HomeMy WebLinkAboutPermit Signage 2008-5-23
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00692
ISSUED: OS/2312008
APPLIED: 05/14/2008
EXPIRES: 11/2312008
VALUE: $ 300.00
SITE ADDRESS 1330 MOHAWK BLVD
ASSESSOR'S PARCEL NO.. 1703253310000
Spnngfield TYPE OF WORK Sign
PROJECT DESCRIPTION Sign - lottery sign for Lucky LIls
TYPE OF USE New
Commercial
Owner. HICKAM RICHARD A & E DIANE
Address. 972 MCKENZIE CREST DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Sign
Contractor
CARRlCKINC
CARRICK INC
# ofUmts
Pnmary Occupancy Group'
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type.
# of Bedrooms
Front yard Setback
Side 1 Setback'
Side 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements
Storm Sewer AvaIlable
Special Instruction
License
120169
120169
BUILDING INFORMATION'
# of Stones
Height of Structure
Type of Heat
Water Type.
Range Type.
Energy Path
A TTE NTI OSpr'i'rilile6rBlfi'tdh1:glulres you It@
fQ'.I~w r!llP~ ::lrlnntorl h~ th~ ""~d:r: ~'~;I'~J
NUl1I'DEVEWPMENII LN~OiIll\-m.Eft@NO~h
m 0, .1 . JJL "" I VV I U \III UUY'I VJ-\t1 ~b~-U 1-
0090 You may obtam copies of the rules by
calling the<tmt~ I?~bte the telephone
number forltffiij~llm~gtY Notification
CenRftvJSl j)alOO-~344).
% of Lot Coverage.
I PUBLIC IMPROVEMENTS I
EXpIration Date
02/07/2010
02/07/2010
Phone
503-591-8474
503-591-8474
Lot Size.
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total.
Handicapped
Compact.
Sidewalk Type
Downspouts/Drams
NOTICE:
I~~~~~~~~ ~HAll EXPIRE IF THE WORK
COMMENCED O~~~~~~~:O~~~'~6~ NOT
ANY 180 DAY PERIOD.
Notes.
Pal!e 1 of 3
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
DescnptIon
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00692
ISSUED: OS/23/2008
APPLIED: 05/14/2008
EXPIRES: 11/23/2008
VALUE: $ 300.00
I ValuatIOn DescriptIOn I
$ Per Sq Ft
or multlpher
$100
Square Footage
or BId Amount
300 00
Suw
Tvpe of ConstructIon
Use BId Amount
Fee DescnptIon
+ 10% AdmlDlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
SIgn - Outlme Llghtmg Each
SIgn 0-35 Square Feet
SIgn Plan RevIew
Total Amount PaId
Suw RevIew
Value
Date Calculated
Total Value of ProJect
$300 00
$300 00
05/14/2008
~
Amount PaId Date PaId ReceIpt Number
$13.50 5/23/08 1200800000000000552
$6.60 5/23/08 1200800000000000552
$675 5/23/08 1200800000000000552
$55 00 5/23/08 1200800000000000552
$80.00 5/23/08 1200800000000000552
$40.00 5/23/08 1200800000000000552
$201.85
I Plan Reviews I
05/14/2008 05/14/2008 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 followmg
work day.
~eouiredJnsnectlOns ,
SIgn Attachment. Method of mountmg the sIgn to a structure or pole. Method of attachment of bolts or welds
SIgn Electncal. After connectIon IS made but pnor to energlzmg
SIgn Fmal After all reqUIred mspectIons are conducted and approved and the sIgn mstallatlOn IS completed
Pa2e 2 of 3
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00692
ISSUED: OS/23/2008
APPLIED: 05/14/2008
EXPIRES: 11/23/2008
VALUE: $ 300.00
By signature, I state and agree, that I have carefully exammed the completed application and do hereby certify that all
mformatIon hereon IS true and correct, and I further certify that any and all work performed shall be done III accordance with
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure without permission of the Commumty Services DIVISion, BUlldmg Safety
I further certify that only contractors and employees who are III comphance WJth ORS 701.005 will be used on thiS project
I further agree to ensure that all reqUired mspectIons 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 remam on the site at all
times dunng construction
c!l ,(~
Owner or Contractors Signature
Pal!:e 3 of 3
-~2~
-/[)
.....
