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Home My WebLink AboutPermit Signage 2014-6-9 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 LAI -r Phone:541-726-3753 OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01155 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/09/2014 EXPIRES: 12/05/2014 STATUS DATE: 06/09/2014 APPLIED: 05/28/2014 SITE ADDRESS: 1024 HARLOW RD,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703220002305 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign -wall sign for Cricket OWNER: GATEWAY MALL PARTNERS Phone Number: ADDRESS: PO BOX 617905 • CHICAGO IL 60661-7905 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor IMAGE KING INC CCB 161313 09/01/2014 541-484-1482 Sign Contractor IMAGE KING INC CCB 161313 09/01/2014 541-484-1482 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 �cu o4(iv Owner or Contractor Signature OV lD Date dttes`J V(1Cdy � N dte9ej�o l 0 0 e g52 es DP \O oP se PP s by w K �r�\nOe�\e��o\hcoU.\eso\th;ePhone� SW LNG taDT in No\ifwc�9y2p0\ ob�atoNo e.\he Nottt`,°�S�o I'm R M1t vx 0 th%780. c 3CO 23441• ��jg PERM\j U DES\NANO NOD EDP 0090..�a\\ \ \0C che. �.800" IN \NA() D DR\S n n�mpeCeC�k is �� FENDED ER\OD' • el �J0 X80 DAV P Springfield Building Permit 6/9/2014 11:35:51AM Page 1 of 1 • • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spdng58ld,OR97477 • OREGON 541-726-3753 811-SPR2014-01155 www.springfield-or.gov 1024 HARLOW RD permitcenter @spdngfield-or.gov RECEIPT NO: 2014001249 RECORD NO:811SPR2014-01155 DATE:06/09/2014 leaao{-j(pdto7� a"�•tlr�? ,r,xiP G Z.,;a,°_ s . ,„��„: -ACCOUNT,CODE/TRANS CODE '1 ;�s-'�`3eTi\MOUNT DUE' Admin fee(10%of applicable fees) - 224-00000-426605 1098 8.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 'Sign Plan Review 224-00000-425602 1018 42.00 Sigh or outline lighting 224-00000-426102 1037 71.00 Signs:0-35 Square Feet 224-00000-425602 1007 . 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 8.52 Technology fee(5%of permit total) 100-00000-425605 2099 7.55 • TOTAL DUE: 219.57 :JtPAYMENTT71PE . ..PAYOR:' DBOWLSBY.e x„! -.COMMENTS Check IMAGE KING INC - 219.57 • 21399 . TOTAL PAID: 219.57 • • • • • • Electrical Permit Application DEPARTMENT USE ONLY i SPRINGFIELD qt.R i� i CITY OF SPRINGFIELD, OREGON Ii_ �" Permit no.:SIV �r 225 Fifth Snret•Spriag0eld,OR 97477•1'11(541)726-3753*FAS(5a11726-3689 `OREGON Date: This permit is issued under OAR 918-309-0000.Permits are nontransferable. Permits expire if work is not started within 180 j days of issuance or if work is suspended for 180 days. II{{ LOCAL GOVERNMENT APPROVAL FEE SCHEDULE t Zoning approval verified? 1:1 Yes ❑No Number of inspections per item () Qty. Cost Total E CATEGORY OF CONSTRUCTION ea. cost l Residential,per unit,service included: ❑Residential ❑Government Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq. il.or less(4) $147.50 S i/ Each additional 500 sq. li.or portion Job site address: lO)�{ llQr/oc i,fd�_ thereof $ 27.50 S City:s/,z 7 /(t State:at ZIP:qQ L py Limited energy(2) $ 35.00 S Reference: 1 703 zz 00 Taxlot.: O Z'3O s— Each manufactured home or modular $ 69.00 $ // DESCRIPTION OF WORK ORK dwelling service or feeder(2) /✓I A..i�,i,(///111k,/IL III(/LI/111n cad 6,0 ALA Services or feeders:installation,alteration,relocation 5 n far r ` l 200 amps or less(2) $ 89.00 $ /G // PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ 401 to 600 amps(2) $174.00 $ 41 Name: e14, 1e 6r 1� rr_f Address: _ / Oft! 6 r7 0 S' 601 to 1,000 amps(2) $225.50 $ City: / ..K,4 D State:nL ZIP: 1o( ( Over 1,000 amps or volts(2) $516.00 $ lllV//^^^^' f Reconnect only(2) $ 69.00 $ Phone: - - Fax: - - 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(1)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:neon, alteration,extension per panel Business name: r/ 1uQ( KI n a sins a.Fee for branch circuits with purchase of a service or feeder fee: Address: yo57 � /5 ,q x._ Each branch circuit $ 6.50 $ City: /CU fi.LAA._, State:3ie. ZIP:919 d - b.Fee for branch circuits without purchase of a service or feeder fee: Phone/-9f iT /y1)-- Fax.$//cio —F 77 t First branch circuit(2) $ 60.50 $ E-nnail:C r C/1/21 f.l'—)/IGJg!/ /)S , ['ifyt'] Each additional branch circuit $ 6.50 $ ee CCB license no.: /6/3/� I BCD license no.:a0-53a-a5 Miscellaneous fees:service or feeder not included Signing supervisor's license no.: YS7o Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: (q1' o Each sign or outline lighting(2) $ 69.60 $ Signature of signing su ervisor: )\,,\ Signal circuit or a limited-energy panel, $ 80.00 $ S' g g P \ alteration,or extension(2) Each additional inspection:(1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x IA]) $ (C)Technology Fee(5%of[A]) $ 440-25844(4101/20I3/COb4) TOTAL fees and surcharges(A through C): $ F }'�'--i.,X ✓ b4.aY. "" .:�; Edt;.t3K» '+t vtezCBS& S`,. , ( 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH.(541)726-3753 • FAX:(541)726-3689 0.,1 15 S/�-OILS City Job Number �f� 1' Site Address: �� QOM '�' Assessors Map / /t 3 2 2Cr - Tax Lot: D 7 i Q C j ' Cd-r•l✓� (/ '// AvttA/ Phone: } Owner: I Address: 3O croA 6/7 par aS x City Cl1 of State / Zip . 01511-ii r,' Business Name,Firm,etc Posi1l Description of Proposed Sign(s): (Please check and complete all appropriate information) �" Wall Freestanding Projecting Roof Marquee cliSingle Face Double Face Billboard Other Square Footage: 33 Total Height above Grade: iVertical Dimension of Sign or Enclosure: 2 F /b 7(6 Horizontal Width of Sign or Enclosure: I t 1 1 Dimension from Grade to Bottom of Sign Enclosure /� Electrical Installation_Yes No /] � (If yes yes additional electrical permjlj,requuirreedd)) Ilisi Material Sign is Constructed of:/�1 IV/11 i Vif f ( cry h/C..1/' �t>«//)r Value of Signlf�((�v`N �kte -, 1'` ` Ag ,_� List ALL existing signage and attach a photograph of each sign: f.. (a) Type Sq.Ftg. (b) Type Sq. Ftg. 11,1 (c) Type Sq.Ftg. (d) Type Sq.Ftg. ' LIrFCIy '� //19 1191)5 Phone:'Tl'"T "(74L g)1 Contractor/Installer: / 1 I Address 1-16 57 I (i / 5 i C-- 19 /��// 90vU2 r City: t , State:V/L- Zip: . , / Construction Contractors Registration Number: /6r3i3 Expires: 9//7' F__ OFFICE USE �f�J'. Sign District: Cl------- Zoning: C 11i. - 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 j the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I 1;r further certify that only contractors and employees who are in compliande 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 ti street,that the permit card is located at thont of the property,and the approved set of plans will remain on the site at all A, :t:tzbo ;: (z__. Date /° ��j , Shared Dnve(T:)/nuilding Forms/Sign Pent Application1-02.doc