HomeMy WebLinkAboutPermit Signage 2009-9-16
CITY OF SPRINGFIELD
"'-.'.! .
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Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-01299
ISSUED: 09/1612009
APPLIED: 09/02/2009
EXPIRES: 03/16/2010
VALUE: $ 8,000.00
225 Fifth Street, Springfield, QR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 400 INTERNA TIQNAL WAY
ASSESSQR'S PARCEL NQ.: 1703154000500
Springfield TYPE QF WORK: Sign
TYPE QF USE: New
Commercial
PRQJECT DESCRlPTIQN: Sign - Mookies
Qwner: HAWES INVESTMENTS LLC
Address: Po. BQX 7548
EUGENE QR 97401
. ~. .
I CQNTRiKTQR INFQRMATIQN I
Contractor Type
Electrical
Sign
Contractor
IMAGE KING INC
IMAGE KING INC
License
161313
161313
Expiration Date
09/0112010
09/01/2010
Phone
541-484-1482
541-484-1482
# of Units:
Primary Qccupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
,I.mUIUDINGCINE0RMA:TIQNI1S you to
fOllow'rw'es aoopleu uy we J, \'yon Utility
NotificE#'Of,Stiifie-s:, Those rules are set forth Lot Size:
in OAR lieTghjlOr~slHic'iiifeJ9h OAR 952-001- Sq Ft 1st Floor:
0090, \'rypelofH~:if:in copies of the rules by Sq Ft 2nd Floor:
callinW"tert~l!te~' (Note: the lelephone Sq Ft Basement:
b f tb Y " Ut'l't N t'f' t'
num rR~li'ge'Type':egon II Y 0 Ilca Ion Sq Ft Garage/Carport
Eri~l-~yrpatH:800-332-2344). Sq Ft Qther:
Sprinkled Building: n/a Qccupant Load:
I DEVELOP~ENT INFQRMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Qverlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQ'UIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMp<ROYEMENTS I . K
' I HI::> l"thlVIII uMLL EXPIRE IF THE WOR
. AUTHORIZED UNDEFNAm'l/5E1W~lIS NOT
COMMENCED OR IS 9&>>'!iiiNJitiflUr!i(D~
ANY 180 DAY PERIOD.
Notes:
Paee I 01'3
_~~~";!Ji!~;~',
....,;;, - ',."- .' - j ~
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k
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01299
ISSUED: 09/1612009
APPLIED: 09/0212009
EXPIRES: 03/1612010
VALUE: $ 8,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Use Bid Amonnt
$ Per'Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
8,000.00
Value
Date Calculated
Description
Tvpe of Construction
Sien
$8,000.00
09/15/2009
Total Value of Project
$8,000.00
Fp~<, P'jj,j,JJ
Fee Description
Sign Plan Review
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign 36-60 Square Feet
Amount Paid
Date Paid
Receipt Number
$42.00
$11.00
$7.56
$8.65
$63.00
$110.00
9/2/09
9/16/09
9/16/09
9/16/09
9/16/09
9/16/09
2200900000000000998
1200900000000001067
1200900000000001067
1200900000000001067
1200900000000001067
1200900000000001067
Total Amount Paid'
$242.21
I PI~n Reviews I
Sien Review
09/15/2009
09/15/2009
APP DJB
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
work day. ' .
L_iG~r~rlln~,~ections I
Sign Attachment: Method of mounting 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 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01299
ISSUED: 09/16/2009
APPLIED: 09/0212009
EXPIRES: 03/1612010
VALUE: $ 8,000.00
By signature, 1 stale 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 ther,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 ens;'re 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 constructjoiI.
"T)~~- ~~
Owner or Contractors Signature
Paee 3 01'3
9 !,t./ti\
Date
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 i,rwork is suspended for 180 days.
'~~:.~~~
~"IlW~-~~~.
~ Residential, per unit, service included:
~ ReSi~ential_,1 0 Governn:ent, ~.;~~ercial..1 11,000 sq, It, orless (4)
I ~---~~ .~A\1!~] I .
Job site address: ': i./vo '''r'6I\..,J/'qlo-'.I'<t.r ~ I ~~~~o~ditional 500 sq, It, or portion
City: <1,^,v'J...lllo..4/J I State: O,^- I ZIP: ?7'f17 I I Liinitedenergy(2)
Subdivision: 1701 /SlfO I Lotno,:C)OS"c)O I Each manufactured home or modular
~~ dwelling service or feeder (2) $ 63.00 $
( U:..'Lf " -; ;(\) - Li)~ I Services orfeedcrs: Ins/alia/Ion. olleration. relocation
~~~l :~::oo:::;:~ .: ::::: :
Name: /wa. f~ M4--'(.(1\-L. ATTENTiON: OrElgdr,40J,to:60g,IimPS (2)U to $158.00 $
Address: <-6..v 1;J~1.o~~~',~:,,^~~~~~~;.~J~I, 66ii\;(j,oO'"o~~p~ii51~~L $205.00 $ 1
C'ty. r.JJ ,/"'~ ./1 I State. riA : -I'c'ZIPH - :9',-'" 7ulI,' ( 1 (,/'t'6.-;' j-riOO:';;;p-s-;';;";'ltS:('i) $489.00 $ I
1. ....,rIJUA('\~""'..1 . L/'- In _ _' -.)7..111<'1'\1 _ ' "" "J,'~"-u,~' - .1vL-....,v, .
