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Permit Signage 2014-2-11
SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 o eaoN Phone: 541-726-3753 Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00261 www.springfield-or,gay permitce nter@s prin gfield-or.gov PROJECT STATUS: Issued ISSUED: 02/11/2014 EXPIRES: 08/10/2014 STATUS DATE: 02/11/2014 APPLIED: 02/10/2014 SITE ADDRESS: 776 Q ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703261301000 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-wall sign for Emerald Vapors OWNER: DIVINE&HAMMER LLC Phone Number: ADDRESS: 555 LINCOLN ST EUGENE OR 97401 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor E S 8 A SIGN CORP CCB 163470 03/16/2015 541-485-5546 Sign Contractor E S 8 A SIGN CORP CCB 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 constructio . Cre O :r or Contractor i nature Date ATTENTION: Oregon law requires yD13 tg follow rules adopted by the Oregon Utility h OAR 952-991= NOTICE: Notification Center. Those rules arP set ter4fj in OAR 952-001'0019 n crOPfeh of the ruten THIS PERMIT SHALL EXPIRE IF THE WORK 00calling e center. (Note: the teleohe"g AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utt!dy r br``�"`:m . Center is 1-800--321-2,aI)t, COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 2/11/2014 8:32:32AM Page 1 of 1 SPRINGFIELD • CITY OF SPRINGFIELD 225 Fifth St -�ORIEGOI TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S PR2014-00261 www.springfieid-or.gov 776 Q ST permitcenter©springfieid-or.gov RECEIPT NO: 2014000261 RECORD NO:811-SPR2014-00261 DATE:02/11/2014 DESCRIPTION_ _. . _ • _ _ ACCOUNT CODE/TRANS CODE -. • •` AMOUNT DUE, Admin fee(10%of applicable fees) 224-00000-426605 1098 14.00 Sign Plan Review 224-00000-425602 1018 42.00 Sign or outline lighting 224-00000-426102 1037 69.00 Signs: 61 - 100 Square Feet 224-00000-425602 1007 140.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 8.28 Technology fee(5%of permit total) 100-00000-425605 2099 10.45 TOTAL DUE: 283.73 L.PAYMENT TYPE PAYOR CASHIER:osowLSBY_�. COMMENTS ; _.,_ AMOUNT PAD Check E S&A SIGN CORP 283.73 060853 • TOTAL PAID: 283.73 • • • Electrical Permit Application DEPARTMENT USE ONLY GI o SP GFIFI ORE :A®N PRINGFIELD-W S/4/_o a e 6/ 225 Fifth Street♦Springficld OR 97477.111(541)726-37530 FAX(541)726-3689 t,1.- OREGON b Date: 7.3� /y ;i' I 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 wort: is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes No Cost. Total ❑ Number of inspections per item O Qty. ea, cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑Government gl(Conlmercial - JOB SITE INFORMATION AND LOCATION 1,000 sq.ft.or less(r) $147.50 $ �.1 Q ..g- Each additional 500 sq. 0t or portion $ 27.50 $ 1 Job site address: thereof City:Si7(1 -c1A State: OR ZIP:^T, 1-1-1/ Limited energy(2) $ 35.00 $ 1 6/Reference: 63 2 � II Tax lot.: 00 O Each manufactured home or modular 4 DESCRIPTION OF WORK dwelling service or feeder(2) $ 69.00 $ 1 OS-ZL ( ■ tl�vnina `I wa-0 s 1.)m Services or feeders:installation,alteration,relocation 1� 1 ` 200 amps or less(2) $ 89.00 $ So-A-1,x �11LJe∎AnN't 1. PROPER Y OWNER 201 to 400 amps(2) $ 104.50 S Name: 7)/✓/n>,/L Na.W L--r- 401 to 600 amps(2) $174.00 $ 1 Address: 5-5-r / .~ eS(..