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Home My WebLink AboutPermit Signage 2011-3-23 SPRING FIE~ .'~ ^~)r t~ ",\i!0~ OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00462 IVR Number: 811119802503 www.ci.springfield.or.us 225 Fifth 51 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/23/2011 03/22/2011 155 ued 03/23/2011 EXPIRES: VALUE: 09/19/2011 $0.00 SITE ADDRESS: 5768 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702334101900 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign - wall sign for Three of a Kind Deli Phone Number: OWNER: ADDRESS: POLEN DEVELOPMENT LLC 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type Sign Contractor Electrical Contractor Contractor Name IMAGE KING INC IMAGE KING SIGNS CONTRACTOR INFORMATION I Lie Type CCB ',ELECTRICAL Lie No 161313 20-530CLS. lie Exp 09/01f2012 07/0112011 Phone 541-484.1482 541-484-1482 BUILDING INFORMATION I # of Stories: Lot Size: Height of Structure: Sq Ft1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage: Hazmat: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: PJnTlr~' Electrical Specialty C~d::;~dltion: EXPIRE IF THE WORK Springfield Fire cbMIEditio~MIT SHALLR'THIS PERMIT IS NOT 811T,HORI7i=D IINDE Mechanical specir.%\~~ff~~1i~DnbR IS ABANDONED FOR Municipal I Development Code:- p' ERIOD Li~IY j SO nAY . Plumbing SpecialtY.Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information ATTi=h'TIIJN: Oregon law requires you to follow I ,'Ies adopted by the Oregon Utility Notlflr;~ on Center. Those rules are set forth in c: ;2-001-0010 through OAR 952-001- 00, 1I may obtain copies of the rules by c the center, (Note: the telephone nL" for the Oregon Utility Notification Genter is 1-800-332-2344). # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 3/23/2611 8:06:29AM Page 1 01 3 www.ci.springfield.or.uS CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00462 , 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 IVR Number: 811119802503 permilcenter@ci,springfield.or,us PROJECT STATUS: STATUS DATE: Issued 03/23/2011 ISSUED: APPLIED: 03/23/2011 03/22/2011 EXPIRES: VALUE: 09/19/2011 $0.00 SITE ADDRESS: 5768 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702334101900 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Sign - wall sign for Three of a Kind Deli DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion TVDe of Construction Unit Amount Unit TVDe Unit Cost Value FEES PAID ~ Descriotion Sign Plan Review Admin fee (l.q"l~~ applicable fe~_~) State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Signs: 36 - 60 Square Feet Si!E'~ or outline lighting Total Amount Paid Amount Paid $42.00 $11.00 $7.56 $8.65 $110.00 $63.00 $242.21 Date Paid 03/23/2011 03/23/2011 03/2312011 03/23/2011 03/23/2011 03/23/2011 Recio! # 2011000530 2011000530 2011000530 2011000530 2011000530 2011000530 Springfield Building Permit 3f23f2011 8:06:29AM Page 2of3 S:AI.N~.