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HomeMy WebLinkAboutPermit Signage 2001-10-05Job# 01-01048-01 INDUSTRIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 800 00042nd St Spr AssessorsMap#: 17023100 Lot: Block: Addition: Job Number: 01-01 048-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00100 Subdivision: ctrY oF SPRINGFIELD, OREGOIV Owner: Lane Forest Products Address: 800 42nd Street Scope Of Work: Sign Lane forest Products Phone Number: City/State/Zip: New 541-501-4618 Springfield, OR 97478 Value: $8,358 Contractor Type Sign Contr Contractor TripleJ&SSigns, lnc. 86501 Lorane Highway, Eugene, OR 97405 Registration # Expiration Date Phone 541-343-7049 Quad Area: # Of Units: Constr. Type: Water Heater: CINE Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at726-3769. 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 working day. Required lnspections Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Area (Sq. Main: HE II -q PE THE WORK IMIT IS NOTAccessory:Total: {+; u : iJL Sign I Sign Location -To verify location of the proposed sign. Sign Footing/Attachment -Footing: After excavation and forms are in place, but priorto concrete. Final Sign -After all required inspections are conducted and approved and the sign installation is complete. I t' SHP UNJ; - Job# 01-01048-01 Page 2 of 2 Face Type: Double FaceSign District:Heavy lndustrial Type of Sign: Free Standing Sign Dimensions Vertical:10'9" Height (Above Grade):18' 9" Sqr. Footage: 98.6 lllumination? Comments: Horizontal: 10' 1 .5'Thickness: From Grade To Bottom:8' Sign Material: Aluminum, Sheet Me Fee Paid On Receipt# Value/Quantity Fee Amount Sign Sign Permit - 61 - 100 Square Feet Sign Application Plan Review Total Sign 10t05t2001 0912612001 691 I 6BOB 8,358 1 $140.00 $40.00 $180.00 Grand Total Plan Check Type Checked By Date Completed Comment Kaye Wilson 1010412001Sign 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 street, that the permit card is located at the front of the property, and the approved set of plans remain on the at all times during the installation of the sign(s). $180.00 o, sig zoning, approval L D/V Zoning Date 225 Frt'TB STREET Authorized signature SPRINGFIELD, OREGON 97477 INSPECf,I0N REQTESTz 726-3769 OFPICE: 726-3759 ELBCTRICA.L PBR}IIT APPLICATION Ci ty Job Nunber O ar-6o "C51/COHPLETE FEE SCBEDULE BELOI{ Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular 'Dve1ling Sertice or Feeder $ 8s.00 $ 1s.00 Services or Feeders Installation, Alterations or Relocation: - /7-0'2) 1 'NGFIELD Limi ted rgylRes Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.s t rat ive Fee TOTAI Df,Tt:l'lf;Y i? I00CI f;HT REID:I $ 55.00- [Hfti'lE[: IASHiEft:059 1. LOCATION OF INST9o.2 /Y ALIJ\TION,/*7Nfu 3 A LEGAL DESCRIPTION A= loo oo, o€) JOB ON, Permits are non-transferable and expire if vork is not started vithin 1'80 days of issuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALI.ATTON ONLY Electrical Contractor Address 200 amps or less 201 amps to 400 amps -40L amps to 600 amps - 601 amps to 1000 amPs- Over 1.000 amps/volts - Reconnect 0n1Y $ 40.00 B Ci ty Phone Supervisor License Number /52 9_s Expiration Date a Constr Contr. Number Expiration Date Signature o ising ].Cl.an C. , temporar-y, Services or Feeders Installation, Alteration or Relocation : -t. " 200 amps"or less t 19.99 'over 4bJ to 600 amps - $ 80.00 0ver 60b amps or' 1000-6fts see xBil above D. Branch Circuits Nev, Alteration or Extension Per Panel $ s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 it $ 3s.00 t ional or vith Servicer Permit $ 2.00 /feeder not included) '€ /o*< d4o0 ;-- s s $ s a7/ 0vners Name Address ' 8eD 1a Ci )Phone OVNER INSTALLATION The installation is being made on property I otrn vhich is not intended for sale, lease or rent. Onners Signature: DATE: IL ANY I,00 00 00 00 Vd 40 40 20 36 / RECETVED BI: 5 WORK Z/ 0ne Xyls Aw