Date
225 I'U!.n STREET. SPRINGFIELD, OR 97477 · PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERJltl11 APPLICATION
CIty Job Number (OMzoo?-006' Z
I&;;- "'7 InstallatIOn, AlteratIOn or RelocatIOn
200 Amps or less $ 55 00
Constr Contr Number r~.1Eli~~regon law requires 5l6t11 ~ps to 400 Amps $ 7600
lJlIUVV rUles aaopted by the OregOl1lbltl~ps to 600 Amps $110 00
ExprratJ.on Date ~tltl.c~tIQll Center Those rules are s~tfC?r.th
m ~b.R 0;:;2 O:;1-S-G1 J lllluuyh OAR 9~tfC11q?~Amps_?r 11~00 Volts see "BOO above
SlgnatHre ofSup;rrvIsmgQQ~ctn6q~ may obtain copIes of thf)r'il.Bri,~li~elr~'AAts}
L8alm1gme center. (Note the telep ~.~L~IiN'L --- - - ~~
() 10 _ number f~~ ih-~ 'Ore{1on UtIlity Notlfl~l!>itlteratlOn or ExtenSIOn Per Panel
(1lJ ( G::'~ ~O-332-2344). One CIrCllit
G) l/ ~ Each AddItIonal CIrCllit or wIth
). t c.. V'.A ....~ ServIce or Feeder Perrmt
Owners Name '-lfi"" -
7 7 2- /At< (. (~~ er CLn r E ~~~f~~~i~w~~~~~~~~~~~~~i~a,~~~~~g~l!~
St>~
Pump or lITIgatIon $ 55 00
S1gn10utlme Llghtmg I $ 55 00
Lllmted Energy/ResIdentlal $ 28 00
Lllmted Energy/Commemal $ 50 00
MIDImum Electric PermIt InspectIOn Fee IS $50 00 + Surcharges
~~N~_ -/x'{;~**-'" j--
EXP ..4, OFABOVE /
THIS PERMIT SHAll lRt- ''') "'~ _ M ~$bJMi&llG',
AIlTHORI7Fn IINnER THIS PERMJ!P/~StNID$'urcharge
COMMENCED OR IS ABANDONEtpr~stratIve Fee
ANY 180 DAY PERIOD. 5% Technology Fee
~;;7 ~/';iWW~- ~ ;C(~"';:>>W.4>>'W,iW! =~ ~ ~ ~ ~ ~ =w, %40/"1111 ~~t i,' i
1. v LG€ATION O/PIINSTALLAtRON: "'I", "'4
~ Lt~J.~ .<,/Y; .. -.<<<~~~~~~~......,~: !..$Wi 3J ~ J. ~@.8
/ :3:30 AI~HAc..-l'- 7J/vd
LEGAL DESCRIPTION
/7 D 3 Z.s -:> 3
1C::>0 0 0
JOB DESCRIPTION
51S_ ',,~~~
PermIts ar~ non-transferable and expIre If work IS
not started wlthm 180 days of Issuance or uwork IS
Suspended for 180 days.
~:boNTRrc1foRw
2. ~ill;j$4~
...
Electncal Contractor ~ ~ ~ I tVe-
Address ~7s-- I-/w ILPiHlVeem DfJ"..
CIty fbv.?'1J.~~1""'O Phone 5=J1"'SCil...,.lrYrt{
SupervIsor LIcense Number
~~1 S-S
ExprratIon Date
Address
CIty
Phone
OWNER INSTALLATION
The mstallahon IS bemg made on property I own whIch
IS not mtended for sale, lease or rent
NOTICE:
Owners SIgnature
InspectIOn Request: 726-3769
Date
I
3. ''COMPUTE Pm:. scHiiDULEImiiiw;;;;~
&U~.J.'~~t,f' #4Mty.J>", :RY_<<<<,~,% ", ,A"*,_..1.~M:::&.:k~,,, j 'm-.<
A. ,,:,Nf\V i~de~ti1lt~:Sin~fu~;r~Multl-Famil;~~;ta--
i-0Jifufutth"Mid.:~1d.( ~~ -.<wi'...ii,.4%4:-"<<~ ,....<t~..<: .0. ~ ~~~
Service Included
1000 sq ft or less
Each addItJ.onal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$117 00
$ 21 00
$55 00
B
''')''''';.;'''';; 1 - ~~,-, ~;T+n\$w~(^"W"i;01&;,~,,,_-_-,,r. '< " ^'-#7
. jn~tallatlon.LA.lleratioIiSTo)- R
,Sl1iV%~i? iiJ1%t"%' ,Wi C 4~tll "'.:.~ ""
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70 00
$ 83 00
$13800
$180 00
$413 00
$ 55 00
r ~"'~~ i' ~)illf:?$tr" ~ N
C. IIIITemporany1Services or Feeders'" .11"" ",0,,,,,, ',,1
~~~ N>-. ~~....<> ~ .....;#..~~ ~[t:%~~~...fk,., ,,~~&~
" " ,..&iW
$ 48 00
$ 400
s.s-
5-)
h?8~
TOTAL
Shared Dnve(I )/BUlldmg FonnslElectncal PermIt ApphcatJon 1-08 doc
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00692
CO M2008-00692
COM2008-00692
COM2008-00692
COM2008-00692
COM2008-00692
Payments
Type of Payment
CredltCard
cRecelOt 1
RECEIPT #:
DescriptIon
Sign Plan Review
Sign 0-35 Square Feet
Sign - OutlIne Llghtmg Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstrative Fee
PaId By
DOUGLAS CARRICK
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
1200800000000000552
Date: OS/23/2008
Item Total
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
dJb 04350Z In Person
Payment Total
Page 1 of 1
11 14 50AM
Amount Due
4000
8000
5500
675
660
1350
$201 85
Amount PaId
$201 85
$201 85
5/23/2008