HomeMy WebLinkAboutPermit Electrical 2011-6-1
This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
,". ~~'~.,!:~l!.o0AL:'GOVERNMENm~';4igRRbVA~i';_*;~JiCjJ
Zoning approval verified? 0 Yes 0 No
t ;;~,.~I:cATEG:0RY,tOF: ~t::ON!HRLJ.~ljl()N~f!b;';J.~E;?;I
D Residential D Government Commercial
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City: ZIP:
Subdivision: )70.:5 1:;- '3 2. Lot no.OO 2-0
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225 Fmh Street+Spdngfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
}~,~i.t~7J'~t~~~R~O~J?E-RtygQWNER~~1~~l&r~~.J~~~
Name:
Address:
11.(01
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).
Signature:
C". 2::'~~C;0r;I'T;MG;rOl't,INSljAI::!:A'tION~~fu:'(f;:!k'\f.;
I N~
11 't>......
rllv<.cV I'"
CCB license no.: H"f)
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
'~~~ ~\\.
~~ ~ ~U-iR~J ~~\'()
\J\J\i~cn ~ 9J\'OlU() ~w
~ ~Cf{~,*U(\Q; . ~
~ctl~ ~
440-2584-J (9/08/COM)
;PRINGFlELD ~.
~.~~
~~ Ak. ''i
S'i."".". ",... Ii'.iiIJI
~,-,~",,;>);,.'c"'-' fO;""~~~':"" d'->'" ;,~: .,r:'''~~:]'''''x.~~'''. .~;l.
~,J\:DEPARliMENJ;;USEfONl:'C.,~
~~; . .~.~ '~'...: ;:+ ';I.i'k~,~' ~~'.+;:l(',Jti'" ,;::t~'Ii:.::~:.:i.'}~~'",,: 1;.-
Permit no.: 51!' 0 I Z l{
Date:
~:i:~~~::;~~{4i}ff~;~,E'E;~'$_~hIEOJJI1I;~~';;~Y4~~.~~~}:)::if0~fi~):
,"';i!f';"'~,"~.",,-;r,,-..; . .,~~,..",,~~ 'd_ >, c- I ,^ '-' t- f IP
:!:NumberJof,ins' eCtiorisrer,'item';', ~:; . t ~ ~.""g~ ':'\.", (",';;__~La v,;
~'B':i,,'~:l~~;{;i'~'-''''I.~.P~:-''''l'\-;;' "eir_111~!~i~',",:~ .~.~, t~fe~;l;r:~ :p..~.~o.sJ~~
Residential, per unit, service included:
1,006 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 $ $
dwelling service or feeder (2) 63.00
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
40 I 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 $
20 I to 400 amps (2) $ 87.00 $
40 I to 600 amps (2) $126.00 $
Over 600 amps or ~ ,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per pane/~
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 ofa 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) 'I $ 63.00 $ (,1"
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
m~iit17;~-~~~~AF!PE'IGANf~OS'E;~f'~1if.'? ~~?f?N 4tJ;~~,~~'t
,... ..= H._..... -- '..'" _ _.,:._. .- ';'".l"~-"r:. ..."",.......... ~
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $ b"J
(B) Enter ]2% surcharge (.]2 x [A]) $ 75b
(C) Technology Fee (5% of [A]) $ <./j-
TOTAL fees and surcharges (A through C): $ 73~
.. '
5PRIN.GFIE~. 0
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,~..J\. OREGON
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01241
IVR Number: 811158136413
www.ci.springfield.or.uS
225 Fifth St
Springfield,OR 97477
Phone: 541-726'3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/01/2011
ISSUED:
APPLIED:
06/01/2011
06/01/2011
EXPIRES:
VALUE:
11/27/2011
$0.00
SITE ADDRESS: 3783 INTERNATIONAL CT, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703153200202
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign. freestanding sign
Phone Number:
OWNER:
ADDRESS:
CHAMBERS DEV CORP
2295 COBURG RD STE 200
EUGENE OR 97401
Contractor Type
Electrical Contractor
Sign Contractor
Contractor Name
IMAGE KING INC
IMAGE KING INC
CONTRACTOR INFORMATION ~
Lie Type
CCB
CCB
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Waler Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Sprinkled Building:
Fire Alanns: .
Energy Palh:
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:
Lic No
161313
161313
Lic Exp . Phone
09f01l2012 541-484.1482
09/01/2012 541-484-1482
Lot Size:
Sq FI 151 Floor:
Sq FI 2nd Floor:
Sq Ft Basement:
Sq FI Garage:
Sq FI Carport:
Sq Ft Olher: 0
Occupancy Load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area: .
Land Hazarm!i':NTION: Oregon law reqUires yout?
Retaining ~w rules adopted by the Oregon Utility
Soils RepoWmti/tfl,lJQ!1 Center. Those rules are set forth
. In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
. , . -. :.- "l'~:".,:
NOTICE: "' ""'''''; . .
