HomeMy WebLinkAboutPermit Signage 2014-4-15 (2) •
. SPRINGFIELD - 225 Fifth St
'
k CITY OF SPRINGFIELD Springfield,OR 97477
y;.{{ to'
Phone: 541-726-3753
"-I4 OREGON Building I Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00787
www.springfield-or.gav permitcenterespringtield-or.gov
PROJECT STATUS: Issued ISSUED: 04/15/2014 EXPIRES: 10/12/2014
STATUS DATE: 04/15/2014 APPLIED: 04/14/2014
SITE ADDRESS: 1863 LAURA ST,Springfield,OR 97477 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703271003900 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Sign-ROW freestanding sign for Stambaugh Faniily Dental at SE entrance to property.
OWNER: STAMBAUGH DANIEL L Phone Number: 541-746-4417
ADDRESS: 1944 LAKEVIEW DR •
EUGENE OR 97408
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Sign Contractor CHAPCO INC CCB 153989 01/13/2015 541-686-9366
_ INSPECTIONS REQUIRED
Inspections •
6900 Sign Location Sign Location: To verify the location of the proposed sign.
6910 Sign Footing Sign Footing: After excavation and forms are in place, but prior to concrete.
6999 Final Sign 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.
tiff tittsil4
•wner or Contractor Signe re Date
•
• ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth
AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001-
COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by
ANY 180 DAY PERIOD. calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
•
Springfield Building Permit 4/15/2014 2:05:13PM Page 1 of 1
t
• SPRINGFIELD CITY OF SPRINGFIELD
liS da. 225 Fifth SI
�� ;; TRANSACTION RECEIPT Springtield,OR97477
OREGON 541-726-3753
811-S P R2014-00787
www.springfield-or.gov 1863 LAURA ST permitcenter @spring field-or.gov
RECEIPT NO: 2014000819 RECORD NO:811-SPR2014-00787 DATE:04/15/2014
[DESCRIPTION J ACCOUNT_CODE/TRANS_:CODE_ AMOUNT_DUE ..I
Admin fee (10% of applicable fees) 224-00000-426605 1098 8.00
Sign Plan Review 224-00000-425602 1018 42.00
Signs: 0-35 Square Feet 224-00000-425602 1007 80.00
Technology fee (5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 134.00
(PAYMENT TYPE PAYOR CASHIER:JLARSON COMMENTS • AMOUNT PAID `
Credit Card CHAPCO INC 134.00
07359G
TOTAL PAID: 134.00
•
•
•
•
•
r tR t + �t t 'o- x 4 tei L x 'a r.4i n 4-k- a .i.;14 t c z !?a.i�crb -.Nb^r:
"; rU ;. CITY. OF SPRINGFIEED, OREGON z x ,sle
,r. 4:1. PrriArt ,r ! ,s •, T..+;'eY'.+.% . .. TT1TT4.i Sh..,rfsy x✓.,., -✓ire, s, #3. ::.-5,•,-'": .fi4 'C3 st ,:5%;:vcce,':
225 FIFTH STREET • SPRINGFIELD, OR 97477 • PH:(541)726-3753 •FAX (541)726-3689
OS/y-OO7 8 per sign application.
dCity Job Number Plan Review Fee of$42 e1r si n is due with a Itcation.
,t'� Site Address: ► R 63 L s.&s O-_ %k SnA9IN,e—L L
`! Assessors Map 1 70 32 lib Tax
1 Taxx Lot: 0 900
Owner: ice. L \ Phone: q 1" 3 1 1 1
VAddress: _T_ 17%3 — c -
��\\ 1 CD . 9,,1 Zt 71
,t� City ' l State Zip
r ,
Business Name,Firm, etc.
rim(4_,1: , Description of Proposed Sign(s): (Please check and complete all appropriate information)
1
PaliWall Freestanding Projecting Roof Marquee
Single Face Double Face Billboard Other
2 t, S
Square Footage: o` l Total Height above Grade: /
Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure: __
b"
i
` i Dimension from Grade to Bottom of Sign Enclosure Electrical Installation: Yes No
(If yes additional electrical permit required)
iat Material Sign is Constructed of: �' Per-,-1.j \ Value of Sign: T)CO.
I,!!_l1
List ALL existing signage and attach a photograph of each sign: �t�_
(a) Type CA-70.CA-70.-\\o. � Sq. Ftg. 7 (b) Type `��— -� Sq. Ftg.
(c) Type Sq. Ftg. (d) Type Sq. Ftg. /
? Contractor/Installer: `_ r, Phone: �` -- �o��kr y �a
Address: H 3 -5�\r `�" �+�� (�
City: �wQ P � \ A State: �C_ Zip: `i ZD\
poi` I, Construction Contractors Registration Number: 1S 31?c Expires: 1/4" is
OFFICE USE
,l/�)_ 1
Sign District: �/ _b� Zoning: `J•1
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
11 information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with
. 'J the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I
ig� 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
t times durin• the nst.Ilation of the sign s).III)
Vf
Signature/, f Date
Shared nr,verT VR,,I1,no Fnrmc/.Clan Penns Annrnannn1.09 doe