HomeMy WebLinkAboutPermit Signage 2014-1-13 SPRINGFIELD i 225 Filth St
' CITY OF SPRINGFIELD Springfield,OR 97477
ht�i Phone: 541-726-3753
OREGON Building / Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00061
www.springfield-or.g ov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 01/13/2014 EXPIRES: 07/12/2014
STATUS DATE: 01/13/2014 APPLIED: 01/09/2014
SITE ADDRESS: 840 A ST,Springfield,OR 97477 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703354202800 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Sign-Complete Vision Center '
OWNER: CLEVELAND PROPERTIES LLC Phone Number:
ADDRESS: 840 A ST
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor IMAGE KING INC CCB 161313 09/01/2014 541-484-1482
Sign Contractor IMAGE KING INC CCB 161313 09/01/2014 541-484-1482
. INSPECTIONS REQUIRED
Inspections
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.
•
(AS f6A-k----- . l I I 37(CI
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
NOTICE: r. . • in OAR 952-001-0010 through OAR 952-001-
THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by
AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone •
COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification
ANY 180 DAY PERIOD. Center is 1-800-332-2344). •
•
•
Springfield Building Permit 1/13/2014 11:05:50AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Filth St
,,;y. TRANSACTION RECEIPT Springgeld,OR 97477
a OREGON EGON 541-726-3753
OR 811-SPR2014-00061
www.springfield-or.gov 840 A ST permitcenter @springfield-or.goy
RECEIPT NO: 2014000067 RECORD NO:811-SPR2014-00061 DATE:01/13/2014
DESCRIPTION . ._. .,_,.._u.._ • e ACCOUNT CODE/TRANS CODE-_ . ,.__ 'AMOUNT DUE
Admin fee (10%of applicable fees) 224-00000-426605 1098 16.00
Sign Plan Review 224-00000-425602 1018 84.00,
Sign or outline lighting 224-00000-426102 1037 69.00
Signs: 0-35 Square Feet 224-00000-425602 1007 160.00
State of Oregon Surcharge(12%of applicable fees) - 821-00000-215004 1099 8.28
Technology fee(5%of permit total) 100-00000-425605 2099 11.45
TOTAL DUE: 348:73
PAYMENTTYPE - PAYOR_ 'CASHIER:CCARPENTER COMMENTS AMOUNT PAID
Check IMAGE KING INC 348.73
20973
TOTAL PAID: 348.73
i
Electrical Permit Application DEPARTMENT USE ONLY—
SPRINGFIELD /�
CITY OF SPRINGFIELD, OREGON Penn it no.:SI /(�v O6�/
hirtttf6
225 Fifth Street*Slid ngfield,OR 97477411-(541)726-37531 FAX(54 I)726-3689 ` OREGON ��
Date: [/�/
This permit is issued under 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.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Zoning approval verified? ❑ Yes ❑ No Number of inspections per item () Qty. Cost Total 1
ea. cost
CATEGORY OF CONSTRUCT
Residential,per unit,service included:
El Residential I ❑Government I Commercial
JOB SITE INFORMATION AND LOCATION 1.000 sq. II.or less(4) $147.50 S
/ o m- 57_,. ,.., Bach additional 500 sy.ft.or portion $ 27.50 S
Job site address: t-(-V thereof
Citya,6'na °/� I State:��{� ZIP:g�gplI Limited energy(2) $ 35.00 $
Reference. 7//p 33 S—K Z S TaxIottYa Cd Each manufactured home or modular $ 69.00 $
dwelling service or feeder(2)
J , M l DESCRIPTION OF ,WORK,, A /
/ n N Al.l L/ I'tl/MIA CC�C ("M k._ Services or feeders: installation,nheration,relocation
y� 200 amps or less(2) $ 89.00 $
5 I 9.n -- 201 to 400 amps(2) $ 104.50 $
PROPERTY OWNER
Name: r rL-u vwf erainvt,7t-S 401 to 600 amps(2) $174.00 $
Address: et(Q k % t 601 to 1,000 amps(2) $225.50 i $
City: S 9I L I State: I ZIP:9 7171 Over 1,000 amps or volts(2) $516.00 $
Phone: - - Fax: - - Reconnect only(2) $ 69.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
This installation is being made on residential or farm property 200 amps or less(2) S 69.00 $
owned by me or a member of my immediate family.This 201 to'400 amps(2) $ 96.00 $
property is not intended for sale, exchange, lease,or rent. OAR ,.
