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Home My WebLink AboutPermit Signage 2009-7-24 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01077 ISSUED: 07/2412009 APPLIED: 07/2412009 EXPIRES: 0112412010 VALUE: $ 4,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5790 MAIN ST ASSESSOR'S PARCEL NO.: 1702334101900 Springfield TYPE OF WORK: Sign TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign - Big Lots wall sign Owner: Address: POLEN DEVELOPMENT LLC ATTENTION: Oregon law requires you to 2197 OLYMPIC follow rules adopted by the Oregon Utility SPRINGFIELD OR 97477 Notification Center. Those rules are set forth tnnARo~,)J\n1 rlrdnH.,,~_.._..~ '"'A.....___ __. ooqn Vn1t m!:lll r"Iht~jn ,..,,-....;::~. :l'''-'~'_'''''_~'Ievvb' 1.c0NTRAGTORINEORMATION" s y . . .. . . lone number for the Oregon Utilitv NotiiicatiC1.O Contractor Center is 1-8oo-33J-ls~~~.e I',xpiration Date NICK HOWARD AMO 160384 09/22/2010 METRO WESTERN SIGN & AWNING 160384 09/22/2010 Phone 541-746-3312 541-746-3312 Contractor Type Electrical Sign BUILDING INFORMA TIO\,,' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure NOTICE: Type of Heat: THIS PERMn~~')fWr.~:PIRE IF THE WORK AUTHORIZEOEl~~l~lt~hj:IS PERMIT IS NOT COMMENCErs~'fnifled,B~iI'dHi'g:ED FOR n/a A~,IV 1 nn n^\I nCnlf"ll""\ Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq -Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Im"provements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee I of 3 . - ._E;~Il'l!Illl!liI!D~I:>.;l ~~ '<' - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541- 726-3 769 Inspection Line I Valuatio,n Descriotion I Description $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 4,000.00 Sien Tvpe of Coustruction Use Bid Amount Total Value of Project F~p, P~i.-l J Fee Description ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 101-150 Square Feet Sign Plan Review Amount Paid Date Paid $22.30 $7.56 $11.15 $63.00 $]60,00 $42.00 7124109 7124109 7124109 7124109 7124109 7124109 , Total Amount Paid $306.0] I Plan Reviews I Sil!u Review 0712412009 0712412009 APP DJB CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01077 ISSUED: 07/24/2009 APPLIED: 07/24/2009 EXPIRES: 01/24/2010 VALUE:. $ 4,000.00 Value Date Calculated $4,000.00 $4,000.00 0712412009 Receipt Number 2200900000000000843 2200900000000000843 2200900000000000843 2200900000000000843 2200900000000000843 2200900000000000843 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. wilrbe made the following work day. l~r\1~ Sign Attachment: Method of mounting the sigu 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 Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01077 ISSUED: 07/24/2009 APPLIED: 07/24/2009 EXPIRES: 01/24/2010 VALUE: $ 4,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 c:ud is h/cated at the front of the property, and the approved set of plans will remain on the site at all times during conSlructj6~: J~ . .'lh/ ) ~/.:~._~ 7-:2'(-;Zd>1l9 O /C 'So ~ D wner or ontractors 19nature. ate Pa2e 3 of 3 225 Fifth Street.Springneld. OR 97477.PH(541)726-3753.FAX(54I)726-3689 'DEPARTMENT USEONLY,! ~ ~. ~Vf,(~oi-'OI077 -,_. _ Permit no.: I Date:. 7- 23 - 0 I Electrical Permit Application CITY OF SPRINGFIELD,OREGO~ This permit Is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. I LOCAL GOVERNMENT APPROVAL I Zoning approval verified? ~. Yes 0 No I CATEGORY OF CONSTRUCTION. I D Residential l D Government I ~Commercial I JOB SITE INFORMATION AND LOCATION 1,000sq.ft.orless(4) $134.00 $ I '.