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Home My WebLink AboutPermit Signage 2011-8-24 . l CITY OF SPRINGFIELD, OREGON , =1225 FWlli STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 o City Job Namber 5//- 0 207 ~ ! l~j Site Address: _:1..;;1 \. q m~W"\ "5In:>E>'A ~ Assessors Map 170,2. 32 3l. ~o~~~ \( b-~~ \'=.D\&rr ~~) I t\... -* ! ~ Address:_ll.oD\ l0 1- ~ 1:D I ~j City ~ I State 1~lj BasinessName, Firm, etc. C ('\(.~ -~ooS Cw:,."-- ~ :/'"" "'"",=' "..'J' "",..",,,,,... ~j''',", ~""_ ''''O~'""J f;, Wall Freestanding , Projecting Robf ~j Single Face Double Face I Billboard OtJ,er ~r; Square Footage: ';;:>0 Total Height above G~de: 1; I_la II 1 , (. I 0'-01' / f Vertical Dimension of Sign or Enclosure: r-:? -to I Horizontal Width of Sign or Enclosure: .I::2 (Il',-o" / j Dimension from Grade to Bottom of Sign Enclosure __ Electricallnstallation:'y"'Yes _No : (If yes additional electrical pennit required) ~ Material Sign is Constructed of: 'E~u. A. /J. ~ r ~ Value of Sign: -4..1 'iiD. cp IJ~j \JJ~ lli.""" ~ { v..-.) ~"f\.Wf ~: tfjj ~j ~ ~j = Sign District: ~) OJ~j W Tax Lot: 0/900 Phone:~ . :2:>1{~, '1tto ~hL' S'll. 35+. ~C) ~~ Zip QT4Cl..2 Marquee List ALL existing signage and attach a pbotograpb of eacb sign: "'5~':;;:) (a) Type Awn,("" Sq,Ftg. 14 ~ C~JN(b) Type o I~ (c) Type Sq. FIg. I (d) Type I Contractor/Installer: ::r:-'Y\f\j5l- t.__,,:,\ S~~ Address: --YOS' tD. l~ ~e;\ I City: h"'C.Q~ I o I Construction Contractors Registration Number: r Lc I ~l ~ Sq, Ftg Sq, Ftg. Phone: 541. t{!l.l(. l\{~ State: ~~") Zip: 'H-I{o-z 9-1-13 Expires: Cc OFFICE USE I Zoning: Cc , By signature, I state and agree, that I have carefully examined the completed application and do hereby certii)' that all information herein is true and correct, and I further certii)':that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws o~the State of Oregon pertaining to the work described herein. I further certii)' that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. 1 further agree to ensure that all required inspections are ,lquested at the proper time, that project address is readable from the street, that the permit card is located at the front of the proPerly, and the approved set of plans will remain on the site at all times during the installation of the sign(s). I Signature \J. r."" ~~~ Date ~-dl.{-l( I Shared Drive(T:)lBuilding FonnslSign Permit Applicationl-02.doc Electrical Permit Application I ~ @/1 ~ImIDm3mrYIDo @~ 225 Fifth Stmt+Springfidd, OR 97477+PH(541)726-3753+FAX(541)726-3689 DEPARTMENT USE ONLY I~ Permit no.: 5 (-020? 't S/t.'f/f I I 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. I I I , I I , Job site address: '{G;1\,\ V'I\~v(\ <:,~ I Cih~' "^~PL<l. I State: t")~ I ZlP: Q+I.i1;<g Reference: 17DZ .> 21 2.. I Taxlot.: DI ?" P DESCRIPTION OF WORK I ~'L" "~r/::. r\) t'W\.o. 2;u""i-6" S IF ('c..~S....<'\ "L.('\C.<.tl.-T". I , PROPERTY' OWNER , I Name: I ,'" ~.f' \+.-. ~c I Address: \~'O \ S~ ~-\Al\rr-ll I City:<::::},n'~~.l',.\J- I State:CR- I ZlP: q:J.o.-l, Phone:5itl- <"'1.'2,:' 9.CC\ I Fax!5"y\ - ~"'S- :; 9.S+! E-mail: 'W> f'. · c.ol..o. (' 1..->.. - I.. . tow\ I This installation is being m~ on residential or fann 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). lOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential I 0 Government 1M Commercial JOB SITE INFORMATION AND lOCATION Signature: CONTRACTOR INSTALLATION I Business name' ~Mf'\C-l1- _ ~ ~~ S'S::.s I Address: L1.r \ w- \ s' ~. I City: ~ >no .1\ I State: 6\Z.