HomeMy WebLinkAboutPermit Signage 2007-10-17
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1457 G ST
ASSESSOR'S PARCEL NO.: 1703362206800
Springfield
PROJECT DESCRIPTION: Signs - wall signs for Oregon Urology Institute
Owner: OREGON UROLOGY INSTITUTE PC
Address: 2400 HARTMAN LN
SPRINGFIELD OR 97477
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01555
ISSUED: 10/17/2007
APPLIED: 10/16/2007
EXPIRES: 04/17/2008
VALUE:
TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
E S & A SIGN CORP
E S & A SIGN CORP
License
163470
163470
Expiration Date
03/16/2009
03/16/2009
Phone
541-485-5546
541-485-5546
BlJILUING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMA nON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
ATTENTION: Oregon la&brd1t~tEt)qlfeii.:
follow rules adopted by the Oregon Utility
rl:t~~~r'~~il"'l'- ("'\~n+~1" Thf"'\COO r'ldoe- oro ~ot fnrth
Street Improvements:
Storm Sewer Available:
Special Instruction:
in OAR 952-001-ulj"P-UBliMJIMPRlWlEl\IIENTS I
0090. You mayobtQlI1 ,",V!-,'...", VI .L", ...J",,,, L, ",
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
Pa2e 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
N OTI ~:nspouts/Drains:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01555
ISSUED: 10/17/2007
APPLIED: 10/1612007
EXPIRES: 04/17/2008
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
16,105.00
12,821.00
Si!!;n
Si!!;n
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Sign 36-60 Square Feet
Sign Plan Review
Total Amount Paid
Si!!;n Review
Value
Date Calculated
Total Value of Project
$16,105.00
$12,821.00
$28,926.00
10/16/2007
10/16/2007
~
Amount Paid Date Paid Receipt Number
$30.00 10/17/07 1200700000000001316
$15.00 10/17/07 1200700000000001316
$8.80 10/17/07 1200700000000001316
$110.00 10/17/07 1200700000000001316
$80.00 10/17/07 1200700000000001316
$110.00 10/17/07 1200700000000001316
$80.00 10/17/07 1200700000000001316
$433.80
I Plan. Reviews ,
10/16/2007 10/16/2007 APP DJB
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
l..Reouirec:Unsnections .
Sign Location: To verify the location of the proposed sign.
Sign Footing: After excavation and forms are in place, but prior to concrete.
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
Pa!!;e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01555
ISSUED: 10/17/2007
APPLIED: 10/16/2007
EXPIRES: 04/17/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 of 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.
~4;fllj
/0/;7/07
Owner or Contractors Signature
Date
Pal.!:e 3 of3
ZON (~. D ...
INITIALS W--
DATE\O -\"1-0-1
SOURCl'("<\ t{)'5~
, .
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . fAX: (541)726-3689
ELECTRICAL PER~MJT APPLICA TJON
City Job Number COcN\ z..oo 7- 0 I 5" sS-
\L\5, G S1Y0Lt
LEGAL DESCRIPTION: 170:5 36 'Z 'Z. Db [fDD A. ;New"jiesid~ntial- S~gje o;Mil,lti~FamiIy per dwernngtinii:': .
Or(~~ u yt)\OBLJ :r:-n3ll'turc
JOB Dt{SCRIPTI0N:
2 \lluminatwl f)'0n~~
v
Permits are non-transferable and expire if work is
not started within] 80 days of issuance or if work is
Suspended for] 80 da)',~.
>Y?;'\"~1",_;".'';:;' -~,~~;t.,\-:C;".,;~ ~.:j.."s~:: ", ~"~,.-.;~: C,''';:','':.~''l_;.i -~:('1~~).:- :~ .;,;.,,',f.?.... r..-~.../.\~
2. ~~t;Q!Y7~R!,V;;!:s!R !NS1'.~.1~~~1'!l:9N,QJ\fLy
Electrical Contractor F~-4-r':>\g~ing
Address '5?{J..O A )E~ (o_)l11.YYl h ia 01 vd
?J
of S .~~.n
New Alteration or Extension Per Panel
~ / One Circuit
~ \ Each. Additional Circuit. or with
(V\ (J.kC)k 'lh.3#tu+t"lce or Feeder Permit $ 4.00
Address 2A Of) r'lcu/'.J-VYlAY\ ~b{ _ E. f~':M~1Jii~;;iJ~ds.'(S~iri~~/fZ~d'~'i~J61~;1.K~fii;d.'id).'?4ij:i~~.;.~kt~iI~;i~~;
. . fcx~ ;~tv.ttil..l~ .c..".:}.....,'..."".. .;<:. ,,'~""""'. . ,,' ....""',.,.,,,. ',".' .,,,if,",,.;,:!" ',-C'.. .'S.","_'
City ~R>>PJtB~~~~D Pump or irrigation $ 55.00
Notification Center, Those rUhe~:R 952-001- NI{fR~~ Lighting '2: ._ itOR'f<l 110.00
OW~~~!-i)DA~~~~~~i~S of the rules by Tm~<P\:JtMy~~d\btaEXPIRt I~ }~.: ~ Nnff
The iQQ9~a!itH1firg~~~f~e(<pAAm~tIat~r~~ ~eP~H~fl~M@~JHIS p:~IViflr I ~ 50.00
is not i~HM!~clf~~Te~~rttJtility Notification Mini u NO,~.6.QiRIl&~A,WliWeIYff5o.~ \ Surcharges
nu~ber 0 nter is 1_800-332-2344). 4. 'l<'1WAB~~~:'::';\:;,~
Owners Slgna~ "',;.,,,;t"">",,>,,,;,,~ ,..,.,' ."';.";~' 1/0 . [j)
.~;~
II, no
~-5()
1.
LOCATION OF INSTALLATION:.
City
fnY+18nCL Phone (.e:y)~);)42-2Iro
Supervisor License Number 1 \1 S \0 '
~6\ \ \~OOB
Constr. Contr. Number 1 (IJ?J-4l 0
/07
Expiration Date
Inspection Request: 726-3769
3.
Date --1J:2,1 ~ ! (17
COMPLETE FEE SCHEDULE BELOW
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$1 ]7.00
$ 21.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$55.00
B. r:f~~R~~:~;,'~.t:~;~~~~tg:J~~s:tai~~.~~~} ~)~~~~t!~~~.O:~-~~I~t~fi~~:~~"..'
200 Amps or less
20 I Amps to 400 Amps
40] Amps to 600 Amps
60 I Amps to ] 000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$] 80,00
$4/3.00
$ 55.00
c.
Installation, Alteration or Relocation
200 Amps or less
20] Amps to 400 Amps
40] Amps to 600 Amps
Over 600
D.
$ 55.00
$ 76.00
$1 ]0.00
$ 48.00
8% State Surcharge
] 0% Administrative Fee
5% Technology Fee
TOTAL $1713.?Jn
Shared Drive(T: )/Building Fonns/Electrical Permit Application 7-07.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1555
COM2007-01555
COM2007-0 1555
COM2007-0 1555
COM2007-01555
COM2007-01555
COM2007-0 1555
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Sign Plan Review
Sign 0-35 Square Feet
Sign 36-60 Square Feet
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CHERI FLETCHER POWELL
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001316
Date: 10/17/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
017317 In Person
Payment Total:
Page 1 of 1
1:24:51PM
Amount Due
80.00
80.00
110.00
110.00
15.00
8.80
30.00
$433.80
Amount Paid
$433.80
$433.80
10/17/2007