HomeMy WebLinkAboutPermit Signage 2009-6-2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0076I
ISSUED: 06/02/2009
APPLIED: 06/01/2009
EXPIRES: 12/02/2009
VALUE: $ 21,287.00
225 Fifth Street, Springfield, qR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7345 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702350002600
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Public
PROJECT DESCRIPTION: Sign for Thurston Elementary School
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR,INFORMATION ,
Contractor Type Contractor License Expiration Date Phone
General HYLAND CONSTRUCTION
Electrical E S & A SIGN CORP 163470 03/16/20 I I 54 I -485-5546
Sign E S & A SIGN CORP 163470 03/16/20 II 54 I -485-5546
BUILDING INFORMA nON.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type: .
# of Bedrooms:
E
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Enerln' 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:
VB
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
StJ'eet Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
. Paved Drive Rqd: ' . Compact:
% of Lot Coverage: ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rlllAS IlrA .<At fnrth
I PUBLIC IMPROVEME~S"I': 952-001-0010 through OAR 952-001-
. I \ '.'. You may obtain copies of Ihe rules by
calling t1S1de.Wlilk.Tfpe:e: the telephone
number fm the Orenon Wility Notification
CP1owtnspouts/Drallls: 344)
...1 l~ I~ I "ouv-"'..:>~-d .
Front yard Setback:
. Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
Nn-' -. .
THI; , .'
AUTI"
COMh i<
ANY 1..
-;-T.' "-":''';E IF THE WORK
'. : ~!-'.: ?ERMIT IS NOT
~ ^ UIJJONED FOR
Paee I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00761
ISSUED: 06/02/2009
APPLIED: 06/01/2009
EXPIRES: 12/02/2009
VALUE: $ 21,287.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintio.n I
Si2n
Si2n
Si2n
TVlle of Construction
Use Bid Amount
Use Bid Amount
Use Bid Amount
$ Per Sq Ft
or mnltiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
1,522.00
4,438.00
15,327.00
Value
Date Calculated
Description
Total Value of Project
$1,522.00
$4,438.00
$15,327.00
$21,287.00
06/01/2009
06/01/2009
06/01/2009
~pp~ P'liti J
Fee Descriotion
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Sign Plan Review
Amount Paid
Date Paid
Receipt Number
$30.30
$7.56
$15.15
$63.00
$240.00
$126.00
6/2/09
6/2/09
6/2109
6/2109
6/2/09
6/2/09
1200900000000000601
1200900000000000601
1200900000000000601
1200900000000000601
1200900000000000601
120090000000000060]
Total Amount Paid
$482.01
I Plan Reviews I
Si2n Review
06/01/2009
06/01/2009
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.
~<.nprt~
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 energizillg.
Sign Final: After all required inspections arc conducted and approved and the sign installation is completed.
Sign Localion: To verify the location of the proposed sign.
Pa2e 2 of 3
Status
Issued
CITY OF SPKll~\.JFIELD
Building/Combination Permit
PERMIT NO: COM2009-00761
ISSUED: .06/02/2009
APPLIED: 06/01/2009
EXPIRES: 12/02/2009
VALUE: $ 21,287.00
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 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
~~-IkaL
6p/t? /
Owner or Contractors Signature
Date
Page 3 of 3
Electrical Permit Application
-
225 Fifth Street. Springfield, OR 97477+PH(541)726-3753.FAX(541)726-3689
1'~~~mlD~~~AR~M-ENm~'LJS'EtONlr'Y~~Y~;1
.~*-"~,-;,',,,""1'}.~~=-"-"::'_:;'4-.; ~~_"'''"::-L''''''\ ~j:~;.~^..~
1 pe~'::~~O?- 00 76/1
IDU~ I
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
1M:t~1t.~^!li!i.!~I!:O.C;6;L~GOVERNMENrr~fAp.F1ROVAIl.~;~~:i!!
I Zoning approval verified? '0 Yes 0 No
11i~!l!llCA'I'EGORY01jOFJf'.C,ONS1iRl!l.CJTION~1~'lt@E[1lNJil!1~
I 0 Residential I 0 Government .I @ Cornmercial
1!I\;~,g"OBJiSI\TE),INF.ORMMIONiVANOillIlOCA]IQN~J)f(:Il.J!;ii!.*
I Job site address: '1~ 11M ~1b IV a.n.
City:S~t.l,"",.... Q I Stale:,.,O- I ZIP: 'h'Vl"l
Subdivision: 170Z-3.S0C I Lotno.DZfoO
~~1~~~;jf~,;;g~~OESCRII?J!10NiOF~W0.RK~~~1:.f~!~'71~~
I Ir-i~ I~""M. l.t::D "'6~~
I~
1~;;:V~El"il.<ti;~~mp.Ro.P....E R;riYEO'WNER~i:'V"f~""lF",."",;lt'Jj!j
.,~."~..,.-,..,_~,it..,";p,;,,,,.....t'<,-_'i"_"~",, _" . '..."'1'""" ___ ..' . '. .._,""",..,.......',.~,,"~""",'~,.,'u_."".,""'
i Name: 5l'aJu/Oof\=o SUt..cL. 7)Y:::.-r.
