HomeMy WebLinkAboutPermit Signage 2008-2-26
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00174
ISSUED: 02/26/2008
APPLIED: 02/06/2008
EXPIRES: 08/26/2008
VALUE: $ 3,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5650 Main St
ASSESSOR'S PARCEL NO,: 1702334103000
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - wall sign Jackson Hewitt
Owner: PSMMR LLC
Address: 3474 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
CHAPCOINC
CHAPCOINC
License
153989
153989
BUILDING INFORMATION I
Expiration Date
01/13/2011
01/13/2009
Phone
541-686-9366
541-686-9366
# 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'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
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:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm SeweWffwl/i6!lQN: Oregon law requires you.t.o
Special Instw~~ules adopted by the Oregon Utility
Notification Center, Those rules are set forth
Notes' In OAR 952-001-0010 through OAR 952-001-
. 0090, You may obtain copies of the rules by
calling the center, (Note:.t.he tel~~hone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00174
ISSUED: 02/26/2008
APPLIED: 02/06/2008
EXPIRES: 08/26/2008
VALUE: $ 3,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Sil!n
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,000.00
Value
Date Calculated
Description
Total Value of Project
$3,000.00
$3,000.00
02/26/2008
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $16,50 2/26/08 1200800000000000178
+ 12% State Surcharge $6.60 2/26/08 1200800000000000178
+ 5% Technology Fee $8.25 2/26/08 1200800000000000178
Sign - Outline Lighting Each $55.00 2/26/08 1200800000000000178
Sign 36-60 Square Feet $110.00 2/26/08 1200800000000000178
Sign Plan Review $40.00 2/26/08 1200800000000000178
Total Amount Paid $236.35
I Plan Reviews I
Sil!n Review
02/26/2008
02/26/2008
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.
~eouire<UnsDe~tions I
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.
Pal!e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00174
ISSUED: 02/26/2008
APPLIED: 02/06/2008
EXPIRES: 08/26/2008
VALUE: $ 3,000,00
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.
O~:tr'::Si~
Page 3 of 3
Date
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I
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225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PERIl/lIT APPLICATIOJl.,T
City Job Number Cr - 0:::>' 74- Date''2' 5 ~ Ot)
~,........_..""t""..-,~ ~_-..- ~-V:::~-7... - .. -.........,.---T (-...........-r:-"-~?"......- ~ - ......... -<"".. -... ~
1. ~LOq~.'{IO~ qF LNSTAL!-ATION , '
:"'y"--.A..*,/"_~......t>... _10..,'0.."'_....,__ ~ ""~"A_....,__~.]__~ ><.J:,....~ ~~_ 'vi' <~r
..........-.--.__.._...~_... '" - ~~.,- -~""""""Vt;~ <'..V7-~....... ,.......v-.. v ~_ v ,
3. ; COllfPLETEFEESCHEDULEBEL01F
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5~t:o (YUIll S-\-
LEGAL DESr~T10~3<.t I 0 scs 00 A. >~-e~~)~~si,d~~l'~ial- Si~gl.~'~'~:_~1~~iJ~-kamiIY per d~\,cli!~,~~~~~~=<~
t\~CVsl..Q -Cu..,7 {=>tor.fv'.l <'.0(,11 51f- W:+-k rCtU.~L'{ Service Included
JOB DESCRIPTION 1000 sq ft or less $106 00
"T()')~'\\CI.+"\>r\ o~ "Dl':)\ro.. c-n Each addl(lOnal500 sq ft or
'- 1 ~G \\ portion theleof $ ]900
ATTEr-Wf@m~~gffinaw requires yo~
follow rUJeNdopretfJfJ>y.,thJe;Oregon UtilitY
e...jl..9~ l..h~~,'n...~ ~t- Notifica~ ~~rtJ (fro>~$)ljwes are set forth
In OAR 9~-QQ,1,;O~1 OA~~~~gh~OAR 952-001-
c- 0090. YCJtl mtt ,lo'bPal'" copl~~~of the rules-hy---
Phonc l08\si - l?{ _dQ callinlftfle e i9aer~n{N&t~~( the telephone-- ____
numbEifcJnntf(j(e~n Utility Notificatioll___
Center is 1-800-332-2344).
c Telllpor:ll-~ Scn ices or Feedel s
Permits are non-transferable and expire If" ork is
not started within 180 days of issuance or if work is
Suspended for 180 days.
