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Home My WebLink AboutPermit Signage 2010-2-3 _S,F!RINClF;'SI.,O,; ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00124 ISSUED: 02/03/2010 APPLIED: 01/29/2010 EXPIRES: 08/03/2010 VALUE: $ 7,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 304 Q ST ASSESSOR'S PARCEL NO,: 1703262401600 Springfield TYPE OF WORK: Sign TYPE OF USE: PROJECT DESCRIPTION: S;'gn - freestanding sign for Dialysis Center New. " Commercial Owner: Address: SPRINGFIELD DIALYSIS LLC 3355 RIVER BEND DR STE 200 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Sign Contractor E S & A SIGN CORP E S & A SIGN CORP License 163470 163470 Expiration Date 03/16/20 II 03/16/2011 Phone 541-485-5546 541-485-5546 B,UlLDING INFORMATION I # of Units: Primary Occupancy Group: Secoudary 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DE':ELOPMENT INFORMATION I '--:-':, Fl"Ol1tyard Setback: Side I 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: I PUBLIC IMPROVEMEN'tlENTlON: Oregon law requires you to follow rul!lftIMmtEl4~ the Oregon Utility Notification Center. iiiose rules are set forth In OAR 95floo~wn OAR 952-001- 0090. You may obtain copies of the rules by calling the canter. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Storm Sewer Available: y Specialll1st'1~'\!i'i~CE: l EXPiRE If 1HE waR 1 . HIS PERM\1 SHJI,l S PERM\1 IS NO Notes: . 1111HOR\2ED llNDER1HINOONEO fOR ~OMMENCEO OR IS /l.B/l. /l.NY 180 DAY PERIOD. """ . .Page I of 3 ".>.: ~'. I tlJ.'I;" .. 'l!' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00124 ISSUED: 02/03/2010 APPLIED: 01/29/2010 EXPIRES: 08/03/2010 VALUE: $ 7,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Sh.!1l Tvpe of Construction Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 7,900,00 Value Date Calculated Descriotion Total Value of Project $7,900.00 $7,900.00 02/02/20 I 0 I . Fpp<Pqjrl I Fee Descriotion Sign Plan Review ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Sign 0-35 Square Feel Amount Paid Date Paid $42.00 $14.30 $7.56 $7.15 $63.00 $80.00 1/29/1 0 2/3/10 2/3/10 2/3/10 2/3/10 2/3/10 Receipt Number 1201000000000000085 1201000000000000099 1201000000000000099 1201000000000000099 1201000000000000099 1201000000000000099 Total Amount Paid $214.01 I Plan Reviews I Sien Review 02/02/2010 02/02/20 I 0 APP OJB 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. ~irprl 'r,~nections I Sign Location: To verify the location of the proposed sign, Sign Footing: After excavation and forms are in place, but prior to concrete. 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 3 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ',',' '?" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00124 ISSUED: 02/03/2010 APPLIED: 01/29/2010 EXPIRES: 08/03/2010 VALUE: $ 7,900.00 Status Issued By signature, I state and agree, that 1 have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and 1 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 descrihed 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. 1 further agree to ensure that all required inspections are requested at the proper lime, that each address is readable from the street, that the permit card-is- cated at the front of the property, and the approved set of plans will remain on the site at all ti~iing ~7truction. 1 /l;! ( ;;Wjj)~ ( il XiZL 2- J~ /() ownf or Contractors Si~nature Date ,/'J .,,' I,".':. :."- ." . ,~;~! ~ f ;."I. :~ Paee 3 of 3 ZON rNlTIALS DATE SOURCE 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number c.oJM.~Olo'-oe I Zl( Date 1. JmQ@rIQ~lQtrilY:$f~ft?I~:rrQ.&f~II:;~~' 3.'~C.qMH@~Jfl!g~Q[iEi:H@~)~g;QJ12~~;'~~i~J\~~j~:;,lf~~ .50'1 (1)' ~r ' ' LEGAL DESCRIPTION: A. ~~~B~i~!f!!il!!~~tgg~~f;:M]Iti*~tjiily;m;;;:ffiilli~;i!'i1];.i4~1 I 70:3 Z b Z t{ D{ b60 Service Included , JOB DESCRIPTION: U<&miL tI.c /auPl /Jl () I) c.fA Gc/T s; (IS\... Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. , ) r~eONTAACToRJiNST}titiMTi(;N?ONiJy~~ 2. Db".j....",',"'.V'~""";I:''"'''-".~'"'''"''''i'.'c..,."''.-'t'~'"''"":::,,,.<:;;'''....'"-~.w.;,,..-"~ccX'-'P;:;;f€~A;.v:'''.;','"''''.8j~ Electrical Contractor 8 1- -4 ~6$ Address lcrCf75 ~~eh City ~C? 6iVG- Phone tf!!