HomeMy WebLinkAboutPermit Signage 2007-2-26
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00283
ISSUED: 02/26/2007
APPLIED: 02/26/2007
EXPIRES: 08/26/2007
VALUE: $ 4,000.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'*
SITE ADDRESS: 1900 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1703251300400
Springfield
TYPE OF WORK: Sign
PROJECT DESCRIPTION: Sign- Carls Jr 2 wall signs for Green Burrito
TYPE OF USE: New
Commercial
Owner: TRI-W GROUP L TD PARTNERSHIP
Address: 100 SE CRYSTAL LAKE DR
CORVALLIS OR 97333
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
BUILDING INFORMATION I
# of Units: . ..' . law reqJj,'lfs>J<u1IeS:.l
Primary Occupa",":iI G[o\ip:u",.ure\lon IheOtl!~~,tl9{,S~~ucture:
Secondary Occunanl;y,Groifp: 'l.dooteu bV .TMpe. of.Heat:.
.,;;r.. Th .' "ute<< al '" "iOrIO..
Primary Const~-IJtH,qp,;'!iYP'el Cemer. o::;e , ~~~if2:JU()1
Secondary ConstructioD~e.ilO 1-001 0 througrllRange TVDe.:. t
tnvMf..... .' SC...fn~n~a~
# of Bedrooms: 0090 You may obtalO cople Energy, Pl!1q:
1'lingthe center. (Note: thEs'P~i~~M\i'm.i1ding: nla
ca _ _ . t.I.:I:.., I\Jntltlr.;:t.tlon
numoenOlll1c0,u>l-" -. . .
Center is 1_8Q!t,.DEY.EEOP.MENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
IIIOhrt",
A' /fIS pi;:;~ I PUBLIC IMPROVEMENTS'
"UrH(j,..ll"I// $
COM.. 'l?11f/J . ~4LL f.
ANy'/lffNCftJ IJN/)f/i r. 'kPIRf /,
18004Y Ql/IS4 HISpE, 'FrHfw,
PEI/IOO 84NOOA,RMlr IS DR/(
'. IrED Fan /VOr
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
TYDe of Construction
Paee 1 of 2
Value
Date Calculated
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeclion Line
Sien
Sien
.
.111' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00283
ISSUED: 02/26/2007
APPLIED: 02/26/2007
EXPIRES: 08/26/2007
VALUE: $ 4,000.00
Use Bid Amount
Use Bid Amount
02/26/2007
02/26/2007
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcbarge
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Sign Plan Review
Total Amount Paid
Sien Review
$1.00
$1.00
2,000.00
2,000.00
Total Value of Project
$2,000.00
$2,000.00
$4,000.00
~
Amount Paid Date Paid Receipt Number
$26.00 2/26/07 2200700000000000248
$13.00 2/26/07 2200700000000000248
$8.00 2/26/07 2200700000000000248
$100.00 2/26/07 2200700000000000248
$160.00 2/26/07 2200700000000000248
$80.00 2/26/07 2200700000000000248
$387.00
I Plan Reviews ,
02/26/2007 02/26/2007 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\'1 In.neet;on'l
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 tbe sign installation is completed.
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 sbaIl be done in accordance witb
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, tbat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
(Wn n~11JOY'/'1.I~ Z - 2( /0 -07
Owner or Contractors Signature
Date
Paee 2 of2
22S,Fifiii Street
Springfield,,0regiltn 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00283
COM2007-00283
COM2007-00283
COM2007-00283
COM2007-00283
COM2007-00283
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
· 1tIit~~~~-"
+,'"!"" .... j
.. '.,. ~_.~ .1 -',!}
Description
Sign - Outline Lighting Each
Sign Plan Review
Sign 0-35 Square Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DENISE AUSHUS ESA
Cwf Springfield Official Receipt
"opment Services Department
Public Works Department
2200700000000000248
Date: 02/26/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 26912 In Person
Payment Total:
Page I of I
1I:01:IIAM
Amount Due
100.00
80,00
160.00
13.00
8.00
26.00
$387.00
Amount Paid
$387,00
$387.00
2/26/2007
..~ '-- /
.~ C'ITY OF SPRINGFIELD, OREGON
BP~~ ~~IALS
~.. DATE
. ~ "- SOURCE
225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ('0vv\.7;"O 7-c:ro U.3
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpslVolts
Reconne<Q&rily
.."d" ~ _\~.",""
"'-\Y il\" .
