HomeMy WebLinkAboutPermit Signage 2011-4-13
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CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00574
IVR Number: 811150309099
,
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PROJECT STATUS:
STATUS DATE:
Issued
pe rmitcenter@ci.springfield,or.us
ISSUED:
APPLIED:
04/13/2011
04/08/2011
04/13/2011
EXPIRES:
VALUE:
10/10/2011
$0.00
SITE ADDRESS: 200 S 32ND ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702310000502
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign - Willamalane Center Re-Image
Phone Number:
OWNER:
ADDRESS:
WILLAMALANE PARK & RECREATION DISTRICT
250 S 32ND ST
SPRINGFIELD OR 97478
Contractor Type
Electrical Contractor
Sign Contractor
Contractor Name
E S & A SIGN CORP
E S & A SIGN CORP
CONTRACTOR INFORMATION ~
Lie Type
CCB
CCB
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal J Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Sprinkled Building:
Fire Alarms:
Energy Path:
Lie No
163470
163470
Phone
541-485-5546
541-485-5546
Lic Exp
03/16/2013
03/16/2013
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
~
Engineered Fill:
Fill Volume:
FloocfHa1itd1ilr.~1: Oregon law requires you to
LanJ'i'lIil.'fd"~klli: adopted by the Oregon Utility
Retf;/Iri\j~lW~P.n Center. Those rules are set forth
soil/il ~6\.f3RO'qO(fdd€l01 0 through OAR 952-001-
0090.. You may obtain copies of the ruies by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
. ....,~.. ' ...
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORizED UNDER THIS PERMIT IS NOT
COMMENCED OR ISABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
4/13/2011 8:41:53AM
Page 1014
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00574
IVR Number: 811150309099
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:
STATUS DATE:
Issued
ISSUED:
APPLIED:
04/13/2011
04/08/2011
EXPIRES:
VALUE:
10/10/2011
$0.00
04/13/2011
SITE ADDRESS: 2005 32ND ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702310000502
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Sign - Willamalane Center Re-Image
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive ~eqd:
% 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
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Description
Signs: 61 - 100 Square Feet
Si~~"~~~~l3..evi~._______~_
Admin fee (10% of applicable fees)
State of Oregon Surcharge (12% o~applica~~: fees)
Technology fee (5% of permit total)
Signs: 0 - 35 Square Feet
Sign or outline lighting
Amount Paid
$280.00
$126.00
$36.00
.~---_.
$7.56
~._'--------'--_.._.'~_.
$21.15
$80.00
$63.00
$613.71
Date Paid
04/13/2011
04/13/2011
04/13/2011
04/13/2011
04/13/2011
04/13/2011
04/13/2011
Recipt #
2011000704
2011000704
~---
2011000704
2011000704
----"---
2011000704
2011000704
2011000704
Total Amount Paid
Springfield Building Permit
4/13/2011 8:41:53AM
Page 2 of4
...- . _ ",
CITY OF SPRINGFIELD
Building I Sign Permit
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
PERMIT NO: 811-SPR2011-00574
IVR Number: 811150309099
permitce nter@ci,springfield,or,us
PROJECT STATUS:
STATUS DATE:
Issued
04/13/2011
ISSUED:
APPLIED:
04/13/2011
04/08/2011
EXPIRES:
VALUE:
10/10/2011
$0.00
SITE ADDRESS: 200 S 32ND ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702310000502
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign - Willamalane Center Re~lmage
Plan Review
I
Deoartment
Application-Acceptance
Received Due Date
04/08/2011 04/08/2011
ComDleted
04/08/2011
Result
Application Accepted
Reviewer
David Bowlsby
Sign Review 04/08/2011 04/08/2011 04/08/2011 Approved David Bowlsby
Comments: 8.267 Sports Facility Sign District. The Sports Facility Sign District is designated on Map NO.4. The following combination
of signs shall be permitted for this approved development area because of its unique size and uses within the area:
(1) Wall Signs. In addition to the free standing signs, the approved development area may have walls;gns at each
building public entrance. The total allowable area for all such signs shall be 400 square feet. No single sign shall exceed
100 square feet.
(2) Free Standing Signs. Two (2) free standing signs shall be permitted for each approved development area. The
free standing signs shall be limited to 50 square feet per face, or 100 square feet for two or more faces, with a maximum
height of 10 feet. One (1) additional free standing sign will be permitted at each vehicular entrance. Each sign will be
limited 10 25 square feel for all faces wilh a maximum height of 2.5 feet.