Phone: _ _" I Fax: _ 0090, YOI.' may Obal/1Re"!'nnectionly:(2)Jles by $ 63,00 $ I
E- iI' vCl.;;;II\:j ~;11;;i ~...,',:~ r. I(Tr~ot~tYf~~~~~)JWreeders: installation. alteration relocation
ma . 1111mhpr fnr thp. C re\j- ~ :"'~::::', ~':~::':-:'::::-: ,.1
This installation is being made on residential or farm prt5-p~rtyJr is 1-1 liW9.,~~~J!\~~ (2) $ 63.00 $ I
owned by me or a member of my immediate family. This I 201 to 400 amps (2) $ 8700 $ I
property is not Intended for sale, exchange, lease, or rent. OAR I .
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ I
Signature: lOVer 600 amps or 1,000 volts, see services or feeders: section above I
~ J ':'-'_~;~~ I Branch circuits: new, alteration, extension per panel I
Business name:, J i111J-~ fc.v, ~ S il.r>$ I a. Fee for branch circuits with purchase of a service or feeder fee: I
Address: laJ G.I'-I ~ S n I Each branch circuit I I $ 6.00 I $ I
I City: 15 Vu0-\t I State: 0....... . I ZIP: 1 b, Fee for branch circuits without purchase ora service or feeder reel I
I Phone:~\S'I- Jl{-St..' I Fax: -4'<; C?11'1 First branch circuit (2) I. I $ 55.00 I $
E-mail: ' tJ{uei4l 1"'l"'4<.,I"-vt.~<;'~>1\ 1'1";1:":: Each additional hranchcirouit ' $ 6.00 $
CCB license no.: ~ Ii n r BCD license nO':T~~S;;~: ~ ~1~I!'!9/l!few.~'M~er no/ included I
Signing supervisor's license no.: ijq,,(.sf f::r 811Tl-lnR 17Fr L ~J:i'!\'1I:~"!'IP!~ i'lJill'!l1.q~1CitEJet(~T $ 63.00 $ I
I Print name of signing supervisor:I<i7.8t=!/i!T fi?f,'6,"Z!i~b rll illaP!1 stl\l"qNf.9t!J~H@llit!1f(2) j $ 63.00 $.451
'I Signatureofsignings,upervisor: A7 / ~NY 180 DAll cl~lW1}.ircuitorali!'lited-energypanel, $ 6300 I $ I
~~LA/(,-'I, f II alteratIon, or extenSIOn (2) .
Each additional inspection: (1) $58.00 I $
Electrical Permit Application
-I, _ .
CITY QF ~PRINGFI~bD, qREGON
225 Flftb Strect+Sprlngli.ld, OR 97477+PH(541)726-375J+FAX(541)726-J689
:.:~~ ~~. :;:, ~'%-t:e:';::,..
~~~~
~\}V ~ ~
6: \. B'
(XV' w
~
~~
440-2584-1 (9/08/COM)
~i\1!t5.~~'K~~~~
SP~.A'NO"''''-O~ ID1"'-""-'-."'-"""-,._
L~. CD~z.o. O'-O/Z7'q
iI!I\;. . Permit no.: /
Date: ~
. //~',
$134.00
I
I'
I
$
$ 25.00
$
$ 32.00
$
(A) Enter subtotai ofabove fees
(Minimum Permit F.. 558.00)
I (B) Enter 12% surcharge (,12x [AD
I (C) Technology Fee (5% of[A))
1 TOTAL fees and surcharges (A through C):
$6>
$ 7.%
$ ~/:J
$ 7_~ 7{
225 Fifth Street
. . . .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number"
COM2009-0 1299
COM2009-0 1299
COM2009-01299
COM2009-0 1299
'COM2009-01299
Payments:
Type of Payment
Check
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
1200900000000001067
De,scription
SIgn 36-60 Square Feet
Sign - Outline Lighting Each
.., '-t 5% Technology Fee
, . ,+ 12% State Surcharge
***+ 10% Administrative Fee***
Paid By
IMAGE KING INC
djb
Page I of I
13368
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/16/2009
1O:33:53AM
Amount Due
110,00
63,00
8,65
7,56 '
11.00
$200.21
Amount Paid
In Person
Payment Total:
$200.21
$200.21
9/16/2009