~ Ib,~~ ~ "r'? ~ --- ",~ OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00462 IVR Number: 811119802503 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 03/23/2011 ISSUED: APPLIED: 03/23/2011 03/22/2011 EXPIRES: VALUE: 09/19/2011/ $0,00 SITE ADDRESS: 5768 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702334101900 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign - wall sign for Three of a Kind Deli Plan Review DeDartment Application Acceptance Received Due Date ComDleted Result 03/2212011 03/22/2011 03/2212011 Application Accepted Permit Issuance 03/22/2011 03/22/2011 03/23/2011 Issued ~ Reviewer David Bowlsby Nancy Machado INSPECTIONS REQUIRED I 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 and 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 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 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. -~~~~~ Owner or Contractor Signa re 3-;:>::,- \ L Date Springfield Building Permit 3/23/2011 8:06:29AM Page 3 of 3 CITY OF SPRINGFIELD, OREGON 'E',t::>:?in['..:-::nC"'.'ii~~ ~r:} =1225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 o CityJobNumbe< 5PIL~C{I-<)C L{b Z- IJ~j Site Address: ..5 7// R' /no. //1 5+- ~ Assessors Map 17 0 2.. 3 :s Lf ( Tax Lot: Ij Owner: ~POL~N' ~/of',N\elA.+ ij Address: "Z \ <=, -, acylN\. ,;)1-'- 5;-,- City 5. P(~ ~j Business Name, Firm, etcT'" r el!: o+- A ILl..... d.. ~1 ~j Description of Proposed Sign(s): (Please check and complete all appropriate information) if, V Wall Freestanding Projecting Roof ~j - Single Face Double Face Other ~f jj Square Footage: L/-(} _ Vertical Dimension of Sign or Enclosure: Dimension from Grade to Bottom of Sign Enclosure /3 \ <./ {. ~ Material Sign is Constructed of: G / \/ h1; ;'(1 m (J r r1j{'c IJ~j r1 r1 ,j I j ~ ~j Construction Contractors Registration Number: ,r"l' /, ~, ~ ",. it.,' '-- ',"- 0/900 LLL Phone: State o!L..- ~e" /; Zip ~ 7l.{71 Marquee Total Height above Grade: ~)l Billhn}ltrl /f'4U yl Horizontal Width of Sign or Enclosure: V- Electricallnstallation:_Yes _No (If yes additional electrical permit required) /JiJu'/) f VinLlI Value of Sign: /J 500 I t' List ALL existing signage and attach a photograph of each sign: (a) Type f}6~ Sq, FIg, (b) Type f (c) Type Sq. Ftg. (d) Type Sq. FIg, Sq, Ftg. Contractor/Installer: LIhtJ.iLL- 1210 J i9/1 ') Address: L/IYfl to / /t v--c..- .--- City: ~U'J-C/L^--- Phone: 4 f</ 1<1 f .) State: OZ ZiP:~ Expires: ~ 1& I ~I 3 OFFICE USE =1 Sign District: C r Zoning: L {" - ~! ~ By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all r! information herein is true and correct, and 1 further certify that any and all work performed shall be done in accordance with " the Ordinances ofthe City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, I IJ~j further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project W 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 ::~::ngrr;i}~~~ Date 3/2/ Ii/ Shared Drive(T:)IBuilding Forms/Sign Pennit Applicationl-02.doc Electrical Permit Application I @IT1f (Q)[1~(ffl~~ 225 Fifth Street.Springfield, OR 97477.PH(54I)726-375HFAX(54I)726-3689 I~ DEPARTMENT USE ONLY Permitno.: 5/1-00 L..{bL Date:3-2?-I/ This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits ex~ire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? DYes DNo Number ofinspectioRS per item () Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential, per unit, service included: D Residential I D Government I ~mmercia1 1,000 sq. ft. or less (4) $ JOB SITE INFORMATION AND LOCATION $134.00 Job site address: -5 r; (; ~ /. hoJn 5-r Each additional 500 sq. ft. or portion $ 25.00 $ thereof City: <;;)/7 M/id d I State: fJ!L ZIP: 97t.f-11 Limited energy (2) $ 32.00 $ Referehee: 1~^Z- ~34 I I Taxlot.: O,-nh Each manufactured home or modular TUL $ 63.00 $ DESCRIPTION OF WORK dwelling service or feeder (2) ;', rwll IlItUrN}I/Lt ,. I(V/J1.iJ/ltd<-d Services or feeders: ins/alia/ion, alteration, relocation fA hlJ/ J/Crl I 200 amps or less (2) $ 81.00 $ / PROPERTY OWNER 201 to 400 amps (2) $ 95.00 $ Name: ~/I:"" '0(:"'111:' lOA ""'\ /.:.....