HomeMy WebLinkAboutPermit Building 2010-3-4
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00253
ISSUED: 03/04/2010
APPLIED: 02/26/2010
EXPIRES: 09/04/2010
VALUE: $ 3,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1807 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703253107100
Springfield TYPE OF WORK: Sign
TYPE OF USE: Addition
PROJECT DESCRIPTION: Sign - addition to existing freestanding sign
Commercial
Owner: BECKER RICHARD A & LINDA K
Address: 3200 W 11 TH AVE
EUGENE OR 97402
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Sign
Contractor
IMAGE KING INC
IMAGE KING INC
License
161313
u, 161313
BUILDING INFORMATION ~
Expiration Date
09/01/2010
09/01/2010
Phone
541-484-1482
54 I -484-1482
# of Units:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
."
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~
'.
Sidewalk Type:
. ,_,,>~"':~i,-.:t_.
Downspo~~~~tw.\{ .
N01'C'f~ \1' Sl\~\.\. ~P\R~i~'Mti ~ ~Ol
1\-11S PE~~EO UWJER ~~~OONEt) ~1\
f>,1J1\-10" 0 OR \5 ~.
CON\MEN~~'( PER\Otl. '
M1'l 180 \J
Notes:
. ^ Pae.lof3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I V alu'ation DescriDtion ~
Description
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,000.00
Sien
Total Value of Project
~
Fee Description
Sign Plan Review
***+ ] 00/0 Administrative Fee***
+ 12';', State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Amount Paid
Date Paid
$84.00
$8.00
$15.12
$10.30
$126.00
$80.00
2/26/10
3/4/10
3/4/1 0
3/4/10
3/4/10
3/4/10
Total Amount Paid
$323.42" '
._.:',r,
I PI'~nRe~iews I
Sien Review
03/03/2010
APP DJB
03/03/2010
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00253
ISSUED: 03/04/2010
APPLIED: 02/26/2010
EXPIRES: 09/04/2010
VALUE: $ 3,000.00
Value
Date Calculated
$3,000.00
$3,000.00
03/03/20 I 0
Receipt Nnmber
2201000000000000177
1201000000000000200
1201000000000000200
1201000000000000200
1201000000000000200
1201000000000000200
Approved as a single, dbl faced
freestanding sign attachment. Area
calculated based on one face,
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.
l.JlellllirecUnsnections ~
Sign Attachment: Method of mounting the sign to a strnctnre or pole. Method of attachment of bolts or welds.
Sign Electrical: After connection is made but prior to energizing.
Sign Final: After all reqnired inspections are conducted and approved and the sign installation is completed.
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Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00253
ISSUED: 03/04/2010
APPLIED: 02/26/2010
EXPIRES: 09/04/2010
VALUE: $ 3,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, thaI I have carefully examined 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 tbe City of Springfield and lbe Laws of tbe State of Oregon pertaining to tbe work described berein, and
that NO OCCUPANCY will be made of any structure :withQutpermission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees'\vho are in compliance with ORS 701.005 will be used on tbis project.
1 further agree to ensure that all required inspections :ire reqnested at the proper lime, 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.
\ltJ~ \=', '~
Owner or Contractors Signatu
3,- <{ -/ ()
Date
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225 Fifth Street. Springfield, OR 97477 +PH(541)726-3753+ FAX(541)726-3689
~1!knE'iARfM'ENT,lUSEro'N~
*J;,~,'h'~'iI"""'~"':'''';~'^ij.;t~:"Yk?!<0J:;\rr.;0:~?;:..~~m~",'&:'tft
Electrical Permit Application
Pennitno.: Cl D- OO~
Date:
3-3 -/0
This permit is issued under OAR 918-309-0000, Permits are'nontransferable. Permits expire if work is not started witbin 180
days of issuance or if work is suspended for 180 days.
