HomeMy WebLinkAboutPermit Signage 2010-9-28
~; 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(~41)726-3753 . FAX: (541)726-3689
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~) Assessors Map
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~li Description of Proposed Sign(s): .-SPlease check and. complete all appropriate information)
~ i_Wall t/ Freestanding Projecting Roof
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r"~ I - Single Face. .. Double Face Billboa~d . 'I Other
~. ~ Square Footage: J {)() ib_ Total HJei~t~~;e Grade: . /5 i?- r; I
" I Vertical Dimension of Sign or Enclosure: ~ l5 Horizontal Width of Sign or Enclosure:
fI' / II
i Dimension from Grade to Bottom of Sign Enclosure (g Electrical Installation: V Yes ----,No
(If yes additional electrical Pe:;jt required) (l
~ Material Sign is Constructed of:I1IIfh);11 V /11: V; fI '1/ /L( tV), /lPa.;." T Value of Sign: 1{)(){) ()~
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~'l'l By signature, I state and agree, that I have carefully examined the completed application and do hereby certilY that all
r . i information herein is true and correct, and I further certilY that any and all work performed shall he done in accordance with
.' J the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I
O,...Jj further certilY that only contractors and employees who are in compliance with ORS 701.055 will ,be used on this project
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CityJohNumher SfL'2.CIc.) -ou '-149
Site Address:' 1/ 5J /Y) a.if) ~
176~ 3SL{/
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Address: / -;;.. Gt,;/\ 5-f
City '5lJn'~J.{;e If
BUSine!. Name, Firm, etc. . e~CAj Tr> rl
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Tax Lot:
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Phone:
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State ()~
Zip
1 r; If/) /}
Marquee
List ALL existing sign~e and attach a photograph of each sign: t-tfl ()"'C1 hj
(a) Type Sq. Ftg. (b) Type
ei-;-') '''j 5'ut\-bn
'5 ;1(1,
Sq. Ftg.
Sq. Ftg.
(d) Type
Sq. Ftg.
contractorIInStaller:J=:{'(\a~ }('; Y\j 515 n ~
Address: ~I W. I /- S+
City: P; J j-f N-
Construction Contractors Registration Number: j fa /31 3
Phone:St/J. 4ft!. l'ItJ
State: O~
Zip: 9'J tJ();)-
. 9-/-/5
Expires:
OFFICE USE
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
timeSdUringJhfirllationOftheSign~ ~ .' 00
Signature lJ)~rcu Date q ;)fY//
Shared Drive(T:)IBuilding FonnslSign Permit Applicationl-02.doc
Electrical Permit Application
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225 Firth Stred+Springfield, OR 97477. PH(541)726-3753+ FAX(S41)726~3689
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7'l'.'DEPARTMENT"USE:ONI::Y. ;;'\
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Permit no.:
Date: 10-5-/0
This permit is issued under OAR 918-309-0000. Permi~s are nontransferable. Permits expire if work is Dot started within 180
days of issuance or if work is suspended for 180 days.
, ~i<;'J1i'!';'if.1;;'i't";:l!oCAl!t~OVERNMEriI:r~MRROVAI1~j':;~~"{:;WF
Zoning approval,verified? 0 Yes 0 No I
[{<!;jt'~~*,CAtEGORY:t(OI:t:CONSTRUCTI ' M:{'.1~:;;::::~;!l,'i.
D Residential D Government Commercial
~~fi!';!i?;,"OBllSITE';:IN~ORMATIOril[1/1.riID~I.iO,CATION~~~t",ii
Job site address: ).. /) 5+ ~ L1-
A€-I cl State: ()R... ZIP: 1 7
Reference: o.1'5.5t.l1 Taxlot.: OI.{'20c::.
