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Home My WebLink AboutPermit Signage 2014-5-13 • 4' SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ' ( 6 Phone: 541-726-3753 ` OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2014-01046 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: . 05/13/2014 EXPIRES: 11/08/2014 STATUS DATE: 05/13/2014 APPLIED: 05/12/2014 SITE ADDRESS: 631 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703274305805 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-wall sign for Bamboo Fragrance restaurant OWNER: CENTENNIAL SHOPPING CNTR LLC Phone Number: ADDRESS: 7831 SE STARK ST STE 103 PORTLAND OR 97215 L CONTRACTOR INFORMATION Contractor Type Contractor Name - Lic Type Lic No Lic Exp Phone Electrical Contractor DENNIS ROY HYDE CCB 92628 09/21/2015 541-942-1059 Sign Contractor DENNIS ROY HYDE CCB 92628 09/21/2015 541-942-1059 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 OC1PAN ill%made o an cture without permission of the Community Services Division, Building Safety. I further ertify that only• tractors and employ:es who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure t•:fall re•uired inspections ar- requested at the proper time, that each address is readable from the street,that the permit =rd is locate• at the front of thr properly, and the approved set of plans will remain on the site at all times during cons uction. Owner or Contr•cto ignature .\�e5M°�\ , Date e°�ce9°e3SZA®�� Osage NoiNI(e N\• p,4 e4 R0� e Oa' aoP\ qr° °\>9 e°\\e•\� S 0 • WORK .. �\e5 a \et.lorc oP`e 'L o ` moTECE: LE EXPIRE IF THE NOT °\SI''N01°'' \C\ \e- .\��{ 1 1SHA NIITIS ‘O n �a9°�et loo\3 .,54 TNIS PERZ D OWDER THIS PONED FOR ;CO Nk°J ° Ote9� 3 MMENOED OR IS ABAND e a V‘0�9 0� 7"e\Ore S, ANY 180 DAY PERIOD. o�c6v Ge Springfield Building Permit 5/13/2014 10:02:12AM Page 1 of 1 • • 4',' 1 SPRINGFIELD CITY OF SPRINGFIELD =�r4 225 Fifth St � , TRANSACTION RECEIPT Springfield,OR 97477 I� ` OREGON 541-726-3753 811-SPR2014-01046 www.springfield-or.gov 631 W CENTENNIAL BLVD permitcenter @springfield-or.gov RECEIPT NO: 2014001041 RECORD NO:811-SPR2014-01046 DATE:05/13/2014 jDESCRIPTIOit -. 7070 ' _ - ` ACCOUNT CODE/TRANS CODE`_a AMOUNTDUE__J 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 - _ .- .. - AMOUNT PAD : -.. - ..3 PAYMENT TYPE, PAYORcgSwER:oeowLSevw x '= COMMENTS :" �- � � �. m; � ,.;.,. C._._— _ .—_ _.�...�:.. _1.870__._7070 Check gemini two entertainment inc 119.00 1004 Check chen peng llc 95.73_—.--_. 1004 TOTAL PAID: 214.73 rJ i Electrical Permit Application DEPARTMENT USE ONLY , SPRINGFIELD r/ / CITY OF SPRINGFIELD, OREGON " Permit no.: SI�-6/Q 'I b 225 Fifth StreetsSpringfield,OR 97477•Ptt(541)726-3753•FAX(541)726-3689 OREGON Date: 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 O Qty. Cost Total CATEGORY OF CONSTRUCTION ea. cost , --- Residential,per unit,service included: ❑Residential ❑Government &Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq.e.or less(4) $147.50 S Job site address: (; Nt� (1�k}40 ther of e additional 5(10 sq.ft.or portion Q $ 27.50 $ City: 12 State: • ZIP: 1 7¢77 Limited energy(2) $ 35.00 $ Reference:)70 3 Z7L( 3 Tax I oorerroCr Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or feeder(2) CIej4 �, � -tt� r r-i�� Services or feeders:installation.alteration,relocation //yy 200 amps or less(2) S 89.00 $ PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name:ei.NlLTyy k` �1n11n, 763V.16 Chi 401 to 600 amps(2) $174.00 $ Address: `1 s3\ .