-.J Eacb addilional 500 sq. ft. or portion . 25.00 . Job site address: S7CfO \'Y' (>\1 V\. -.::>1. Ibereof . . I City:Spr/w;ne(JI I State: of<- I ZIP: Q7'f7f( Limited energy (2) $ 32.00 $ I Reference: 170Z 334 ( I Taxlot.: 01 "Joe I EacbmanufacJuredbomeormodular $ I $ I DESCRIPTION OF WORK dwelling service or feeder (2) 63.00 I f-IcJo k ur Si. q 0. . +0 G' X' ( J f-~ q' I Services or reeders: installation, a/teration, relocation I pgWeN' S~,.. I 200 amps or less (2) $81.00 $ I · .PROPERTY~OwIIllR' 201 to 400 amps (2) $ 95.00 $ I Name: Pr::>\en ceVB\DP\fVl~ L L C- 401 to 600 amps (2) $158.00 $ I Address: ..21"17 al~Y'^ ';ir. ef.. . I 601 to 1,000 amps (2) $205.00 $ I City:...:5'fri"qFi~(~ I Stare: o~ I ZIP:t'f747f I Over 1,000 amps or volls (2) $469.00 $ I Phone:~:W-7'.5"G f,"J'6:7' I Fax: _ _ I Reconnecl only (2) $ 63.00 I $ I E-mail: I Temporary senrices or feeders: installation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) $ 63.00 I $ owned by me or a member of my immediate family. This I 201 10400 amps (2) $ 67.00 $ PluP':'-I.j is not intended for sale, exchange, lease, or rent. OAR 479540(1) and 479.560(1). I 401 to 600 amps (2) $126.00 I $ Signature: lOver 600 amps or 1,000 volts, see services or feed~rs section above I CONTRACTOR INSTALLATION I. Branch eirenits: new, a/teration. extension per pane/ I Business name: hl\eft-o vve6ir:?y- 11 :5 tq I'l t- Aid) 1 ~Fee for brancb circuils wilb purcbasc of a scrvice or feeder fee: I Address: I 456- Hen d<?,.~ w' I Eacb brancb circuit I I $ 6.00 I $ I City: EAAt?I1e. I State: (Jqi? I ZIP: q 71/tJ3 I b. Fee for branch circuils wilbout purchase ofa service or feeder fee: I Phone:# ~'G-'53fZ----. I Fax;?W-T~51:!>( Firsl branch circuit (2) I $ 55.001 $ I E"mail: Vv\.lV5..2-@eAiV.fC-./.........I! . 'ftd Eacb additional brancb circuit $ 6.00 $ I CCB license no.: }WJ 3B-t/" I BCD license no.: 2}.7-7".?d:;) Miscellaneous rees: service or feeder natincluded I Signing supervisor's license no.: ~?Jf 5" 'j _ Each pump or irrigation circle (2) I $ 63.00 I I Print name of signing supervisor: ..tV~_ A 1411:!::12-.. Each sign or outline lighting (2) I $ 63.00 I Signature of signing supervisor: /j/ ~/ A_L",^ Signal circuit or a limited-energy panel, I 1$63.00 1$ / ~ r ~r~ alteration. or extension (2) Each additional inspeetion: (1) I I $58.00 I $ APPLICANT USE (A) Enter subtolal of above fees (Minimum Permit Fee $58.00) (B) Enler 12% surcharge (.12 x [A]) (C) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through C): FEE SCHEDULE Number of inspections per item'(.), !Qty,1 Cost 03; Total cost Residential"per unit, sen>ice included: .~ ~~~~ ~~'SJ $ $ G3 I I '1 $ (,3 $ 7.>C I $ 3. IS- $n71 ,/' 44O-2584-J (9/08/COM) , . , ' , 225 Fifth Street Springfield,Oregon97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/JournalNumber .COM2009-0J077 COM2009-0 1077 COM2009-0 I 077 . COM2009-0 I 077 COM2009-0 1 077 COM2009-0 I 077 Payments: Type of Payment Check cReceintl RECEIPT #: 2200900000000000843 Date: 07/24/2009 Description Sign Plan Review Sign 101-150 Square Feet Sign - Outl.ine Lighting Each + 5% Technology Fee ***+ 10% Administrative Fee*** + 12% State Surcharge Paid By BIG LOTS Item Total: Check Number Authorization Received By Batch Number Number How Received 1350 In Perso~ Payment Total: CJC Page 1 of 1 2:23:59PM Amount Due 42.00 160.00 63.00 I Ll5 22.30 7.56 $306.01 Amount Paid $306.01 $306.UI 7/24/2009