HomeMy WebLinkAboutPermit Signage 2005-4-28
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION .~ '\
City Job Number (a""ZOOr-oDI.{L(O Date t(-Z8-b)", ""';?<o'-'o..
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Service Included "'1.9 .f"0 (l ~ t9JQ/.
S' '?q '0
1000 sq. ft or less -::_ $1 ~1'1fh"
Each additional 500 sq. ft or '7J.~
SIr ~ .s portion thereof _..... ~.OO -61
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 $50.0~
Suspended for 180 days, Feeder
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'<. CONTRACTOR INSTALLATION ONLY~; A TTB~IjServio.l;l!:o-r,8eeders~::. In~tallation,'Alteralions or Relocatioii':;v.;;
2. ~.\S.:!i:;Zt'.:~~~..:;-M~:r.. '... :.;.:~:~~l'*~: ;~,;;.Lf II}) ~k:.~ follow j.~",..-;;-..:,.t~".;TL,':nL'J;Jdvv..r,eCfUtr.e~ou)to'C'2i~'~ j::J.,:cl;a~!';:-Yl\""!,,:IJ":.i
E:5 A - ,I /\ I' "" ru es adopted by the Or . .
Electrical Contractor 01-- '5 [ em 'lI-t-fU.lf\l'i':\!fi'i200 ~mPil,?r Ifl';bse rul egon UtilIty $ 63.00
17 ./ In 0AR's2(n'OOrlp~!Jl:WII)j'tm e~:re se! forth $ 75.00
Address Id 10 ()cJ::-rJJr J... tJ 0090. Y04O[TWlnllS:(Qjq))\!;~m~ R 90<<'001_ $125.00
call' .Iho ...'~'" of the rul",
Ing6Ul"~p;lfli l(JOOle""""'- '" oy $163.00
C. I /C5 :.:-r //numbe~ th<>.Cl ,."'It: telephor.-
City r >U4--<JLL Phone '-f<r' - 50 Yt- (illr IUYtl'ffiU~iIjty Notificali~'"r. $375.00
J ~mG!iJ& bBGO-332-2344). - . $ 50.00
LEGAL DESCRIPTION
-I7CJh3J4t 03 S-Oo
v
JOB DESCRIPTION
"3 tit-IN--
Supervisor License Number ~-q lf5:./Q
~
Expiration Date / 2/3~/e t:-
Constr. Contr. Number 1?3 Lj 10
Expiration Date .3/1 to /0 7
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c. r).:~&.i~!!!.a(~~, ~!t1!~~~~ ~t~f,~~:clers~6Wt~tif~::&'€~~~~if;J ~,~~~t:s&~
Installation, Alterat~on or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
147 5
s.~P:l:.
Over 600 Amps or 1000 Volts see "8" above.
W..<<-" -'~;...;;.'~:"i::"~~'.-:if'J'.:.""':~'; '....,?;:?tt;'f:~:/..t/" ':'N-~~ 'ili'j'l!"~~f;J\~';;eil"~;"fx~'::({L,;;;.y;~~ ,:.,
NOTIDrf'::Branch ClrcUltit'; ,,~Ii'~':!_':':""'~I.d':l'-i,'::(,t<;,~ ;.r~~.:~1~~'.:~t::".:"_;.!~~::;;;!:~1;:1~$" ..fJ
ui:.:~': ;.r..t.'""~;'~" ....,,~,'i,l_..~tJ\.rt!+.,~ ,~~,"7,1l~, .:..";.,;:~~~....;.....:~~.~,,,:-"'';'Q-:i!jJ;:.cit!1~k:- <:;J:~
S PE ..'To ~"^1" cvn'oc I~. T~C WnRK
THI New, Altera IOnrorTExtenslOn Per Panel'
AUTHorOilHliMtiillER THIS PERMIT IS NO 1
COMM EI;:~EI[~d9itiQRalleifd'tifl\i,~\Si'th FO ti
~" 1 BService pc:Eeeder Pennit
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E. lJ'J-i~~:.I~~I\~?Bs;(~.e~~}~~~~~.~~~erJ~1~~~~~15t~~~~?~.~~~~~~ I.?SlN!.~Bq*I~~
$ 43.00
Signature of Supervising Electrician
~Q -~l cO
Owners Name ThoArS L M t: d.L;l- (
c;-'Z "'~
$ 3.00
Address
pL
City
Phone
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
3
$ 50.00
$ 50.00 {"'iV. ()O
$ 25.00
$ 45.00
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
l\1inimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature:
: ~;....,,~~; .,...~. ~;-' -1 ~~:,,'<l'i<?,~~';' T<';t!" :j.,t. tf,-,h "!;::.-:; .' "-:t~___+~:- ~:'~;
4. ; SUBTOTAL OEABOVE;~;';;;:'i,;:.''t,j<''.::,;.j;~.
~~"~'':;;:~'':;;;;:''~'I ;.'1!-:,/':-f,. .{ "~:J~'::i ?-~~'i.;-.1':.'>~~.<:1'~~:;"~~ ;f:....c}..~-~~:
7% State Surcharge
10% Administrative Fee
15lJ.~
10.50
{? u-o
/15:50
Inspection Request: 726-3769
TOTAL
Sh<lred Drive(T:)/Building Fonns/Electricul Pennit Applic<ltion I-03.doc
.
