HomeMy WebLinkAboutPermit Signage 2008-12-24
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01784
ISSUED: 12/24/2008
APPLIED: 1211712008
EXPIRES: 06/24/2009
VALUE: $ 3,500.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. -
SITE ADDRESS: 3270 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703222002102
SPRINGFIETYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - wall sign for Mattress Mania
Owner: SPRINGFIELD V LLC
Address: 1420 FIFTH AVE STE 2200
SEATTLE WA 98101
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
IMAGE KING INC
IMAGE KING INC
License
161313
161313
BUILDING INFORMATION I
Expiration Date
09/01/2010
09/01/2010
Phone
541-484-1482
541-484-1482
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of' Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: .
n/a
Froutyard Sethack:
Side 1 Sethack:
Side 2 Setback:
Rearyard Sethack:
Solar Sethacks:
cfJ
~~~~
~~
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
ATTENTION: Oregon law rer:[li"po, VO'J '0
follow rules adcDownspouts/Drains:'. ..
, '. 1'"'.... H . J ,"..... '_.fl t. :~ I ~ " .IV
~otIflcatIon Center. Those rulg" 01:" '",',~ ..I
In OAR 952-001-0010 thrc~gh IV:, ::~,:o_~,;!_
0090. You may obtain cop:ss of .I'".. '._ . y
calling the center. (Note: Ii'.: [lh,'" '.' '
number for the Oregon U;'iity f\iC:l(j;,~,1fI...I
Center is 1-800-332-2344).
Storm Sewer Available:
SpeciillJnstruction:
. 'VUTlCE'
'i .
Notes./IS PERMIT
~~%ORIZED Jt'o~~ ~~~IRE IF THE WORK
ANY 18~~XyDpOR IS ABA;;;rNREMDIT IS NOT
ERIOD FOR
Paee I of3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01784
ISSUED: 12/24/2008
APPLIED: 12/1712008
EXPIRES: 06/2412009
VALUE: $ 3,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V ~Iuation Descrintion I
Sien'
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
. 3,500.00
Value
. Date Calculated
Description
Tvpe of Construction
Total Value of Project
$3,500.00
$3,500.00
12/24/2008
F"", P"W
$42.00
$19.70
$6.84
$9.85
$57.00
$140.00
12/17/08
12/24/08
12/24/08
12/24/08
12/24/08
12/24/08
Receipt Number
1200800000000001231
1200800000000001244
1200800000000001244
1200800000000001244
1200800000000001244
1200800000000001244
Fee Description
Sign Plan Review
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign 61-100 Square Feet
Amount Paid
Date Paid
Total Amount Paid
$275.39
Plan Reviews I
Sie:n Review
12/24/2008
12/24/2008
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 reqnested after 7:00 a.m. will be made the following
work day.
~1~lnI'('''I~lI..Lri~.npf'tiow
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 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: cOM2008-01784
ISSUED: 12/24/2008
APPLIED: 12/1712008
EXPIRES: 06/24/2009
VALUE: $ 3,500.00
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 isJocated at the front of the property, and the approved set of plans will remain on the site at all
times during construction,
--:::D..QO';"~< ~N"\~
Owner or Contractors Signature
Paee 3 of 3
I;) Id If /08,
Date
:;: 11/26/07
::: mffi'TIISTRF.ET. SPRINGFIELD,OR97477. PH:(541)726-3753 .FAX:(541)'IU-3~
ELECTRICAJYPEJiMrr APPUCATION
City Job Number(f)ry, L( r7 ) r - 0 I 7?::' V
MON 14: 32 FAX '5417263689
CITY OF SPRINGFIELD
IgJ 001
1. ~d!~~~~~:~~~l!~.~~~~ri~lll
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LEGAL DESCRIPTION:
17012Z2.0
JOB DESCRlPTION:
GfV.-. I AJ o...V.. S ~ C'lrv----
J .
Permits arc DOD-transferable and exjlire if work is
not started within 180 days of issllance or if work is
Snspellded for 180 days.
0'2.10 Z
2. I~.~!!!i"i~~
Elcctrical Contractor
ll1-l,/.\-(.\.::
Sill...!)
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Address
Uo
Sr
~'^-I,,",6
Lj,l) '1 J 'ie,-z..,..