479.540(1)and 479.560(1). 401 to 600 amps(2) $138.50 $
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:Z/ha Q-� icig SI 9'3 a. Fee for branch circuits with purchase of a service or feeder fee:
Address: 1465( 1 5> r y... / Each branch circuit I I $ 6.50 I $
City: (/ State j, ZIP: 97'yoJ, b.Fee for branch circuits without purchase of a service or feeder fee:
Plionej/i- Z Fa.0I�/- 965-Ff gsl First branch circuit(2) $ 60.50 $
E-mail: (*�-(c .€ C , Ci[6-e-N rl9 T;9/)$. CA) Each additional branch circuit _ $ 6.50 $
CCB license no.: /6 I .. /3 1 BCD license no.:a° 53 t a W Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: (155/ Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: a�r Each sign or outline lighting(2) I $ 69.00 $6 ,
/ //�� Signal circuit or a limited-energy panel, $ 80.00 $
Signature of signing supervisor / all alteration,or extension(2)
Each additional inspection:(I) $80.00 $
APPLICANT USE
(A) Enter subtotal of above fees $so
' (Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x IA]) $
(C)Technology Fee(5%of Al)I $
440-2584-1(4/0I/2013/COM) TOTAL fees and surcharges(A through C): $ ('3
•es. , . �. r . Rix _ �....4 w al:„...,:a7 err
•
225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH.(511)726-370; • FAX (041)726-3639
•
021 City Job Number ��`1
''F:i7 ....- , i
' Site Address: kill) / ' '5
Assessors Map I 70 3 3 `, Li ` , Tax Lot: co So ci
GL&-uEz,4av 9a.cP z'et LLL
> Owner: Phone:
gy o . .f- sf
Address:
ser-6 Zip S7't77
City State P
•. cew.r/rte J�s l� c -
Business Name,Firm,etc
.p:.:1( .`.
. Desert on of Proposed Sign(s): (Please check and complete all appropriate information) •
cliWall Freestanding Projecting Roof Marquee
D Billboard Other
Single Face Double Face
//q/ ^ I a i
{ Square Footage: • Total Height above Grade: ,01 I
• 2 , ,,
Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign^r Enclosure:
t t, •
' i Dimension from Grade to Bottom of Sign Enclosure J Electrical Installation: Yes v No
(If yes additional electrical permit required)
r Material Sign is Constructed of: R/1/41) /060n4. V' All/ Value of Sign: �sb
� List ALL existing si_:nage and attach a photograph of each sign:
i (a) Type Sq. Ftg. (b) Type Sq. Ftg. .
'
M.
(c) Type Sq.Ftg. (d) Type , Sq.Ftg.
—7—i (/ S 57// I g y i Y I
� ContractorMstallle�r.�-l�I���`e-n/�l � � yn� Phone:
UAddress: O✓ / �A) / ZTn — •
�j- `�,
C.�✓f-4_nA -02 7 7 to,- State: Zi/ 1 T
pizti
City: // 7
Construction Contractors Registration Number: b > /3 Expires:
OFFICE USE
GC--
Sign District: Zoning:
By signature. I state and agree,that I have carefully examined the completed application and do hereby certify that all
ttinformation 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
112,4 further certify that only contractors and employees who are in complian.de 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
listreet,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
,
f times during t e{i/�dstallat� of the si_gn� c/
�1 I .t. �t�/K/ Date If
Signature - .
Shared Drir e(T:}/Building Forms/Sign Permit Application)-0?.doe
•
•
•
SIGN PERMIT APPLICATION •
•
Tne application on the reverse side needs to be completed entirely. If you are the sign contractor/installer,or if you are hiring a
contractor,you need to make sure,hafltheir•Regjastration Number from the State of Oregon Construction Contractors Boards
• are listed on the application along with he'dx�piration date of each. ;v ��,�J, �_V l_0:
If the sign you are proposing to install is illuminatcR,,a t"lectrioalpermiij�pplic on;3lso needs tpp be completed and signed by
either a supervising electrician,limited sign elecrical contractor',o? 'you afeythe ll.kisinessa tt446141so?e ys(he building
in which you are occupying,and you will be performing the electrical installation yourseffi you may Aign the
application- ;)'si f C1-‘e4
I
• if there are existing wall and/or frSes hdng t!ns.a pho�t,o�gppraph(s)of existing sign needs to be att c�d toohe •application.
. .to be`. Itc��tplicat1on.'�t'S\,a asset)The size of each existing sign also needs to be fisted on"t lit
• -
To submit for a sign permit,you need to prepare two complete sets of drawings showing all dimensions,total height,and a plot
plan indicating where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20 feet in total
height,the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan review procees
is completed,and,if your sign(s) is approved,one set of plans will be returned to you. The approved set of drawings need to
be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign(s),you may be required to request one or all of the following inspections during the installation of
your sign.
•
• Site: • To be requested after indicating on the lot where the proposed sign will be located but prior to any work
being performed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign.
Footing: To be requested after excavation and the forms are installed,but prior to pouring concrete. If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting inspection.
Attachment: . To be requested when all fasteners are installed but prior to cover.
•
Electrical: To be requested after the electrical connection to the sign is made,but prior to energizing.
•
Final: After all required inspections are conducted and approved and the sign installation is complete.
The inspections that are required for your sign installation will be indicated on your permit. Failure to request ANY of the
required inspections could result in sign removal in order to inspect the sign at the required intervals of work.
