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Home My WebLink AboutPermit Signage 2002-08-06;.r, l LE DESCRTPTION JOB DESCRIPTIO ration Date of Sup crrising Electricilrt L- Orvners ame OWNERINSTA LLATION 1000 sq.ft. or less Each additional 500 401 to 600 Over 600 amps volts Cost Sum $ 106.00 "B" above l D. Branch Circtrits Nerl Alteratio One Circuit s43.00 th Service, or Feeder Perniit E. I\[iscclllneotrs (Sellice/feedcr not inclutletl) -Each installation Pnurp or irrigation Sign/Outline Ligltting Limited Energl',Res Limited Energl/Comm $50.00 - $so.oo 5A oo s25.00 $15.00 Nlinimunr Electric Permit Inspcction Fee is S-15'0{) * surcltirrgcs .I, SUBTOTAL OF ABOVE 77o State Surch:trge 8%, Administrative Fee teluo+ rrtfu); TOTAL fb fo EL.RICALPERMITFiFTH STREET OREGON Job 200 amps or less 201 amps to 400 401 antps to 600 601 amps to 1000 $ 19.00 ' $ 50.00 tol4. st 3.00 ' 'The installation is being tnade on , propeft'I orvn rvhich is not intended for sale, lease or rent. fi#?oO ----J-- City of Springfield Building Permit & lnspection SumTnary 3/4/2003 9:29:354N'1, Job #: 02-00726-02 Owner & Contractor(s) Address Citv. State. Zip Phone 2080 19th Street Springfield OR97477 (541)746-1291 2080 19th Street Springfield OR97477 641)746-1291 828 SOUTH 46TH STREET SpRTNGFTELD OR97478 541-221-2665 SpringfieldJob Address: 2080 00019th St Scope ofWork Sign Description ofWork: Sign Name OWN New Life Center CON New Life Center ELC STEVEHAUCK 225 Fifth Street 541-725-3753 Phone 541-726-367 6 Fax. Project Status: Issued Valuation of Proiect Cost Per Sq Ft Sq Fts ValuationOccupancv Construction TVpe Date Calculated Slatf Sign - Outline Lighting Each + lYo State Surcharge + l0% Administrative Fee Sign Permit - 6l - 100 Square Sign Application Plan Review Total Amount $s0.00 $3.50 s5.00 $140.00 $40.00 $238.50 03/04/2003 1200200000000000762 03/0412003 1200200000000000762 0310412003 1200200000000000762 0810612002 101940711912002 10001 Amount PaidDescription Receipt # Fees Paid Date Paid Plans Reviewed Completed Result Reviewer Comments 0810612002 Appr DB0810612002 Received lst ReviewDepartment Sim Inspections Conducted NOTICE:Date comnSBtpERMtT SHALL EXBRSE1HE r&@ 2oo2tost27 front se$hlclff0ftlzED UNDER THI$rBtRM|T lS MbtrI 2oo2tr2to3 p.1.3.ff$ddf,6N$6&&F lS ABAh&trlED FOR rcrr,rzoo3touo6 ANY 180 DAY PERI0D. oK rcM 2003/0t/06 0K TCM 2002105126 need to locate correct property NOK TCM line and easement Pend Pend Inspections Sign Location Sign Location Sign Location Sign Footing Sign Location Sign Footing/Attachment Final Sign Stoo lefiTtza I of I 314/2003 9:26:42ANI City of Springfield Development Services Depatrment Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 12002000000000 007 62 Date: 0310412003 Line Items: Job/Journal Number Description Amount Paid 02-00726-02 02-00726-02 02-00726-02 Sign - Outline Lighting Each + 7%o State Surcharge + l0o/o Administrative Fee Payments s0.00 3.50 5.00 Line ltem Total:$s8.s0 Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check NEW LIFE CENTER dlm 13406 In Person 58.50 Total:$s8.s0 t Page I of I cReceipt.rpt .: . :..225 FIFTH STREET LEGAL D CRTPTION B DESCRTPTION Perniits are non-transferable if u'ork is not sttrrted rvithin I of issutnce or ifrvork is susPended for 180 days. 2. CONTRACTOR INST Items Cost Sum' Multi-Famill- per dl'elling unit. Serryicc Included: a'- not 00 rtlon Rclocittion: 200 amps or less 201 amps to 400 amps .l0l antps to 600 rt l '::.a," ':.,.,i $ 106.00 .,i $ I9.00 ress Phone The installation is being ntade on propeny I olvn li'hich is not intended for sale. lease or rent. On'ncrs Signature: 601 anrps to 1000 1000 Over 600 amps "B" above Nerv Aiteration or Extension Per One Circuit Eaclr Aclditional Circuit or lvitlt Service . '". 1 E. I\Iisccllancous (Senice/feedcr not inctuded) -Each instrllation Pump or irrigation 550'00 - Sign/Outline Lighting -$50,00 )O Limited Energf iRes 525'00 _- Limited Energ/Comm $15'00 _- I\[ininrunr Electric Permit Inspcction Fec is S]5'00 * strrcltrrrgcs {. SUBTOTALOFABOVE 77o State Surcharge 87o Administrative Fee e2 roI eJ de) 3//b)v TOTAL {A tp Electrical Electrician Serv'ice or Feeder B. Serviccs or Feeders or less 31412003 9:35:12AM City of SPringfield Development Services DePartment Public Works l)ePartment Official Receipt 225 Fifth Street Springfield, Oregon 97 47 7 541:126-3759 phone Receipt #z 1200200000000000763 Date: 0310412003 Line ltems: Pryments: 02-00726-03 02-00726-03 02-00726-03 Sign - Outline