HomeMy WebLinkAboutPermit Signage 2002-9-23
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I Job# 02-00868-02 I
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Page 1 of2
TRANS#:Ol-0010683
DATE:SEP 23 2002
AMT RECD:2 $ 137.50
CHANGE:
CASHIER: 001
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City 01 Springfield
Community Services Division
Building Salety
Job Number: 02-00868-02
225 Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2001 Olympic St Spr
Assessors Map#: 17032542
Lot: Block: Addition:
Tax Lot #: 00500
Subdivision:
Owner:
Polen Futures Lie
Phone Number: 541-736-6965
City/State/Zip: Sprionfield, OR 97477
New Value: $1,540
Address: 2197 Olympic Street
Scope Of Work: Sign
Perk City
Sign
Contractor Type
Sign Contr
Contractor
Registration #
128586
Expiration Date
4/15/2002
Phone
541-746-3312
,~ Metro Western ..
J\', III -, ,'.', _"
:. 303 South 5th Street Suite 175,
.1:.r~pr(ngfieid;'8R 97417 ~ .
.__i'2. \'.J'. ,..;, I:";. ~ Office Use
Quad Area: C:':I~':': ~~'.' . (I" Land Use: # Of Buildings:
# Of Units: ,:J.i1t'8. ,. Ir. ~",;' 'ei -Zein'irig Code:' Occupancy Group: Office/Professionc
Constr, Type: Bedrooms: Heat Source:
Water Heater: Range: NOTICE: Sq. Footage:
I nlil rtnlVlI1 ::'HALL !:XPIRE~~ TH~\MO~
To request an inspection call the 24 hour recording at726-.AVW4ffi\11~~M!1lSf{~~~ KJfPf l:O
a.m. will be made the same working day, inspections requ~~~fterC' a.m'SWi!I N a Mill f ~Id\' .
working day. IV VltlV un A UONED FOR
ANY 180 DAY PERIOD.
Required Inspections
Electrical
Sign 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.
Construction Types:
Occupancy Groups: Office/Professional/Rest
# Of Buildings: # Of Stories:
# Of Bedrooms: Current Units:
Handicap Access? 0 Census Code: Does not apply
,Area (Sq. Feet)
I Main: Accessory: Total:
Height (feet):
Proposed Units:
';"J~
.
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Job# 02-00868-02 I
Type of Sign: Wall Sign
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Page 2 of 2
Face Type: Single Face
Sign District:
rSlgn Dimension"
Vertical: 2' 8"
Height (Above Grade): 12' 2"
Sqr. Footage: 15.
Illumination? [?J
Comments: Perk City
Community Comm
Horizontal: 5' 4"
Thickness:
l' 6"
From Grade To Bottom: 8' 3"
Sign Material: Aluminum I fabric
Fee Paid On Receipl# Value/Quantity Fee Amount
Electrical I
Minimum Electrical Permit Fee 09/23/2002 10683 $.00
Each Sign or Outline Lighting 09/23/2002 10683 1 $50.00
State Surcharge - Electrical 09/23/2002 10683 $3.50
8% Admin Fee - Electrical 09/23/2002 10683 $4.00
Total Electrical $57.50
Sign
Sign Permit - 0 - 35 Square Feet 09/23/2002 10683 1,540 $80.00
Sign Application Plan Review 09/05/2002 10529 1 $40.00
Total Sign $120.00
Grand Total $177.50
Plan Check Type Checked By Date Completed Comment
Sign David Bowlsby 09/18/2002
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information herein is !rue 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).
\X)1\.N'\ ~.~~ ~
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Signature
Date
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,
"'
225 FIITH STREET .,.,
SPRlNGFIELD, OREGON 97477 '
INSPECTION REQUEST: 726-3(69
OFFICE: 726-3759
, ,
: :
ELE.CAL PERlvfiT APPLICATION
. '. oZ-"^~68 -6 ;;":ANSg '01, 0!110683
CIty Joh Numher U'-'O ..." ".TE r. cC r,' '100"
i un . ~ILt j..J '- L
3. COMPLETE FEE SCHEDULE BELOW (li'lT !\ECO'2 :::U7,50
CHA'4GE:
CASHIER '001
, "
I. LOCATION OF INSTALLATION ' ,
;;200 \ .. (')l\l"'" P i. (;.. , .. . ,. . A. New Rcsidenti;i1-Singlc or
?l'\~"-\",,> l.D\- M.uea" "'Dc\\-t\f \'lIaO .\ ;\u'E Multi-Famil)' per dwclling unit.
