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Home My WebLink AboutPermit Signage 2019-06-19SPRINGFIELD OREGON Web Address: www.springfield-or.gov Permit Issued: June 19, 2019 Building Permit Commercial Sign Permit Number: 811 -19 -001333 -SIGN IVR Number: 811063733960 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov TYPE OF WORK Category of Construction: Commercial Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Sign - (3) wall signs with electrical for Dominos JOB SITE INFORMATION Worksite Address Parcel Owner: 1812 5TH STREET LLC 1812 5TH ST 1703262402400 Address: 1812 5TH ST Springfield, OR 97477 SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone IMAGE KING INC -•Primary CCB 161313 541-484-1482 PENDING INSPECTIONS Inspection Inspection Group Inspection Status 6999 Final Sign Signs Pending 6900 Sign Location Signs Pending 6940 Sign Attachment Signs Pending 6950 Electrical Service - Sign Signs Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811063733960 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be compiled with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification 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 at (503) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/ Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 6/19/19 Page 1 of 2 C:%myReports/reports//production/01 STANDARD 225 FIFTH STREET • SPRINGFIELD, OR 97477 • PH:(541)726-3753 • FAX: (541)726-3689 City Job Number01 119 — d0 ` -3 3 ':� ^ `�`� 4� Site Address: 1812 5th St Assessors Map 17032624 Tax Lot: 02400 1812 5th St LLC Owner: Phone: Address: PO Box 71751 City Springfield State OR Zip 97477 1 Business Name, Firm, etc. Dominos Description of Proposed Sign(s) Wall (Please check and complete all appropriate information) Freestanding Projecting Roof Marquee Single Face Double Face Billboard Other ��' ff Square Footage: 3� � �5 Total Height above Grade: 15 ' � u Vertical Dimension of Sign or Enclosure: N Horizontal Width of Sign or Enclosure: Dimension from Grade to Bottom of Sign Enclosure Electrical Installation: X Yes _No (If yes additional electrical permit required) 46) Material Sign is Constructed of: b11 Aluminum, Acrylic, Electric components List ALL existing signage and attach a photograph of each sign: (a) Type - Sq. Ftg. (b) Type (c) Type Value of Sign: ' � fox) Sq. Ftg Sq. Ftg. (d) Type Sq. Ftg. Contractor/Installer: Reed Clark - Image King Signs Phone: (541) 484-1482 Address: 4051 W 1st Avenue City: Eugene state: Oregon Zip: 97402 Construction Contractors Registration Number: CCB: 161313 Expires: Sign District: OFFICE USE Zoning: 9-16-2016 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 during the installation of the sign(s). Signature Date Ahared rhive.(T-)/Raildinv Fnrns/Sivn Permit Annlinatinn1-07.dor. fr e 2 - lll►X61:ams ri 225 FIFTH STREET • SPRINGFIELD, OR 97477 • PH:(541)726-3753 • FAX: (541)726-3689 0 City Job Numbercb 1\- M - oD t 3 3 3 -SX:"G N Site Address: 1812 5th St Assessors Map 17032624 Tax Lot: 02400 1812 5th St LLC Owner: Phone: t Address: PO Box 71751 City Springfield State OR Zip 97477 Business Name, Firm, etc. Dominos Description of Proposed Sign(s): (Please check and complete all appropriate information) Wall Freestanding Projecting Roof Marquee Single Face Double Face Billboard Other Square Footage: 33,25 Total Height above Grade: Vertical Dimension of Sign or Enclosure: f� >�� Horizontal Width of Sign or Enclosure: f ,r iT Dimension from Grade to Bottom of Sign Enclosure 3 Electrical Installation: X Yes _No (If yes additional electrical permit required) Material Sign is Constructed of: Aluminum, Acrylic, Electric components Value of Sign: "55 6yo List ALL existing signage and attach a photograph of each sign: (a) Type Sq. Ftg. ` (b) Type