HomeMy WebLinkAboutPermit Signage 2010-2-12
= 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726..3753 . FAX: (541)726..3689
,0 C;ty Job Numb.,. CC/NI ZO 10 -Dc::. I sS
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~ Assessors Ma,!",
IJ Owner~r--~
~ Address: 't '0 Tf
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~j Descriplion of Proposed Sign(s): (Please check and complete all appropriate information)
,,\ -X- Wall Freestanding Projecting Roof
~j Single Face Double Face Other
~f j Square Footage:...J., ~~...A-. Total Height ~~ove Grade'
o Vertical Dimension of Sign or Enclosure: .~o
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. ~ Dimension from Grade to Bottom of Sign Enclosure
~ Material Sign is Constructed of: A L.v._.,u~.....
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~j Construction Contractors Registration Number: iT) Y cL c;-<O
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\"',-:1',">,." -".@n''ri-.Qf,i;.~'ERINGFIELD, ORE'GO~ . ' . '", .
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Sile Address: C, '6'1 1C.~.vV>..,-:' W'~
liDs z.z.z.o U
Tax Lot:
009/0
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Phone'
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'AIL
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"tate --DQ...
Zip,..jT) 'iI'
City <?{> U"'..,,.,\~
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Business Name, Firm, ete LJ€.'I'J IV~ <..
Marquee
Billboard
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Horizontal Width of Sign or Enclosure: ~ .::,
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Electrical Installalloi\iKYJJs/ No
(If yes additional electrical permit Il'quired)
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Value of Sign: ....J ~ .
List ALL existing signage and attacb a pbotograph of each sign: 2> of '1'~":
(a) Type ~...~ Sq.Flg.:5'~ 'l.+.- (ba."e.J.J\/At..<.-
(c) Type ?<>U':' Sq. Ftg. /(go;; ~-r-. (d) Tyro
S'(.,""~
Sq. Ftr
Sq. Flr
3d.. S4..+r
Contractor/Installer: ~I. K1 \ "-\'- E:L.€'t..-r'\l-\L--
Address: if~~;).l.J FlA 1LI!:.NC..1l. A.n.
City: (l1L~ .v'C\..A....
Phone: ~41-"'7I{'t'-/~IJ
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Zip: 97 'I Un
Expires: ~I.'I
Sign District.
-I- s- OFFICE USE .w~'Xt'
Lc VV\ ...v--.... Zoning:'
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By signature, I state and agree, that I have carefully examined lhe completed application and do hereby certifY that all <'
information herein 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 ihe Laws of lhe State of Oregon pertaining to the work described herein. I
further certifY lhat 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 th';)Pstallation of the sig,n(s).
Signature /7-....-, 4.?v----..... P72.t6 IOt::llVl Date ~. S-. ~~
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Electrical Permit Application
22S Fifth'S....... Springfield, OR 97477. PH(541)726-37530 FAX(541)726-3689
SPRINGFIELD I DEPARTMENT USE ONLY--I
~ ~ I CO....., Z.OIC) - 00 (?J I
__ PermIt no.:
IDate:2!0Q I
. . I
CITY OF SPRINGFfELD, OREGON.
This permit is issued under OAR 918-309-0000. Permits are nontransCerable. Permits expire iCwork is not started within 180
days oC issuance or iCwork issnspended Cor 180 days. '
I LOCAL GOVERNMENT APPROVAL . I I FEE SCHEDULE
I Zoning approval verified? DYes D No I Number oCinspectioos per item{) IQty.1 Cost
I CATEGORY OF CONSTRUCTION ea.
I I Residential, per unit, service included:
D Residential. I D Government I D Commercial I
I" JOB SITE INFORMATION AND LOCATION 1,000 sq. ft. or less (4)
I C. 'l'1 I Each additional 500 sq, ft, or portion
Job site address: -L 'I, l \ctZ-Y\..Sc. W~ . thereof
I City: S('JL"""c.F,<Z\...S\ I State: bt.z... r ZI~ 'l''7<{'l'l) I I Limiled energy (2)
1 Reference: ' 1 Taxlot.: I I Each manufactured home or modular
I .DESCRIPTION OF WORK I dwelling service or feeder (2)
I -T' I I Services or feeders: installation, alteration, relocation
,." "'STY-! (..t -l '" t" So. ) l.orv
I I I 200 amps or less (2) $ 81.00 $
I . PROPERTY OWNER' ./ I 20110400 amps (2) $ 95.00 $
I N,m,e: j::::,F:ze c---::' hV L: I I 401 to 600 amps (2) $158.00 $
I Address: 987 1C-/Ll.A..6e= L,.,A-y.,"iteb~J~/I,000ampS(2) $205.00 $
I City: c:,i>,.;') I State:~"('!(::JP:''7.J~f0~~<~,,,?\~00ampsorvolts(2) I I $469.00 I $
I Phone: _ _ .,.hia'Q':")"'':-GC,?'-'50 UJ e lilies <j~ ~.II!.ellMct only (2) I I $ 63.00 I $
~" ,:,coo. ,'<haS ",011:<, \115\..1, '..
