HomeMy WebLinkAboutPermit Signage 2008-11-13
Status
Iss u ed
CITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01190
ISSUED: 11/13/2008
APPLIED: 08/09/2008
EXPIRES: 05/13/2009
VALUE: $ 1,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4215 Main St
ASSESSOR'S PARCEL NO.: 1702323201900
Springfield TYPE OF WORK: Sign
.$''''
TYPE OF USE: New
.r-" ,""Commercial
PROJECT DESCRIPTION: Sign - Lucky Lous Deli
Owner: VIRGINIA E PFEIFER TRUST
Address: 326 MAIN ST
SPRINGFIELD OR 97477
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I CONTRACTOR INFORMATION I
. ATTENTION: Oregon law requires you to
Contractor follow rules adopte~Oregl!JXjMtjJil)ion Date
PETERSON ELECTRIC JlNeification Center. 12\1350 rules are se~OOfu009
PETERSON ELECTRIC JiN0AR 952-001-~01~\))f5i\l9h ~~,~,9~~~?t'ltt2009
1""-'''' 'l'" 'l'C-'-:' .................. ........t".....- _. hO_ ._._- -,
I BUILfuN~~NjIiOW~rl9*ja: the telephone
numbe~ for th~ oregontJtility Notification
# of Storio$enter is 1-800-332-2344). Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: ',<," ' Sq Ft Other:
Sprinkled Building: ""n/a Occupant Load:
Phone
541-567-0228
541-567-0228
Contractor Type
Electrical
Sign
B
VB
I .DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
'# Street Trees Rqd: Handicapped:
Paved Driv'll.B<l4-j "Eo Compact:
% of Lot cJnHg~ .
THIS PERMIT SHAll EXPIRE IF THE WORK
, ^'.'TU'],,~2~:r :J~+~m Tllie f:r.Fl.lf I: liel
I PUBLIC IMPRO~~l"i'WUD OR IS ABANDONED FOR
ANY 180 DAY PISM~lk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
, ' DownspoutslDrains:
Notes:
Page I of3
-~~~..@lRt.!!:R.i1
!'
I'
Status
Issued
CITY OF ~rKlNGFIELD .
Building/Combination Permit
PERMIT NO: COM2008-01190
ISSUED: 11/13/2008
APPLIED: 08/0912008
EXPIRES: 05/1312009
VALUE: $ 1,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Sign .
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
1,500.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$1,500.00
$1,500.00
08109/2008
J1'PP:~ P'li,i ,
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign Plan Review
+ 10% Administrative Fee
+ 5% Technology Fee
Sign 0-35 Square Feet
Amonnt Paid
Date Paid
Receipt Number
$5.50
$6.60
$2.75
$55.00
$40.00
$8.00
$4.00
$80.00
8/11108
8111/08
8/11108
8111108
8111/08
10/1108
10/1/08
10/1108
2200800000000001228
2200800000000001228
2200800000000001228
2200800000000001228
2200800000000001228
3200800000000000681
3200800000000000681
3200800000000000681
Total Amount Paid
$201.85
I Plan Reviews I
Sig:D Review
08/09/2008
08/09/2008
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 following
work day.
I ~rr'l\'iIPJ) Insnections I
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.
Paee 2 of3
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: COM2008-01190
ISSUED: 11/13/2008
APPLIED: 08/09/2008
EXPIRES: 05/13/2009
VALUE: $ 1,500.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iuformation 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
'-,
A~_~
Owner or contrrs'Signature
Page 3 of 3
o:Y}kl1
WN
INITIALS .,,"'...... .
DATE \ \ -\ ~/OA
SOURCE ffi71--'(l7C
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(U
225 Flrrn STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (OM ZOOJ'"- D II 9 0
Date
I.
3.
112).~ c m4/V
/ /, c~ ~Ot/f ~ e// A.
LEGAL DESCRIPTION: .<- <.J ^/
1102- "523 Z- 0 I 9DD
JOB DESCRIPTION: /A/fTJ'9// fO" ,yJ./Jr({. ..