~;1:~li:~:fl!Qc:i~~'\i(;'0\{E.RNI\ilE:Nifq~eR.R0VA~~il,,~'Ji
Zoning approval verified? DYes D No
l~~~1\.~1.GAifIZG08.~~0I;'iMQ0Ns)t~I!tGJjI<:!tif~Jii4'~~ii
D Residential I D Government ~ Commercial
~IfiJQI3I!l$f;tEilNFi.0.Rl\ii~'ifj0NrAN[)l!lltiC;~"lit(jJ\l!flf,"ll~Wil 1,000 sq. ft. or less (4)
Job site address: / VO'1. I'lJ ~, ~<..- (rJt,c'\:T' ~~~~:fditional 500 sq. ft. or portion
City: <:;AA-!.r'tilC0 lState:' O'^-J ZIP: Limited energy (2)
Subdivisi&n: 1703. z-S '5 \ I Lot no.: 07/DC:> Each manufactured home or modular
~'1iI!~~,l.~'f~bES~GRlemI0Nll:0F;:i\IVJj8.l:<i!ij~~~~~~ dwelling service or feeder (2)
Mf'J1 no J.J r2c1/ltJo-- rJvlV4!1 ~ (~ Services or feeders: installation, alteration, relocation
L__~(lJ0~, ~ 200 amps or less (2) $ 81.00 $
~ ~ 201 to 400 amps (2) $95.00 $
Name: 12\c.~~ ~-vL 401 to 600 amps (2) $158.00 $
Address: 3200 W 1/+1.. AVF 601 to 1,000 amps (2) $205.00 $
City: C,^G-~7f~~ T State: C>JL I ZIP:97l(l>Z Over 1,000 amps or volts (2) $469.00 $
Phone: 9/1 7ZI:, - /700 ] Fax: _ _ Reconnect only (2) $ 63.00 $
E-mail: .!::~I~..:;t,,:i~~ or feeders: installation, alteration, relocation
This installation is being made on residentiaATr1i \: t d ~t ~.!'ll(I1l!.~9rJihillYv $ 63.00 $
owned by me or a member of my immediatCdllOl!l. 18 or .i\ll!i\tllSlQ~ toI':h 8
property is not intended for sale, exchange.tkftllicatlmil~ltr. I 0 .~... $ 7.00 $
479.540(1) and 479.560(1).. In OAR962~1-OO10 . $126.00 $
Signature: ." ......... Q09O~. You may obtBl N'tI.~ ~~rmorl8100volts,seeservicesorfeederssectionabove
~lli!.~'1t!li\!!e<:lNiI1~GjIiQ.R;\:INSm,o;L!~8ml 0 tIl:illty. NwlfiQlilValteration, extension per panel
Business name: I ~r1 i.,,{' ~""4 Ii., nter il1~-"'..,."rnr tif.nch circuits with purchase ofa service or feeder fee:
Address: 7..{nO (,tA-,n6 S<I Each branch circuit $ 6.00 $
City: {~ T State: .1 ZIP: ?7'io 1.. b. Pee for branch circuits without purchase ofa service or feeder fee:
Phone:5'f1- 'fB'f 14.p.,?/ I Fax:9i(-J[i,;<:' f5'j1L/., Fiest beanch drcuit (2) $ 55.00 $
E-mail: \"h''cfr,v ~ {1VlA4l/ /(;;"q ri "I" (. WM~" Each additional branch circuit $ 6.00 $
CCB license no.: 1.(,l.11') -1'llcD lic~nse n~.: 1..0 -S1'" CU,. Miscellaneous fees: service or feeder not included
Signing supervisor's license no.: ---r:c;rL/ ':, I a Each pump or irrigation circle (2) $ 63.00
Print name of signing supervisor: '\7 .DOr lI--:(j Cc\f t:... Each sign or outline lighting (2) 7... $ 63.00
Signature of signing supervisor:' ~ 00 c<,L (/) IN - Signal'circuitar a lintited-eoergypanel, $ 63.00 $
alteration, or extdlsion1tiy '. '.." .."tI '
NOi\C!.~ Each a" ~>\fe1
1\-\15 PEl\t'I\ ,E - . ..
l\\.li\-\OR\7.~, ( r .M' e f~e.".. :i;",,:,
CONlNlE\IlC n Permit Fee$5S:00j
p..N.'I( 180 0 nter 12% surcharge (.12 x [AD
(C) Technology Fee (5% of [AD
TOTAL fees and surcharges (A through C):
1~'''b~~li\11~1''')~li:i!:'il'~lti!imh~1''N::;;''':",~
~i\~~:~~M:R~~,!~~~~1~~~I1~~~12t~.