Lighting Each + 7o/o State Surcharge + 10Yo Administrative Fee Tlpe of Payment paid By Check NEW LIFE CENTER Received By Check Number Conlirm No 13407 Line Item Total: How Received In Person Total: $s8.s0 Amount Paid 58.50 $s8.50 - 50.00 3.50 5.00 Page I of I cReceiptrpt / Amount PaidJob/Journal Number dlm Status: Issued 225 Fifth Street Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line TY SPRING Buildin g/C ombin ation Per mit PERMIT NO: 02-00726-03ISSUED: 0310412003 APPLIEDz 0711912002E)PIRESz 0910412003VALIIE: $ 3,995.00 SITE ADDRESS: 2080 00019th St ASSESSOR'S PARCEL NO.: 1703252400100 PROJECTDESCRIPTION: Sign Spr TYPEOF TYPEOF USE: Sign New Owner: Address: New Life Center 208019th Street Springfield OR n477 Expiration Date 04t30t2003 Commercial Phone 541-221-2665 (s4t) 746-1291 (s4t) 746-t2et Phone Number: (541) 746-1291 Contractor Type Electrical Owner Right of Way Contractor STEVE HAUCK New Life Center New Life Center License 147618 CONTRACT OR INF ORMATI ON BUILDING INFORMATII # of Buildings: Primary Occupancy Group: Secondary Occupancy Frimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: # of Stories: Height of Type of Heat: Water Type: Range Tlpe: Energy Path: Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surf'ace Area: REQUIRED PARKING Total: Handicapped: Compact: NOT THIS CO IGE: PERMIT SHA LL EXPIRE IF THE WORK MIT IS NOT ABAND D. AN DownspoutVDrains ;qs.:i:,'."Jb%lTI'[ni; DEVELOPMENT INFORMATION Notes: lof2 OR IS Status: Issued 225 Fifth Stree! SPringfield' OR 541:726-Y53 Phone 541-726-3676 Fax 541:726-37 69 InsPection Line Description Tvpe of Construction $ Per Sq Ft Square Footage Total Value of Project Amount Paid Date Fee DescriPtion Sign APPlication Plan Review Sign Permit - 61 - 100 Square + lL%o Administrative Fee + 77o State Surcharge Sign - Outline Lighting Each Total Amount Buildin g/C ombin ation Permit PERI\{IT NO: 02-007 26-03 ISSUED: 03/04/2003 APPLIEDT 0711912002 E)GIRES: 09/0412003 VALUE: $ 3,995.00 Value Date Calculated Receipt Number 10001 10195 1200200000000000763 1200200000000000763 1200200000000000763 $40.00 $140.00 $s.00 $3.s0 $50.00 $238.50 7n9102 816102 314103 314103 314103 Sien 08/06/2002 APPr DB To Request an insPection call the 24 hour recording ^t 7 26-37 69. Alt 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 I Sign Electrical: After connection is made but prior to energizing' By signature, I state and agree, that I have rarefully exarnined the completed apptication and do hereby certiff that all information hereon is true and correct, and r further certify that any uno att 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 hereir5 and that NO OCCUPANCY will be made of any structure without permission of the community Services Division, Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701'0ffi wilt be used on this Project. I further agree to ensure that all required inspections are requested at the prop€r time, that each address is readable from the street, that the permit card is bcated at the front of the property, and the approved set of plans will remain on the site at all times during construction- Owner or Contractors Signature 2of2 Date ,)// SPR!NGFIELD 225 Fifth Street Springfield, OR97477 Location Of ProPosed Site: 2080 AssessorsMaP#: 17032524 Lot: Block: Owner: New Life Center Address: 2080 19th Street Scope Of Work: Sign Sign Sign Contractor TYPe GeneralContr Job#02-00726-02 O0019th St SPr COMMERCIAL PERMIT CitY Of SPringfield CommunitY Services Division Building SafetY Job N umbe rz 02'00726-02 Office:726-3759 lnspection Line: 726-3769 Page 1 of 2 Addition: Tax Lot#: 00100 Subdivision: PhoneNumber: 541-746-1291 City/State/Zip: Springfield' OR97477 New Value: $3'995 Registration # ExPiration Date Phone 541-746-1291 Contractor New Life Center 2080 1gth Street, Springfield, OR 97477 Office Use -- Land Use: Zoning Code: Bedrooms: Range: #of to Quad Area: # Of Units: Constr. TYPe: Water Heater:{gNil 301sel g5z bY To request an inspection call the 24 hour recording at a.m. witt be madethe same working day, inspections working daY.YotJ \he Required Sign Location -To verify location of the proposed sign' Siin Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete' Final sign -After all required inspections are conducted and approved and the sign installation is complete Gonstruction TYPes: Occupancy GrouPs # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sg. Main: # Of Stories: Current Units: Census