t:JA'. .t-~.rT<F.a7 ..1'f"v
Service Included
1000 sq, ft, or Jess
Each additional 500 sq, ft, or
portion thereof
$117,00
$ 21.00
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. ' Feeder
I;rnn~!jtli!tr_'1.i's-)jHtJn;;4S~11!W!\k~~~ '''0jy'''war"''~~-'''1 ' ~~ud"W:ilh.:Y/<~::jfr1f9*i0!^g.,t;,4&il~'1!J1f1~0Lr~~0Jj:g;; _
2. fu~~~~~~~~f~~~fJ~lr?~~jj. O:-oaBo' .lr;}f~~sl~~J;trlJ!~a!!!112!i!;&;~J1:~\ll~~~~l!rJ~t~,fJ,qn,;r
I 'j' """" . 'rt /<;)"v r
'",,''' I).J.''''~' ' '''' equir s
Electrical Contractor /"6 7CRj~JtI(;4:;',C~~Jbl.t-2qOtA!J1IOfli3.3',yoU!0 $ 70.00
Irl OAF; 952-0-0'1~~~16~2(}1>hi4rlB'Stal1P~jf~w $ 83,00
Address 2 Z Z 0 k"t" //; JlJl,9l.You lTIAJI obtain ~6\u.@IilJl9Af!5~f5t~8fh $138,00
all/ng the center. (N~'.~t!~ttl3eaw~ $180,00
City /kl'"n'J/J n'o Phone JU~JF4o/~<OftJgorPmflAgoo~~s $413,00
v""ler Iii l-BOOR.fJ-2!f~~tioll $ 55,00
"'2. .. ':> C" c l!rr'$W"'fmtlH\'S~"'1'''''1i'7'''lIir-+++-j-~
.c. D J '..,;10 . . J*L"~!lP1t"N^,~:J;L;~,,,,"J~~Li~nLi~~L\~~cit~~J!f~
;/ /ZZ./09 Installation, Alteration or Relocation
/'" .
! 200 Amps or less
"?0-68 G ,z. ,!JfD 201 Amps to 400 Amps
401 Amps to 600 Amps
Expiration Date !ZZf(r~n(;E" Ove;606 Amps.or 1000 Volts see "B" above.
Signature of Supervising Electrician THIS PERM D.
'/.) ~T. ORIZF Ii SHALL ~~eration or Extension Per Panel
/f/~ -.'4l!N - flVNDER 7Wk7JJJit THE WOD $ 4800
/< 7 Ny 180 ecD OR IS A~ Ii/M/V'I~I"r with ,
Owners Name 1>Pe1' Ff::'i'L ,(l..DJY~PjtrIOD. NEUrOR 11 $ 4,00
/ "1i~i1lh~4~~4ulllJ~~Y?'~4.J'1ill0ftr~41~u'~~;';;:""';';=;'ffiCi1:f1:P"g
Address '3 2-b mll-lIv SJ E. ~~:~~J~~,~)I~~t~!'1t!~IS~..!lt<'ii~lL~l~~~~~Jl:l~~ri@lt~li*'1.~
City $f> P'b
$55,00
Supervisor License Number
/'"
Expiration Date
Constr. Contr. Number
$ 55.00
$ 76,00
$110,00
Phone
Pump or irrigation $ 55,00
Sign/Outline Lighting / $ 55,00 ..s-'..s-: 00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric,Permit Inspection Fee is $50.00 + Surcharges
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
4.
12% State Surcharge
]0% Administrative Fee.
5% Technology Fee
{;. b 0
,J,Jo--
2.7.5"
Inspection Request: 726-3769
TOTAL
Sh.ared Drive(T:)/Building FonnsJElectrical Permit Application I-08.doc
t: r? f5S- V
225 Fifth Street
, . ,
SpriIigfield, Oregon 97477
541-726-~759 Phone
Job/Journal Number
COM2008-0 1190
COM2008-0 1190
COM2008-0 1190
COM2008-01190
COM2008-0 I J 90
Payments:
Type of Payment
Check
Check
Job/JournalNumher
COM2008-0 1190
COM2008-0 1190
COM2008-0 1190 '
COM2008-0 1190
COM2008-0 1190
Payments:
Type of Payment
Check
Check
cReceiotl
RECEIPT #:
Description
Sign Plan Review
,Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee'
Paid By
PETERSON ELECTRIC INC
PETERSON ELECTRIC INC
Description
Sign Plan Review
Sign -,Outline Lighting Each.
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
PETERSON ELECTRIC INC
PETERSON ELECTRIC INC
2200800000000001228
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/11/2008
Item Total:
Check Number Authorization
Received' By Batch Number Number How Received
djb
djb
28839
28840
Check Number
Batch Number
Received By
djb
djb
Page I of 1
28839
28840
In Person
In Person
Payment Total:
Item Total:
Authorization
Number How Received
In Person
In Person
Payment Total:
2:59:02PM
Amount Due
40,00
55,00
2.75
6,60
5.50
$109.85
Amount Paid
$40.00
$69,85
$109.85
Amount Due
40.00
55,00
2,75
6.60 ,--
5.50
$109.85
Amount Paid
$40,00
$69,85
$109.85
8/1112008