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Home My WebLink AboutPermit Building 2010-3-11 Status Issued ",,,, '" ',' . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00299 ISSUED: 03/1112010 APPLIED: 03/09/2010 EXPIRES: 09/1112010 VALUE: $ 6,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2323 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254101101 Springfield TYPE OF WORK: Sign TYPE OF USE: New Commercial PROJECT DESCRIPTION: Sign - 2 wall signs for Tan Repnblic Owner: OL YMPIC STREET PROPERTIES Address: PO BOX 26125 EUGENE OR 97402 Phone Number: 541-726-1751 I CONTRACTOR INFORMATION I Contractor Type Electrical Sign Contractor License CARLSON SIGN COMPANY 64549 CARLSON SIGN COMPA]''.Y 64549 BUmDING INFORMATION I Expiration Date 03/04/2012 03/04/2012 Phone 541-382-2182 541-382-2812 # of Units: Primal')' Occupancy Group: Secondal')' 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: A.,.,-.:~mnM. nrcS"'''' leu., 1'0<11111'40 Y"''' tft. follow rules adopt~~r=~RMATION I Notification Center. I ~ In OAR 952.oo1-0010throuQ..h OAR 9~2.001- 0090. You may obtain copi6&V6r\=HeWJttls by calling the center. (NOle:l;tfW'l\!fepM~~qd: UIIIIIlber for the Oregon Ulllily<!tl~atRml: Center Is 1-800-33Jt..a8lll49t Coverage: B Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Gnrage/Carport Sq Ft Otber: Occupant Load: REQUIRED PARKING Front yard Setback: Side I Setbnck: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: }. ~. Sidewalk Type: , DownspoutslDrains: ',p",;,,;,')"'''''' ,"','. if., NOi\CE~ EXPIRE If i\'\~ VJOR~ T\-\\S PERMli S\oII\\.\. I\'\IS PERM\1 \5 NO f>.UT\-\OR\2EO UNDE: ABANDONED fOR " ~~~~i~~~~ ~~ilOD. ' Notes: Page'l of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00299 ISSUED: 03/11/2010 APPLIED: 03/09/2010 EXPIRES: 09/11/2010 VALUE: $ 6,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ..,.1- I Valua~on~escriPtion ~ Sien Sien Tvpe of Construction Use Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 3,250.00 3,250.00 Value Date Calculated Description Total Value of Project $3,250.00 $3,250.00 $6,500.00 03/11/20 I 0 03/11/2010 ~ 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 Receipt Number $16.00 3/11/10 2201000000000000231 $15.12 3/11/10 2201000000000000231 $14.30 3/11/]0 2201000000000000231 $126.00 3/11/10 2201000000000000231 $160.00 3/11/10 2201000000000000231 $84.00 3/11/10 2201000000000000227 Total Amount Paid $415.42 ........ ". ." IPlan Reviews I ,"r' I Sien Review 03/11/2010 03/11/2010 . 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. ~e(]lIirerUnSDections ~ 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. ;~!..:..:,~ .'~' ~.;:' '\ ,. " ',;' ~ j;. ': ',' . . )". {;~ . . . v.: Paee 2 of 3 ....' Status Issued 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: COM2010-00299 ISSUED: 03/1l/2010 . APPLIED: 03/09/2010 EXPIRES: 09/11/2010 VALUE: $ 6,500.00 By signatllre, I state and agree, that 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 the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure withont 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. I further agree to ensure that all reqnired 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. ,..r-~:~~ }. .~." . -::G5",~d v;,4. MA, (4....... , Owner or Contractors Signatm:. -:J:>~ j- C,r Page 3 of 3 ~II= Date ~P'i:P:.~.:"fD.~.........,.. Iir- - - -~.." ....- :,.. i, '..:r.' '''''..< .< ,.- ........:...T't"-\7-...'- ,"; City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth'8treet Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 2201000000000000231 I :36:28PM Date: 03/11/2010 Job/Journal Number COM20 1 0-00299 COM20 1 0-00299 COM2010-00299 COM20 1 0-00299 COM20 1 0-00299 Payments: Type of Payment CreditCard cReceintl Description Sign 0-35 Square Feet Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge ***+ 10% Administrative Fee*** Amount Due 160.00 126.00 14.30 15.12 16.00 $331.42 Paid By PETER CARLSON Item Total: Che,k Number Authorization Re'ei~ed By Batch Number Number How Received DJB 085240 In Person Payment Total: $331.42 $331.42 Amount Paid ;,.~i.!.k , , ,,,,:' }l~:~ . ' "'V:L..' . .j I'. ':'.' .i Page I of 1 3/11/2010 Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Street+Springfield, OR 97477.PH(541)72~-3753.FAX(541)726.3689 .~~ ~ DEPARTMENT USE ONLY C0W1ZO(O-002 't., Permit no.: Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION D Residential D Government gCommercial JOB SITE INFORMATION AND LOCATION Job site address: 2 L k s-i- City:S " ZIP:Y7C/7 Reference: / 7 (f TaxlotO/ / () I DESCRIPTION OF WORK "\ - 00 0 -\ (' -' Le;, f\. Name: PROPERTY OWNER .sA~ 0" AddressOl City. ,.