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HomeMy WebLinkAboutPermit Building 2010-3-4 i. 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 r 1:.~J! "" 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. '\,".> : ~ . I',"': 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 !-.~ Y' 'l ~."'., , ")~;" \:\.. 'l. \'., ',' ,', :' Paee 3'of 3 , \1" 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 ,;:' O . /m ,"'" C'ty J b N b CO""l Zc ( C" 00 Z -p , Plan Review Fee of $42 per sign is due witb application. .' I 0 urn er .' "~r', 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 .~ = ~Iit\ ~ 10" rl1 rir~ ,~,f" . '. .", ..,..~.'?"<~..',,,,,....._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:' .. . . ... . . . . ',- " ...-~.,...~~.....+._..,.- 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 ,__.f, ; "'. 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 I.,. 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