HomeMy WebLinkAboutPermit Signage 2005-11-16
.
e, CITY OF SPKli'\jul'IELD
Building/Combination Permit
PERMIT NO: COM2005-01478
ISSUED: 11/1612005
APPLIED: 10/21/2005
EXPIRES: 05/16/2006
VALUE: $ 4,275.00
Status: Issued
225 Fiftb Street, Springfield, OR
54t-726-3753 Phone
. 541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3177 Gateway St
ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF
Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - wan sign for Master Donuts
Owner:
Address:
BENTON PROPERTIES LID
980 WILLAMETIE ST
EUGENE OR 97401
,
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor License Expiration Date
IMAGE KING INC ATTENTION' 0 I 161313 09/0112008
, regon al'j I0~"Tes you to
IMAGE KING INC /"11"..,,, 0100 ~...~~._~ ~.. .~1I1~P 09/0112008
. --t ..,... ..........~Vll VlllllY
."BUIImIN(l;;INR0/Wfr<foIOI"I, are set forth
III V1-\" ,';O~-U~l-UOlO through OAR 952-001- ,
0090,#lo~.SW!i~eUbtalO copies of the rules if:t SIZe:
call~t'g"!llt.fenter, (Note: the telephone'sq Ft 1st Floor:
num~):Pl'd!ft!M'l!;regon Utility Notificatio Sq Ft 2nd Floor:
W'l-~nMiI\!5:1-800-332'2344) f'sq Ft Basement:
Range Type: 'Sq Ft Garage/Carport
Energy Patb: Sq Ft Other:
Sprinkled n/a Occupant Load:
Phone
541-484-1482
541-484-1482
.
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
" # of Bedrooms:
'DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
, Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.
Street
Storm Sewer Available:
Special Instruction:
'PUBLIC IMPROVEMENTS I
Sidewalkle:
NOllpC~R: "11' SH~ll EXPIRE 1f01H~ Krains
THIS ~ LVI' THIS PERMi'fI{S'
AUTHORIZED UONRD~: ABANDONED FOR
COMMENCED
ANY 180 DAY PERIOD.
Notes:
1 of 3
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01478
ISSUED: 11116/2005
APPLIED: 10/21/2005
EXPIRES: 05/16/2006
VALUE: $ 4,275.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54t-726-3769Inspection Line
I Valuation Descriotion I
Description
Sien
Type of Construction
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
4,275.00
Value
$4,275.00
$4,275.00
Date Calculated
11/1212005
Total Value of Project
Fees Paifl I
Fee Description
Sign Plan Review
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Sign 36-60 Square Feet
Amount Paid
Date Paid
$40.00
$16.00
$3.50
$50.00
$110.00
10121/05
11/16/05
11/16/05
11/16/05
11/16/05
Receipt Number
1200500000000001585
1200500000000001727
1200500000000001727
1200500000000001727
1200500000000001727
Total Amount
$219.50
I Plan Reviews I
Sien Review
11/1212005
11/12/2005
APP DJB
To Request an inspection call the 24 hour recording at 726-3769. Ail inspection 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.
Sign Electrical: After connection is made but prior to energizing
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
2 of 3
.
.
CITYU1< SI'Kli'llJFIELD.
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit'
PERMIT NO: COM2005-01478
ISSUED: 11116/2005
APPLIED: 10/21/2005
EXPIRES: 05/16/2006
VALUE: $ 4,275.00
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 wiD be made of any structure without permission ofthe 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 wiD remain on the site
at all times during construction.
~~.~~
Owner or Contractors Signatur~
ul/ /pI ())
l
Date
3 of 3
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Date \D. .:;:J\, oS . .~ . ~."" \
Ii(;;OMPL1ti:j;'FEE'SCiiEi5btiJ'BEnrMt'fl.;:-~~~"~Ji.:-:;r,
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number [QMz..OOS'- Ofl.{') r
i. L;.f'O€ATrONOffjiNs'fAiJi:AiioN, r:.,'!'.iJij'l
I!.:::. ~-, -... . ",..~'" _"_.'_' .....,,___it .".."4 3,
?J l '1'\ ~nTIU)tul h'wd.. \
~~L:~~~~O} Z~ci tt~ ~ (~~ A,s:::::~rmlN:!~qr.l&!!htji~JI~~~fii~w~t[r;.tJ
JOB DESCRIPTION 1000 sq, ft. or less $106,00
I Each additional SOO sq, ft, or
>luAl L,,,fA h....._ portion thereof $ 19.00
Permits are non-trans;eratileand efpire if work is Each Manufact'd Home or
"not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
\ AJ S~rvice or Feeder Pennit ~,OO
O~ers Name ~ f'row-rl-\E.S UVV\~;t;l"-
Address q~1) W~\\Am1'-ML c.:."\' Eo [~:t~Ji~~~~~~~(~;:ryi~f~dl~~~i:~~~fE~SIl;lnA~ii!!tio~:1
City "i'llq" <U1} ()Y.. Phone 4. ~ !::> - loCl,q I Pump or irrig~ation l f -~\~ $ SOi
<n'tO\ t,&'IOutljJj'O,l ' ~t\\-A\1 fa _ '1 $ so, 0
OWNER INSTALLATION "O~ ~~~1I ~~~~~"Ul f\I" $ 2S,
The installation is being made on property 1 own which '~~~~6\ll\~~~ ercial ' $ 4S,OO
is not intended for sale, lease or rent. ~~~~ Inspection Fee is 545.00 + Surcharges
l>.\f,Vi\i\)." , _'C,,<.; '.' Yo"", "",' _'''';''''"""e,',' '^'''",i' ~tl
Owners S gnature' fII\"!,~SlJ.BTOTAEOPABOVE;:i"f)';"""-";!'.'l\-;;t~0i.'"" r:.",
i . p;.:";;::Xi/'l~'::\':r~'i,t},,";f+" .', ~J"~:>ii!~~>tt~~:~<~i~~;~~i<',:~iE\~t:.:'fl~ ,-::: , "":"JV' ()()
~, '5Q
S.OU
S<b . 'E,1>
[fC.~Nf.RACfOR1IN..' ~ST.Al')P4TIONONDyll
2. . ;: '''''' ~......~,,-~' ~,~', '-"""on!'" ''''''"~''''::~;' I'!',..,,.,,,,,,:q.:-,,:.. ~,,'" ''{I
. . \
Electrical Contractor ~MIL I.(\.~ S,Ql(\.S
. ~
Address 07 '1 S h"R \<Y\~.s CS\. tr A
City '[\I,\D liD, 1"\1'. Phone 4~L\ -I~ 'U.
