HomeMy WebLinkAboutPermit Signage 2008-11-13
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: COM2008-0I501
ISSUED: 11/13/2008
APPLIED: 10/02/2008
EXPIRES: 05/1312009
VALUE: $ 13,575.00
SITE ADDRESS: 2043 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254200700
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Signs - Sonic Drive - In
Owner: POLEN FUTURES LLC
Address: 2197 OLYMPIC ST ,
SPRINGFIELD OR 97477
Contractor Type
Electrical
Sign
~s~ou ':"
I CON:r,~~ . f(IIJR;'\JATION I
, "... ~ '~[ ;::r.
, :\"IO~..LJ,o"~d pfU'" \eSale5' :00\-
Contrll-'Cl~ ule5 adopt ,hose 1~~,oP.fl9&~ tu'lense
WRJ()~~J\;~(5m~~~ra'8'~@ \~e 1~~(ie008
WRI<DPt~~-~~~~"~ \el~~~.a1Wlll8
'0090. -io~~~-~~D~f- \IlNlii.~TION I
alli1l9 .. ~'U' ~\I.
c bel \Ollll . \-&0 .
lIu{t\ call\el ~ of Stories: '.
B Height of Structure
Type of H~at:"" .
Water Type:
Range Type:
Energy Path:
Sprinkled Building: ~_'
Expiration Date
04/2412010
04/24/2010
Phone
541-479-9747
541-479-9747
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB,
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
Cf: ~~ W01\\(
~~\1~~l,6"~~~~~~M\1 IS NOt
~~.~tr~ffi ~BANOONEO fOR
ANY 180 OAY~ER\~.., .
REQUIRED PARKING
Total:
Handicapped:
Compact:
/'"
-'
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of 3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01501
ISSUED: 11/13/2008
APPLIED: 10/02/2008
EXPIRES: 05/13/2009
VALUE: $ 13,575.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Sign
Sign
Si2n
Use Bid Amount
Use Bid Amount
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
9,500.00
2,050.00
2,025.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$9,500.00
$2,050.00
$2,025.00
$13,575.00
10/0212008
10/02/2008
10/02/2008
Fppo, P~i~ .
Fee Description
Sign Plan Review
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Amount Paid
Date Paid
$126.00
$52.50
$34.20
$26.25
$285.00
$240.00
1012/08
11/13/08
11/13108
11/13/08
11/13/08
11/13/08
Receipt Number
2200800000000001477
1200800000000001133
1200800000000001133
1200800000000001133
1200800000000001133
1200800000000001133
Total Amount Paid
$763.95
I Plan Reviews I
Sit!" Review
10/0212008
10/0212008
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.
L...feollirerUnsnections 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.
Pa2e 2 of 3
Status
Issued
CITY OF SPk11....lJFIELD
Building/Combination Permit
PERMIT NO: COM2008-01501
ISSUED: 11/13/2008
APPLIED: 10/02/2008
EXPIRES: 05/13/2009
VALUE: $ 13,575.00
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 he 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 setof plans will remain on the site at all
times during c;;;r::: I ~\~(V'A( ('~~A--L~ IJ3At
Owner or Contractors Si~ture 0 _ Aft' Date I
"
Page 3 00
.'