.. .:--.:...--""; :r~~:r. '1;...... ';- ~- ,-< v ""~"'l . ,'" ~, ~)_' ,.....
: CONTRACTOR 'INSTALLATION ONLY
2. ;:':.l...v:~-:t" ~...,,:___~.......--::._:.' .;" ~,~ ~ '-< y_\....._~~>~ '
Eleclncal Contractor Sv'f\ - T~<::.... ! S;;)V'. \ta
Addrcss
()
eny
7 ^-l~4'X\. ~
SupervIsor LICense Numbcr ?'~.5 :5 1"'7
I
EAplralIon Date /0./ cY 1/ c/ Y
Conslr. Contr. Number _/5~CU:L9
Expiration Date
J hllzcl1
,
Signature of Supervising Electnclan
~~~~--
~ ~
fSt-J1wt (L. LL-C
Address - s<-t7 Lf S- f'1l.ullG-
City -.EU &- 6rl'6rllOne
Owners Name
O\VNER INSTALLATION
TIle installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
Inspection Request: 726-3769
Each Manufact'd Home or
Modular Dwellmg SerVIce or
Feeder
S50 00
\ ,
B. , 'Se~~ ~ces o~~ Fceders - Instal,lati,on, l~.Iterai1ons or Reloc,liion: '
~ .. ~ _ _~; v___"'- ~ 4"'_
s; 63 00
5 7.5 00
512500
\, I 63 00
s ~ -; 5 00
" 5(1 OU
InstallatlOll, AlteratIOn or Relocation
200 Amps or less $ 50 00
20 I Amps to 400 Amps S; 69 00
401 Amps to 600 Amps $10000
Over 600 Amps or 1000 Volts see ':B'; .above'''' ,
D.l:!~i~l~fJ.~{::~l~~~Ft\~;;
One C~OR\ZEO UNe 'MB~ONEO$f.Q~o
Each ~~~~tQrfvJJ
Service~fitro ~IPER\' $ 3 00
# ~ .(...... ~ :-- f -:t- -t!"~~--~-?<r "... ~-- ,r~,._ 'l,.. ~ ~ .... ....~ ""
(f L vA E. : -Mlsc'ella~e~uS\ServiccJieeder ilOt iIl~ludcd) -Each lristallati~ii-
_,,; , .... & - ~ -I - ... ...
Pump or irrigatIOn
Sign/Outlme Lightmg
Limited Energy/ResidentIaI
Limited Energy/CommercJ31
$ 50 00
S5~0
S 25 00
$ 45 00
I
,
5"S-
Minimum Electric Permit Inspection Fee is $45 00 + Surcharges
.. ~ .....~r "y' ..t~ _r-~ ~-:." ~.... . _..- Jt...... ...... : .~ ;- .:-
4. :'s,iJ~I:(r!'~ OFABOVE'~~.~:- ;' .
. .I'~~.... '" _,_ ,. :.~.:- :.. ~ Or- ... '..-!....... ::: ~.A
s;-
bb
,-~o
::)
27)
I ~ State Surcharge
10% AdmllllstralIve Fee
51u ra..,-4-rtl::'
TOTAL
bl~
Shared Dnvc{T.)/BUlldmg FormslElcctrical PCllmt Apphcation 1-03.doc
225 Fifth Street
Springfield, Oregon 97477
54f-726-3759 Phone
Job/Journal Number
COM2008-00 174
COM2008-00174
COM2008-00174
COM2008-00174
COM2008-00174
COM2008-00174
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
Description
SIgn - Outlme Llghtmg Each
SIgn Plan Review
SIgn 36-60 Square Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
SIGN PRO
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000178
Date: 02/26/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dJb 026577 In Person
Payment Total:
Page 1 of 1
10:19:41AM
Amount Due
5500
4000
11 0 00
825
660
1650
$236.35
Amount Paid
$23635
$236.35
2/26/2008