City
t: U Gjl(.'\tv(
Phone
Supervisor License Number .t/9Lf S/:L-r
E':piration Date
/0 - /~ 20/1
1(,1313
'1(il
Constr. Contr. Number
Expiration Date
SignaIure of Supervising Electrician
d~
Owners Name Sp2Airv.~ r.JlA V uc,
Address luw 1-, Fr~ Ave (jc Z'26V
City )ti-ctfU. Phone
OWNERtdg~AT~ON
The installation is being made on property I own which
,is no~ intended for sale, lease or rent.. ,
~~
...,,- "',- ,,.,,,, ~ ~ ~
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Owners Signature:
ZON
INIIlALS
.6:!. DATE
""" SOURCE
Date (d 1)__ y/ c) y
I
3. l~ifl~S:~~~~~!.J~liil~~1
S~~ i .
A. ~~:R~i:J."itllJl\f:J\"'~i~"WMi""~~~?'''i!IilWiir:r'~ifj;(li:'l!l\
d,.~"llil:!~=~:::;~:S~I'~l~i.lL'~I~~"'~/l'..'.i:,~I:i.'~~".~'''~''';'.'l;.;;d",L~~
. , .
,
Service'.Included
1000 sq. ft. Or less
Each additioual 500 sq. ft. or
portion thereof
$lJ7.00
$21.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B _F~~""-'"
. [:~.t.' ,". .:.~i"~~0';;Tri}~"r:';I<-' 1 ,. i'
20rfrN!Jfic8t~ Center. Those r~I' . !', $ 70.00
20~~lqn1i 'Q1:.9jJl0 thrcugn u, '.' j :: $83.00
'. 0 TIa'fWlltam COple, UI c, : .
401 Jonjj~ ~g &;tP.br. (Note: (':.~ :_,: $138.00
601 mllll~fif fOOOOCMps9gon Uii/itll I"",i ,,, $180.00
Over 1000'A~'Oi151.800'332.23441 j . ':$413.00
Reconnect Only $ '55.00
I
c. F;i~1[f~~(4~~~~rif~it~~;;'*~1!~~~1~~~J.i~t1'~~\lli~~~~~~r
~,k\:,;l~~il1';~I,j)m.~::.lill'~';I"i;'~"'~~\llri' I. =!!, ,'.;~I(;I"(.i\h\;.;i;...,;,.ihi."\ol\.;,~,1~'~:'111"u"1',,,~,,,,,!~~
i
$55,00
;
.,
Installation, Alteration or RelocatiOn
200 Amps or less $ 55.00
201 Ampsrt!QqJp~s $ 76.00
. 401 AmPs"flA(i9fPN\tPf,IT SHALL .-. j $110.<1,0 .
D ~~;~. ~~~'~'.~~~~p~'["A>",~
'N~:;~~j\~P"~uB=p~~~"r~W~"8~c~itr~
One Circuit $ 48.00
Each Additioual Circuit or with }
Service or Feeder Pennit $ 4.00
E. ~ila:-.~~III!!i~IJli~i~.
Pump or irrigation $ 55.00
Sign/Outline Lighting I $~
Limited Energy/Residential $ 28.00
Limited Energy/Commercial . $ 50.00
Minimum Electric Permit rnspcclion Fee is sstoo + Surcharges
4. ~~"~"~~~~1m,~~~ltfiQm~~;~~fr~~~!~~~~Th~ c. 7
l:.itlili~"\'~i,;',l~h li':~~ii"\\;.~;;;li",~:::.t~I"~''''I'~i'''ii:~~\I.1,~,:j~!:i!~lf,\"",'\J'<fI~ln~\;'I<'''~'~'; _ ~
,.",,,,,,,,, ,.- "-""""","= -- - .._":.:~-~.,'
8% State Surcharge 68f( .
10"/0 Administrative Fee 6':'0 .
5% Technology Fee 78,
TOTAL . i 72 Ji
Shared Drivc(T:)I8uilding FormsJElectricoJ ~ennit AppI;catiOD 7.07.doc
'7
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1784
COM2008-0 1784
COM2008-0 1784
COM2008'01784
COM2008-01784
Payments:
Type of Payment
Check
cReceinl]
RECEIPT #:
Description
Sign 61-100 Square Feet
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
IMAGE KING, INC
Gfl~~~;_
~.~.._-
~"..~
City of Springfield Official. Receipt
Development Services Department
Public' Works Department
1200800000000001244
Date: 12/24/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 12156 In Person
Payment Total:
Paee I of I
9:10:56AM
Amount Due
140.00
57.00
9.85
6.84
19.70
$233.39
Amount Paid
$233.39
$233.39
12/24/2008