Residential, per unit, service included:
$134.00
$
$ 25.00
$
$ 32.00
$
$ 63.00
$
$
$/2'=
$58.00
$
~~
~ o...~~\) ~ Q
L.'"
~:,.-v V
v-:tJ\
~
$Izb
$ / ;S'Z
$ 6.10
$ JCl7 tll
440-2584-J (9/08/CQM)
~ .. I
~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54i)726-3753 . FAX: (541)726-3689 ,;:'
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C'ty J b N b CO""l Zc ( C" 00 Z -p , Plan Review Fee of $42 per sign is due witb application.
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Site Address:
~' Assessors Map
~"
l4~) Owner:
Q Address:
:I;~
~
~ Description of Proposed Si~(s): (please check and complete all appropriate mformation), ","
PI, ' - Wall X ' Freestanding Projecting Roof Marquee
',~ ' ,_ Single Face 'K Double Face Billboard Other
<"'. ~ ' Square Footage: 32 41 '~Total Height abo/" Gf~ade: 14 Co " e '-oU
~ Vertical Dimension of Sign or Enclosure: .'. L/ ~O Horizontal Width of Sign or Enclosure:
44 I. ~, .
Dimeusion from Grade to Bottom of Sign Enclosure I D -<< Electrical1ostallation:1Yes _No
. " . . (If yes additional electrical permit required), . ',\
Material Sign is Constructedof: ----Lt(;l)i>'lt"V",,- I ~I./ Value of Sign: ~51Jo ~ Z)
ij
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~
10"
rl1
rir~
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. '. .", ..,..~.'?"<~..',,,,,....._4' _.:. . .
S'0t\:'T
07100
Phone:
~Yr
1'2(., / v. 0
SJ.::
~
, State ('y..-
~
Zip
(56 Ci
List ALL existing ~ignage and attach a photograph .of e~h sign: ~(\l"10-\.
(a) Type _POLK S~~ Sq. FIg. ("l., (b) Type,
(c) Type Sq. Ftg. (d) Type
~i M-+-/('~ WI."O
is
Sq. Ftg.
Sq. Ftg.
. ContractorlInsta1ler:
I jl'll\-I"li,;[ /L.ri'"
1..W ~0
c' ,;\....
LlJl...url:'
5Y/
1{!!3'iI'-{.t;??'
Phone:
Address:
OV1k\)o.J
Zip:
111-{.c)~
iD /tz..
City:
State:
Construction Contractors Registration Number:
JCI,I]
Expires:
OFFICE USE
Sign District:
CL
Zoning:
f;V1L,{L
By signature, I 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 ceitify that any and all work perIormed shall be done iri 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 he 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 instal~. ti 0 Of, the sign(s). .
Signature ~Vy Date 21~1 /0
,";hllrnrt nriverr'VRnilrlimJ Form!l1~iP'TI Permit Annlir.~rionl...o'. nor.
";.c;:,.". M.......... . .......
iJIi:' .. . . ...
. .
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
Date: 03/04/2010
9:18:IOAM
1201000000000000200
Job/Journal Number
COM20 1 0-00253
COM20 1 0-00253
COM20 1 0-00253
COM20 1 0-00253
COM20 1 0-00253
Payments:
Type of Payment
Check
cRcccintl
Description
Sign 0-35 Square Feet
Sign - Outline Lighting Each
+ 12% State Surcharge
***+ 10% Administrative Fee***.
+ 5% Technology Fee
Amount Due
80.00
126.00
15.12
8.00
10.30
$239.42
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Paid By
IMAGE KING INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
In Person
Payment Total:
$239.42
$239.42
14235
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Page 1 of 1
3/4/2010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
6n7.~~~
1I1ir~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000177
Date: 02126/2010
2:02:04PM
Job/Journal Number
COM2010-00253
,/ "'
Amount Due
84.00
$84.00
Payments:
T)'pe of Payment
Check
L:Receintl
Description
Sign Plan Review
Paid By
IMAGE KING INC
,
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KLK
14225
$84.00
$84.00
KLK In Person
Payment Total:
..,
.,.
Page I of 1
2/26/20 I 0