@;l!\j!~)l(~~I~ift1i!bESCRII?]FIONB:OF.'i\WORK@'t'ffi:"ij.,;~?~,Ik"&~
IdU-.. 'I)W '1I0mi ~d
Address: 115,)
City:5, r/n ZIP: 91'111
Phone: 1)1-1'1
E-mail:
This installation is eing made on residential or farm 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: "
fKZ~~illlt:~iA~,CONTRAetQR,~INSTA(gJ!A]ldNy:gpi},~:rti~;~{~~~~
Business name:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440.2584-1 (9/08/COM)
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Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32,00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: instailation,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) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) - --~
$ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126,00 $
Over 60~.amps or 1,000 volts, see services or feeders section above,
Branch circuits: new, alteration, extension per panel
a Fee for branch circuits with p~hase of a service or feeder fee:
Each branch.circuit $ 6.00 $
b. Fee for branch circuits withoutpurchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2), $ 63.00 $
Each sign or outline lighting (2) I $ 63,00 $6 j
Signal circuit or a limited-energy panel, $ 63,00 $
alteration, or extension (2)
Eacb additional inspection: (1) $58.00 $
~1~~~Jr~~jii~~~AJ:?~iIjCANT4US_E~~~~~~t~1l~~
(A) Enter subtotal of above fees $
(Minimum Permit Fee $58.00) &3
(B) Enter 12% surcharge (.12 x [A]) $ '} .J3
(C) Technology Fee (5% of [A]) $~~
TOTAL fees and surcharges (A through C): $ /f3"E
S!.RIN. GFIE.~
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CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00449
IVR Number: 811142248581
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or,us
PROJECT STATUS: Issued
STATUS DATE: 10/7/2010
ISSUED:
APPLIED: 10/6/10
EXPIRES: 4/5/2011
VALUE: $0.00
SITE ADDRESS: 1152 MAIN ST, Springfield, OR 97477-4820
ASSES OR'S PARCEL NO: 1703354104200
SCOPE: Sign
WORK INVOLVED: New
. TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Freestanding sign for Regency Inn
Phone Number:
OWNER:
ADDRESS:
SUTTON MOTEL PROPERTIES LLC
1152 MAIN ST .
SPRINGFIELD OR 97477
ATTENTION
. mll~ IV 'Ules ad~regon law require
. -":,Cation Gel Pled by the Or s you to
In O,qR 952'00 11tel. Those IUles egon Utility
0090. You ma .0010 through 0 are set forth
callmg the / obtam Copies 0 AR 952-001_
nUmber for th~n~r. (Note: the ~ t7e rUles by
Genter is ; ~8gon Utility N~t~fho~e
00'332'2344). Icallon
Contractor Type
Sign Contractor
Electrical
Contractor Name
IMAGE KING INC
IMAGE KING SIGNS
CONTRACTOR INFORMATION ~
Lie Type
CCB
ELECTRICAL
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
# of Bedrooms:
Hazmat:
Sprinkled Building:
Fire Alarms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural SpeCialty Code Edition:
Energy Path:
Site Information
Engineered Fill:
Fill Volume:
Flood Ha~ard~Area:
--'.',..,..'
Land Hazard,Area:'
U., uE"
Retaining/Wall: 11MIT 51-1
Soils Rep'~~R~'qult"8: UN A,~L EXPIRE IF TH
'" VIEIVC'~ DcR THI" p E WORK
. ;;y 180 OAcVO OR IS ABA;OOENRMIT IS NOT
PERIOD ED FOR
Springfield BUilding Permit
10f7f2010 8:29:32AM
Lic No
161313
20-530CLS
lic Exp
09/01f2012
07/01/2011
Phone
541-484.1482
541-484~1482
Lot Size:
Sq Ft 1st Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
. Occupancy Load:
Page 1 of3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00449
IVR Number: 811142248581
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
sr~~~~;:~
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~OREGON
permitcenter@ci,springfield,or,us
PROJECT STATUS: Issued
STATUS DATE: 10/7/2010
ISSUED:
APPLIED: 10/6/10
EXPIRES: 4/5/2011
VALUE: $0.00
SITE ADDRESS: 1152 MAIN ST, Springfield, OR 97477-4820
ASSESOR'S PARCEL NO: 1703354104200
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Freestanding sign for Regency Inn
DEVELOPMENT INFORMATION I
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback;
Solar Setback:
Overlay Oist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Cpmpact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer: .
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description!