THIS PERMIT SHAll EXPIRE IF THE WORK .'
AUTHORIZED UNDER THIS PERMIT IS NOT ~:
COMMENCED OR IS ABANDONED FOR '-, ;".
ANY 180 DAY PERIOD. ;,. ..,
.
Springfield Building Permit
6f1/2011 2:02:49PM
Page 1 of 4
SPRIN.G. FIEL~
.::-
",H ~~
,','~;'^- OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01241
IVR Number: 811158136413
225 Fifth SI
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
06/01/2011
ISSUED:
APPLIED:
06/01/2011
06/01/2011
EXPIRES:
VALUE:
11/27/2011
$0.00
SITE ADDRESS: 3783 INTERNATIONAL CT, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703153200202
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Sign - freestanding sign
DEVELOPMENT INFORMATION'
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descrtotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
DescriDtion
Sign or outline lighting
Admin fee (10% of applicable fees)
State of Oregon Surcharge (12% of applicable fees)
Sign Plan Review
Signs: 36 - 60 Square Feet
T..::.hn.Cl~~gy fe':. (5% of permit~total)
Total Amount Paid
Amount Paid
$63.00
$11.00
$7.56
$42.00
$110.00
$8.65
$242.21
Date Pa id
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
Reciot #
2011001393
2011001393
2011001393
2011001393
2011001393
,2011001393
Springfield Building Permit
6/1/2011 2:02:49PM
Page 2 of 4
SPRIN..G. F.IE~
.-- .
u- ~
f,,'\ OREGON
www.cLspringfield.or.us
CITY OF SPRfNGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01241
IVR Number: 811158136413
225 Fifth St
Springfield, OR 97477
Phone: 541.726-3753
Inspection Phone:.541-726-3769
Fax: 541.726-3676
perm itcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/01/2011
ISSUED:
APPLIED:
06/01/2011
06/01/2011
EXPIRES:
VALUE:
11/27/2011
$0.00
SITE ADDRESS: 37831NTERNATIDNAL CT, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703153200202
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign - freestanding sign
Plan Review
~
DeDartment
Permit Issuance
Received Due Date ComDleted Result
06/01/2011 06/01/2011 06/01/2011 Issued
Reviewer
David Bowlsby
l'sign ~evi_ew ' ,
Comments:
I
,.
I
,,06/01/2011 <06/01/2011 06/01/2g11 ,. Approved ~:' . .i,;DavidBowISbY,i '.. .' .,. :'i
8.248'CO~inunity C'5mm~rCiala~d MaJri} R~t~n'com~erCiaJ'Distrid>-TI1.~si"stan.dards~~dpIYJor';11_ProP~'~/lo'~~ted in',CC ' :",
or MRC Djs_~ricts excepHhose located'iii the Downtown ~ign.DiSlrict,"I-5 MallSign -Oistricrand the 1-5 CommercialSigr'}
District"','" ' ",./",,'.4)'1'" "":'.." ~:~ ,',,:.,", ,.'.':',._ ". ~ <
(1) Single Businesses. Each business'shall be permitted arTlaximuITI number ofthree (3) wall signs totaling 350"
square f.eetfor al) taces\: ~"'" '0.:', ,,"..,' ,,~' -: _" " "'_ '~' :;, _, .
--, (2r~ree Standing, Hoof. a~d Projecting'-Signs. lrladd.ition to wall signs,:permi!ted above, one (1) sign" f.romthis group
shalf be permilte~ for e:~lc.h approyed development ar~a. The total ?lrea permi,tted for ~free standi~g sig':!. roof or
~ projectlng,signshall be '1'60 squa~re feet.for oneJace 'or 200'~~uare feet fodwo or more faces at a maximum of 20 feel.
"ab~ovegrade.'; _ ;.' -~ ~-- "'.' ~ '-~ -, . ;~. ",0' . - ---- .
. (3) Second Story S""usiness,es and-Above.,Two'{2)WaWslgns:~per busineSS5,hallbepermitted withi8 maximum sign
di~playareaof,175squarefeeHorallfaces. " - . '.., ':.., ,-.,," ~- .' ." ,'. .
~. (4) Logos are alloWed in additlonlo lhepermitted waif signs listed atJ6ve provided thelogo'Js the iogo of the
"businessresiding'6n the premises andpr~vided:the total'square footage ofIhe' permitted)vall sig"rlS and-the logos do _not
. -exceed a combined.area',of 350,squarefeel for single story b'usinesses and -175 square feet'for second story businesses.
A permit isrequir~l;Uor eaCh,IOgcithatis,beingjnstall~dbased on-th_~square'footage,Ofthe prop9,sed logo. .
