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Permit Signage 2014-4-9
r SPRINGFIELD — 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 .:w Phone: 541-726-3753 - OREGON Building I Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00758 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/09/2014 EXPIRES: 10/06/2014 STATUS DATE: 04/09/2014 APPLIED: 04/09/2014 SITE ADDRESS: 3125 GATEWAY ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: ,1703222003100 - TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-wall sign for couture spa OWNER: BENTON PROPERTIES LTD Phone Number: ADDRESS: 980 WILLAMETTE ST EUGENE OR 97401 66 CONTRACTOR INFORMATION R 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 Sign Contractor E S&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 construction. • 1 ( 2--g Ow -r or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. • Springfield Building Permit 4/9/2014 1:18:41PM ' Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Sphngfield,OR 97477 1. 1 541-726-3753 .OREGON 811-SPR2014-00758 www.springfieldor.gov 3125 GATEWAY ST permitcenter©springfield-or.gov RECEIPT NO: 2014000769 RECORD NO: 811-SPR2014-00758 DATE:04/09/2014 C' P.- .ON. ..:: .a4 _•_k_ nt". 14,1? i - 1-z 4ACCOUNT-CODE/TRANSICODE fi,Sf!'iN a:AMOUNThDUE . 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 �PAYMENTaTYP-E-E. ' PAYOR cpsiitER osowrsav BOMIVIENT$ s ,AMOUNTSIMID -s -5 Credit Card cheri fletcher powell 214.73 009616 TOTAL PAID: 214.73 • • • • i c=s crce rorn_:z , ,,CITY OF SPRINGFIELD, OREGON r � .. 11 225 FIFTH STREET •• SPRINGFIELD,OR 97477 •• PH:(541)726-3753 •• FAX:(541)726-3689 0 V. 0O75' 8 �i City Job Number �/ '''t '1 Site Address: 3( 7_C �JG'ot„- .�0..tj s-4--- �i - #1 e ( rL ( �- wAssessors Map 17 D ? 02-7a Tax Lot: O�C)0 It el'enI/ �r�one isr, Lftl Owner: 1_ Phone: 4 Address: 3fl_< (9cA-^� I,otu.� S4 1�� City CFI/ . )r4 eW v StateC Zip C4-7 4\-1.1 ' ) CO 41 - S �� Business Name, Firm,etc COLA_ P R" f—/ 1 //� 1 1 Description of Proposed Sign(s): (Please check and complete all appropriate information)2(r i Wall Freestanding �� Projecti cI .� ar�uee / e / V 4, Single Face Double Face Billboa d t�fr J 1 Square Footage: .9 175 Total Height above Grade: I Co X i i Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure: Dimension from Grade to Bottom of Sign Enclosure 3 Electrical Installation: es No , n (If yes additional elec permit required) OC.I1 vtni IkWItn.. 4 C in t Material Sign is Constructed of: q Ca E Value of Sign: iTil iList ALL existing signage and attach a photograph of each sign: N1/49— r I (a) Type � Sq. Ftg. ��� [1— (b) Type Sq.Ftg. 1 (c) Type Sq. Ftg. (d) Type Sq. Ftg. r 1 Contractor/Installer: E S ¢/k S i egInA Phone:5"t I - Q6toCK 2-4I �' Address: �61g1C �V7n1V '; P_ �— r. r ` City: 4 �� State: CP Zip: `3-�4aZ Construction Contractors Registration Number: l (0 31-71 0 Expires: 3/ 1k ( 7.p C I )' r -Dg OFFI E'USE rl Sign District: Zot�mg: No i -5 U n G4+ ,v6- icr.4r- i By signature, I state and agree,that I have carefully examined the completed application and do hereby cert ify that all tC 1 infoation herein is true and correctand I further certify that any and all work perfoed shall be done in accordance with the Ordinances of[he City of Springfield,and the Laws of the Slate of Oregon pertaining to the work described herein. I 4W further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. rw I further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the UU/I street,that the permit c d is located at the front of the property,and the approved set of plans will remain on the site at all 1 times during the in of the sign(s). Signature Date — . 44_222) l Shared Drive(T:)/nuilding Forms/Sign Permit Application I-02.doc Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD, OREGON Permit no.: S/r 6a 73 225 Fifth Street•Springfield,OR 97477*PH(541p26-3753•FAS(541)726-3689 lir. -, OREGON (1/11, . Date: l( / 1 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 CATEGORY OF CONSTRUCTION ea. cost Residential,per unit,service included: ❑Residential ❑Government ) jCommercial JOB SITE INFORMATION AND LOCATION 1,000 sq.it.or less(4) $147.50 $ Job site address: 3 (Zc c_ Each additional 500 sq.ft.or portion -(- $ 27.50 $ "-�I WL�.._��//� eS thereof City:S9 V , Ud State: O� LII': ql �T Limited energy(2) $ 35.00 $ Reference:/ .Z�V I Taxlot.:O)/co Each manufactured home or modular / /n O DESCRIPTION OF WORK dwelling service or feeder(2) $ 69.00 $ r h ST'ef-rte net.) -t h Services or feeders: installation,alteration,relocation 5 200 amps or less(2) $ 89.00 $ PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ N. e: �bseirc. /7,.. ' ys t.ini 401 to 600 amps(2) $174.00 $ Addre • 5POdr(6.4-Sitrt! /1 ► sr- 601 to 1,000 amps(2) $225.50 $ City: Cr---C. I State: eat— ZIP: 5-no I Over 1,000 amps or volts(2) $516.00 $ Phone: - - I Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on t '.ential or farm property 200 amps or less(2) $ 69.00 $ owned by me or a member of my imme• • . amity.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale,exchange, leas-, • rent.OAR -- - - 479.540(1)and 479.560(I). 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:newt alteration,extension per panel Business name: !c 5 94 _S;0�j k a.Fee for branch circuits with purchase of a service or feeder fee: ' Address: ' 4 7S 7I Y-- I Y l e ZGf Each branch circuit $ 6.50 $ City: et, State:O1Z ZIP: cj_)-4o2 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:S -2.-} 1 4 Fax:Slf`tgc 559 to First branch circuit(2) $ 60.50 $ E-mail: OtPy 4j,i U{- 0 esaLSlt1N s .1.Bh-) Each additional branch circuit $ 6.50 $ CCB license no.: ' (a 3-`t BCD license no.: _26 _S�}']�_(I iscellxneuus fees:Bernice or feeder not included Signing supervisor's license no.i c._ 41:S j c, 4 Each pump or irrigation circle(2) $ 69.00 $ S Print name of signing supervisor: A Each sign or outline lighting(2) $ 69.00 $6 Signature of signing supervisor _ _ I alteration.ortextens on(2)energy panel, $ 80.00 $ Each additional inspection:(I) $80.00 $ APPLICANT USE _ (A) Enter subtotal of above fees $so (Minimum Permi Ec .00 ---Q (B)Enter 12%su • .12 x[A[) $ / (C)Technology Fee(5%of[A]) $ 1Y 440-2584-1(4/01/2013/C0M) TOTAL fees and surcharges(A through C): $ 3 f7 0