HomeMy WebLinkAboutPermit Signage 2008-6-10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00817
ISSUED: 06/10/2008
APPLIED: 06/09/2008
EXPIRES: 12/1 0/2008
VALUE: $ 6,038.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 919 Kruse Way
ASSESSOR'S PARCEL NO.: 1703222006800
Springfield TYPE OF WORK: Sign
PROJECT DESCRIPTION: Signs - Holiday Inn permanent signs
TYPE OF USE: New
Commercial
Owner: SYCAN B CORP
Address: 840 BEL TUNE RD STE 202
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
E S & A SIGN CORP
E S & A SIGN CORP
License
163470
163470
I BUILDING INFORMATION I
# of Units: "I # of Sw,~e~ouJO
Primary Occupancy GrouJj.!TENTIOf)l:9regon a~a@fflloPiWO\m\ye
Secondary Occupancy Grtru~W rUle~oPted bYIl\l~e ~ '10. f rth
Primary Construction T~tlflcation nter. Thos a.rJ. 8&;"-000 1
. iRQ~R 952- -0010 thro n u, ~~ ·
Secondary Construction edgo: You may obtain co e' "Ies by
# of Bedrooms: II' th ente~ (Not. ~JliJ~ne
ca 109 e c . .~I1' klM: . . /
number for the Oregon ~ff.:ru~.ti n a
..,enun " 'DtVELOPirniT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-746-8444
Expiration Date
03/16/2009
03/16/2009
Phone
541-485-5546
541-485-5546
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:
"OT n:::
THIS EWOM
AUTHORIZED UNDER THIS PERMIT IS~alk Type:
COMMENCED OR IS ABANDONED FORoownspoutslDrains:
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pae:e 1 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: COM2008-00817
ISSUED: 06/10/2008
APPLIED: 06/09/2008
EXPIRES: 12/10/2008
VALUE: $ 6,038.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
2,700.00
1,769.00
1,569.00
$2,700.00
$1,769.00
$1,569.00
$6,038.00
06/09/2008
06/09/2008
06/09/2008
Sil!n
S il!n
Sil!n
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Use Bid Amount
Description
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign 101-150 Square Feet
Sign 61-100 Square Feet
Sign Plan Review
Total Amount Paid
Sil!n Review
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$60.50 6/10/08 1200800000000000626
$19.80 6/10/08 1200800000000000626
$30.25 6/10/08 1200800000000000626
$165.00 6/10/08 1200800000000000626
$160.00 6/10/08 1200800000000000626
$280.00 6/10/08 1200800000000000626
$120.00 6/10/08 1200800000000000626
$835.55
I Plan Reviews I
06/09/2008 06/0912008 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.
~eouiredJ nsnections I
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.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00817
ISSUED: 06/10/2008
APPLIED: 06/09/2008
EXPIRES: 12/10/2008
VALUE: $ 6,038.00
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.
~~ ~O/tJr
Owner or Contractors Signature
Date
Pa2e 3 of 3
3.
SPRINGPIBLD ' ZON "
'lA~". INITIALS \...., ff\A ,
7~ _~ DATE (O. ID~Dy-'
, - -,' SOURCE !' ~~) ,~m
Date (o/I{)/ocY
I
COMPLETE FEE SCHEDULE BELOW
CITY OF SPRINGFIELD, OREGON
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(541)726-3753 . FAX: (541)726-3689
2. CONTRACTOR INSTALLATION ONLY
ElectrIcal Contractor ZS III :;;;E./fJ S 200 Amps or less
// . 201 Amps to 400 Amps
Address g997S rM(L/~ Po/lIY (;/-N Oreg(1P~a'Vvnp~q?J&2~~W8\o
",., ': \, )f .3,dopte(jO'jy\j1!np-s@?e~QRi~
City 6t..e..68J~ Phone C/8IS:?{~cj1$ent8r. (bvePEl(i)04BARl~iW~trorih
'" '-','"\11 ;:;Iv.::-001-001CR€cfooi@E.tOAij952_001_
0090. You may obtam caples of the rules by
Supervisor License Number 20 - 5cj'~~r~r.te tChento8t:. (NpJ~~JVl~iH)eor Feeders
r e regon Utility Notification
7 - I - 2..008 Center IS 1-BR.~i~tt~ifi~~ilteration or Relocation
Signature of SupervISIng ElectrIcian
A~~-Q
NOTlCE-: Each Additional CirCUit or with
S iJ T L' Service or Feeder Permit - $ 4 00 - -
Owners Name ). tA.", H/"'~lFffVI'T SHAll EXPIRE IF TH
Address tJ1" () 8l:!"f JJ1l.THlJ!3liED UNDEA. T~~rwtff~/'1m. &/feeder not included) -Each Installation
tJfJfVlIv,t~~;;Q~~R IS ARAf\1 -
City S ~f A Phone 1Jf16 ~ ERIOD~ 'P'tid'1pI:b9hWBtfcQR $ 55 00
16~C-. 0_0
'Slgn/Outllne Llghtmg $ 55 00 ~ ).
Limited Energy/Res Jentlal $ 28 00
Limited Energy/Commercial $ 50 00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
/bS 00
IreD
/l;5C
8 z,)'
~qq-~
ELECTRICAL PERMIT APPLICATION
City Job Number CPHA z.oO Y -00 9/7
1. LOCATION OF INSTALLATION:
tf; 9 f/ U1~e rJ Jl.A.1 C' /..t.<.ItJ ~ I tV j((
LEGAL DESCRIPTION
/703ZZZc-
o ~~b~
JOB DESCRIPTION
/Na.mfJ.... (Z'1 tdlll..{ SIG iJs (() lholJU/llr4Jr
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
ExpiratIOn Date
Constr Contr Number It;;;; cf 70
ExpIratIOn Date 3 -II" r 1...0 If
-.....J
r
OWNER INSTALLATION
The mstallatlon IS bemg made on property I own which
IS not mtended for sale, lease or rent
Owners Signature
Inspection Request: 726-3769
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq ft or less
Each additional 500 sq ft or
portion thereof
Each Manufact'd Home or
Modular Dwellmg Service or
Feeder
$11 7 00
$ 21 00
$55 00
B. Services or Feeders - Installation, Alterations or Relocation:
$ 70 00
$ 83 00
$13800
$18000
$413 00
$ 55 00
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above
D. Branch Circuits
$ 55 00
$ 76 00
$110 00
New Alteration or Extension Per Panel
One CirCUit
$ 48 00
- '... --
4. SUBTOTAL OF ABOVE
8% State Surcharge
10% Admmlstratlve Fee
5% Technology Fee
TOTAL
Shared Dnve(T )/Bmldmg FormslElectncal PermIt ApplicatIOn 7-07 doc
225 Fifth .street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00817
COM2008-00817
COM2008-00817
COM2008-00817
COM2008-00817
COM2008-00817
COM2008-00817
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
Descnption
SIgn Plan RevIew
SIgn 61-100 Square Feet
SIgn 101-150 Square Feet
SIgn - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstratIve Fee
Paid By
ES AND A SIGN CORP
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000626
Date: 06/10/2008
Item Total:
Check Number AuthonzatlOn
Received By Batch Number Number How Received
dJb 010627 In Person
Payment Total:
Page 1 of 1
lO:15:06AM
Amount Due
12000
280 00
160.00
165 00
3025
1980
6050
$835.55
Amount Paid
$835 55
$835.55
6/1 0/2008