",-. (5) ,muminatio[1 From Signs onNen Residential Property, External illumination shall be shielded s"o,that the light
i ~~~~~ri~I~;;~~t:_~e~~~:~~~I~o~:jble frOmtop~y~~ reSidenti~1 zo~e which is adjacenl 10 or across a slreet from th; ~._u_ _--,-__J
Application Acceptance 06/01/2011 06/01/2011 06/01/2011 Application Accepted David Bowlsby
"
Inspections
6900 Sign Location
6910 Sign Footing
6930 Sign Slructure
6950 Electrical - Sign
6999 Final Sign
INSPECTIONS REQUIRED ~
Sign Location: To verify the location of the proposed sign.
Sign Footing: After excavation and form.s 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
6/1/2011 2:02:49PM
Page 30f4
SPR..IN..GFI.E~ D
~l'_
,< <""-
'. \t;i!!'
.. . i;~:\ OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01241
IVR Number: 811158136413
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726.3676
permitce nter@cl.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/01/2011
ISSUED:
APPLIED:
06/01/2011
06/01/2011
EXPIRES:
VALUE:
11/27/2011
$0.00
SITE ADDRESS: 3783 INTERNATIONAL CT, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703153200202
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign - freestanding sign
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 inspegions 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.
CJJ~Jcr- &ftltl
Owner or Contractor Signature
Date
Springfield Building Permit
611/2011 2:02:49PM
Page 4 of 4
=1225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
~ City Job Numbe, 5//' () ) 7- Y I
'4~1 Site Address:
JW\
~ Assesso<s Map
IJ Owner:
~ Address:
.,~j City
.......J Business Name, Firm, etc.
~1
~H Description of Proposed Sign(s): (Please check and complete all appropriate information)
"'\ . - Wall to/. Freestanding Projecting Roof
MJ - Single Face :f. Double Face Other
~~r 1~ 1 Square Footage: I..f'b~
, Vertical Dimension of Sign or Enclosure:
Dimension from Grade to Bottom of Sign Enclosure
~
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~j
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." ";' ,,::-;;"ClwoFtsPRrNGFrELD':0REGON ;.;><:. ?'_'-- ):"-
i:';'" -.' B . ..... ~ ~. .'" ";,. I ,f."",";. ~ ,~. -..
{~...; ":"~ ~?v' .'",;..;.
Plan Review Fee of $40 per sign is due with application.
~"'1 '8 3 I f'JIc.--y1.r"ItfIGfolf'rL;
/70 ~ / $'32-
~(}0
lot tJ.'tt,j
~tJ,~
&,VM
Tax Lot:
DOZO?
Pnone:
11~ - f13,-{
f/1~~171
rX~+t
6~
't/llo/
State
Zip
w
Marquee
Total Height above Grade:
'fh,
Billboard
II- '--c. "
7 :.. ,t'1
Material Sign is Constructed of: --8lAJJlA '''..Il^1
Horizontal Width of Sign or Enclosure:
~~,,~ ~
~ -, Electricallnstallation:~Yes _No
/ (If yes additional electrical permit required) ._
,JIIUjMv . Value of Sign: # g;ltb
ge and attach a photograph of each sign:
(a) Type
(c) Type
Sq. Ftg.
Sq. Ftg.
(b) Type
(d) Type
Sq. Ftg
Sq. Ftg.
Contractor/Installer:
I MIIl4(
""'0>>
140.11.
/'>J
St~,JS
M'
Phone:
Address:
'-to C; I
fLlt."M'
Ovt,a,uJ
Construction Contracto<s Registration Number:
l({, 11
Zip: 'in '-to ~
Expires: 1/1'7" /
City:
State:
OFFICE USE
~1 Sign District: C L Zoning: C C . .
~l .
~' I~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
r 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
"~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
times during the installation of the sign(s).
1S-Ws
Signature
~ /'{:f/1I
Date
Shared DrivetT:VBuilding Fonn!>/Silm Pennil Annlicalionl-02.doc
. . . .
SP~"-4GFIE L~
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i<'4-\..OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
811-SPR2011-01241
3783 INTERNATIONAL CT
permitce nter@ci.springfield.or.us
RECEIPT NO: 2011001393
lDESCRIP..TION ,.,
Admin lee (10% of applicable fees)
Sign Plan Review
Sign or outline lighting
Signs: 36 - 60 Square Feet
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of pemnit total)
'.
RECORD NO: 811-SPR2011-01241
ACCOUNT.CODE' .
224-00000-426605
224-00000-425602
224-00000.426102
224-00000-425602
821-00000-215004
100-00000-425605
TOTAL DUE:
DATE: 06/01/2011
. 'AMOUNT"DUE
11.00
42.00
63.00
110.00
7.56
8.65
242.21
AMOUNT PAID
242.21
LP..l\YJI/lJ.:f'jTIY.P'E "
Check
16330
PA.Y-91f' ,CA-SHIER: oiioWLSBY'
IMAGE KING INC
,COM'!IE'i'lIS ";,,,"
- ,~
TOTAL PAID:
242.21
:0