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Home My WebLink AboutPermit Building 2010-3-4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00269 ISSUED: 03/04/2010 APPLIED: 03/03/2010 EXPIRES: 09/04/2010 VALUE: $ 1,978.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1442 SA ST ASSESSOR'S PARCEL NO.: 1703363204804 Springfield TYPE OF WORK: Sign PROJECT DESCRIPTION: Sign - wall sign for Mckenzie Pediatrics TYPE OF USE: New Commercial Owner: COLE JEFF A & MARY E Address: 86909 PINE GROVE RD EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Sign License 161313 BUILDING INFORMATION ~ Contractor IMAGE KING INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: #'01' Stories: . .... Height of Structure /,' Type of Heat: \0 Water J;.r~ ~\\\\\'f Iprltt!~rG\'890" e\ \ot\\' Ot\", Ole9~alllt~~\l.le~~Z.\)O\' ~~~\.Q ..60~. 'tlt01IIl.~i~\e' '0'1 n/a fdllfIJ~!) ~ ~ :0~~g5 ~,,~ \1\ o,,~ "4o\l ~ ~tt.~. " \)\11 ~.). ~\\"\l ~~ \"e~:~il\lt ~., Cet\,ell1'slreet Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ...' c,,'~.<<... I PUBLIC"IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: " /~ Notes: Descrilltion $ Per Sq Ft or multiplier TVlle of Construction . '''''~'' . : ~"., Page 101' 2 Expiration Date 09/01/2010 Phone 541-484-1482 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated '..'t ,.' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00269 ISSUED: 03/04/2010 APPLIED: 03/03/2010 EXPIRES: 09/04/2010 VALUE: $ 1,978.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sien Use Bid Amount $1.00 1,978.00 $1,978.00 $1,978.00 03/03/2010 Total Value of Project LFees Paid i Fee Desci-iPtion Sign Plan Review ***+ t 00/0 Administrative Fee*** + 5% Technology Fee Sign 36-60 Square Feet Amount Paid Date Paid $42.00 3/3/10 $11.00 . 'I' ~.- . 3/4/10 " $5.50 3/4/1 0 $110.00 . . 3/4/10 .. Receipt Number . 1201000000000000196 1201000000000000199 1201000000000000199 1201000000000000199 Total Amount Paid $168.50 Plan Reviews I Sien Review 03/03/2010 03/0312010 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. ReQuired InsDec~ 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 1 have carefully examined the completed application and do hereby certify that all information hereon is frue and correct, and I further certify that any and all work performed shall be done in accordance with thc 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 structurewithout permission of the Commnnity 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 fnrther agrec to ensure that all required 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. DO ~~, \2-:,l\OO~ Owner or Contractors Signature ?;-t{-1O Date Paee 2 01'2 ~. . ~1225 FIFTH STREET. SPRINGFIELD, OR 97477 f'I^..) C/O-OO z- b 9 'V,J; City Job Number 'I~~ Jl.Jr' 0 1'l"!'! Assessors Map roj ~. "~i ~\ . PH:(541)726-3753 . FAX: (54])726-3689 Plan Review Fee of $42 per sign is due with application. Site Address: ~;) '5. tC. A" "7>-tJi f do /7DS 3632- Tax Lot: 04S0<( Owner: ::r~~ r~9- Address: ~l<,'i()<::>. ~\~Gl~ ~ ~ Phone: 5Lf I. d,;} l. 1;16 City Business Name, Firm, etc. rnc.\LQMuL "V~ State (')(r cb,"".o Zip eFt,'! 0.,2 ~\l DescriPtion of Proposed Sign(s): (Please check and complete all appropriate information) ~' -7 W.lI "='MlI'.,. ',"j~',", '''''' (" \, - Single Face Double Face Billboard' Other r---' J..l , ,\ ~'i Square Footage: ~I\ XJ ~~'i,\t Total Height above Grade: l6 ~tD "r' Vertical Dimension of Sign or Enclosure: ,;/-q" ')( C?l Horizontal Width of Sign or Enclosure: 1Ie'_ON )(..:2 I ~ " "; ~ Dimension ITom Grade to Bottom of Sign Enclosure to -q Electricallnstallation:_Yes Y..No (]fyes additional electrical permit required) Material Sign is Constructed of: 'i q," c\.~~ 1)..)1 v ~ ~"1' v-.;"'~ Value of Sign: \) q~y'. 00 Marquee Jl.J' ~ 'I~\ tl " , i_i ~, ~ ~\". ~t , . List ALL existing signage and attach a photograpb of each sign: -6t~ (a) Type IJJa-u. ( IJ.JO<<::>s:..n)q Ftg. 10. S-t:$_(b) Type (c) Type Sq. Ftg, (d) Type "'t::>U>~", p~ - <; '1'" "'"" -to r~'!.h.'T ~ ~ Sq. Ftg. Sq. Ftg. Contractor/Installer: --r- ~et L . Address: ~l"o 10c\rl\(';"-, City: f;v-..c. ~~ . Construction Contractors Registration Number: V;,-Nl~ S,,-~.::h "'SR.€k\ Phone: 5,'1 I. t[?~. 1(('K.;l. State: &e.qN Zip: q:PtO.,2 Expires: ~-l-IO llolbl~ ~; Sign District: cc OFFICE USE Zoning: CL ~:i\ , '. '. I ~ 'l~i VA By signature, ] 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 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 be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable ITom the street, that the permit card is located at the ITont of the property, and the approved set of plans will remain on the site at all times during the installation of the sign(s), Signature'-T:>Jl.