-1- LLC 40 I to 600 amps (2) $158.00 $ Address: 7/ CJ I OLvwt.('c c.. ST' 601 to 1,000 amps (2) $205.00 $ City: S~l::'~ I State: oiL ZIP: cr71..01 Over 1,000 amps or volts (2) $469.00 $ Phone: - - I Fax: - - Reconnect only (2) $ 63.00 $ E-mail: Temp<.lrary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 20 I to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 401 to 600 amps (2) 479.540(1) and 479.560(1). $126.00 $ Signature: Over 600 amps or 1,000 volts., see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: new, alteration. extension per panel Business name: . ( f l/l,.", 1/"11.& ~y,,15 a Fee for branch circuits with purchase ofa service or feeder fee: Address: '/457 (AJ 'i ~- Ll 'J. / Each branch circuit I $ 6.00 $ ~ City: t;U(I d "I I State: (J J2.. ZIP: '1 '(/0;:;" h. Fee for branch circuits without purchase of a service or feeder fee: Phon!Jlll-!(j.N~(rjO I Fax:j1...!! 1../-&< - ,999-1 First branch circuit (2) $ 55.00 $ E-mail: (').,/1 rI J M . fJ //n.a.~ 1';/1 '" 5/a/J5. CO 1;>- Each additional branch circuit $ 6.00 $ CCB license no.: It, / ~/.3 BCD license 10.: 21L~ :v/- /" 1/ "M.iscellaoeous fees: service or feeder not included Signing supervisor's license no.: b':(L! ')l <1 Each pump or irrigation circle (2) $ 63.00 $ . Print name of signing supervisor: ,c.. e-.ec!( LUr.At' Each sign or outline lighting (2) i $ 63.00 $/d-<, Signature of signing supervisor: Y 0 ~ /1 ( {~J IK-, Signal circuit or a Iimited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ ATTENTION: Oregon law requires youto APPLICANT USE follow rules adopted by the Oregon Utility (A) Enter subtotal of above fees $ 10 3_ Notification Center. Those rules are set forth (Minimum Permit Fee $58.00) in OAR 952-001.0010 through OAR 952-001- (B) Enter 12% surcharge (.12 x [A)) $ /J:J(p 0090. You may obtain copies of the rules by (C) Technology Fee (5% of[A)) $'3~ calling the center. (Note: the tele~:hone number for the Oregon Utility Notl,lcalion NOTIC ~rOT AL rees and surcharges (A through C): $73~ - .. ..., enter is 1-800-332-03J4). T SHALL EXPIKt I~ I Ht: vvun" C ~'\,~.~ ~W~ THIS PERMI AUTHORIZED UI~DER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 440-2584-J (9108/COM) ~Sf.~:N~FIELD . :~::"- -~ ".~ O"'GON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.OLUS 811-SPR2011-00462 5768 MAIN ST pe rmitcenler@ci.springfield.or.us RECEIPT NO: 2011000530 RECORD NO: 811-SPR2011-00462 DATE: 03/23/2011 r[jESC;RIP.tl()N~":;';~ "~\"';.(j:~ '~>:-~,,+I',' ,'j(;"+fi'';' ,()- .,#". #,;. :,'Y:)>.CbO]N"r~CODEi\:':::+~::.':O:f;::Z't!'lI'liOUNt[)\JE".;:;:jF ;.,.\ Admin fee (10% of applicable fees). 224-00000-426605 11.00 Sign Plan Review 224-00000-425602 42.00 Sign or outline lighting 224-00000-426102 63.00 Signs: 36 - 60 Square Feet 224-00000-425602 110.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 7.56 Technology fee (5% of permit total) 100-00000-425605 8.65 TOTAL DUE: 242.21 li~AiIl'lEt-II:JYP-E;: <~~AiQB"'cASH;ER:::~MA<i.H.~DCi'!:'X-'}'::;;;':.G'6rJ\JVII:JlIS.:a~:_:';;j.-j;}-: :Y:)J'-;~.~AMOUN:r.P AID '~; "F_ .;'-:';: F'1 Check IMAGE KING INC 242.21 16050 TOTAL PAID: 242.21