I
Descriotion
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
DescriDtion
Signs: 61 - 100 Square Feet
Sign Plan Review
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
Sign or outline Iightjn~ __ .
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% ofp"'~;;~~
Total Amount Paid
Amount Paid
$140.00
$42.00
$14.00
$7.00
-.-,._----
$63.00
$7.56
$3.15
$276.71
Date Paid
10/07/2010
10/07/2010
10/07/2010
10/07/2010
10/07/2010
10/07/2010
10/07/2010
ReceiDt #
374527
374527
374527
374527
374527
374527
374527
Springfield Building Permit
10f712010 8:29:32AM
Page 2 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00449
IVR Number: 811142248581
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
permitce nter@ci.springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/7/2010
ISSUED:
APPLIED: 10/6/10
EXPIRES: 4/5/2011
VALUE: $0.00
SITE ADDRESS: 1152 MAIN ST, Springfield, OR 97477-4820
ASSESOR'S PARCEL NO: 1703354104200
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Freestanding sign for Regency Inn
lE:~~~~~1:~~~".~'/i4r~~J~5i?~;,::;_:_:~~i;;:~Jf}1ari~R~:k:::r~t~~:J::"~~~;-lKS1y~<~~:f{7:~~?'1~^~,~'--:.-"~~~~-!J~:~~-L;!':,'_';' ~.;: -,
Deoartment Received Due Date Comoleted Result Reviewer
Permit Issuance 10/06/2010 10/06/2010 10/07/2010 Issued Nancy Machado
Comments:
Application Acceptance 10/06/2010 10/06/2010 10106/2010 Application Accepted David Bowlsby
Comments:
Sign Review 10/06/2010 10/06/2010 10/06/2010 Approved David Bowlsby
Comments:
INSPECTIONS REQUIRED ~
Inspections
6940 Sign Attachment
6950 Electrical - Sign
6999 Final Sign
Sign Electrical: After connection is made but prior to energizing
Sign Final: After all required inspections are conducted ?nd approved and the sign
installation is completed,
By signature, 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 or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Commynity 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 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.
'J::::>~ -=t? '6~k
12:1
{o- '{-- to
Owner or Contractor Signature
Date
Springfield Building Permit
10n/2010 8:29:32AM
Page 3 of 3
St~IN..G F..'.EL~
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-,.. OREGON
www.ci.springfield.or.us
. TRANSACTION RECEIPT
811-SPR2010-00449
1152 MAIN ST
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permitcenler@ci.springfield.or,us
RECEIPT NO: 2010000504
RECORD NO: 811-SPR2010-00449
DATE: 10/07/2010
ii:;:-SP..C]::O.Urilt:CJ'.lQE:i," eTC, ~.'. A~:Q\JJ~n;!:J..\.i~
224-00000-425602 $140.00
224-00000-425602 $42.00
_ ,.______w___~_____._
224-00000-426605 $14.00
-------
100-00000-425605 $7.00
224-00000-426102 $63.00
821-00000-215004 $7.56
100-00000-425605 $3.15
TOTAL DUE: $276.71
11"RAYMENTiTYi>E:;',2p.AYOR;;:';:;cASHiER',NMAcHADoi,0;;-COMMENfs:-0:;'~;;"~;;:;',;.';;,i.;-;,.;.. :,'AMOUNT:PAID.. ...
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I D'ESC" R' ',"p' "T" I'O'N' " ,.~ '" . ;" - "'+:1'. .:0-:' ':,," :c,t.;,". ~",::,"'.;r, ;.'."
~~.~.~_, ... - ,>,h~.& ~"f'r ....,. " ':';,'<;J'Y?f~ ".' -- ~;,;~,~..-_ ' " ".,,...,,...r..V"l:,
Signs: 61 - 100 Square Feet
Sign Plan Review
Admin fee (~O% of..:"p'plicable feesL
Technology fee (5% of permit total)
Sign or outline lightin~
State of Ore~on Surcharge (12% of applicable fees)
Te"ilnology fee (5% of permit t~~,_,
:1
. ,"'....
.I
Check
15179
IMAGE KING INC
$276,71
$276,71