- I ZlP: crt4.a2. Phone9!I-4R4- .""..., I Fax:5'f(-lfl4-f.-'g'lq'f I E-mail: AD..v/.II.-\^.-l!.IG..... S:c.<'>S. COWl I CCB license no.: t Ie L~l';'" I dco license no.: .20-530':.1<; Signing supervisor's license no.: "'; 1.{C{5t CI . I Print name of signing supervisor: . K .c2.ed D q..K I Signature of signing supervisor: (7 rl-'" r0 (Of VJr i 440-2584.1 (9/08/COM) ~ Date: FEE SCHEDULE N urn ber of inspections per item ( ) Qty. Cost Total ea. 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: instal/ation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I 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 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) ',;~ I circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (1) APPLICANT USE $ 63.00 $ 63.00 $ $1.D3.r1 \ $ 63.00 $ $58.00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of[AJ) TOTAL fees and surcbarges (A through C): $11l3.cP $ 'hSI. $ 3,LS $ 'l3::1-\ ~ .. I CITY OF SPRINGFIELD Building I sidn Permit I PERMIT NO: 811-SPR2011-02079 I IVR Number: 811110535688 , ISSUED: I APPLIED,: ~SP~INGFIElD '*~::?,~ '..a;. "OReGON www.ci.springfietd.or.us PROJECT STATUS: STATUS DATE: Issued 09/08/2011 09/08/2011 09/08/2011 SITE ADDRESS: 4219 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323201900 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us EXPIRES: VALUE: 03/05/2012 $1,480.00 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign - wall sign for cricket Phone Number: OWNER: ADDRESS: DONALD V PFEIFER TRUST 1810 15TH ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor Sign Contractor Contractor Name IMAGE KING INC IMAGE KING INC CONTRACTOR INFORMATION ~ Lie Type CCB CCB BUILDING INFORMATION ~ # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o Electrical Specialty Code Edition: I Springfield Fire Code Edition: I Mechanical Specialty Code Edition: Municipal I Oevelhpment Code: I Plumbing Specialty Code Edition: I Residential Specialty Code Edition: I Structural Specialty Code Edition: I I Site I~formation Engineered Fill: . Fill Volume: ATTENTION: Oregon law requires youto Flood Hazard .fuiiam rules adopted by the Oregon Utility Land Hazard l'.\1>~lication Center. Those rules are set forth Retaining Walb OAR 952-001-0010 through OAR 952-001- Soils Report iOOjl/lte<r.OU may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-600-332-2344). # of Bedrooms: Sprinkled Building: Fire Alarms: Energy path: Lic No 161313 161313 Lic Exp 09f01(2012 09(01(2012 Phone 541-484-1482 541-484-1482 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq FI Carport: Sq Ft Other: 0 Occupancy Load: ~ .' ,;.~. NOTICE: PIRE IF ,.HE \NORK THIS PERMIT SHJl.LL ~\S PERMIT IS NOT... AUTHORIZED UONRO~SR ABANDONED FOR '. . COMMENCED . ANY 180 DAY PERIOD. . Springfield Building Permit 9/8/2011 10:20:38AM Page 1 of 3 ~ " www.ci.springfield.or.us I CITY OF SPRINGFIELD Building I siJn Permit I PERMIT NO: 811-SPR2011-02079 I IVR Number: 8111110535688 Issued ISSUED: I 09/08/2011 09/08/2011 APPLIED; 09/08/2011 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SPRIN.G.FIE.~.D .