HomeMy WebLinkAboutPermit Building 2010-2-24
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00245
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 08/24/2010
VALUE: $ 400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54 I- 726-3769 Inspection Line
SITE ADDRESS: 643 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353109600
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
PROJECT DESCRIPTION: Sign - wall sign North Star Coin and Jewelry
Commercial
Owner: ZIMMERMAN J WAYNE TE
Address: 2418 N 16TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '
BUILDING INFORMATION I ,."",' :
~~[g~tto;~e~;ructure ~~\?>r. ~;~~'~~~~Floor:
;r;~~eat:S"I\.\.\. ,,\S ?r.W ~~Ft~~dFloor:
~\Hl'?i~ ~Ut.?> 't ~UO~~ ~hFtBasement:
\Ii'\'il~ gi) \l ~ \S ~~"","'(Sq Ft Garage/Carport
~~rg ~U 0 ,OU. Sq Ft Other:
~ jIlfiif.-?\ n/a Occupant Load:
DEVEL PMENT INFORMATION
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
:0 of Lot Cove'J:ffENTlON: Oregon law requires you i\i)
follow rules adopted by the Oregon UtIlity
PUBLIC IMPROV -001-00'10 through OAR 952-001-
0090. You may~"~91f<ClRiftll:of the rules blf
calling the center. (Noi'ftlie telephono
number for thi!l6TllprllUlIlltJ'OlutlliCllUoiil
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Valne
Date Calculated
Paee I of 2
I,.:
" ~\ \ . ,- ,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00245
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 08/24/2010
VALUE: $ 400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Si2n
Use Bid Amount
$1.00
400.00
$400.00
$400.00
02/24/2010
Total Value of Project
Fees Paid I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Sign 36-60 Square Feet
Sign Plan Review
Amount Paid
Date Paid
Receipt Number
$11.00
$5.50
$11 0.00
$42.00
2/24/10
2/24/10
2/24/10
2/24/10
2201000000000000169
2201000000000000169
2201000000000000169
2201000000000000169
Total Amount Paid
$168.50
..~'" .
Plan Reviews ~
Sign Review
02/24/2010
02/24/2010
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.
I Reauired Insoections ~
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature. I state and agree, that I have carefully examined the completed application and do hereby certifythilt 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 herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 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 ensure that all required inspections. are requested at the proper time, that each address is readable from the
street, that the permil^card is located at the front of tlie property, and the approved set of plans will remain on the site at all
times during construCtion. 1.
~(l~
Owner or Contract rs Signature
d-\ ?-~ \ to
,
Date
Pa2e 2 01'2
b n; "ITH ""'IT , ""NGHeLD. OR '"'' . ,H.,,,, 'In.''''
o City Job NumberClo -OD 2-4 r-
Il~,j,
Site Address:
~j Assessors Map
~<
'., .
I} Owner:
0;
. FAX: (541)726-3689
r
Plan Review Fee of $42 per sign is due with application,
Oi~\
~,!
,.-~
, !
gpr\Y\.~-H& ?t2- q"'4Tl
". 60
Tax Lot: . 0 () .
W Cl~"~ <2, W\'M.6/~a.V\. Phone: S'y \ -llf 7 - 5s'OL
Address: <J-I..\: '6' N \ ~~
City. ,5P~i'~-h~l&_ .
Business Name, Firm, etc. ? \ VV\ vv\.-€vvv"\ a V\
State
\V'\A.~+
!)~
Zip Cf 7\fT\
~j Description of Proposed Sign(s);
,---1 /-::
~. ~all
;...:.. i-Single Face ' Double Face
~: Square Footage: 4<:;; Total Height above Grade:
"1' Vertical Dimension of Sign or Enclosure: "C. ,
j Dimension from Grade to Bottom of Sign Enclosure II I '" Lk.
(Please check and complete all appropriate information)
,
Freestanding Projecting I Roof
. I
Billboard t..-M--::P Other
, '---,
14- q f ~d",~ )
Marquee
Material Sign is Constructed of: V \ ""[ \
~ w t) cJJ
Horizontal Width of Sign or Enclosure:
Electrical Installation: Yes TNo
(lfycs additional electrical permit reql!ired)
ju <,(;
Value of Sign: ,eo
<ir-
J.U\
~
I.~j
'li"'\1
~,i,'
~.
~,
~
~l
List ALL existing signage and attach a photograph of each sign:
(a) Type' plo.shc... Sq. Ftg. 'M (b) Type
Sq. Ftg.
Sq. FIg.
(c) Type
Sq. Ftg.
(d) Type
Contractorllnstaller: rJ 0 V ~
Address:. to l{ ~ Mtll v-.
City: ---2P VI' 1-f: -e IJ
Construction Contractors Registration Number:
:::;-k,.v CtI I h
.s+
4' I.~.w-el~
Phone:2:i I 14" S-Cj' tf.
State: 612-
Zip:
'111./'17
:.;...
Expires:
~
~(;n
, ,.
J> ' $
Il~i
T[/ijr,l \
\ ! I
1.:t
By signature, 1 state and agree, that I have carefully examined the 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 the Laws'ofthe 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
cc-/l:> r
I
.oFFICE USE
Sign District: ,
Zoning:
M fA. ("
I ,further agree to ensure that all requi,ed 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 durin the installation of e s (s{p
Signatnr
~
,
Date
225 Fiftll Street
Springfield, Oregon 97477
541-726-3759 Phone
a_~~~;~
~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000169
Date: 02/24/2010
2:52:59PM
Job/Journal Number
COM20 10-00245
COM2010-00245
COM20 I 0-00245
COM20 I 0-00245
Payments:
Type of Payment
Check
cRcceintl
Description
Sign Plan Review
Sign 36-60 Square Feet
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
NORTH STAR COIN AND
JEWELRY
Amount Due
42.00
110.00
5.50
11.00
$168.50
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
$168.50
4543
In Person
Payment Total:
$168.50
..r'
,.."
Page I of I
2/24/20 I 0