Code: Does it'i-lMggHqiih$"'ss' il,Vj[ilffigialflft''nor appry Accessory:Total: \ON A) SPR"VGF'ELD,OREGONOFC'TY Sign District:Church Job# 02-00726-02 Type of Sign: Free Standing Page 2 ol 2 Face Type: Double Face Sign Dimens Vertical:4' Height (Above Grade): 8' Sqr. Footage: 64. lllumination? Comments: Horizontal: 8' New Life Center Thickness:1', 4" From Grade To Bottom:4' Sign Material: Alum / poly / conc Fee Paid On Receipt# Value/Quantity Fee Amount Sign Permit - 61 - 100 Square Feet Sign Application Plan Review TotalSign 08t06t2002 07t19t2002 10194 1 0001 3,995 1 $140.00 $40.00 $180.00 Grand Total Plan Gheck Type Ghecked By Date Completed Comment Sign David Bowlsby 0810612002 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the that the permit is located at the front of the property, and the approved set of plans n mes during the installation of the sign(s). nature $180.00 OU SPRINGFIELD Job# 02-00726-03 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 02-00726-03 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 00100 Subdivision: h 225 Fifth Street Springfield, OR97477 ctTY oF SPRINGFIELD, OREGON Owner: New Life Center Address: 2080 19th Street Scope Of Work: Sign Sign Sign Contractor Type Sign Contr Contractor New Life Center 2080 1gth Street, Springfield, OR97477 Phone Number: City/State/Zip: New 541-746-1291 Springfield, OR97477 Value:$3,9.95 $\ "N !'l 54 Phone 1-746-1291g,O d31 Office Use Land Use: Zoning Code: Bedrooms: Range: w 01 i-soto'; Quad Area: # Of Units: Constr. Type: Water Heater: reI 15 # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All a.m. will be made the same working day, inspections requested working day Required lns S 1 Sign Location -To verify location of the proposed s Sign Footing/Attachment -Footing: After excavation and form FinalSign Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main: \80 place, but prior to concrete -After all required inspections are conducted and approved and the sign installation is complete # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply S Accessory Total: Location Of Proposed Site: 2080 0001gth St Spr AssessorsMap#: 17032524 Lot: Block: Addition: \a'$ \\.e a). Sign District:Church Job# 02-00726-03 Type of Sign: Free Standing Page2 of 2 Face Type: Double Face n Dimensions Vertical:4' Height (Above Grade): 8' Sqr. Footage: 64. lllumination? Gomments: Horizontal: 8' New Life Center Thickness:1',4" From Grade To Bottom:4' Sign Material: Alum / poly / conc Fee Paid On Receipt# Value/Quantity Fee Amount Sign Sign Permit - 61 - 100 Square Feet Sign Application Plan Review TotalSign 08t0612002 07t19t2002 10195 1 0001 3,995 1 $140.00 $40.00 $180.00 Grand Total Plan Check Type Checked By Date Gompleted Comment Sign David Bowlsby 0810612002 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper front of the time, that project address is readable from the plans will that the permit card is located at the property, and the approved set of times during the installation of the sign(s). Date $180.00 Z & 225FIY|U STREET . SPRINGFIELD,OR 97477 r PH:(541)726-3753 r fAX: (541)726-3689 City Job N'mber 0a- b lau -o ( Banner Location bp ffa -e/ Assessors Map 7 03 )5 e4 Owner Tax Lot tb /td Owner of Property /2,.)l.'(z- (or -/"- Address P(e /7 ft -s*. ?ry7 Contractor/Installer -i-{ O r. 1;{(n r, 1q{. rp{n (a (), () r p( L{ O V) >\.ur-p{, r-1t-(,!.4) Ftt-((1HtElc. C) {J. F{,,;-1Hi:{ $-t'() Alrtr{ l-+. O r'1lrl ?-4H CS ffi I NOTICE: RE II THE WORK S tate-Zip Ef,+ Descri Qy11y1111**/t1 Date of Installation 6',/g'o 9,Date of Removal 7-/-o2 Banner Permit Fee $80.00 Deposit Required $100.00 By signatureo I state and agree that I have carefully completed this application and hereby certifr that all information herein is true and correct. I further agree and understand that the above described banner(s) is not larger than 60 square feet, and will be removed within l4 days from the date listed above. If the banner(s) is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to call thi inspection line at726-3769 by the end of the l4th day to request an inspection to verifu the removal of the banner(s). This inspection will begin the process to return the $100.00 deposit if the ) has been removed.6t7-q For Otfice Use DateofApptication 6- /(-o / Job#0A- tt%a-o,Receipt #?uaL Amount CollectedIssued By Shared Drive (T:/Building Forms/Banner Permit CSDI-o2.doc CMY OF SPRINGFMLD, OREGON ia pt,on"7/6'6 9% HO RIZED UNDER te: the 1 Notificatio