(3) Logos. Logos are allowed in addition to the permitted wall signs listed above provided Ihe total square footage
of the permitted wall sign(s) and logo(s) do not exceed a combined area of 400 square feet. A permit is required for each
logo that is being installed based on the square footage of the proposed logo.
(4) Murals. Murals are allowed as an artistic painting applied to and made integral with a wall surface. To be exempt
from permits, murals shall not include logos or lettering.
(5) Illumination From Signs on Non Residential Property. External illumination shall be shielded so that the light
source elements are not directly visible from property in a residential zone which is adjacent to or across a slreet from the.
property in the non-residential zone.
Rerhiit'lssuan"ce:'''''',~~:&tk2!'tdt" .04/08/2019?i"j:"04lbBI2011,':<';'04113/201M;;';,VtfIS'S\led:;z;t~;<1f'tJ;;F;'JY:&+~:i0'triibavia~Bowls5y':'":2\::U2" A1". ,~~~~ ,.,-C~:" ,,: 'j
~; ~t:'O",;;:",.~,:, ",,,~,::, is t" ':1"';;' "'ifi.}iiJ:[7."'!;::~~;'i;,~~"i;:z"t,::;,it.;;,:.t:'~~::;S;;I';,~u~~~./. ,J,"~'i" ~. . .
INSPECTIONS REQUIRED ~
Inspections
6900 Sign Location
6910 Sign Footing
6940 Sign Attachment
6950 Electrical - Sign
6999 Final Sign
Sign Location: To verify the location of the proposed sign
Sign Footing: After excavation and forms are in place, but prior to concrete.
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.
Springfield Building Permit
4/13/2011 8:41:53AM
Page 30f4
.- ' . -,
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00574
IVR Number: 811150309099
225 Fifth 51
5pringfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
04/13/2011
ISSUED:
APPLIED:
04/13/2011
04/08/2011
EXPIRES:
VALUE:
10/10/2011
$0.00
SITE ADDRESS: 200 S 32ND ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702310000502
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign ~ Willamalane Center Re~lmage
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
constr on.
L/-/~ -II
Date
,
,
Springfield Building Permit
4/13/2011 8:41:53AM
Page 4 of 4
=1225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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~ City Job Number
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~I DescnptlOn of Proposed Slgn(s): (Please check and complete all' ~pprop~ate information)
~' - Wall /' Freestanding prOje~ting Roof
I I j _ Single Face / Double Face 'BIllboard Other
1'--1 I
~' ~ Square Footage: ;Z,Z -+ Total Height above Grade: B
)' j Vertical Dimension of Sign or Enclosure: 5' 2-"
. , "
\ Dimension from Grade to Bottom of Sill" Enclosure . 'l 10
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Site Address: 2.a:? ::). 3~ St-.
Assessors Map~ 702 3/00
OO.:::::,OL
Tax Lot:
Phone:' qf 1-1%~4<>v.f.-
Owner: jJ)ILL1I<<I'l1..At..I~ ~<, ~ 1"PA-iil:>t-J
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Address: -,2., Co <=t 6-r.
City---.S.~&fi l:>'l-P , OQ. State Zip
Business Name, Firm, etc. Wlt.-t JtMA-f.ll1..1 c: ~LOUJ\1...... ~ (!eN ML
Marquee
/.'z. 11
Horizontal Width of Sign or Enclosure: <P
Electrical Installation: i./'Yes' '---No
(If yes additional electrical pennit required)
Material Sign is Constructed of: Il:LtJU ."Iv I.A W! ~(...( t.- ~ I Value of Sign: 14 (oS! ~
~ "I fiG' ,IlIN'1'- (!.o(J~ ,.. I-f,I;3S1t&e: UI'l--
'List ALL exi;ting signage and attach a photograph of each sign:
(a) Type WA:t.vN~ awSq FIg. ~3.4l$" (b) Type /-(O,\Jul-ttoN.'f 14. ~tg.2Lt.~g
(c) Type~~~ Sq. Ftg. C20,I'1 (d) TypeFI~$/fAJ,-'3.OV'Ot Sq.Ftg._#.1'5
Contractor/Installer: F7S$A- 6It,,~kf\.l'D A1.VNI "-~"'" t..o,
Address: 121cns- 'P1tI>n rue f2...().
~~ O~ 11%2-
,
Phone:~ ,13~-Z38j
State:
I lP34-7o
Zip:
Expires: '3 I tf:) (-ZOII
S'D' , '-5.Zb7'SPOat'!.
19n IS~Ct: .
OFFICE USE
~C.\LIl'-y' Z .
