HomeMy WebLinkAboutPermit Signage 2009-8-25
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01133
ISSUED: 08/25/2009
APPLIED: 08/0512009
EXPIRES: 02125120]0
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541- 726-37691nspection Line
SITE ADDRESS: 3626 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1702300001903
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign. Z Coil
Owner: CHANEY NICHOLAS A
Address: 48570 MCKENZIE HWY
VIDA OR 97488
Contractor Type
Electrical
Sign
Contractor
IMAGE KING INC
IMAGE KING INC
I CONTRACTOR INFORMATION'
L. E,,,\l.\O. D
Icen,t~u\\e~xetf'~t~on ate
, gol6B13 olegol' e09t0ft2010
_'\'1'10\'\' ~~~\ei613i3~lles a:.': ~<;~9/6iV~010
BUlLViNGiINFORMAlTIO:N:ioUg\1 ~\\~e I~~~;'
t\OI\\\C\j.~;'2._0C)'\-VV IiII' cO?le~\1e \Ble~..ca\\OI'
# of,StoHes: ,,~a'l 0'0, I\,\ole. '1'1'" \'\IDot Size:
,,'- ""~'" (lIe,. \ \)\1 '1 .\
Hei!1,~tof.~~Kus!!,re' olegol' '3'2..'2.~,Asq Ft 1st Floor:
Type o/::Heat:, 101 \\16. I: _'COO-'3 Sq Ft 2nd Floor:
" _...."ne\ \e~ \s ;
Water(1:ype: Gel' Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
541-484-1482
541-484-1482
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side 1 Setback:
Side 2 Setback: .
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
Sid Ik-\li'''' '."JOR\<.
MOTICE: Jl,LL EX~I~r\~~\;p~SN01
1\'.\S ?ERMI1 S\-\ DEl'. 1RIIy!i'SpontJdo'1{ns:
1\1l1\-\OR\2EDDll~R \S .JI,\.)JI,NDONED f
COMMENCO~'{ ?ER\OD. '
Jl,N'{ 1'00
Notes:
Pa2e I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01133
ISSUED: 08/25/2009
APPLIED: 08/05/2009
EXPIRES: 02/25/2010
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I yaJu3\'ion Descriotion I
Sien
Use Bid Amount
$ Per Sq Ft
, or multiplier
$1.00
Square Footage
or Bid Amount
500.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$500.00
$500.00
08/10/2009
I Fpp; rllWJ
Fee Description
Plan Review CommlIndlPublic
***+ 10% 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
$37.70
$14.30
$7.56
$7.15
$63.00
$80.00
$42.00
8/5/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25109
2200900000000000878
1209900000000000979
1200900000000000979
1200900000000000979
1200900000000000979
1200900000000000979
1200900000000000979
Total Amount Paid
$251.71
I Plan Reviews I
Sien Review
08/10/2009
08/10/2009
APP DJB
To Request an inspection call the 24 hour recording at 726-37~9. 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.
Rpflllirp,-i Infi:np.t'tinll1~ .
1,_1,
Sign Attachment: Method of mountiug the sign 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 01'3
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Status
Iss Ii ed
CITY OF SPRINGFIELD
Building/Co,mbination Permit
PERMIT NO: COM2009-01133
ISSUED: 0'8/25/2009
APPLIED: 08/05/2009
EXPIRES: 02/25/2010
VALUE: $ 500.00
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 carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify thaI 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.
1 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.
~~
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Owner or Contractors Signature
Date
Pa2e 3 of 3
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I Date: pj/ 5/ e '4'
I
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 .
days of issuanee or if work is suspended for 180 days. .
Residential"per unit. service include-d:
11.000 sq. ft. or less (4)
I Each additional 500 sq. ft. or portiOll
thereof
I Liinited energy (2) ,
I Each manufactured home or modular I
dwelling service or feeder (2)" $ 63.00 $
.
'IM"Vo(.. e,..istIVl'" to. -1-"3' -A-_ l5"07 Mok"-'<lk ! Services or'feederS: installation, alteration. relocat/on
I~ >::~~1~~'1Df,,Jl:~:=00~:::~ : :::::: :
.Name: 1M ,&e6...l lAA'E'AJ-.ClMJ S I 401 to 600 amps (2) I $158.00 $
Address: ...,,,...b OhflMp,C- I 601 to 1.000 amps (2) $205.00 $
I City: ~P{i""'''lt-J& I State:6v-. I ZJP:.&11477 Over 1.000 amps or volts (2) $469.00 $
Phone: S4t:'f(:'io-"',&'J1:.1 Fax: Reconnect only (2) .1$ 63.00 $
E-mail: we7t'l^-\"'4d """t, @ c.e.....~,) ('1 .~~,. ",-e:+ Temporary .ervices or feeders: installation. alteration, relocation
This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 . $
.owned by me or a member of my immediate family. This 20] 10400 amps (2) $
property is nol inlended for sale. exchange, lease, or rent. OAR . 87.00 $
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $
Signature: Over 600 amps or I.OO~ volts, See services or reeders section above
~essn':;'~~~~;~~1 =r;:::o:i~:=~ ;:~~t:::::::~:7:=~rfeederfee:
I Address: I of ~ t. 6v-~~L., - I I E&:h branch circuit I I $ 6.00 I $
.1 City: €Vc,~ I State: ()'r.1 ZIP: "17402. I b. Fee for branch circuitswithoutpun:hase ofaservice or feeder fee: H
I ::;:5~:;~:;1~ \I~:~~~:J:~.,~ i ::::::::c:::~crr.uil I ,I; 5:'::/ ; I
CCB license no.: I bl;.' 3 I BCD license n6.: I 'I Miscellaneous r...:service or feeder not ina/uded
Signing supervisor's license ~o.: qq~ 516- I Each pomp or irrigation circl. (2) . ,..&'63.00 $
Print name of signing superVisor: I3D e . Pp t2J; F /... ~ 1 Each sign or outline lighting (2) V $ 63.00 $
. SignatUre of sigoing supe~~or: ~ Signal. circuit or a li!nited-eoergy panel, $ 63 00 I $
., /7'" alteranon, or extenSIOn (2) .
Each additional inspection: (1) .1 $58.00 1 $
Electrical Permit Application
, ~IT.YOF ~PRI~@FIELD,; CfREG0N:, .
115 Fifth Street.Sprioglield. OR 974n. PH(541)7Z6-3753. FAX(541)7Z6-3689
./
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'V f\.;i;@..fY
~~
440-2584.) (910BICOM).
$134.00
$
$ 26.00
$
$ 32.00
$
L
1
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(A) Enter subtotal of above fees
(Minimum Permit F.. $58.00)
1 (B) Enter 12% surcherge (.12 x [Al) J'
I (C) Technology Fee (5% of [Al)
1 TOTAL fees and snreharges (A throngh C):
$ h3
$ 756'
$ 31:>,
$ 73?L1
225 Fifth ,Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department:
Public Works Department
Job/Journal Number
COM2009-01l33
COM2009-0 1133
COM2009.01133
COM2009,01133
COM2009-01133
COM2009.01133
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000000979
Date: 08/25/2009
Description
Sign Plan Review
Sign 0"35 Square Feet
Sign - Outline Lighting Each
+ 5% Technology Fee
***+ 10% Administrative Fee***
+ 12% State Surcharge
Paid By
IMAGE KING INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
018 13224 In Person
Payment Total:
Page 1 of I
I1:16:IOAM
Amount Due
42.00
80,00:
63.00
7.15
14.30
7,56
$214.UI,
Amount Paid
$214.01
$214.UI
8/25/2009