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HomeMy WebLinkAboutPermit Signage 2014-4-17 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 1, `C �• Phone: 541-726-3753 ,\ OREGON Building I Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00841 www.springfield-or.gov pe rmitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/17/2014 EXPIRES: 10/14/2014 STATUS DATE: 04/17/2014 APPLIED: 04/17/2014 SITE ADDRESS: 1980 MARCOLA RD,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703251301500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-wall sign for Peacehealth OWNER: TRI-W GROUP LTD PARTNERSHIP Phone Number: ADDRESS: .100 SE CRYSTAL LAKE DR CORVALLIS OR 97333 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 construction. Cr 1( I 1 /-z_ati--- o•-•- or Contractor Si... •re Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: n OAR Notification 52-01 001 though OAR 952-001- AUTHORIZED UNDER THIS PERMIT EIS NOT 0090. You may obtain copies of the rules by calling the center. (Note: the telephone WORK 'OMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification Y 180 DAY PERIOD. Center is 1-800-332-2344). Page 1 of 1 Springfield Building Permit 4/17/2014 3:02:02PM SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St ,a, TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2014-00841 www.springfield-ar.gov 1980 MARCOLA RD pennitcenter©springfield-or.gov RECEIPT NO: 2014000848 RECORD NO: B11-SPR2014-00841 DATE:04/17/2014 }DESCRIPTION '. ' : , r - _ , . I ACCOUNTCODE/TRANSCODE _. . . __,.',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 CCCARPENiER __ COMMENTS_ _ _ _ - AMOUNT.PAID I Credit Card E S&A SIGN CORP - 214.73 • 017736 TOTAL PAID: 214.73 • fl= N 0 m V N N N a N N V1 M M N W Ow rj Z N T c fA N O R y 4vpN a a p O E m m e m y a O n r ti. • `m >. 0) a u a F v a U E 0 o OO N a n. a » a w el w w V y c .q o z ° O > E c a co `0 0 d O C 000 “, P A () a 0 O w < b W CO w V C O 0 M Vi w (0 LL E w m a m . a I a cc It00 co w Tt a o5a 3 LLJ N O a = > mm mm ro mm mm >- 0 U O i m V! 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I 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: ID Residential ❑Government f6.Commercial 1,000 sq.It.or less(4) $147.50 $ JOB SITE INFORMATION AND LOCATION I n/9�/ ci , i thereof additional 500 sq. 0.or portion 1 Job site address: 6 (�. I thereof $ 27.50 $ [ City: S , ipej State: U\ ZIP: /17-y Limited energy(2) $ 35.00 I $ I Referee'e: S` O 3 e / �� I Taxlot.: I/ Each manufactured home or modular ' DESCRIPTI N OF WORK dscelling service or feeder(2) $ 69.00 $ i/ U -, / Si ��� Services or feeders:installation,alteration,relocation , • r l-C fl t I�+ rr 200 amps or less(2) $ 89.00 $ i V1/2 up - ` i' / JCav y.s _— PROPE OWNER 201 to 400 amps(2) $ 104.50 $ Name: 1-(t (f 6-tot,.to 401 to 600 amps(2) $174.00 $ 1 Address: /0 0 SE' C pS-aI L _ 4_ 601 to 1,000 amps(2) $225.50 $ City: Cesn,,J,4((t S State: 41,'" ZIP:77333 Over 1,000 amps or volts(2) 5516.00 $ 3 Phone: - - ax: - - Reconnect only(2) $ 69.00 5 E-mail: Temporary services or feeders:installation,alteration, relocation This installation is be g made on residential or farm property 200 amps or less(2) $ 69.00 $ owned by me or. ember of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is no •itended for sale,exchange, lease,or rent.OAR - 479.540(1 end 479.5600). 401 to 600 amps(2) $138.50 $ Sign. re: Over 600 amps or 1,000 volts.see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: nevi alteration.extension per panel ( Business name: '��- SR✓t ,� nlyb✓t a.Fee for branch circuits with purchase of a service or feeder fee: I J '�pp t Address: 99175 Dat1 or Y\ Each branch circuit $ 6.50 $ City: k-(,vpeyle__ State: 3Q ZIP:9 7,-/Q 7i b.Fee for branch circuits without purchase of a service or feeder fee: Phone:Sii-- -Z3;1 Fax:141-96S- St) 3 First branch circuit(2) $ 60.50 $ 1 E-mail:J p e berS4-0 eSC1S%5✓1 . Conn_ Each additional branch circuit $ 6.50 $ CCB license no.45,3L77O BCD license no.:70-52-3(mss Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 5I47 S/6 Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Gpam^-�-1. , & -o Each sign or outline lighting(2) / $ 69.00 $67 � �'CI n Signal circuit or a limit(d,energy panel, f Signature of signing supervisor.� 62-" CC /, P $ 80.00 $ O alteration,or extension 2 Each additional inspection:(I) $80.00 $ APPLICANT USE _..---,I (A) Enter subtotal of above fees (Minimum Permit Fee 580.00) $ 0 t (B)Enter 12%surcharge(.12 x[A]) $ J (C)Technology Fee(5%of[Al) $ it.1 (/ 440-2584-J(4/01/2013/COM) TOTAL fees and surcharges(A through C): 59 5 e(O Pa p* i', 4 z u f Wa4'# 41..t ,44,. ,: Y .,,, t d. N.,'r,. pc -. _ .. :.; iir-, 4CIFT t®Fr sPR1NC'�1 IEL,® OREGON ' ! 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(54I)726 3753 • FAX:(541)726-3689 _. r , 0 City Job Number 57V-6 CI W L/ ° r1 c V 1 Site Address: G)� t� Assessors Map \1 (1 Z S \ 3 Tax Lot: O\ 50-C) IOwner \ R\- kiC ��A-p (.- v) Phone: Q.) Address: 1 (i) cC (15r l rdcc 22 �� City I,cXVC_L��S State Oil Zip ` .133 2 t ?ea Cc- \-kectX+1,, \a blccc_-4 A'e_s �� Business Name,Firm,eta r - P} . Description of Proposed Sign(s): (Please check and complete all appropriate information) si Wall Freestanding Projecting Roof Marquee 41 -d1 Single Face Double Face Billboard Other 1 Square Footage: 1"12) Total Height above Grade: �� f 4es Vertical Dimension of Sign Enclosure: g Horizontal Width of Sign or Enclosure: L Dimension from Grade to Bottom of Sign Enclosure / � -0 Electrical Installa[ion:k Yes _No I,�1\\ (If yes additional electrical permit required) f k Ar fini�tilM (A 1f Material Sign is Constructed of: � � s"h Z- Value of Sign: i, List ALL existing signage and attach a photograph of each sign: r i (a) Type Sq. Ftg. (b) Type Sq. Ftg. 7 i (c) Type Sq. Ftg. (d) Type Sq.Ftg. ri I Contractor/Installer: L Sxp A S,S,,.,.�Q �� - Phone: su 18 Z ,ycl �� Address: 8`91 S Herti'(''E Rd q ' pimi I City: 1A P?.n�. / State: 6� Zip: / ! �'UZ Construction Contractors Registration Number: /&6'-11(7 Expires: 311 I(o I Z--,IS / /' -- OFFICE USE Sign District: ` .. C C- Zoning:i `-` r ' 1 O By signature,I state and agree,that I have carefully examined the completed application and do hereby certify that all e' information herein 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 of Oregon pertaining to the work described herein. I firm1i 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 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 the insy/lation of the sign(s).,,'% //// _ Signature / C� !/X, Date 1173// / IShared Drive(T:)/nuilding Forms/Sign Permit Application!-02.doc