I Address: '52.'> U'L.-L.. ""'I'
I City:~/2..ltJbflla-O I State:Olt. I ZIP:.~tN"11
..I Phone:l5'+I. -W"1 - .,,?,~ I I Fax:
1 E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature: N> I k-
1~,'i/;ijj~~1!iiCON\TRACj"ORi1INSmAIHi'A\TION~~~'>;W,1;;:;4if.lil:
I Business name: ~ il A--~ '-1 A-MD A..uN .1..1"'- I
I Address: ~q,S yo.,o.,a.~ a.I).
I City: ~ ~ I Stat\Y-')~ I ZIP: Cf'1'1oz.-
I Phone: IN1 ~S. ~";-I Fax: t9-t~. of9,~. '551~ I
I E-mail: ~~.........-~/(iit!S4.sI..t..>.~ .~ I
I CCB license no.: l/"?' 4'70 I BCD license no.:1-O.~~usl
I Signing supervisor's license no.: :5Qc... 'S, I (.,... I
I Print name of signing supervisor: ~}lA) ~ I
I Signature of signing supervi(or:'j,lj'~_.......JJ ~ r-- I
~~
fb.\
'X'v\tJ ;CJ...
\.9':b~~
V-- 0-'
440-2584-) (9/08/COM)
~~~~~;fl~~~~~.fflJ~t:EE~:S~cHEDUflE~,~3~~~.~~:(ti~~';~;'~1
mii~~~m~~~~f.r~~';-itiit1~;"~:~;:~lr:';'-~'~IF~C~ifw~I~:T~~~ILil
1IJtt!10?t'it!nt.lfl':Fij,~~.Jt!J1l(xt!}~lPjP,:.~';t~:i ~2.~:t: (),;d,e,a.:,~~: ~,i!:'ic:ost'1t;t
. Residential, per unit, service included: I
I
I
I
I
I
I
I
I
1,000 sq. 1\. or less (4)
Each additional 500 sq. ft. or portion
thereof
I Limited energy (2)
I Each manufactured home or modular
d..yelling setvice or feeder (2)
1 Services or- feeders: installation, alteration, relocation
I 200 amps or less (2) $ 81.00 $
I 201 to 400 amps (2) $ 95.00 $
I 401 to 600 amps (2) $158.00 S
I 601 to 1,000 amps (2) $205.00 $
lOver 1,000 amps or volts (2) $469.00 $
I Reconnect only (2) $ 63.00 $
I Temporary services or feeders: installation, alteration, relocation
I 200 amps or less (2) $ 63.00 $
I 201 to 400 amps (2) $ 87.00 $
I 401 to 600 amps (2) - - $126.00 $
lOver 600 amps or 1,000 volts, see services or feeders section above
I Branch circuits: new, alteration, extension per panel
a, Fee for branch circuits with purchase ofa service or feeder fee:
$134.00
$
$ 25.00
$
$ 32.00
$
$ 63.00
$
Each branch circuit
I $ 6.00 I $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
I I ~ 5:.:: 1 :
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
$ 63.00
$ 63.00
$
$t..,....1
I
. Each additional inspection: (I) I $58.00 $ I
if~J~~~1im~i\AFfF;Hll.C~Nr~iOSE~~;z:~~~~~'t~~'~1
(A) Enter subtotal of above fees I I
(Minimum Permit Fee $58.00) $ b'3 ....
'I $1.~ I
1 $ '3. I!" I
I $7~'71 I
Each sign or outline lighting (2)
I Signal circuit or a limited-energy panel, I
alteration, or extension (2)
$ 63.00
$
(B) Enter 12% surcharge (.12 x [A])
(e) Techuology Fee (5% of [A])
I TOTAL fees and surcharges (A through C):
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Num~er
COM2009-0076I
COM2009-0076I
COM2009-0076I
COM2009-0076I
COM2009-00761
COM2009-0076I
COM2009-00676
COM2009-00676
COM2009-00676
COM2009-00676
COM2009-00676
COM2009-00676
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 06/02/2009
1200900000000000601
Description
Sign 0-35 Square Feet
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
***+ 10% Administrative Fee***
Sign Plan Review
Sign Plan Review
Sign 0-35 Square Feet
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
***+ 10% Administrative Fee***
Paid By
CHERI FLETCHER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 0022580 In Person
Payment Total:
Page] of I
IO:12:44AM
Amount Due
240.00
63.00
.15.15
,7.56
30.30
126,00
126.00
240.00
63.00
15.15
7.56
30.30
$964.02
Amount Paid
$964.02
$964.02
6/2/2009