>~-$~t/{, Supervisor License Number Y ~I '( 5/6- 1 EXPirationDatej t!)d. I{) Constr. Contr. Number It, 3 <l7D Expiration Date -S ~I {,. 20'1 '., . Signature of Supervising Electrician ' I-~d~ kHJ~ Owners Name Sfl:=l> ~/ AL.Y's i S" LLC Address .3 3SS- 121 V ~ll... Bt"Nb iJlL City ~'?f'b ~ '7l/77 OWNER INST ALLA TION The inSla, lIation is being made on pro~erty I 0 hich is not intended for sale, lease or rent. . ,,'- , ~ Owners Signature: ~~ ~- " Inspection Request: 726-3769 ~.~o J 0;ff ~~ 1000 sq, ft. or less Each additional 500 sq. ft. Of portion thereof Each Manufact'd Home or Modular Dwelling Service Of F eedef $117.00 $ 21.00 $55.00 l~fu:'?JttU~:;i1it!~:":;,jc;~g~p,;;~.)t,~iit;"'~i'''t+)';;JiikJ'~;~''*I';:';'~(';;~i#~~j'f@t4~'~y.;;;tr'?';"::L.;,\,it~";:l B. :~~~,m:~,~!)~!}tf~,~~;~r~A~%I.p:~~U!!!,Q.~';:~!"f,~~~w~!!n~~9!1i~~!2s!1t?n::~#~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 , $413.00 $ 55.00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. $ 55.00 . $ 76.00 $1]0.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48,00 $ 4.00 E. ~~~~S~~~!~~~(~~~~~!~~tiY~tff~~i[~!~)!-t~!~~rin~i~!tt1::t~r~~ . Pump or irrigation ~o;!. , Sign/Outline Lighting I p:oO \ Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. t;3. ( _7.~' b3~ 12% SIa~e ~urcharge \ --- - - 5% Technology Fee '~/S- 7 3> 7.!- TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 1~08.doc SiPR(NCF~ELD ~~ ' . ' ", 8'" .~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 o City Job Number CI C> - 00 I Z L\ Il~l Site 'Address: ~ 'f,!! Assessors Map ~j ~ Il~l f~~ Business Name, Firm, etc ~~ Description of Proposed Sign(s): (please cbeck and complete all a~~,v~,;ate infonnation) ~r- _ 'Wall ".I- Freestanding Projecting Roof ( ~ :--- Single Face .-+- Double Face Billboard Other ~ ttf r /1 't ~j Square Footage: .;"" r Total Height above Grade: _5 7 '9' "f Vertical Dimension of Sign or Enclosure: 5' '7 '/ {)J!/.t..{ Horizontal Width of Sign or Enclosure: I Dimension from Grade to Bottom of Sign EnclosureRr bLAOl; Electricallnslallation:.t_Xes _No , (If yes additional electrical permit required) tit> ~ Material Sign is Constructed of: A/"'ufnttJii.n,\1 ~ Value of Sign: -.2.9ctJ ' Il~l ~l ~l ~~ (c ~l ~ ~ City. r J' Construction Contractors Registration Number: r-l Plan Review Fee of $40 per sig'n is due with application. Mcf f}.)"~, 17'03. zbz L{ . Tax Lot' 6/bOO owner7R65Q/ I as IJJGtJlc:A(. Address: . 30 '-f "15/' ..-Sr- City $jJt./ Jt.JC)RGUJ , (~ , Phon" State_f)~ ' Zip 97 </7 7 Marquee 'signage and attach a photograph of each sign: -'- ~ C~~.ettt!nbi--. Sq, Ftg.' (b) Type Sq. Ft~ Sq. Ftg. (d) Typ' Sq. Ftg, Contractorllnstaller:?'"S sf- /1 ~ Address: R'1 c; 7-:=:' ffA-lRff:. 1!oA-'" ,c:U6EVG- Phone: ~g~ -r;SY G. /t3cf7o Sta;e:V. Zip: 97f1(J2 Expires: 314- ho 1/ , OFFICE USE ~l Sign District. ~~ ~' I ~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all r ' information herein is true and correct, and I further certify that any and all work perfonned 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 Il~~ further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. OO~ [ further agree to ensure that all require' ections are requested at the proper time, that project address is readable from the (11 'street, that the pe 't card is loc at the fro t of the ~.v~vaj, and the approved set of plans will remain on the site at all '1.. times d' . llatio of '. /1 /) Signa~' . '- ~ 'Date 1-;::; 7 -10 CL.- Zoning: cc . .l\h;!Tl".tl nriw,rr.\IR"ilninl' Fnnn~;1m Pp.nn;1 AnnlirJltinnl..fl1 ntv':; 225 Fifth Street Springfield, Oregon 97477 54 I -726-3759 Phone .PAI~~P1ItL-O.... .,_, I iA"r~ -- City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM20 I 0-00 124 COM20 I 0-00 124 COM20 I 0-00 124 COM20 I 0-00 124 COM20 I 0-00 124 Payments: Type of Payment CreditCard cReccil111 RECEIPT #: 1201000000000000099 Date: 02/03/2010 Description Sign 0-35 Square Feet Sign - Outline Lighting Each + 12% State Surcharge + 5% Technology fee ***+ 10% Administrative Fee*** Item Total: Paid By ES & A SIGN CORP/LINDA Check Number Authorization Received By Batch Number Number How Received NJM 003366 In Person Payment Total: ....."..,. . :.:"." Page I of I 8:29:40AM Amount Due 80,00 63,00 7.56 7.15 14.30 slnol Amount Paid $172,01 slnol 2/3/20 I 0