To request an inspection,phone 726-3769.This is a 24 hour recording. On the recording you will need to leave your City
Designated Job Number,location}of where sign is being installed, the type of inspection you are requesting, and when you will
be ready for the inspection. All inspections called in to the recorder prior to 7:00a.m.Wilfbe made the same working day, all
inspections phoned in after 7:00a.m. will be made the following work day.
If you have any questions regarding the application.required plans or inspections, please feel free to phone the Building Safety
Division at 726-3759.
•
City of Springfield
Building Safety Division
225 Fifth Street •-
Springfield.OR 97477
•
59n 8
P p ��t
225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH(541)726-3753 •FAX (541)726-3689
City Job Number
of
/ /-
1' Site Address: k`7 O /4 si -re-(
io: Assessors Map 1 70 3 J S Z. Tax Lot: 0 Z'et O
t. 1, Owner:
C-C1-11e-/ (ell OIL 176-e,, Phone:
eyC S7'
Address: �i 1
(/ .0/—Q State Zip , /� 7
City CIS+ .
9-0i 05.4,.E v l S „�
�J Business Name,Finn,etc
PgiDesccrription of Proposed Sign(s): (Please check and complete all appropriate information)
cz Wall Freestanding Projecting Roof Marquee
Single Fac Double Face Billboard Other
/ ,� /51/
t Square Footage: // • Total Height above Grade: ,
i Vertical Dimension of Sign or Enclosure. Horizontal Width of.ign I- closl.lr :
1 Dimension from Grade to Bottom of Sign Enclosure ✓ Electrical Installati. _Ye• o
(If yes additional elec 'cal • rmit/required)
Material Sign is Constructed of:A u mt t,(L 1 , IC.;ti+'11 Atli eAQc Value of Sign:.! )T6 o
14
0List ALL existing signage and attach a photograph of each sign:
1.0S q' g'Ft (b) Type Sq. Ftg.
{--i (a) Type(c) Type Sq.Ftg. - (d) Type Sq. Ftg.
r
a S4( �P� ti r2-
Contractor nst/a�ltler: KI ng Si ln5 Phone:,
jj) Address: L1O5 I W / VA" // �+/�
City: 14-1t-A.wA---- State:64 Zip: 7 ( qUZ
I J 16t3r3 9I
�_1
Construction Contractors Registration Number: Expires:
( OFFICE USE - ^'
Y" Sign District:
( Cl Zoning: C
1
• By signature, I state and agree,that-I have carefully examined the completed application and do hereby certify that all
ti)
information herein is true and correct,and I further certify that any and all work performed shall be done in accordance with
1 the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I
1_:Otfurther certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project.
T- .t 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
_ u { times during in tallation of the sign(s
j /
Signature Date 1/�"/� 4
Shared Dowell-)/Building Fauns/Sign Permit Applic:nion l-O'_.doc
•
SIGN PERMIT APPLICATION
•
•
The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer,or if you are hiring a
contractor,you need to make surd,tl\ak5heir`$eaistration Number from the State of Oregon Construction Contractors Boards
are listed on the application along With-the expir Lion date of each. -C PZ C I cc 1
If the sign you are proposing to install is illuminated,an electrica7-permit application also needs so be completed and signed by
either a supervising electrician, limited sign electrical contractor,orif)t a ftthl businesa•owpefvwtiojal5opwns the building
in which you are occupying ,and you will be performing the electrical installation yourself`.You may sigp theelectrical
■ �,. �-t Y' t.
applieation:� r' '7 �'
If there are existing wall and/or freestanding signs, a photograph(s)of existing sign reeds to be attaAtfdt to the application.
The size of each existing sign also needs�o be IiSFiln-the applie£tibd\\.,) '�S�• �i\�-r-!7,,._.)
• PLANS •
1 .
To submit for a sign permit,you need to prepare two complete sets of drawings showing all dimensions,total height,and a plot
( plan indicating where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20 feet in total
height,the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan review procees
is completed,and,if your sign(s) is approved,one set of plans will be returned to you. The approved set of drawings need to
be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS •
Depending on your sign(s),you may be required to request one or all of the following inspections during the installation of
your sign.
•
' Site: To be requested after indicating on the lot where the proposed sign will be located but prior to any work '
being performed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign. _
Footing: To be requested after excavation and the forms are installed,but prior to pouring concrete. If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting inspection.
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical: To be requested after the electrical connection to the sign is made,but prior to energizing.
Final: After all required inspections are conducted and approved and the sign installation is complete.
The inspections that are required for your sign installation will be indicated on your permit. Failure to request ANY of the
required inspections could result in sign removal in order to inspect the sign at the required intervals of work.
•
To request an inspection,phone 726-3769.This is a 24 hour recording. On the recording you will need to leave your City
Designated Job Number,.location of where sign is being installed,the type of inspection you are requesting, and when you will
be ready for the inspection)All inspections called in to the recorder prior to 7:00a.mrwill,be made the same working day, all
inspections phoned in after 7:00a.m. will be made the following work day. . .1
•
If you have any questions regarding the application,required plans or inspections,please feel free to phone the Building Safety
Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield,OR 97477