HomeMy WebLinkAboutPermit Building 2010-3-11
Status
Issued
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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",;,,;,')"''''''
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NOi\CE~ EXPIRE If i\'\~ VJOR~
T\-\\S PERMli S\oII\\.\. I\'\IS PERM\1 \5 NO
f>.UT\-\OR\2EO UNDE: ABANDONED fOR "
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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.
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Paee 2 of 3
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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
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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
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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
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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:
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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
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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
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cReceintl
Pa.ge I of]
3/11/2010
03/01/2010 14:38 FAX 541 345 3140
BARNHART ASSOCIATES
I4J 001/001
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. 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-" (
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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
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~" .,; ,^',,,, ,--/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.
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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