HomeMy WebLinkAboutPermit Signage 2009-11-23
Status Issued . 'illS yell \0",
~ fetlll' UtilI.,
225 Fifth Street, Springfield, OR ",. OtegOIl Ia: \tie 0199011 8\\0"" .
541-726-3753 Phone ~o. dopt9d '0'1 t\11e!late~.oo'\.
541-726-3676 Fax tollolN fllleS~lItet. "(noS~Ilg"O~ f\lleatjf
. 541-726-37691nspection ~i\\CatIOIl..()O,\..()O'\O\nto"iesoH~~p~one
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SITE ADDRESS: 3312 'G~W~~ ';, ()I~'~~1ngfield
ASSESSOR'S PARCEL NO.:~~Wter11O '\
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-01684
ISSUED: 11/23/2009
APPLIED: 11/23/2009
EXPIRES: OS/23/2010
VALUE: $ 32,000.00
TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Signs- Travel Lane County
Owner: NEWGATE LtC
Address: 840 BEL TLINE RD STE 202
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
. contracto," Type
Elrctrical
Sign
Contractor
. IMAGE KING INC
IMAGE KING INC
License
161313
161313
BUILDING INFORMATION I
Expiration Date
0910112010
09/0112010
Phone
541-484-1482
541-484-1482
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
.# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ff Garage/Carport
Sq Ft Other:
Occup~nt Load:
n/a.
I DEVELOPMENT INFORMATION I
FrontYllrd Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setba"ck:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: .
REQUIRED PARKING
Total:
~andicapped ,-
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Noles:
NOTICE: . ..
THIS PERMrr SHAll EXPIRE lFTMEWORI.
AUTHORIZED UNDER THIS PERMlfl8 NO"
COMMENCED OR IS ABANDONED FOR ..
!~NY 180 DAY PERIOD.
Paee 1 of 3
\
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line'
Description
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Use Bid Amount
Sien
Sien
Sien
Fee Description
***+ t 00/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign 101-]50 Square Feet
Sign 61-100 Square Feet
Sign Plan Review
Total Amount Paid
Sign Review
1112312009
CITY 01' ~rKIl~Gl'lI<..LD
\
,
Building/Combination Permit
PERMIT NO: cOM2009-01684
ISSUED: 11/23/2009
APPLIED: 11/23/2009
EXPIRES: OS/23/2010
VALUE: $ 32,000.00
I v aluation De~criDtion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
13,000.00
13,000.00
6,000.00
11123/2009
11/2312009
11/23/2009
Value
Date Calculated
Total Vaiue of Project
$13,000.00
$13,000.00
$6,000.00
$32,000.00
l.Fpp< p'JilU
Amount Paid
Date Paid
Receipt Number
$46.00
$22.68
$9.45
$23.00
$189.00
$320.00
$140.00
$126.00
11/23/09
11123/09
11/23/09
11123/09
11/23/09
11/23/09
11/23/09
11123/09
1200900000000001279
1200900000000001279
1200900000000001279
1200900000000001279
]200900000000001279
1200900000000001279
1200900000000001279
1200900000000001279
$876.13
Plan Reviews I
11/23/2009
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. .
RpnllirprUnsnectionlit I
Sign Attachment: lV!ethod 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 01'3
Status
Issued
;'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-01684
ISSUED: 11/23/2009
APPLIED: 11/23/2009
EXPIRES: OS/23/2010
VALUE: $32,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
By signature, I state and agree, that I have carefully examincd the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hcrein, and
that NO OCCUPANCY wiIl'be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are incompliance with ORS 701.005 will be used on this project.
I fnrther agree to ensnre that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~~ fY1u~y&
/ / 172-/09;
O"\/Oer or Contractors Signature
Date
Paee 3 of 3
. Electric;alPer:qlif Application SPR'NGAELD ~ [.{~]liiJlmiii~!:~.1
I p~~~O?~ Ol{,?i( [
. ~ I JI';;"/. I
225 Fifth Streetts~ringfield' OR 97477'PH(541)72;;~~(54@J/~) Date: ',? It c). J
Thls'permlt IS Issued under OAR 918-309"0000. Permits are nontransferable. Permits expire if work is not started within 180
. days of issuance or if wo~k is suspended. for 180 days. .
1.~~jI.!'j;):Q'kil?IG.QV~Rl\IM1;Njfl'g~RQsqA~~1
li~=~;~~~~;>l0~~N~~Rci~J1jtQ~J
I D Residelitial J 0 Government I sColl)Illercial
li~~:~~:~itE~;;~;~:8ill~~~:~€}~;=~~1
I City:.' Sf7riJ/~-P.'d d I State: O[L v I ZIP: 9.1417 I
I Subdivision: 1 ")t) :1 .zz z. 0 I Lot no.: Of 7(70. .
11l'!Ji~'i'%,~~~I;$QRfgm!!:>NJ[0fJ[W~FK~U:~.
I, <I (';, /'JS I
I: /. .