(l.J<i\ ~ ~~.,:) Date d- l'i-to Shllff'.rl nri\lf':rr.)fRtlilrlinl> Fnrm~fSiJ'Tl Pr:rmit Annlir.;uinnl_O? nnr. SIGN PERMIT APPLICATION -\;Jr\ " I ~J,.4..,)\'" \ '-J -..' __ . _J The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are hiring a contractor, you need to make sure that their Registration Number from the State of Oregon Con~truction Contractors Boards are listed on the application along witlt'lge ,expiJation dale of each. _,:.~ ::::: <'J '2 S" u' .. .- -., \ If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed by either a supervising electrician) limited sign electrical contractor, or if you are the business owner who a) so owns the building in which you are occupying, and you wiII be performing the electrical installation yourself, you may sign the electrical application. If there are existing wall and/or freestanding signs, a photograph(s) of existing sign needs to be attached to the application. The size of each existing sign also needs to be listed on the application. PLANS To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total' height, and a plot plan indicating where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20 feet in lotal height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan review process is completed, and, if your sign(s) is approved, one set of plans will be returned to you. The approved set of drawings needs to be at the site when an inspection is requested for the inspectors' reference. INSPECTIONS Depending on your sign(s), you may be required to request one or all of the following inspections during the installation of your sign. Site: To be requested after indicating on the lot where the proposed sign will be located but prior to any work being performed for the installation of the sign. This inspection is required if there is a question on the location of the proposed sign. Footing: To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be electrical conduit placed in the footing, it must also be in place prior to requesting inspection. Attachment: To be requested when all fasteners are installed but prior to cover. Electrical: To be requested after the electrical connection to the sign is made, but prior to energizing. Final: After all required inspections are conducted and approved and the sign installation is complete. The inspections that are required for your sign installation will be indicated on your permit. Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required intervals of work. To request an inspection, phone 726-3769. This is a 24 hour recording. On the recording you will need to leave your City Designated Job Number, location of where sign is being installed, the type of-inspection you ar.e requesting, and when you will be ready for the inspection. All inspections called in to the recorder prior to 7:00a.m. will be ma?e the same working day, all inspections phoned in after 7:00a.m. wilibe made the following work day. .. . If you have any questions regarding the application, required plans or inspections, please feel free to phone the Building Safety Division at 726-3759. City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 225 Fi,fth Street S"pringfleld, Oregon 97477 541-726-3759 Phone if~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 03/04/2010 9:12:29AM Job/Journal Number COM20] 0-00269 COM20 I 0-00269 COM20 I 0-00269 Payments: Type of Puyment Check cReceintl 1201000000000000199 Description Sign 36-60 Square Feet + 5% Technology Fee ***+ 10% Administrative Fee*** ,'< " .., Paid By IMAGE KING INC I Received By Item Total: Check Number Authorization Batch Number Number How Received djb 14234 In Person Payment Total: ; ~. Page I of I Amount Due ] 10.00 5.50 11.00 $126.50 Amount Paid $126.50 $126.50 3/4/20 I 0 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone (ifjl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000196 Date: 03/0312010 JO:IO:02AM Paid By IMAGE KING INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 14172 In Person Payment Total: Amount Due 42.00 $42.00 Job/Journal Number COM20 I 0-00269 Description Sign Plan Review Payments: Type of Payment Check Amount Paid $42.00 $42.00 i,~;,:,~t ;. ~I ,Mi~ cReceinll Page I of 1 3/3/20 I 0