Supervisor License Number ~/lf 51 G- ., \ ..v"" ;~0~Pos~services or Feeders
"".0' "'''' -0 'o'l \~ ,\as a.~ QIj'2.-01J '
Expiration Date / f - () "&-~ ^AO\l\e .-~ose 1\~~!&/1ition\~ter~on or Relocation
p..\ ~~_(\\\0"Ge{\\0I. 0 t~I0\l200 ~iTI~~~~~"\a $ 50.00
Constr, Contr. Number / tp'fiJ:;g>v./l) _",_OO\'{\ co\'l2qi'#~\~~~~s $ 69.00
/. NO \11 Q.9CSt.-v~" oQ\\lo\ It-\.O\40I~11Dp~'i)}\600 Amps $100.00
E ' 'D . -::> j/ - /..1>.\!!.'3!..., ((\ " \al.' \l\\W" ~h.bt).
xplratlOn ate '--". U!iJ"/o-EZXJrvJo ^..{\ <'\O(1Q!vct:AAii"'A I 000 V I "B" b
. , O~v:. \\"" - 0\0... .6->P'~ mps or 0 IS see a ove,
Signature of Supervising Electric~n Ca.\\\{\9 (\()'l \~e. S " -elJ9r Branch Circuits
- ri /7 , ;;)- ~~~\ ce{\~( \ New Alteration or Extension Per Panel
~ / J--- _ V 1 jf/~ One CIrCUIt
/ Each Additional Circuit or with
-r;.",,~....L.. ../_ Service or Feeder Permit
Owners Name '-.JL.z- C"'~~
Address ~<()f- (!ruvrdh nl b E. I Miscellaneous (Service/feeder not included) -Each Installation I
City ~ J /JL.Jv) Phone :342 - 'SS7 Pump or irrigation $ 50.00
'""'0' OlICE- Sign/Outline Lighting 2... $ 50.00 IdO .()o
OWNER INSTALLATION N . r' Limited ~nergy/~.sJd.~\ltiaI $ 25.00
Th' II' 'b' d il-ll~ PFRMh, hSHALL EXP.IRFdIE 1 Htl uKI\ 'I $ 45 00
e msta atlOn IS emg ma e on pro HI I own w IC LImite nerf.: ommerCI3 .
is not intended for sale, lease or rent. U-HORIZED UNDlillnT.JiIJ~ ~f.,l;jM~ pk~m~Ahspection Fee is $45.00 + Surcharges
. COMMENCED OR IS AB~HY~f.!U'~1}
Owners SIgnature:. J I ANY 180 DAY I-'ERldb~ ABOVE I
J}../ / A 8% State Surcharge
, 10% Administrative Fee
5% Technology Fee
I. I LOCATION OF INSTALLATION:
L9tJ(J lhav-I!DIa, 'Kd
LEGAL DESCRIPTION: /70 J z.,,;'! 001.((10
, TCLl<es-m urQ. J1 S
JOB DESCRIPTION:
Ca.rls ,r;..
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. I CONTRACTOR INSTALLATION ONLY I
Electrical Contractor ~ 5::: ..,. 14
Address AI D ()a ~ Pcdr.t.
City~
Phone c.JEs -S54)p
Inspection Request: 726-3769
Date Z,~-'f
3. I COMPLETE FEE SCHEDULE BELOW
A. I New Residential - Single or Multi-Family per dwelling unit.
o
Service Included
1000 sq. ft. orless
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B. I Semces or Feeders - Installation, Alterations or Relocation:
$ 63,00
$ 75.00
$125,00
$163.00
$375.00
$ 50,00
$ 43.00
$ 3.00
TOTAL
I~(). () 0
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5". ()O
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Shared Drive(T:)JBuilding forms/Electrical Permit Application 8-06.doc