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Home My WebLink AboutPermit Signage 2000-5-18 ~ .. - .. ,. _ 10 - , . I Job# 00-00747-01 I . Page 1 of2 TRANS#:01-0001790 DATE:MAY 18 2000 AMT RECD:2 $ 44.00 2 $ 55.00 CHANGE: CASHIER: 032 SPRINGFIELD ~ CITY OF SPRINGFIELD~ OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00747-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5630 Main St Spr Assessors Map#: 17023341 Lot: Block: Addition: Tax Lot #: 03000 Subdivision: ~ Owner: Troy Finfrock 5630 Main Street Phone Number: 541-746-3533 City/State/Zip: Springfield, OR 97478 New Value: $1 Address: Scope Of Work: Sign Golds Gym Contractor Type Sign Contr Contractor ES&A 1210 Oakpatch Road, Eugene, OR 97402 Registration # Expiration Date Phone 541-485-5546 Quad Area: 4CNE # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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 working day. Sign Electrical Required Inspections I Electrical I -After connection is made, but prior to energizing. I Sign I Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete. Final Sign -After all required inspections are conducted and approved and the sign installation is complete. Construction Types: Occupancy Groups: # Of Buildings: 10-l..JJ.&f-:~~~ms: \jS3/di!~~Il00ut~Pfr~ D l09~~~eed~~~tJJ~ OO'~ ~~:~l:~/OOOl Blc~~~so~: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: ~ ~ ~ , . Job# 00-00747-01 I Type of Sign: Wall Sign . Page 2 of2 Face Type: Single Face , , Sign District: rSign Di ' . oiw 0 Vertical: 4' Height (Above Grade): 15' 9" Sqr. Footage: 40. Illumination? ~ Comments: Community Comm Horizontal: 10' Thickness: From Grade To Bottom: 11' 9" Sign Material: Fee Paid On Receipt# Electrical 05/18/2000 1790 05/18/2000 1790 05/18/2000 1790 Value/Quantity I Fee Amount Each Sign or Outline Lighting State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 1 $40.00 $2.80 $1.20 $44.00 Sign Permit - 36 - 60 Square Feet Total Sign Grand Total Sinn 05/18/2000 1790 1 $55.00 $55.00 $99.00 Plan Check Type Sign Checked By Kaye Wilson Date Completed 05/18/2000 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans . remain on the site at all times during the installation of the sign(s). h, (J ~J~U 1,-/A~oCL Signature ~ . Date \ , I \IO",i(\9 . dnas\ne ~ IIse h",,\\e 'lie 10.(\ . < 5 SU\.J ?BC\ ;\Il\o9 ?fo\e~; fe<\u\fe S ine 10110 d does " . 9 0.(\ "-' 225 FIFTH STREET to(\'(\o~al. cr1> . CTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477'99' 20(\1(\9 _\'l)~~ . INSPECTION REQUEST: 726-3769 ~ ~ City Job Number f(1) - /Jl) 141 - 01 OFFICE: 726-3759 oale. (\a\lI,e I(\O,lted 5'9 3. COMPLETE FEE SCHEDULE BELOY LOCATION OF INSTALLATId'lit mtLin {:!fN.J 1. "r:;{.,.~Q LEGAL DESCRIPTION . I3o~AUA .-_.q..,,-I /J.. #tn .Godo'-eo JOB DESCRIPTION I.JIIII Si5r1i//um.nu:kJ Gelds Gylt1l 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. CONTRACTOR INSTALLATION ONLY Electrical ContractorCS i A .<:~", i. a~'(!:J Address law ~ fJ. CitY,'~'f\e.)OR _ Phone 5'11-I/B5-5S"~ Supervisor License Number Expiration Date Constr Contr. Number III ;t8(P Expiration Date :2/ c:l. J IJI . Signature of Supervising Electrician Owners Name Address City Phone OYNER INSTALLATION The installation is being made on . property I own which is not intended for' sale, lease or rent. Owners Signature: --------------------------------------- . . DATE: RECEIPT *: RECEIVED BY: A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd. Home,or Modular. 'Dwelling Service or Feeder . .B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum S 85.00 $ 15.00 "$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "Bit above ," " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting I Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. s. SUBTOTAL OF ABOVE 1~State Surcharge 3i. Administrative Fee TOTAL $ 35.00 $ 2.00 - no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 40 <tl- "2.,,... (. ;1," 'f'I'oo "o.til. -. - ~~. I' . . I Job# 00-00682-01 I . Page 1 of 2 MAY 10 2000/9:53 AM/$ 100.00 ACCT#:821-00000-215500 36/MICHAEL FARRELL CONSTRUCT JOB#:00-00682-01 CITY OF SPRINGFIELD, OREGON .. .... COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00682-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 5630 MAIN St Spr Assessors Map#: 17023341 lot: Block: Addition: Tax lot #: 03000 Subdivision: Owner: Troy Finfrock 5630 Main Street Phone Number: 541-746-3533 City/State/Zip: Springfield, OR 97478 New Value: $0 Address: Scope Of Work: Banner Golds Gym Quad Area: 4CNE # Of Units: Constr. Type: Water Heater: Office Use land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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 working day. Final Sign Required Inspections I Sign I -After all required inspections are conducted and approved and the sign installation is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Sign District: ,Sign r' , . w . I Vertical: Height (Above Grade): Sqr. Footage: Illumination? 0 Comments: Type of Sign: Face Type: Horizontal: . Thickness: From Grade To Bottom: Sign Material: . . . Job# 00-00682-01 Fee Paid On Receipt# Sign 05/10/2000 1636 Banner Permit Total Sign Grand Total . Page 2 of2 Value/Quantity Fee Amount 2 $80.00 $80.00 $80.00 By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described display will be removed within 14 days from the date listed as the date of installation above. If the display is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 14th day to request an inspection to verify the removal of the banner. This inspection will begin the process to return the $100.00 deposit if the. ban~er h~e~~remove~ ----71/JA/h.7';..( .~ ~ /Y/- (I _ Signature . -.-? /;e / CZ7 Date . t.J ~.. .. . BANNER PERMIT COMMUNITY SERVICES DIVISION 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 225 Fifth Street Springfield, Oregon 97477 Office: 726-3753 INSPECTION LINE: 726-3769 Address: 7-6:s. 0 /JJ '" (f'1 City: :7 -Prrnc;, ~ let! -J ContractorlInstaller: /J1 rc..--?'",c:- / '?b~D /70 233 t-fl 0300(/ ?o!d~ &{/pl 5+ mer (1'1 s.1- Banner Location: Assessors Map #: Tax Lot Owner of Property: Phone #: 7?foJ9'::) State: o~ Zip: Address: 2 '7 qc:7 F;rr-e.// 3/7~/!r/ Phone #: City: r.;c/c,en,e? ~ ../ State: c?.;(. Zip: -? 7 ij'Cl'71 Expires: fJ' /00 Construction Contractors Registration Number: Description: C;;rv"j ~/1 Date of Installation: 3- JI ho 1,0,531 r-f-- //7(0 Date of Removal: b Ir ~t7 Banner Permit Fee $40.00 Deposit Required $100.00 By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described banner (s) is not larger than 60 square feet, and will be removed within 14 days from the date listed above. If the banner(s) is not removed within the time line specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 14th day to request an inspection to verify the removal of the banner(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) has been removed. ~/nCJdv' / i1 /" ~ /~ / Signature I /vttt ~ ~;;hC? Date OFFICE USE Date of Application: Job#: Receipt #: Issued By: Amount Collected: