HomeMy WebLinkAboutPermit Signage 2014-2-3 SPRINGFIELD - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
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Phone: 541-726-3753
OREGON Building I Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00203
www.springfield-or.gov permitcenter@springfield-or gay
PROJECT STATUS: Issued ISSUED: 02/03/2014 EXPIRES: 08/02/2014
STATUS DATE: 02/03/2014 APPLIED: 01/31/2014
SITE ADDRESS: 400 INTERNATIONAL WAY,Springfield,OR 97477 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703154000500 TYPE OF STRUCTURE: Commercial
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PROJECT DESCRIPTION: Sign-wall sign for LaVelle Tap Room suite 130
OWNER: HAWES INVESTMENTS LLC Phone Number:
ADDRESS: PO BOX 7548 •
SPRINGFIELD OR 97475
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CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
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.
Owner or Contractor Signature Date
. 3TICE:
ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK
follow rules adopted by the Oregon Utility ;,UI HORIZED UNDER THIS PERMIT IS NOT
Notification Center. Those rules are set forth
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 Center Notification
Is 1-800-332 2344�
Springfield Building Permit 2/3/2014 11:14:28AM Page 1 of 1
SPRINGFIELD -' CITY OF SPRINGFIELD
" 225 Fifth St
TRANSACTION RECEIPT SpringfielcIOR 97477
OREGON 541-726-3753
811-SPR2014-00203
www9pr-9199eld-or.gov 400 INTERNATIONAL WAY permitcenteggspringfield-or.gov
RECEIPT NO: 2014000212 RECORD NO:811-SPR2014-00203 DATE:02/03/2014
tDESCRIPTION ' ACCOUNT_CODE/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
PAYMENT TYPE PAYOR_ CASHIER:CCARPENTER COMMENTS_ , • - AMOUNT PAID - •
Check IMAGE KING INC 214.73
21039
TOTAL PAID: 214.73
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�1 1 i °GITY OF SPRINGF�IELiD OREGON
225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH (541)726 3753 • FAX: (541)726-3689
City Joh Number 51(1.--Q5
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1�'t ' Site Address: Woo i v‘%-•r'�J6,.k-iotA v.t 06-1 Sv�Cik-e 130
Assessors Map i 70 J i54 0 / Tax Lot: 0 0 CO 0
11 ` Owner: NAI'ry es ,3eslatCTh-z elvrS L. C Phone:
( , Address: 7Th L�, acs' 7S'( 8
City C T (_b Oa-. Zip / 74 7 r
11
1 ,i Business Name. Firm.etc. 1-.4�"" �� '�'�'
ril
P) Description of Proposed Sign(s): (Please check and complete all appropriate information)
Pei V Wall - Freestanding Projecting - Roof Marquee
( 1 Single Face Double Face Billboard Other
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I Square Footage: 31 . Total Height above Grade: IS /3—b
i ' L(J II
Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure:
it
Dimension from Grade to Bottom of Sign Enclosure I Z Electrical Installation:Vc'es No
(If yes additional electrical permit required)
Ik Material Sign is Constructed of: COLL)" i Pl x F°' `ti- Value of Sign 3 7 O 0
111
List ALL existing signage and attach a photograph of each sign:
i (a) Type Sq. Ftg. (b) Type Sq. Ftg.
_ (c) Type Sq. Ftg. (d) Type Sq. Ftg.
;' Contractor/Installer:inn a- 1 K 1 v�q $i y ✓y S Phone:OF 9 i-JV 8 2
L � 5 - A ) J
1) Address: 9DS i W • %ht.
City: - State: �� Zip: 9 7 I o
I Construction Contractors Registration Number: (� 3 Expires: 1 -1 -/1/
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OFF/CE USE
(-1 Sign District• Zoning:
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tiBy signature, I state and agree, that 1 have carefully examined the completed application and do hereby cert ify that all
information herein is true and correct, anti 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
1( F I
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
I
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 durm' to nstallati on of the si m(s). -
Signature 1 Ntn-t-4 Date ' 229 / L/
Shared Drivell a/Building Fort■Sift Permit Appl icat ion l-02.doc
Electrical Permit Application aaa,No,tao DEPARTMENT USE ONLY
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CITY OF SPRINGFIELD, OREGON ' Permit no.:5/9/-O6 ZO3
my
225 Fifth Street*Springfield,OR 97477+P11(541)7 26-3 753 4 FAX(54l)726 3689
Date: /-Z 7-7V
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'? El Yes ❑ No Number of Inspections per Item Qty, Cost Total
CATEGORY OF CONSTRUCTION e% cost
Residential,per unit,service included:
❑Residential ❑Government Freommercial
1,000 sq. ft.or less(4) 5134.00 $
JOB SITE INFORMATION AND LOCATION
Each additional 500 sq.ft.or portion
Job site address: lioc k.AyvNwkov,,,,, L4Jcj s,,, k 13 thereof $ 25.00 $
City: _5/16' .f I e' e4 State: the, ZIP: 4;7q.7 7 Limited energy(2) S 32.00 5
Reference: nat e, Taxlol.�O.—Nm Each manufactured home or modular
� � ON OF WORK dwelling service or feeder(2) S 63.00 $
c/ 1 Services or feeders: installation, alteration, relocation
1v15Li1 -tart(v)c �t/ 10,01• Lkl' St.3 200 amps or less(2) 5 81.00 S
PROPERTY OWNER 201 to 400 amps(2) S 95.00 5
Name: mwe S (7tsTVL e',v I.LC 401 to 600 amps(2) 5158.00 S
Address: Pt U)E)C , 4 601 to 1,000 amps(2) 5205.00 S
City: $ �/-b State: (511_-_ ZIP: 77')r Over 1,000 amps or volts(2) 5469.00 S
Phone: - - Fax: - - Reconnect only(2) S 63.00 S
E-mail: Temporary services or feeders:installation, alteration, relocation
This installation is being made on residential or farm property 200 amps or less(2) 5 63.00 5
owned by me or a member of my immediate family.This 201 to 400 amps(2) 5 87.00 S
property is not intended for sale, exchange,lease,or rent.OAR
479.540(1)and 479.560(1). 401 to 600 amps(2) S126.00 5
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits:nett, alteration extension per panel
Business name: "_u a ' .C'.• a • a. Fee for branch circuits with purchase of a service or feeder fee:
Address: you LA) % 1st' A 0-[ Each branch circuit S 6.00 5
City: 61 i y.€%'{- State: D2 p ZIP: 17yo2 b. Fee for branch circuits without purchase of a service or feeder fee:
Phone/-ly — /9 82 FaxSYI 45- 59c`Y First branch circuit(2) $ 55.00 $
E-mail:tLov .cat i Anal Ck:vs(y�st,pAs. dos,— Each additional branch circuit 5 6.00 S
CCB license no.: f i 3 BCDTmensae no.20^20-03 Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 6 y4 5/ 6, Each pump or irrigation circle(2) 5 63.00 5
Print name of signing supervi teed [�.k._ Each sign or outline lighting(2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 5
Signature of signing supervisor: alteration,or extension(2)
Each additional inspection:(I) 558.00 $
APPLICANT USE
(A) Enter subtotal of abov- es
(Minimum Permit Fe S
r 4
(B) Enter 12%surcharge(.12 x [A]) S
(C)Technology Fee(5%of[A]) $
TOTAL fees and surcharges(A through C): S ,36
440-2584-J(9/08/COM) t\