~ Ct't ~ .,>t'\. OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: EXPIRES: VALUE: 03/05/2012 $1,480,00 SITE ADDRESS: 4219 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323201900 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Sign - wall sign for cricket DEVELOPMENT INFORMATION ~ Overlay Di5t: I # Street Trees Reqd: Paved Drive Reqd:1 I % of lot Coverage: Highest point on structurell to north property line: I PUBLIC IMPROVEMENTS REQUIRED PARKING Total: Handicapped: Compact: ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuatio~ Description , I Unit Amount Unit Tvoe I Unit Cost -Value Descriotion Tvoe of Construction FEES PAID ~ Descriotion Signs: 0 - 35 Square Feet State of O-,~gon Su~charge (12% of a~plicable fe.~___ Sign Plan Review ~. Technology fee (5% of permit tot~!) Sign or outline lighting ~~e.i1.O'l, of applicable fees) Total Amount Paid I Amount Paid ~80. 00 ,$7.56 $42.00 $7.15 I $63.00 , .$8.00 $207,71 Date Paid 09/08/2011 09/08/2011 09/08/2011 09/08/2011 09/08/2011 09/08/2011 Reciot # 2011002411 2011002411 2011002411 2011002411 2011002411 2011002411 Springfield Building Permit 9/8/2011 10:20:38AM Page 2 of 3 . . I CITY OF SPRINGFIELD Building I Si~n Permit I PERMIT NO: 811-SPR2011-02079 I IVR Number: 811110535688 Issued ISSUED: I 09/08/2011 09/08/2011 APPLIED: 09/08/2011 . , www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 225 F;ifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci .springfield. or. us EXPIRES: VALUE: 03/05/2012 $1,480.00 SITE ADDRESS: 4219 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323201900 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign - wall sign for cricket Plan Review ~ Deoartment Application Acceptance Received Due Date ComDleted Result 09/08/2011 09/08/2011 09/08/2011 Application Accepted Reviewer David Bowlsby ;Permlt Issuance :;- _~'~:c; ~gf08/2b~11.~~09ldm01r;;o9i087201i1r ~ l'ssuI8-i: _~~ :"{ ~ :f;8av;[Bowlsby~-''''~~~f"~: -:7-~'1 L~~' ~I t ";-._; ~"~ ~: ~. ~ _ '..: _~~. ~'~,-:; :~ . ~ :-:::!:..: ~.:::: .~"~ ." ::;;'''~:~;5:;,~,~:::: .u,"':\ -:_~_::~~1;,^ ~:o~~"2- i,:'~ ~:Z~'\~>~~~! Sign ReView 09/08/2011 09/08/2011 09/08/2011 ~ed David Bowlsby INSPECTIONS REQUIRED ~ Inspections 6940 Sign Attachment 6950 Electrical- Sign Sign Electrical: After ~onnection is made but prior to energizing 6999 Final Sign Sign Final: After all rJquired inspections are conducted and approved and the sign installation is complet~d. By signature, I state and agree, that I have carefully examined the cO~Pleted 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 timJ, 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. . ll-D D-M-:r ~<\O~ Owner or Contractor Signature q-~-l ( Date Springfield Building Permit 9/8f2011 10:20:3BAM Page 3 013 .- . . . www.cLspringfield.or.us TRANSACTIO~ RECEIPT 811-SPR2011 i02079 4219 MAIN ST I CITY OF SPRINGFIELD 225 FITth St Springfield,OR 97477 541.726-3753 S;~~N~EL~ ~ ~OREGON permitcenler@cLspringfield,or.us RECORD NO:!811-SPR2011-02079 DATE: 09/08/2011 . ";",.;;:<j,,,:gCCOUNI'CODf'. :' ,.,!;;~; ',''AMOUNT-DUEl''. .' 'I I 224:00000-426605 -~ - . . . - 8.00 I 224-00000-425602 42.00 I 224-00000-426102 63.00 I 224-00000-425602 80.00 1_~21-00000-215004 7.56 r '100-00000-425605 7.15 ~ TOTALOUE: ---. 207.71 E:eAXME"'J~1Y~E~j.;(QR~~fi'~&!,QiJ~~~~.6MMENfs,~:2t.::.~..:.:~NT'rAIR';27!;Y.' "0 J:..::J Check IMAGE KING INC I -.-. 207.71 16750 RECEIPT NO: 2011002411 tOESCRie:TION';",,'.,."1'., '.~\FV.' ,".;';\ 'j! "- Admin ree (10% of applicable fees) Sign Plan Review Sign or outline lighting Si9ns: 0 - 35 Square Feet State of Oregon SurchargeJ12% of applicable fees) Technology fee (5% of permit total) TOTAL PAID: 207.71