I E-mail: ~:,'l\\(~''l\j {\: cef\\t:\' O\n(O\l~1 ~1\\'Il~ary services or feeders: mstallatlon, alteratIOn, relocation
, "'_0\\00 _, nCYI ~~.
This installation is being made bW~t~~~I\JdLf'l!ibf.~W,~ote,. ~~~ \0 , or less (2) $ 63,00 $
owned b~ me or a member ofm~ e~tetfil1l1~erlll~ ..r\U\i\i\~ '" ~~Ol to 400 amps (2) $ 8700 $
property tS not tntended for sale,Cl!>t~ ~~\Jllis~ ~rl!J!ll!\li{~Z-l3' ., ,
479.540(1) and 479.560(1). ca.11 1\01\1\. ,\..e.OO- 401 t0600amp~(2) $126,00 $
U~Oe ~l~ I
Signature: ' 'C\ ceO <?ver 600 amps or 1,000 volts, see services or feeders section above
I ' CONTRACTOR INSTALLATION I Branch circuits: new, alteration, extension per panel
I Business name: s,\> '-~ roJ \ -€Q:, €L~c.:r-(L\.L I I a Fee for branch circuits with purchase ofa service or feeder fee:
Address: Y,;2 5 d- <I F ~~ Avo<: . I I Each branch circuit I $ 6.00 I $
City: c.. f.....:'>'CV<'-'- I State: 0(7....- r ZIP: 'll 'i.)..{" I I b. Fee for branch circuilswiIhout purchase ofa service or feeder fee:
Phone:S'/!-7'1'f-,.)./? I Fax:s'il -il'Is: 8~7 I I First branch circuil (2) $ 55.00 $
I E-mail: S p"v..-\ ~ S c- r _ ~ . " '" _ 'c......::....-- I I Each additional branch circuit $ 6.00 $
I CCB license no.: l7l{ 'I'$'b I BCD license no.: c.~(' 4! I I Miseellaneons fees: service or feeder not included
I Signing supervisor's license no.: S,{/~:,., S" I I Each pump or iITig~t~~l\.eircle (?) . $ 63.00 $
I printnameofsigningsupervisor:3C1U:""j ~PcIL I I EaehS!gnoroiiiiine)~13~' I $ 63.00
I Signature of signing supervisor: ;1 /.t. ./ I Signal ci~"'ii l~rA~ panel, $ 63,00 $
---::7 / ~ '--"'I ~' a~~ll\'br~'(tfa.
l\01\\i ~~~ s ~~1~ro~'tl:lIo": (I) $58.00 $
i\\\'2> ?\\1.t.~' 1_ \c, ~;ol'.~: APPLICANT USE
\ \ ~\S\\\~t.~Ct.~ ~~'subtotal of above fees
1\ 0'" c,O\J'\ 'OIJ ~fl' Y~inimum Permit Fee $58.00)
~,,~ ~ ~W{ ~ I (B) Enter 12% surcharge (.12 x [AJ)
. \0 I (e) Technology Fee (5% of[A J)
~ . \ \9 I TOTAL Cees and surcharges (A through C):
~<:J~V-
~
Total
cost
$134,00
$
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I'
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I
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I
$ 25.00
$
$ 32.00
$
$ 63.00
$
$b31
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$b3
$ 7:5b
$ --:Sf)
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73Z!..