1~ti',:~-_"I..~.;;",,;;r~_Ei!..O_.R~0''''E::'R~,*,t.'-W''' N' 'E: R2!~"'''''~1'i'h"",'.~li
~~i~"*.."'___~_~"___mlZ___,_!~ti!k..\?,_ _-_-'--__,__.i~~~~~~j}~~~"
I Name: 'Ne.0JG8Te lLC I
I Address: 840" :Bi"lt1i!l1~ ROclJ I
'1 City: C:;WirCrP/e id I State: rw, I ZIP Q1t./.n I
I Pho~e: t:;L/I- il3itJC,241 Fax: -'. . I
/E:mail:
This installation is being made on residential or farm property
owned by me.or a member of my immediate family. This' .
property is not intended for sale, exchange, lease, or rent. OAR
.479.540(1) 311\1479.560(1); .
Signature:
I~=::;&~:~~O~I~~~:~~;:~~~~;~I
I Addiess: 2..00' G.n'WJp <:-.1 ST.' I
I City: FiJOIP 1/](' . . IState: OtG I ZIP:H7lflJ2 I
I,Pho~e:5'l..Jf . 18'-llt.jf321 Fax:,q,{.,i:;. 800;'--11 I First branch circuit (2) I I $ 55.00) $
I E-mail: ---1D1M ~j Vltl:::0 e k/!f\D 51aYlS' , Co JIVI II Each additional hranch circuit 1.$ 6.00 $
.I'CCB license no.:' 10/." I~. 'J BCD lie' ens. ~o.:;('Q- 530C(., I Miscellaneons fees: service or feedec not included
ISigriingsnpervisor's licedie'n'6F iCier '7 6 fer, 7/1/1/ I Each pump or irrigation circle (2) '. . $ 63.00
I ;Print name of signing supervisor: /?OBER'I' 'PfE L FLb I Each sign or outline lighting(2) 3. $ 63.00
i Signature'of signing supervisor: /' / ~ ./ I Signal, circuit or a li~ited-energy panel, I $ 63.00
" - /<"'.-/L:~ alteratIon; orextenslOD (2) .
OY'lCflV't~. (. "Si}!/]'a1.'UV' e Each additional inspection: (1),
I --(~ Vl/(~~
'6^--
~ ~f\,'? .
. .
.~~
C\ .- \ ;'\6
V~('fJ
'.
~ p..'&--
~n;~r
~~.
440-2584'J (9/08/COM)
I ResidentiaJ, per unit, service inbJuded;
11,000 sq. ft. or less (4)
'I.Each additional 500 sq. ft. or portion
thereof-
I Limited energy (2)
I Each manufactUred home or mod.~lar
dwelling service or feeder (2)
'I Ser:vices. or feeders: installaiion, alteration, relocation
200 amps or less (2) $ 81'.00. $
201 to 400.amps (2) $ 96.00 $
I 401 to 600 amps (2) . $158.00" $
I ,601 to 1,000 amps (2) $206.00 I $
lOver 1,000 amps or volts (2) $469.00 I $
I. Reconnect only'(2) $ 63.00 I $.
I Temporary services or feeders: installation, alteration, relocation
I 200 amps or less (2) $ 63.00 $
I 201 to 400 amps (2) $ 87.00 $ I
.1 401 to 600 amps (2) I $126,00 $ I
I O~er 600 amps or 1,000 volts, see services or feeders 'section above I
I < Branch circuits: ne-w, alteration,:extension per panel J
J a. Fee for, branch circuits with purchase ofaservice-6r,~eeder fee: I
Each branch circuit I' I I ..I
$ 6.00. $
b. Fee for branch circuits withoutp'urchase of a service or feeder fee: I
I
I
$134.00
$ 26.00
. $ 32.00. $
$ 63.00
(A) Enter subtotal of above rees
(Min,imum Permit Fee $58.00)
I (3) EnterU% surcharge (.12 x [AD
(e) Techn~logy Fee (6% of[AD
TOTAL fees and surcharges (A through C):
$
I
I
I
I
I
I
I
I
,
I
I
$
$
$
$'/ <g<j
r:', '8'7',
$ 7'2 ~t
$: (Pi s--'
$i 'Z"Z- I, 13.
City of Springfield Official Receipt
Development Services Department.
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 168'4
COM2009-0 1684
COM2009-0 1684
COM2009-0 1684
COM2009-0 1684
COM2009-0 1684
COM2009-0 1684
COM2009-0 1684
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000001279
Date: 11/23/2009
II :07:49AM
Description
Sign Plan Review
Sign 61-100 Square Feet
Sign 101-150 Square Feet
+ 5% Technology Fee
... ***+ 10% Administrative Fee***
'Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
126.00
140.00
320.00
23.00
46.00
189.00
9.45
22.68
$876.13
Paid By
IMAGE KING
hem Total:
Check Number Authorization
Received By. Batch Number Number How Received
Amount Paid
LLH
13742
In Person
Payment Total:
$876.13
$876.13
.:,:.
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Page I of I
.,
11/23/2009