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By signature. I state :md,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 from the
street, that the permit card is located at the ont of the property, and the approved set of plans will remain on the site at all
ti~es durinnst~ o~the_ sigu(s)
Slguatur~ Date Z/i?I20I/
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Shared Drivc(T:)/Building Forms/Sign Permit Applicalionl-02.doc
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~1225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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lJJJ City Job Number
tl~~ Site Address:
~ Assessors Map
~j
~
tl~j City
....J Business Name, Firm, etc.
~~
~ Description of Proposed Sign(s): (Please check and complete all appropriate information)
~ V Wall Freestanding Projecting Roof
r '
, ) - Single Face 'pouble Face Billboard Other
If!.. 2 ' "
<1 Square Footage: . Total Height above Grade: 0 ~
(1 z&{ '.5:7 LL' II /-::>1 ,; ~'
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, I co' S':l. 1'?:!Jz.
1 Dimension from Grade to Bottom of SIgn Enclosure I'J Electrical Installation:_Yes XNo
(If yes additional electrical permit required)
~) Material Sign is Constructed of: fu~hA N lhf\ Value of Sign: /lI 53-
,
Il~~
r ~ List ALL existing signage and attach a photograph of each sign:
r~
rl
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~~ Construction Contractors Registration Nu~ber:
SPfLZD{ I -00 $7L.I
2t;o :5. 32.nd
17DZ sloO
Tax Lot:
00$"02.
Owner: uJll..UHnklA1v.~ 'Pmu'-s ~~o...'l
Address: 12'1(~ '6. I "9r.
S"1U0b~.
W(~~
Phone: ?"i1-11(p-'fOz...t_
State oIL
Zip
Marquee
(a) Type WI\'U.--NI:1fU1.t
(c) Type lI.JkU.- e:Ar,,-
Sq. FIg. 2>3.(PS'
Sq. Ftg. ~.('1
Sq. FIg 1-1:.1fi
Sq. FIg. 4(, .7~
Phone:'7tl - ~z383
State: ~
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Expires: ?Il (P (Wit
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OFFICE USE
Sign District: g. Z b 7 S 1- k f,4c../. Iv Zoning:
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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 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 dUri~stallation of the sign(91
Signatur~ ~12....;f/~ Date Z-(t3!uJI!
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Shared Drivc(T:)!BuHding Fonns/Sign Permit Application I-02.doc
= 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
o City Job Numb.,
tl~~
~
~j Owner:
~
"~l City
-J. Business Name, Firm, etc.
~,
~~ Des~on of Proposed Sign(s): (Please check and complete all appropriate information)
t\\ - Wall Freestanding Projecting Roof
~l V' Single Face~ Double Face Billboard Other
~j' Square Footage: _ Total Helg\,:::~ove Grade: ~ r ~ ,
, ~'I' Vertical Dimension of Sign or Enclosure: _ ::z Horizontal Width of SIgn or Enclosurs.;.. z.s
1 Dimension from Grade to Bottom of Sign Enclosure :2f) , Electrical Installation:_Yes V No
(If yes additional electrical permit required)
~ Material Sign is Constructed of: /t:l.AJ J.-l1~UM Value of Sign: '31'7/0......
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Site Address: 2rr~ 5. 3W
Assessors Map-1 702- 3/ DO
00 $02-
Tax Lot:
WILL-~e Y,+,e..(S 4:.J~,cU~,6rnO~
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Address: 2-'7&. b ~
Sft..<~n:.~. oL
Wl~-E
Phone: 9.f-1.'7%-I.fo'2J/
State
Zip
Marquee
List ALL existing signage and attach a pbotograph of each sign:
(b) Type UOtJlJW:Nr I>J 1::lJ~, Ftg. 2<f,.<.f~
(d) Type fie; SIWJ 5e11Nt-~tg. ~.1~
(a) Type tacu- MoUlf~JSq. FIg. B3~
(c) Type 1t>>cU..--16~ (-')1-\/ Sq. Ftg. B?14
ContractorlInstaller: E s ~ A- :Sl~ AN'D /no", I tJ.r, CJ> .
Address: ..m1,,> ~ ~E ~
City: l::U~F-
Phone: "511. 608- 23f?3
State: DR..
Zip"'!' <.fOz..
~ 1,r,.,{70'f
Construction Contractors Registration Number:
th3<'/lo
Expires:
SignDisirict: ~.267
OFFICE USE
.5~~L.I':'" Zoning:,
~L-D
By signature, I 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 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 duri'^th~installation of the sign~.