440-2S84-J (9'08/COM)
U 1 Y OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00185
ISSUED: 02/12/2010
APPLIED: 02/11/2010
EXPIRES: 08/12/2010
VALUE: $ 400.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 987 KRUSE WAY
ASSESSOR'S PARCEL NO,: 1703222000910
Springfield TYPE OF WORK: Sign
"~'. I
PROJECT DESCRIPTION: Sign -lottery wall sign '1'01' Dennys
TYPE OF USE: New
Commercial
_ _:,:,':''''-''''i6l\~8~;;';''~ '"
I PUBLIC I!Yl.PR(}V.EMENT~l\t \f~ W;o1i,' ,
t~Ol '''~fl''l'''' 6~~U. ~Cl ~.!y..Re,:"
r\\$ ?~nWI" NtlS\ \,,~.!::ai;aw "." .
't. l.lirlo?\7S3 \J ft \$ ~~~~~~P:?utsfD'~ains:
fl; . ,,^E~~f,t) On t)t)."-""
~~~ 180 t)p.'{ ft1'l
Owner: DFZEES INC
Address: 3930 ARABIAN WAY
SHINGLE SPRINGS CA 95682
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
SPRINTER ELECTRIC INC.
SPRINTER ELECTRIC INC
License
, 174458
174458
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFO~WN.
\&'II "....,,1 ~,~Ui\ii,
~'liE~l\Ol'l~~~~~ftb'a.Q.te::"$
10\\0\'4 fuleS n\~~oll9~"'m W
N"-~~. :.
InOAR9S2....~ .
Q90 'fOIl m..!....tj.a .
o ceiling \tIll;- ~ .
~ ~ Id'~,. " U1lding:
I. DEVELOPMENT INFORMATION I
." .-,:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
,
:i'..'.
,,_ ., ,Paee I of 3
Expiration Date
02120/2011
02/20/20 II
Phone
541-743-1213
541-743-1213
I
n/a '
Lot Size:
, Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
. Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726..3753 Phone
541..726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Descriotion
$ Per Sq Ft
or mnltiplier
$,1.00
Sqnare Footage
or Bid Amount
400,00
Tvpe of Construction
Sien
Use Bid Amount
. ,'-",
,:,.,;, ..,
'Total Value of Project
,Fppfr;',~
Fee Description
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Sign.. Outline Lighting Each
Sign 0-35 Square Feet
Sign Plan Review
Amount Paid
Date Paid
$14.30
$7.56
$7.15
$63.00
$80.00
$42.00
2/12/10
2/12/10
2/12/10
2/12/10
2/12/10
2/12/10
Total Amount Paid
$214,01
I Plan Reviews i'
Si2n Review,
02/1 1120 1 0
APP DJB
02/1112010
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00185
ISSUED: 02/1212010
APPLIED: 02/11/2010
EXPIRES: 08/1212010
VALUE: $ 400.00
Value
Date Calculated
$400.00
$400.00
02/1112010
Receipt Number
2201000000000000137
2201000000000000137
2201000000000000137
2201000000000000137
2201000000000000137
2201000000000000137
To Request an inspection call the 24 hourTecording 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
workday. . 'c" ,"
""".
Uellui'rerlJnsnec.tio,ns I
Sign Location: To verify the location of the proposed sign.
Sign Attachment: Method of mounting the sign to a structure or pole. Melhod of attachment of bolts or welds,
Sign Electrical: After connection is made bu~ prior to energizing.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed,
Paee 2 of 3
, i,;"
'"
:}';'l
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00185
ISSUED: 02/12/2010
APPLIED: 02/11/2010
EXPIRES: 08/12/2010
VALUE: $ 400.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thai 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 Springlield 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,
1 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.
4..-. d C?~
0...(.,1' ori'ontt.ictors Sig~ature
,.{(~~
, ,
',7'
Paee 3 of 3
..2-I.;l-,,~
Date
225 Fifth Street
Springfield', Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 1 0-00 185
COM20 I 0-00 185
COM20 1 0-00 185
COM20 I 0-00 185
COM20 I 0-00 185
COM20 I 0-00 185
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2201000000000000137
Date: 02/12/2010
Description
Sign Plan Review
Sign 0-35 Square Feet
Sign - Outline Lighting Each
+ 12% State Surcharge
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
SPRINTER ELECTRIC INC
Item Total:
<":hec~ Number Authorization
Received By Batch Number Number How Received
"djb
3769
In Person
Payment Total:
;}
, .
Page I of!
11:12:03AM
Amount Due
42.00
80,00
63.00
7.56
7.15
14.30
$214,01
Amount Paid
$214.01
$214.01
2/12/20 I 0