-. 2 ry -� 601 to 1.000 amps(2) $225.60 $ City: (bar I State: pn a_ ZIP:9 7 21S Over 1,000 amps or volts(2) $516.00 $ Phone 3-W AttV (y, Fax: - - II Reconnect only(2) $ 69.00 $ E-mail: CNy(,[•'acocc ist z-c A , etvµ Temporary services or feeders: installation. alteration, relocation 200 amps or less(2) 1 This installation is being made on residential or farm property S 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(1)and 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or I,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:lieu:alteration.extension per panel Business name: �" `ro g(b.5 a.Fee for branch circuits with purchase of a service or feeder fee: Address: 76S$ty 114241 a • Each branch circuit $ 6.50 $ City: \e/Lik(, I State: C. ZIP: 1-7459 b. Fee for branch circuits without purchase of a service or feeder tee: Phone: 1t�-� t ib S ) Fax: - - First branch circuit(2) S 60.50 $ E-mail: L,�, ,� Each additional branch circuit $ 6.50 $ �-ipts-- ` x�'1��eB�^- . CCB license no.: I an....fl BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: (C6,41,1 s Each sign or online lighting(2) $ 69.00 $ 1 Signal circuit or a limited-energy panel, Signature of signing supervisor: t. p t i f alteration.or extension(2) 80.00)s 0. Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees r • (Minimum Permit Fee$80.00) $ 80 (B)Enter 12%surcharge(.12 x[A]) $ f5t21, (C)Technology Fee(5%of[A]) $ 1 440-2584-i(4/01/2013/COM) TOTAL fees and surcharges(A through C): i_15_>e- . - ■ CITY OF SPRINGFIELD, OREGON CH 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX: (541)726-3689 (,) City Job Number 9'y 'r Site Address: 1 r Assessors Map I -103214 ESC'S Tax Lot: _Owner: ,)xu+ Zet) Phone: 54 I 'P- `1 102-T7 U, Address: (3 1 •v l ciim-i'-cL X(Stn Q 1r , City 7 State Zip /7*Zl J� Business Name,Firm,etc. t-J+�{�`�/� �u2�1'l`-�E - ��Ta V�T 1 Description of Proposed Sign(s): (Please check and complete all appropriate information) • r clD` Wall Freestanding Projecting Roof Marquee I ✓ Single Face ouble Face . Billboard Other r f I Square Footage: Total Height above Grade: e I Vertical Dimension of Sign or Enclosure: _ Horizontal Width of Sign or Enclosure: iDimension from Grade to Bottom of Sign Enclosure Electrical Installation: Yes _No (If yes additional electrical permit required) Material Sign is Constructed of: Value of Sign: 13 rli r 1 List ALL existing signage and attach a photograph.of each sign: A (a) TYPeS 1M1 Sq.Ftg. I �9 (b) Type . Sq. Ftg (c) Type _. Sq.Ftg. (d) Type Sq. Ftg. 7 Contractor/Installer: -i'Oet fl � (eNrS S41'/41' I 9 l7 CQ(_ Tr�,/�� Phone: I� Address: -7 98 G 1 I aR tt-t`-'uA& . �f czCity: Bah) State: OR Zip.9745, Construction Contractors Registration Number: . /24,2—F, Expires: 10' 1 , 14 J /��j OFFICE USE r 1 Sign District: O u�kV\OCl_. Zoning: Cr—,AtA ifri■C_ . I By 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 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 hJ+ further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. �,w� 1 further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the �(fVV//�l 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 1 times during the nstallation ticit"),(he n(s). Signature Iti ) Date '� .\,c, • 1,4 • Shared Drive(T:)/Building Forms/Sign Permit Application l-02.doc