Signature~~~~...A-... Date 2ft! !-z,o/l
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Shared Drive(T:)IBuilding Fonns/Sign Pennit Applicationl-02.doc
Electrical Permit Application
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225 Fifth StreettSpringfield, OR 97477.PH(541)726-3753tFAX(541)726-3689
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Permit no.:
Date:
\~~CD
This permit is issued uuder 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.
$ lP3-
(B) Enler 12% surcharge (.12 x [A]) . . , $ 1 L7_
(C):r~chhl,I~gy:Fee (5% of[A]) . .~~. "nt0~
~'y TOrt?~~~f~'~u~~~E~(~~iWg~~ir~~ ~'Nf)i-1~..'1
2n ~ COMMENCED OR IS ABANDONED FOR:..
~.:V ANY 180 DAY PERIOD. "
';:jC;;;~:'Z~':jl!1oCA.I..,fGOYERNMEI':l-ri':A.PI?RO,VA.is!::',:.., ,i ,..
Zoning approval verified? 0 Yes 0 No
i,,';;r,:.1":(d:';:'iG'A.TI:GOR\1iC;jRi'CoNSTRt.)CTIOIIC';;, "j' ,,'.
o Residential D Government 'El Commercial
i:'i~i:.~1t2(JOa:i$I-rEiijNJ;ORIVI.MHON;'A.I':l[!::110CA...tION~\ii't..t;j
Job site address: ~ 5. ~ &r
city:=R1Z-ltJ"",l:<l.-j State OIL ZIP: 'M'tl!/'
Reference: w~e Taxlot.:
.,', ,-; '"
I /.J S tl..l.-v,,-! !> '='AJ tV
~ Ml:%Sta.,€ ~TO'L
f~Ei~~~'~~?~~,fm~\!~~;,~RB'QeERT,~iQV\iN'~.r{;:~~f~if;~~~' ;h~~t:1,;;n:;~t;~:~::~
ZIP:
This installation is being 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). N I
Signature: tr
2i1i'l:S:t[.'7ll:;':'~C0NiI1MC-rPR;;rNS:rA.l..l1'IX-ri0N1fF,!"i..t:'4T;;;'i:~[;
.oJ t......,
k>2-
'3
. Ul-tn
~""',
Signing supervisor's license no.:
Print name of signing supervisor:
SIgnature of sIgmng supervIsor:
At)
~ ,c.l
440.2584.) (9/08/COM)
[, i~;'::',FEESCHEDULE.'.i'p:o\~,,;., :.
. 'MnC',[ ',q,"'.. '. :;';I[:,.JQ"'!)I "Cost '7 1.,'Total'
;.:~u ~ \h'.J' ty'l; ea...1 cost.
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: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
40110600 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)
201 to 400 amps (2)
401 to 600 amps (2)
$ 63.00 $
$ 87.00 $
$126.00 $
9ver 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (1)
~
(A) Enter subtotal of above fees
(Minimum Permit Fee S58.00)
$ 63.00 $
I $ 63.00 $(P3-
$ 63.00 $
$58.00 $
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726.3753
www.ci.springfield.or.us
811-SPR2011-00574
200 S 32ND ST
permilcenter@ci.springfield.or.us
RECEIPT NO: 2011000704 RECORD NO: 811-SPR2011-00574 DATE: 04/13/2011
lOESC RII~.T16N' ,c'\~~c:"~f'':" .~-J:' "72~~::;'G'.""' >;"f'I''\J''v-f:';' >" 'ACCQl.J NI::c:6oeJ...:r . To', '\',i'P,c'Jl'AMQUNTlol.J E'":' " : I
Admin fee (10% of applicable fees) 224-00000-426605 36.00
Sign Plan Review 224-00000-425602 126.00
Sign or outline lighting 224-00000-426102 63cOO
Signs: 0 -]5 Square Feet ___~__~0000-425602 80.00
__ Signs: 61 - 100 Square Feet 224.00000-4256.o.?___~..__ 280.00
---3tat~ of Oregon Surcharge (12% of applicable fees) 821-000.00-215004 .__7,5~."____ .
Technology fee (5% of permit total) 100-00000-425605.__.~_ 21.15 _._ __
TOTAL DUE: 613.71
Le:A.YMEt!:r-TYEE.'~ '..:.l"P. A-"-()J~{*iJcAsH1ER:cD-BOwLSBY~'~ ;:.:': dQQMMENTS' -: :r.::"oJ:,,' ,c " ',:, AMOUNJ'P AID::;;; ",; "~!..r.J",1;.j
Credit Card linda padilla 613.71
013649
TOTAL PAID:
613.71
.
.