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Home My WebLink AboutPermit Signage 2014-5-1 SPRINGFIELD 225 Fifth St A AsAvAAA ' CITY OF SPRINGFIELD Springfield,OR 97477 `C .' Phone: 541-726-3753 OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00958 www.springfield-or.gov perm itcenter@springfield-cr.gov PROJECT STATUS: Issued ISSUED: 05/01/2014 EXPIRES: 10/28/2014 STATUS DATE: 05/01/2014 APPLIED: 05/01/2014 SITE ADDRESS: 1839 PIONEER PARKWAY EAST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703262302301 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign- wall sign for 9 Round 30 Min Kickbox Fitness OWNER: PIONEER STATION LLC Phone Number: ADDRESS: 11501 NORTHLAKE DR CINCINNATI OH 45249 CONTRACTOR INFORMATION I Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor IMAGE KING INC CCB 161313 09/01/2019 541-484-1482 Sign Contractor IMAGE KING INC CCB 161313 09/01/2014 541-484-1482 L 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 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth 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 AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 5/1/2014 11:46:31AM Page 1 of 1 SPRINGFIELD -- CITY OF SPRINGFIELD t r s 225 Fifth 51 (1 TRANSACTION RECEIPT Springiield,OR 97477 ttk >. ^tOREGON 541-726-3753 811-S P R2014-00958 www.springfield-or.gov 1839 PIONEER PARKWAY EAST permitcenteraspringfield-or.gov RECEIPT NO: 2014000968 RECORD NO:811-SPR2014-00958 DATE:05/01/2014 IDESCRIFTION '' - - ACCOUNT CODE/TRANS CODE ` _AMOUNT-DUE,_.::: Admin fee(10%of applicable fees) 224-00000-426605 1098 11.00 Sign Plan Review 224-00000-425602 1018 42.00 Sign or outline lighting 224-00000-426102 1037 69.00 Signs: 36-60 Square Feet 224-00000-425602 1007 110.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 8.28 Technology fee(5%of permit total) 100-00000-425605 2099 8.95 TOTAL DUE: 249.23 PAYMENT TYPE - PAYOR _ CASHIER:CCARPENTER COMMENTS : _ ., . _ AMOUNT PAID „ Check IMAGE KING INC 249.23 21492 TOTAL PAID: 249.23 Electrical Permit Application DEPARTMENT USE ONLY I SPRINGFIELD ) • CITY OF SPRINGFIELD, OREGON (r Permit no.: S/ O O ?fr 225 Fifth Street*Springfield,OR 97477•Pti(54[)726-3753*FAX(541)72(3f.89 `(OREGON I[ Date: This permit is issued tinder 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. k LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Number of inspections per item () Qty. Cost Total P P ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑Government /3 Commercial JOB SITE INFORMggATION AND LOCATION 1,000 sq. 11,or less(4) $147.50 S S- ��{� P�w� Each additional 500 sq.ft.or portion $ 27.50 $ Job site address: p 3q Y thereof Citys�/t n4 e I State IP:q"]�D Limited energy(2) $ 35.00 $ Reference: /703 zit 3 Taxlot.: OZ 36( Each manufactured home or modular nl ,, ,.., DESCRIPTION OF/ WORK dwelling service or feeder(2) $ 69.00 $ III /(41/9 I I I(//n(AQ(Y-Q S i.l,r c Services or feeders:installation,alteration,relocation r/' 200 amps or less(2) $ 89.00 $ 5t" PROPERTY OWP{ER 201 to 400 amps(2) $ 104.50 $ Name: ' o..-0 t&_ 5-3/4-4.10) / .a LL C.- 401 to 600 amps(2) $174.00 $ Address: //r6 ( /V tv G 64.0- i` 601 to 1,000 amps(2) $225.50 $ City:(',,..0„t /,L State: C3 iL ZIP: Crt f{ C 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 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) , $ 96.00 $ property is not intended for sale,exchange, lease,or rent.OAR - 479.540(I)and 479.5600). 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:new alteration, extension per panel Business name:-Erna f C K'/ 55_9/75 a.Fee for branch circuits with purchase of a service or feeder fee: Address: LIO5 W / �51-- / . 7 Each branch circuit $ 6.50 $ City: E(/9].(/ A___ Statefl/L, ZIPS.2 TV.Z b.Fee for branch circuits without purchase of a service or feeder fee: Phone,.) --& - (4-i 1 .� � Fax - I4&3_ 495/ First branch circuit(2) $ 60.50 $ E-mail: &.1-Low C i forget./11.5 f/to. Co,O') �^ Each additional branch circuit $ 6.50 $ GCB license no.:/6 131 3 BCD license no.770J..530-C4J'liscellmheous fees:service or feeder not included Signing supervisor's license no.: qt-7 5)4 Each pump or irrigation circle(2) $ 69.00 $ / ' I Each sign or outline lighting(2) $ 69.00 $ Print name of signing superviso / _, `�1 aJ' / Signature of signing supervisor: Signal circuit or alimited-energy panel, $ 80.00 $ -♦�_ alteration,or extension(2) Each additional inspection:(1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fe 80.) O (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of IA]) $ 440-2584-J(4/01/2013/COM) TOTAL fees and surcharges(A through C): $,�siCil „„ .r. Y �� 5 9 "$I�py •x �'� ,* , '+mod { 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH(041)726-3753 •FAX:(541)726-3689 0,4 . Cityiob Number G0 ?ref' ' , _ Site Address: mo, Otte t e r - - s I a wr Assessors Map I 7O 3 06 z 3 Tax Lot: O ? ✓ ' d 1,Q41� (-LC . 1 Owner: �� /w��. ,/�S' ' ” Phone: UI Address: ^//�0 ! /" D�L L# l e J / / r ,/ G•, , City Q.n C--6.1..4 4414 State 0 n Zip 4/ z '1. , 0( y Business Name,Firm,etc 9 goN -36 `^^t`^ ic,o(e 4,, P74. de-s3 Pr oi DescppJion of Proposed Sign(s): (Please check and complete all appropriate information) cii —V Wall Freestanding Projecting Roof Marquee • — Single Face Y Double Face Billboard Other 46.5 1/�1� 4 , 3tt Square Footage: al Total Height above Grade: i �� t i� •Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure: 15'�t 'I { Dimension from Grade to Bottom of Sign Enclosure Electrical Installation: Yes No ((If yes additional electrical pevit req�uiirjed_ iisiMaterial Sign is Constructed of: QLU(1\Ir\UT &C-rillktC )O&Lr\T Value of Sign: LS0 1,0i pekvi 4 List ALL existing signage and attach a photograph of each sign: ~ S C- I (a) Type/ Sq.Ftg. (b) Type Sq. Ftg �i (c) Ty Sq.Ftg. (d) Type Sq.Ftg. I 1 ma SI yn5 Phone: I"yfr4-(4) Contractor/Installer: 11 ' LI O51 W ice- JTh" �� Address: -��f i(1, City: Edge AA_ State: 1W Zip:e l V /' I 1 Construction Contractors Registration Number: I 6, I 113 Expires: 9 lk q OFFICE USE 0 Ct" ': Sign District: - Zoning: (Tr . tOBy signature. [state and agree,that I have carefully e.eamined 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 the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I 1, 0! further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. t T. -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 L times durinn i tallatio of thL � _ Signature Date 4 (Y) 1 I ci Shared Drivetr:PBullding Forn¢'Sign Penn"Applicationl-02.doe