,- ' '~ CrTY OF' SPRrn'6EmLD/OREGON' '~ , d:'
"- __ ~ '" ."">-- l: ~_ - _- --, . -
SP~ING"'ELD r ZON ~
LA~ INITIALS N--
".~."", ~,~' DATE \'_,\"\.:-O'~
" .,' .."" SOURCE .,...,...., D oO..v
,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 -FAX; (541)726-3689
../-'--._,~ -,- ...- ~
[~LEC}"RJCAIj>ERMIJ:APPLICA nON
City Job Number COM Z-bc> If - () { J 0 (
Date
\ \-\ :) -03'
I. I'LPCATIONOJi INSTALI4TION: " " J 3. I CQMPLETE FJ!:E SCHEDC:iLEJJELOW'
.;J"oJn:>1 C)L 'fMP::c..c ~-r:
LEGAL DESCRIPTION: /703 Z 5li L 0 ()~Ol.. I' New-!tesidential- Shigle'o< lVIulticFamilyper dwelling unit
::J:tJSTALL F.:z:VE (5. \ J..::r:&Jl.r6f) Service Included
JOB DESCRIPTION:
1000 sq, ft, or less
Each' additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$121.00
~s mR .5O;V..TL.. .!)R:rV,t5.-::r!1/
$ 22.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$57,00
Signature of Supervising Electrician
c;;;;;t. , vi
2. r!::p~.gnR::1N8T4LT..;...1_U:@ONLy.1 B. r~fvjc_e~'or'feede!s.7I~t~ll;ti;~;~AiteratIo;'stor~elili:atj~!': '1
Electrical Contractor W ESiERtV $.::I61v' 200 Amps or less $ 73,00
," :201 Amps to 400 Amps ,$ 86.00
Address .;;235,d NWJ-I:I6HLMb Ai/F..;:, 401:Amps to 600 Amps $143,00
, . .','i,:'60IAmpstoI000Amps $186,00
City GRAdE PAS'5 PhoneSlj/1f7Cf, 97tt? Over 1000 AmpsNolts $426,00
q,.., / ;;' ".,:, 'Recon Dnbu to. $ 57 00
I/b.:lro "Claw reqBll'ib-.y, ,,' :,' '
," 1:"'[lON: Ore9 \\ 1~:~~eg9QUtl\itV,~: , "
Supervisor License Number 13,Q,,~,;?;6ctopted ~y ~;~l\!'~MID,sor;Feeders" '"
) " alion Cenl"'r. ThOse, h OAR95Z=001-; ''>, '
Expiration Date / 0 jo I i?t'~R 952,OOi -OOi 0 thcrp~~pJIWllh\lA~R~n or Relocatio~
.., rfP,f btaln tll-"-J'j hone
0090. You may u r tN\lOO:A\\lp!~~Rb\tion
Constr, Conte Number 65t<:58 ca\li'~~~{~iegoadlt~il.1Rt)~9Mo Amps
LJ J" u f", num7oe}q;~t~ is 1-80Q~3~to 600 Amps
Expiratjon Date l/~ ~l Jlv / 70T
Over 600 Amps or 1000 Volts see "B" above,
D.l Branc~CircuitS'- ,'" .. ",'
~ - -
~"New Alteration or, Extension Per Panel
One Circuit ,','
, Each AdditionalCircuil'oi with
Service dr"Feeder PenniJ
'/
$ 57,00
$ 79.00
$114.00
-... ~ .,>
Owners Name SON.I. AI!../ L. L c.. ..
Address :27/)~ #& 57FY~E/'t5: ST- E: ~'\'ii~~ell~~~~~:i~Mt';f~~der.,~~tj;~IUded)~E~~b Inst~lI~tion,1
City (<o.SEBuR6 _ Phone,9fl..1/d-.NOJ;\jE: ..f~~t~~E'f-mEWO!~ $5700
THIS PERM, slm<1~\if'fH~~MIT IS Mv IS $ 57 00 .;;{ 'if~.OO
OWNER INSTALLATION AUTHORIZE~"a~~~",5._OOttlIDlfOR $ 29,00
The installation is being made on property I own wQQNlMENC~~~lUIY.gy/COmmercJa1, $ 52 00
IS not mtended for sale, lease or rent ANY 1l},QiJrlf:ium ~l~ctric Permit Inspection Fee is $52.00 + Surcharges
Owners Signature: 4; l~Jl~TOTA.i bFA:.z!O~', ,j ~ 'If 5-&0
12% State Surcharge 31-( . ao
10% Administrative Fee d:1. ~ .5lJ
5% Technology Fee J ij - ~5
$ 50,00
$ 5,00
'. ,
Inspection Request: 726-3769
TOTAL
36/.1~
Shared Drive(T:)lBuilding Fanus/Electrical Permit Application 7-08.doc
225 Fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 150 I
COM2008-0 i 50 I
COM2008-01501
COM2008_01501
COM2008-0 150 I
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Sign 0-35, Square Feet
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
WESTERN SIGN SYSTEMS
INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001133
Date: 11/13/2008
'Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
6135
In Person
Payment Total:
Page 1 of I
1I:38:20AM
Amount Due
240,00
285.00
26.25
34,20
52,50
$637,95
Amount Paid
$637.95
$637.95
,
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1'111312008