Sq. Ftg. (c) Type Sq. Ftg. (d) Type Sq. Ftg. Contractor/Installer. Reed Clark - Image King Signs Phone: (541) 484-1482 Address- 4051 W 1 st Avenue City: Eugene state: Oregon Construction Contractors Registration Number: CCB: 161313 Zip: 97402 Expires: 9-16-2016 OFFICE USE Sign District: Zoning: 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 during the installation of the sign(s). Signature Date Shared T)rive(T•)/Rni1dina Fnm.q/Sinn Permit Annlicatinnl-02 dnr. --- CITY 0"I 225 FIFTH STREET • SPRINGFIELD, OR 97477 a PH:(541)726-3753 * FAX: (541)726-3689 City Job Number t`— 19_ co � 7 3 3 - 5,TO N Site Address: 1812 5th St Assessors Map 17032624 Tax Lot: 02400 Owner: 1812 5th St LLC Address: PO Box 71751 City Springfield Business Name, Finn, etc. Dominos State OR Phone: Description of Proposed Sign(s): (Please check and complete all appropriate information) Wall Freestanding Projecting Roof Single Face Square Footage: Zip 97477 Marquee Double Face Billboard Other Total Height above Grade: ! U ? � li Vertical Dimension of Sign or Enclosure: _% - i' Horizontal Width of Sign or Enclosure: �LJr111 Dimension from Grade to Bottom of Sign Enclosure +� Material Sign is Constructed of. Electrical Installation: x Yes _No (If yes additional electrical permit required) Aluminum, Acrylic, Electric components Value of Sign: $2500 tot - - List ALL existing signage and attach a photograph of each sign: (a) Type - Sq. Ftg. (b) Type Sq. Ftg (c) Type Sq. Ftg. (d) Type Sq. Ftg. Contractor/Installer. Reed Clark - Image King Signs Phone: (541) 484-1482 Address: 4051 W 1 st Avenue City: Eugene Construction Contractors Registration Number: CCB: 161313 Sign District: OFFICE USE Zoning: State: Oregon Zip: 97402 Expires: 9-16-2016 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 during the installation of the sign(s). Signature Date Shared ThivdT•)/Rnildino Fnrms/Sion Permit Annlioafinnl-02 dnr. Electrical Permit Application ,,, DEPARTMENT USE ONLY CITN'a^ 1 1 OREGON Permit no.: l 1" t" 225 Fifth Street* Springfield, OR 97477NPH(541)726-3753#FAX(i4l)726-3689 Date: ( r7 l l -%7 � (� This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not star•,ted within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? Yes No CATEGORY OF CONSTRUCTION I:lResidential [:]Government QCommercial JOB SITE INFORMATION AND LOCATION Job site address: 1812 5th City: Springfield State:OR ZIP'-97477— Reference: 17032624 1 Taxlot.: 02400 DESCRIPTION OF WORK Install 3 LED wall signs PROPERTY OWNER Name: 1812 51h ST LLC Address: 1812 5th St City: Springfield State:OR �P 97477 Phone: - - Fax: - - E-mail: This installation is being made on residential or farmpproperty 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: CONTRACTOR INSTALLATION Business name: Image King Signs Address: 4051 W 1st Avenue City: Eugene I State: OR ZIP: 97402 Phone: 541-484-1482 Fax: 541-465-8994 E-mail: brute@imagskingsigns.com CCB license no.: 161313 1 BCD license no.: Signing supervisor's license no.: 644 SIG Print name of signing supervis:Reed Cla Signature of signing superviso 440-2584-J (7/21/2015/COM) FEE SCHEDULE Number of inspections per item ( )Qty, Cost ea. Total cost Residential, per unit, service included: 1,000 sq. li, or less (4) $160.00 S Each additional 500 sq. livor portion thereof $ 30.00 S Limited energy (2) $ 38.00 S Each manufactured home or modulor dwelling service or feeder (2) $ 75.00 $ Services or feeders: installation, altemilon, relocallon 200 amps or less (2) $ 96.00 S 201 to 400 amps (2) 5112.00 S 401 to 600 amps (2) $189.00 S 601 to 1,000 amps (2) $244.00 S Over 1,000 amps or volts (2) $559.00 S Reconnect only (2) S 75.00 S Temporary services or feeders: Installation, alteration, Mocation 200 amps or less (2) $ 75.00 S 201 to 400 amps (2) $ 104.00 S 401 to 600 amps (2) 5151.00 S 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 I I $ 7.