q,qO.;z
Supervisor License Number If, Z-LlO :>
Expiration Date (01 ( I 0 & .
Constr, Contr, Number \ \e \ ~ I ~
Expiration Date C\ t \ t /) 9.
,
Inspection Request: 726-3769
$SO.OO
te.'.~":~in,'1i:' ..'-...-t,;1':",:/jI' ~...': '~:'<'\"'~+?~"'l'O_;~,,",~l'./"I' .,,';': ,~t'J;.''""<lo..t....~ ':;-i~
'A~~;~;~~;6~;d;~er~~~~~:~;~:~f.~~i1~.9.r,!t~?;~~.tii9)G.I
fol1oWqO'tmI'~3\)~~~d by the Oregon Utilitv $ 63,00
Notifit~Ml'I'll~!~..t1ROfWP'SJ rules are set forth $ 7S,OO
in oA19!lblnl?~\O@9QiNilpsugh OAR 952.001- $125,00
009C{iO:bAmps~toJIOOOWmp~es of the rules by $163,00
ca0verUOOO:J\ii1pstV~iiSte: the telepnont; $37S.00
nurR~nhectlOnlyregon Utility NolllIC;dllUll $ SO.OO
Center is 1-800-332-2344),
'm" "~..,, ~',':,..,-,,.....~..~,, "'-.. ".->"'::~'."'-":.'" '.'-:'''''.'"..'_:~~''.'Ih''..-:'''J. '.....'.......>"':,:j!;,:...'~~"_.."'<>'."....''l2. ."""",.."" "'."'.-
C ",'J'''~''''S''''L'''' -"F""d"" "-.<-;,,,..,,, ~.",. y~",,] ~
. "~-':~.-mp_~r~ryj__.~r~Y.I~.~~o..j:.. e~ .J~~s,t'\t:;; \!t~i<(k;, ~ ':L "i: ~,'7!;'-.,~~;. !~tq~~~
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50,00
$ 69,00
$100,00
Over 600 Amps or 1000 Volts see "B" above.
D ~B"':"~';."" <h":~G:.~ .A',...:,~ ~:l~'!?:--::.:~.7'-' ~~lt,;~:-;:.~;i~<::!~;:~,_;tf:l)i~~-~i~E~: .:~ :r.J." ~"::'.l~
. ranc, n:cUll.;).,3...... .,....~.." ':'.,~~.,.~../'~~,:~,=_:r",'..'Lo.l"".N'U''',.:'~..~.'''-".'''- ~j ,...t.:-,_...,
<;,'~,_,."'.....,..-..~~.,",.. .,'~"":.- .-""'..,.':"",;,'.__"-..,~+,:...~..~~"....'.~;~~',"",..., ,...".~.."'o',
$ 43,00
5o.t:)t:>
.'
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)IBuilding FonnslEIec:triClll Pennit Application 1-Q3.doc
225 Fifth Stn:et
S'prlJigflelli; Oregon 97477
541-726-3759 Phone
.
Job/Joornal Number
COM200S-01478
COM200S-01478
COM200S-01478
COM200S-01478
Payments:
TWe of Payment
Check
.
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:1
:1
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,..
'1'
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f
11/16/200S
RECEIPT #:
Description
Sign - Outline Lighting Each
Sign 36-60 Square Feel
+ 7% Stale Surcharge
+ 10% Administrative Fee
Paid By
IMAGE KING INC
~
M'_._".___'
~ty of Springfield Official Receipt
.evelopment Services Department
Public Works Department
1200500000000001727
Date: 11/16/2005
Item Total:
Lbeck Number Authorization
Received By Batch Number Number How Reeeived
djb 64SS In Person
Payment Total:
I of 1
8:29:17AM
Amoont Due
SO,OO
II 0.00
3,SO
16,00
$179.50
Amount Paid
$179,SO
$179,50