6.50 $ 1 CCB license no.: 1,(7- L41 0 BCD license no.:205S13 LS Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 5/24 S(c Each pump or in'igation circle(2) $ 69.00 $ i Print name of signing supervisor: 60 Cvse-bCk t7 Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor': Signal circuit or a limited-energy panel, b g g P � _ � alteration,or extension(2) $ 80.00 $(y\q Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ I (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A)) $ i (C)Technology Fee(5%of[AI) $ 440-2584-J(4!01!2013/COM) TOTAL tees and surcharges(A through C): $ I 1 i