-,,' Phone: E-mail: This installation is being made on residential or rarm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or.rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: U S Address: I it? 0 5 City: 6 Phone:S</t 5\?z. - 2/ 'ti' z.. E-mail: c..h', 6) CC8 license no.: "</5"'-1 Print name of signing supervisor: Signature of signing supervisor: " (Y\ C '~ {9I\u\1eS \)\\\'<<'1 011 \a'fI OI~olI ~ \Oi\\' \. ~\ O~'. Ole~eo '0'1 \"e ~eS ale 6 r/..oo\- Y".... N ~~~\e9e.o09 ~oselU~op.t'.g5!\l\e&~ ~ ~' \O\:;OIl~~~\O\"~~!lo\~~~~~ ~ 1)..,' ~o op.t'. g&Z lIo'l o'o~1I ftJ.~e~ ~e ~o~- v ~..nl\ '1oU~ _ntel. "'II\l\\~~ uu~-' \l\8.... 01e90;. ",-,>; ce.\\\1I9 'OI\\\e,& \.&O~~ ~ "U~cell\el \ '-~ ~~ 440-2584-) (9/0B/COM) () ~ ~~ FEE SCHEDULE - . . "..' Cost Total Nuinb~r <!fin,spections pc'c. it~o~,"~ ~ Qty, ea, cost Residential, per unit, sen'ice included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 2S.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Sen'ices or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) .q ,:!;~~63:O0 .,"- ' Temporary services or feeders: installalidr., aIIP~ob. 200 amps or less (2) _~'b.'t.~ L:<' 201 t04~) ..t.\\. ~~'.l~ '?$:'~' 401 t ~I\~ ';)'~;{\'t.'i' \ ;'1h.~'i))J$'126.00<' '''$ ~ 'Mn<:\_~\'I,.':\liil"Ees or feeders section above BraoCh'~ i ~nperpanel a. Fee fore ~~~ purchase of a service or feeder fee: Each b~rcuit I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: sef1Jice or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a lirnited.energy panel, 2. $ 63.00 $/2&? alteration, or extension (2) Each additional inspection: (I) $58.00 $ , ,:.S, ....~~:1.~.AP.P,lICANt::OSEl_, . -..""-- ......- (A) Enter subtotal of above fees $/20 C,!? (Minimum Permit Fee S58.00) (8) Enter 12% surcharge (. t2 x [AD $ iC,./7_ (C) Technology Fee (5% of [AD $ b1c TOTAL fees and surcharges (A through C): $' ,,- J../-'-f'./ Z $ 1'17 '!!- 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ri:a.~~ WiL. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000227 Date: 03/1112010 8:35:26AM Paid By CARLSON SIGN Item Total: Check N umber Authorization Received By Batch Number Number How Received Amount Due 84.00 $84.00 Job/Journal Number COM20 1 0-00299 Description Sign Plan Review Payments: , Type of Payment Check Amount Paid djb 6295 In Person Payment Total: $84.00 $84.00 """. cReceintl Pa.ge I of] 3/11/2010 03/01/2010 14:38 FAX 541 345 3140 BARNHART ASSOCIATES I4J 001/001 "<r'..~,. --.... , . , . ...,...:.... . CITY OF SPRINGFIELD, OREGON . '.r I ~ 225 FlFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726-3689 1'(\' CDU4 ~/'\ (0 _ 00 z- 9 c. v.J~ City Job Number t:...J-" ( I'~, ~i ~.,1 ~~) o It~. ~ Site Address: Z '3 2 3 Assessors Map I 7 0 '::> 01'-( <<'I f'~ e.. Sl 0('3 (AI() Tax LoiA / () r Owner: (') heY) fe' i <: ~+ (-L<.. t . (/('d p...e ('11 e <;. Address: ,,~.3.::) ~ f'7})< ;t-n .c>ic, See . ( . City-5'() 11 A ,'A r, ./2; " I ,( Slate f') GC , ( oj J /I Business Name, Finn,elc. 7/:1hK'f'-,-h! ,'C-, (o?fJlei rn"t'JOill Phone: Zip q 71./71 LLC ~) Description ofP~posed Sign(~): (Please check and complete all appropriate infonnalion) f!'t,\ L Wall '12- ---'------.--- Freestanding Projecting Roof M L Single Face - ~ Double Face Billboard .- Otber ~.',..' ' Square Footage: ,3Z. S Total Height above Grade: Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure: Dimeosion from Grade to Bottom of Sign Enclosure /7'/ C " Electrical IostaIlalion:LY es _No _. /(j' q" (If yes additional electrical pennit required) !-I#.<- ":'>ia..,..clc,,-c, - II' '1" . . 5 1;'<' ~ Material Sign is Constructed of: t-l... f Lvt.-o'l . Value of Sign: Li L'- I,~ ~ ~~':; s:". "~'" ..":: :.~,."'..~ " ~ (c) Type "'1'q. Flgu ~ @) ~" .,; ,^',,,, ,--/0 .. . Construction Contractors Registration Number: lV --, :::;l l r -', Marquee '-' (b) Type (d) Typ< Sq. Fig. Sq. FIg. Contractor/Installer: (~xV'l ~ ....t'...... s-. : rf;"'-' Address: It (J{") "'-) IV ~i" F~ rbe'_S 17 ri City: l')" ~ r\ PhoneSLlt. ''-'<;/2.21<;,'2 State: 1'7 P Zip: q7 7,-, / Expires~:7) -C) q - 10 OFFICE USE C Sign District: C C Zoning: CL ~' ; By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all , I j 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 of the State of Oregon pertaining to the work described herein. r Il ~ further certify that only contractors and employees who are in compliance with ORS 701.055 will tle used on this project. ~ -., rr~J IiIl! I further agree to ensure that all required inspections are requested at "the proper time, that project address is readable from the street. tbat the pennit 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 installa~f'+l.i siO't{j), Signature /p2'1~~ /j---'/~ Date .J ~// 6 ShamI Drive(T:)lBuilding Forms/Sign Permit Applieationl-02.doc