LEGAL DESCRIPTION O~ -=\I~(, ~ Sc~\\iIlIncluded:
1,63ZSl{Z ~OSOO <\I'e\~"~se
eO ~e \30\"\1.1
\'"7) J"; ,\.. " ,,<'II\'. ecil,C
JOB DESCRIPTION ... E'K\"- \..,.\. ~'\'ec' "s s~lli,e s9 1000 sqJlAll1ess
_Au:"":,,,o, -to I='S=f:"'SOT",<='i!,~~,'e .etriid~diittiiQ1lf 500
.J l - e''-'\.- I~~.
.' ,I' ,,\,,~' "" Sqj~1-Q portion
Permits are non-transferable an1f'~" . i,,1l ~ 0 r \Creof
if work is not ~tarted within I 80"d'~vs 1.0" _ I Manui'd Home or
of issuance or if work is suspended for Ill,e Modular Dwelling
180 days. 0,,\0 . eO 'Oil'''''' Service or Feeder
\'{\o(\1;
I'll
2. CONTRACTOR INSTALLATION ONLY B. Se'Ticcs or Fecdcrs
. Installation, Alterations or
EleClrical'Contractor \'\c\.n,-ll104t.o <5..~ {A"..',,-o, Rclocation:
Items Cost
Sum
$]06.00
$ 19.00
$ 50.00
Address -tc~ 'S. 'b~ 'S\.
$: "-0":'
,/ L.J
200 amps or less $ 63.00 .
20 I amps to 400 amps $ 75.00
lil9J..1mps to. 600 amps $125.00
r''6t/i061m.:to 1000 amps _$163.00_
t)lSIPeIlIWl'l'~/volts $375.00
A/Jff.ffl'Jro~'Dhl'rHALL EXPIRE - $ 50.00 =
COM^1.~~ UNDE~JI:ft$ p/ THE WONK
c. rn~h:X/l,Q,LM\C~~~~AlG(j~~/~~~ NOT
$50.00
$69.00
$100.00
.-
Cit)', ~~'<I.<:,~8-b Phone '1'-1~. "331.:2.
\ - . .
Supervisor License Numb~'r ';;O."l,;}l/ c.LS
,:!:l i\ ,. II - j . . ....~ j '. -. "
,';'-;;Expiration Date" to -'O\.'O~
. ....)/\~1~" '. ,. ...... ,....-. ..,
~.:.,:c'-eonstr Contr.'.Numoer '1 ,n'E,~lo .
Gr'.~lipr" 1l.....0;,i~'.',.I~~.:;: _.:'. ~.c" _ ',.
","~Jpirali.on pate "Dr ,-'1:a'~.oln.'
. . ). --..
200 amps or less
20 I amps to 400 amps
',_ Over 40] to 600 amps
Over 600 amps or 1000 volts see
"B" above
,.
i
. .
Owners Namc~f.o-",- +:J...v c:.,"';-...
D. Branch Circuits
New 'Alteration or Extension Per Panel
Address Z-I 97 of",,,,,, f"-L
City
stlro
S.f.
736 '6765
Each Additiona] Circuit or with Service
or Feeder Permit $ 3.00
One Circuit $43.00
Phone
OWNER INSTALLATION
The installation is being made on
property I o\vn which is not intended
for sale, lease or rent.
E. Miscellaneons (Scrvicc/fccder not included)
-Each installation
Pump .or irrigation
Sign/Outline Lighting
Limited Ener!,'ylRcs
Limited Energy/Comm
$50.00
-L- $50.00 50.00
$25.00
$45.00
Owners Signature:
I\linimum Electric Permit Inspection Fcc is S45.00 + SI,lI"chal'gcs
4. SUBTOTAL OF ABOVE
70/0 State SUI.charge
WYo Administrative Fcc
'So .00
~,".'>O
Y.oo
:$ ~ 1- tfJ)
TOTAL