� s T 601 to 1000 amps(2) $225.50 S L 9 Z' Over 1,000 amps or volts(2) $516.00 $ City: �rlil Stale:lJvL_ Llt ZIP: 9�Ydl Phone: - - Fax: - - Reconnect only(2) $ 69.00 S I 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) 5 96.00 $ property is not intended for sale,exchange, lease,or rent. OAR 479.5400)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above 1 CONTRACTOR INSTALLATION Branch circuits: new,alteration.extension per panel Business name: ESP rl. S r W„ }i-(tiJn i Aar-- Fee for branch circuits with purchase of a service or feeder fee: Address: 50) cl-7 S Przt:r c �.of Each branch circuit $ 6.50 $ ( City: E tACw,ne_ State:CO ZIP: 5"7L1 0 Z_ b. Fee for branch circuits without purchase nfa service or feeder fee: i Phone:314[I-4OS-SSy L Fax:5.t\ -46S- SC 3 First branch circuit(2) $ 60.50 $ E-mail: V O berSa@ eS cc C i��n S ■ Cu/tn Each additional branch circuit $ 6.50 $ i CCB license no.:1b3t-1—)0 BCD license no.:?_&-3-3ccS Miscellaneous fees:service or feeder not included Signing supervisor's license no.: ..\11 S 1 G Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Gay 12c,sa_bv J Each sign or outline lighting(2) \ $ 69.00 (5i � Q Signal circuit or a limited-energy panel, Signature of signing supervisor: y� /� - $ 80.00 $ • alteration,or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above f ees p { (Minimum Permit€$.890.).-) ___ $ O 6 : O (B)Enter 12%surcharge(.12 x IA]) $ (C)Technology Fee(5%of[AI) $ 4 �� 440-2584-1(4/01/2013/CON) (/ TOTAL fees and surcharges(A through C): $ /� I 1 i ,x, J ' °` CLITY,OF SP RItNGFIELD;,OR+EC OI t. . `< ' i r 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 • FAX:(541)726-3689 O 5/17- 062g / City Job Number i r °# { —1-7(D Q Sk i Site Address: i"" Assessors Map 3 Z • Tax Lot: \ i O v c7 11 fIn� re t.Ck Uapor S • HH.Ncr //A � LLL ?'6b - H \2 Owner if— Phone: � (' t U) Address: 1-1( S 3 S 5 (4tbt'. if— GIA 6, O✓L et7VO 1 J City Spfiv� cam`G / State 02 Zip C1-7t-P3-7- Business Name,Firm,etc. F ,,,ne.(-tz..ac( VapS 11 Description of Proposed Sign(s): (Please check and complete all appropriate information) P< Wall Freestanding Projecting Roof Marquee 41 , e Single Face Double Face Billboard Other Square Footage: &y Total Height above Grade: 7 / 9,_ < Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure: y pp I ( Dimension from Grade to Bottom of Sign Enclosure V Electrical Installation: xYes _No �;,,� 0 (If yes additional electrical permit equired) r Material Sign is Constructed of: A-1 kA On IlAA-AU V\ �1 �2 Las L Value of Sign �./a� la� List ALL existing signage and attach a photograph of each sign: r i (a) Type FeAs Sq. Ftg. (b) Type Sq. Ftg. j (c) Type Sq. Ftg. (d) Type Sq. Ftg. I, C A A r' Contractor/Installer: r S%P �"1 Sr rs .fl „Jr, IAC Phone: S-1) -Hoy'2.3 67 ) OO (� Address: U���s �ru-i�'2. �v� I ! City: , LArne State: 02 Zip: 9790 Z 5 Construction Contractors Registration Number: j 6 3 Nr7 0 Expires: 3/ /6 PPS C' OFFICE USE ( [/ H�' Sign District: Zoning: aBy 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 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 certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. e.„,,i, 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 car/ located at the front of the property,and the approved set of plans will remain on the site at all A times during the install Ion of the sign(s). 22 SignaturSignature„..-------7 4 / Date l/✓///q � Shared Drive(T:)/nuilding Forms/Sign Permit Application I-02.doc