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 66.00 $ Each additional branch circuit I S 7.00 S Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) S 75.00 S Each sign or outline lighting (2) $ 75.00 S Signal circuit or a limited -energy panel, alteration, or extension (2) 3 $ 87.OD S Each additional inspection: (l) $87.00 S APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee $87.00) 5 (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (50/o of [A]) $ (D) Continuing Education Fee 52.50 52.50 TOTAL fees and surcharges (A through D): S SIGN 1 1 5'-7'/4 13" 68' - SCALE: 1/8"=1' 12'- 9'i4" MFG & INSTALL (1) S/F WALL SIGN • 3" DEEP FABRICATED ALUMINUM CHANNEL LETTERS • BLUE TRIM CAP W/ RETURNS PAINTED TO MATCH PMS 307C • LED ILLUMINATION • WHITE ACRYLIC FACES WITH APPLIED VINYL ® 3M INTENSE BLUE (3730-127) 3M RED (3730-33) m Do�o�o� SCALE: 3/4' = 1' 4051 W.1 A Ave. Eugene, OR 97402 Project: Scale: i J/0# Designer: Sales Rep: Date: IMAGE KING SIGNS (541)-484-1482 Domino's Noted 13903 D. Culnane MD 6.5.2019 SIGN 1 ATTACHMENT 4051 W. 1st Ave. Project: Scale: J/0# Designer: Eugene, OR 97402 (541)-484-1482 Domino's NTS 13903 D. Culnane IMAGE KING SIGNS .063"ALUMINUM RETURNS .125" ALUMINUM BACK 1"RETAINER U.L LABEL - UL APPROVED CONSTRUCTION, UL#ON CABINET 3/8" x 3" SCREWS (2) TOP (2) BOTTOM PER LETTER INTO EXTERIOR SIDING, PLYWOOD & WOOD STUDS 3/16" REMOVABLE ACRYLIC FACE LED LIGHTING 12 VOLT POWER SUPPLY Sales Rep:` Date: MD j 6.12.2019 451_.__.__. I li I D I� c �rn v 1 6"%V I l �,_,/4w Y _J UTIL 10'W- 5TH 0'W 5TH STREET ¢S' I� I 12"SD - SIGN 2 13'-9" i 2'-7 1/a" 43'- 13/4" SCALE: 1/8"=1" 12'- 9'i4" MFG & INSTALL (1) S/F WALL SIGN • 3" DEEP FABRICATED ALUMINUM CHANNEL LETTERS • BLUE TRIM CAP W/ RETURNS PAINTED TO MATCH PMS 307C • LED ILLUMINATION • WHITE ACRYLIC FACES WITH APPLIED VINYL M 3M INTENSE BLUE (3730-127) 3M RED (3730-33) o0 m Do�o�o�� SCALE: 3/4"=1' 4051 W. 1st Ave. project: Scale: J/0# Designer: Sales Rep: Date: _ Eugene, OR 97402 IMAGE KING SIGNS (541)-484-1482 Domino's Noted 13903 D.Culnane MD 6.5.2019 SIGN 2 ATTACHMENT .063"ALUMINUM RETURNS 125"ALUMINUM BACK 1"RETAINER U.L LABEL- UL APPROVED CONSTRUCTION, UL#ON CABINET 3/8" x 3" SCREWS (2) TOP (2) BOTTOM PER LETTER INTO EXTERIOR SIDING, PLYWOOD & WOOD STUDS 3/16" REMOVABLE ACRYLIC FACE LED LIGHTING 12 VOLT POWER SUPPLY - 4051 W. 1st Ave. Project: Scale: J/0# Designer: Sales Rep: Date: _ Eugene, OR 97402 Domino's NTS 13903 D. Culnane MD 6.12.2019 1MAGE KING SIGNS (541)-484-1482 D - , C) m E z C) y C) z Vf =� Lo rb CIO p —, �a N O * N v � 2. rD N -T ck 1o'W 1o'W 5TH STREET 4^ `"-451 r— 12'SD — _ 12'SD - -- SIGN 3 201-211 16'-8" SCALE: 3/16"=1' 68' — — 3'-6" SCALE: 1"=1' MFG & INSTALL (1) S/F WALL SIGN • 3" DEEP FABRICATED .125 ALUMINUM CABINET PAINTED TO MATCH 3M RED • 2" RETAINERS PAINTED TO MATCH 3M RED • LED ILLUMINATION • WHITE ACRYLIC FACES WITH APPLIED VINYL 3M INTENSE BLUE (3730-127) 3M RED (3730-33) C�4 Eugene, e,W. OR 9 4 Project: Scale: J/0# Designer: Sales Rep: Date: Eugene, OR 97402 IMAGE KING SIGNS (541)-484-1482 Domino's Noted 13903 D.Culnane MD 6.5.2019 SIGN 3 ATATCHMENT .063"ALUMINUM RETURNS .125"ALUMINUM BA(K 1"RETAINER U.L LABEL- UL APPROVED (ONSTRU(TION, UL#ON CABINET 3/8" x 3" SCREWS (3) TOP (3) BOTTOM PER LETTER INTO EXTERIOR SIDING, PLYWOOD & WOOD STUDS 3/16" REMOVABLE A(RYLI( FACE — – – LED LIGHTING 12 VOLT POWER SUPPLY � — - - - 4051 W.1 st Ave. Eugene, OR 97402 Project: Scale: J/0# Designer: Sales Rep: Date: 1MAGE KING SIGNS (541)-484-1482 Domino's Noted 13903 D.Culnane MD 6.5.2019 IMM iiIllb Iiiii 14 _ � 1 CTL =G _ — - - to'W 10'w -10'w- ,I. 5_TH STREET I -4s� _ �— 12'So — _� 12'So - — - - —