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HomeMy WebLinkAboutPermit Signage 2001-12-24 (2) , " 0,_' \ . I Job# 01-01333-02 I . Page 1 of2 TRANS#:01-0007604 DATE: DEe 24 2001 AMT RECD:2 $ 230,00 2 $ 400.00 CHANGE: CASHIER: 032 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01333-02 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4124 Main St Spr Assessors Map#: 17023232 Lot: Block: Addition: Address: City/State/Zip: Springfield, OR 97478 Value: $1,500 ~ P'\ Tax Lot #: 01200 Subdivision: Owner: Truax Harris Energy Company 4124 Main Street Phone Number: Scope Of Work: Sign New Shell Station Sign This is a copy with a new Sequence Number Contractor Type Electrical Contr Contractor Registration # Ballard Sign Company 63983 2090 Front Street N,E.. Salem, OR 97303 Ballard Sign Company 63983 2090 Front Street N,E" Salem, OR 97303 Expiration Date 1 '29/2004 Phone 503-363-5517 Sign Contr 1/29/2004 503-363-5517 Quad Area: 4CSE # 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 -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, NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, t .' '. '.; I.. '. .:-~, ' ..~C' ~." J . ~ ';"".': L:.";.:.~ .....t ';JJ~,::d by l!"H:.: Q: 6;;on U\I:I~'J f':'.Jj:,....dtion C~nte~. These rules are 5EL ;\Jtj' i :-, '':;/',r-; ..~.: ~O: :_'(;;O:r'r:-';j~h.:JAr:352-C~ - ':0JO, ~ 0u ':'ay "~;i.Jii; ~,1,J:"3 of the rulGS by calling li~c <:6f,:a:, (Nore: the telephone lumber for tile 8;::g~1i, l;lii:ty Notification Center is 1-8C,)-.1S2-2344). \ " . I Job# 01-01333-02 I . Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq, Feet) Main: Accessory: Sign District: commercial-~I rSign Di w ~i~ ~'n Vertical: 19' 5/8" Horizontal: 7' 9" Height (Above Grade): 17' 1 3/8" Sqr, Footage: 12,9 Illumination? 0 # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Type of Sign: Other Face Type: Single Face Thickness: From Grade To Bottom: 15' 2 3'4" Sign Material: Aluminum Comments: Canopy at gas station Fee Paid On Receipt# Electrical 12/24/2001 7604 12/24/2001 7604 12/24/2001 7604 12/24/2001 7604 Value'Quantity Fee Amount Minimum Electrical Permit Fee Each Sign or Outline Lighting State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 1 $,00 $50,00 $3,50 $4,00 $57,50 Sign Permit - 0 - 35 Square Feet Sign Application Plan Review Total Sign Grand Total Silln 12/24/2001 7604 12/24/2001 7604 1,500 1 $80,00 $40,00 $120,00 $177.50 Plan Check Type Checked By Date Completed Comment Sign Kaye Wilson 12/19/2001 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 will remain on the site at all times during the installation of the sign(s), .../uA.. I?u>-J SigKature /U~I o /)../2lf ~ / I Date