. CITY 01< ~rKil~u1<lJ'.LU
Building/Combination Permit
PERMIT NO: COM2005-00440
ISSUED: 04/28/2005
APPLIED: 04/1912005
EXPIRES: 10/28/2005
VALUE: $ 9,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5781 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334103500
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Signs - 3 wall
Owner: THURSTON MEDICAL CLINIC-CORP
Address: 147 S 52ND PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
SIGN GROUP LLC
SIGN GROUP LLC
License
145755
145755
BUILDING INFORMATION I
Expiration Date
06/30/2008
06/30/2006
Phone
541-485-5546
541-485-5546
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size:
Heigbt:~fStr.ucture . Sq Ft 1st Floor:
n 'Co "Unl. uregon law requlres~'htn.
TrYP!QOlat: d t db h " ...["~nd Floor:
IJl~e; tli~~ a op e y t e Orego tF~'6asement:
. iJ;'~'. ~:Center. Those rules are :si/hl(ThragelCarport
I tJi901-0010 through OAR 9Sq'.riOther:
if~~PdlB\lil\1i\l~!ain copiElfllilf the rOecup,nt Load:
callinn thA ,.p,ntol" t...,.......^. ...r....... 4_'__t.. _ ,
. -,....\_..-
I DEVEL'l'>PMBNH!\w()RMMlIlDNlllt Notification
I.MI.l!, '" l-bUU-!;j~-~344}. REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspo-utsmrains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPiRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Use Bid Amount
Sien
Sien
Sien
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Sign 36-60 Square Feet
Sign Plan Review
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
3,000.00
3,000.00
3,000.00
Total Value of Project
Fpp<. PIilLI
Amount Paid
Date Paid
$48.00
$10.50
S150.00
$330.00
$120.00
4/28/05
4/28/05
4/28/05
4/28/05
4/28/05
$658.50
I Plan Reviews I
Paee 2 of 4
. CITY OF SPRIr'lul'lJ:!.LJ.J
Building/Combination Permit
PERMIT NO: COM2005-00440
ISSUED: 04/28/2005
APPLIED: 04/19/2005
EXPIRES: 10/28/2005
VALUE: $ 9,000.00
Value
Date Calculated
$3,000.00
$3,000,00
$3,000.00
$9,000.00
04/19/2005
04/19/2005
04/19/2005
Receipt Numher
1200500000000000531
1200500000000000531
1200500000000000531
1200500000000000531
1200500000000000531
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien Review
.
04/18/2005
04/19/2005
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00440
ISSUED: 04/28/2005
APPLIED: 04/19/2005
EXPIRES: 10/28/2005
VALUE: $ 9,000.00
APP DJB
Paee30f4
8.248 Community Commercial and
Major Re- tail Commercial District.
These standards apply for all
property located in CC or MRC
Districts except those located in the
Downtown Sign District, 1-5 Mall
Sign District and the 1-5
Commercial Sign District:
(1) Single Businesses. Each business
shall be permitted a maximum
number of three wall signs totaling
350 square feet for all faces,
(2) Free Standing, Roof and
Projecting Signs. In addition to wall
signs permitted above, one sign from
this group shall be permitted for
each approved development area.
The total area permitted for a free
standing sign, roof or projecting sigfl
shall be 100 square feet for one face
or 200 square feet for two or more
faces at a maximum of 20 feet above
grade.
(3) Second Story Businesses and
Above. Two wall signs per business
shall be permitted with a maximum
sign display area of 175 square feet
for all faces.
(4) Logos. Logos are allowed in
addition to the permitted wall signs
listed above provided the logo is the
logo of the business residing on the
premises and provided the total
square footage of the permitted wall
signs and the logos do not exceed a
combined area of 350 Square feet
for single story husinesses and 1.75
square feet for second story
businesses. A permit is required for
eaeh logo that is being Installed
based on the square footage of the
proposed logo.
(5) Illumination From Signs on
Non-residential Property. External
.
. CITY ut< :S1'K11~ut<IELD
Building/Combination Permit
PERMIT NO: COM2005-00440
ISSUED: 04/28/2005
APPLIED: 04/19/2005
EXPIRES: 10/28/2005
VALUE: $ 9,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
illumination shall be shielded so that
the light source elements are not
directly visible from property in a
residential zone which is adjacent to
or across a street from the property
in the non-residential zone. [Section
8.248 amended by Ordinance No.
5862, enaeted September 15, 1997:
further amended by Ordinance No.
6114, enacted February 7, 2005.)
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 ~r.'1nJ.iWLln.n....t~
Sign Attachment: Method of mounting the sign to a stru'cture 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.
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
tiCJ=1L&- L/(;Ar;/OS-
Owner or Contractors Signature
Date
Pal!e 4 of 4
225 Fifth Street
SpringfMd, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00440
COM2005-00440
COM2005-00440
COM2005-00440
COM2005-0044Q
Payments:
Type of Payment
CreditCard
4/28/2005
.
RECEIPT #:
Description
Sign - Outline Lighting Each
Sign Plan Review
Sign 36-60 Square Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DARIN HAUER
8P~
~l
,Rty of Springfield Official Receipt'
.velopment Services Department
Public Works Department
1200500000000000531
Date: 04/28/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
028821 In Person
Payment Total:
Page I of I
1:39:31PM
Amount Due
150.00
120.00
330.00
10.50
48.00
$658.50
Amount Paid
$658.50
$658.50