HomeMy WebLinkAboutPermit Signage 1984-05-09225 n. 5th street
SIGN PERMIT APPLICATION
NAr"rE oF BUsu,rESs, FrRu, Erc.3a- . k, ru-P^bhirn rrrru
2533
TY OWNER)
A.
3
t_/ Lq,oa
hl-
lt3 (hoha
LOT
OF BUSIIIESS
67
OIJNER OF SIGI'I CIF OTTIER THA}I PROP
ADDRESS
LocATroN or SIGN (ADDRESS)
OIINER OR PROP
LECAL OSSCnrrrro* /
eoo*essbl{
. TYPE oeX6m,
4", AITER
B
RELOCATE
OTHUR
-INCIDENTAL.z6oust.n racs
drNcr.e race
MLILTI-FACE
READER BOARD
BILLBOARD
D.
PROJECTI}IG
c.
,lt I "rr.ryr;yt)y stcN,
- UALL l/ rnrrstaNDrtrc
,
usE Al{D CITARACTER 0F sIGN:
4rrorrn
UNDER I,IARQUEE
OTHER
ROOF
}lAROUEE
E
U
IP
PHOi.IE
z8/-
CITY LICENSE TITJI'IBER
SIGN ERECTOR
. VENDORS,
. .ADDPJSS
SIGN I'I.ANUFACTURER CIF OTHER TIUN ERECTOR)
ADDP.ESS
. EXISTING SIGNS
ARE THERE ANY EXISTIIIG SIG}IS?
G IYES
IN
AI.L EXISTING SIGNS
FOR EUSINNSS, ETC.
Drl'tEltsroNs, tnstiu,arrou &
TOTAL HEIGHT ABOVE GRADE
VEP.TICAL DI},IENSION OF SIGN
HORIZONTAL WIDTII OF SIGN
DII.IENSION FROM GRADE TO
BOTTOM OF SIGN
IE; Ir PRoJECTIOII IS TIORE THAN 12,'
9vER puBt,rc pRopEpsy rrin srGN rnecionl.rusr FrLE t.lrrn rHE BuTLDTNG prviiion
99!rEs oF Hrs/IrER LrABrLrry ewo iioi_ERTy DAITAGE rlrsup,Ar.rcn poucrri. -----
YES
E
t t
,
-6o
lo'
,,,
TIIICKI{ESS OR DEPTE
DCES SIGN PROJECT BEYONDPROPERfi LINE?
IF YES, DI}IENSION BEYOND
PROPERTY LINE
'I.lrLL srcN HAvE ELEcrp.rcAL wrnnrcr /6fIF YES, !fl{ICH .A.PPLY? NmC'*rCffi
_rLLu{TNATED (rNDrp*cfff ucurro)
ELECTRICAL COI.ITP,ACTOR
LISC. NT,I,IBER
ADDRESS
. VALUE OF S
K
b $ Aaoo ,
. SITE INFOF}TATIOI{ (LAND USE) -. EXISTING USE0F BUrLDrlrc 0R LAND 1on ulSr usE rr vacellr)
BLIS INESS _OUTDOOP. T'ERCHAI.IDIS rNG
PB.OPOSED USE OF BUILDING OR LAND:-f*ua
J
atr<
'I EAVE CAREFULLY EXAIINED rhe comnleinformarion l-s rrue and coiieci,-"!"aaccordance with the Springfiela'SienSorinqfield and all other"OrdinancEsCregon oerEalning to t:1e worli <tescri.cense with rhe CLty of. Sprinsfield i8-2-6(3) and 9-7-20(z). ' r-"Iii-i"q",permit.
ted a polication for t and do her eby certif,that allpermithat aIf
Ordinance, the
urther certi ty
Un:iform S
11 work
Code as
oerformed shal
adopted by rhe Cir
be done in
of
vI
- of the Ciry of Sprinqfiebed nerern, I f-urther ce
ign
1d vfand the I aws of che Srate ortj.fy rhat rnv 91gn Contractor .r-i-s in full force and effec t as reouir ed by
s ted
Springfield Codespections 1i on the aporoved
NAI1E (PLEASE
SIGNA
c all required sign ins
DA
INSPECTIoNS: 726-376s
t.DESCRIBE IYPE OR
CONSTRUCTED OP.
YATERIALS SIGN IS
6nEEcEeF-'
PLEASE READ
1) separate sten Application: A separate application is required for each separate sign as definedffiffi
2)
3)
4>
5)
6)
7)
8)
e)
Electrical: Any permit issued under this application will include wiring in or on slgn structure,Ehe suppry wires for connecEion musE ue covliea-;; ; "i..tri""i-p=".iii. Elecrrical connecrionmusc be made onlv by a state Licensed stectricar-co.tir".tor. rlluminaced signs (boch inEernallyand exEernarlv) irust conform to sJcriont i:i-tr-74i-d-i5) "rra g-7-riioi-rt. springfield sign or-dlnance.
Plans Reouired: This application is Eo be submitted wlth tsro corpleEe sets of plans showing di-menffins:'n?-E'eight of-;iil;-;a"".ii"i.,g..;;;;;-;; sign; locarioir of stgn on properry with di-1;nliong to.ProperEy linet, structurar details-of suppiii tr"ri"gl ui".iig an<t'fobrinis;-r,rarerlalsot conscruction for sign and gign strucEure; elecrritir equifre"E'."a-iigf,ring; ;i;a;;; locarionof existing.slgn!.on pioperty'f{r the-same 6";i;;;;;-aL1 is i"q"ir"l-ro deteroine comoliance wirhthe Springrreld sign.Ordinante (Article 7 or i[; ap;inliiera-ciii-c"aJi.--ii;;:';h;;"'If,;'fol].ow_ing lnformaEion on-che plot plari (pLan showing pr-p-it| rines-ani io"iii"" oi-iig""j,----
a) show the locarion of all exlsring stgn(s) as well as proposed slgn(s).b) Show the- leng.th of the street frontage taken up by the business or bullding. For wa1lsigns, show che length of the buildiig frontagl.-
c) show the location of entrances open to the publtc and driveways.
When-required, because of design,-size, etc., engineered drawings and calculations trrust be pre-pared bv a licensed engineer oi shall conforu to-design starra"iEs .ii-fit"-"t-ri;-'B"iili.i oiri-sion Offlce.
Plans of Lnsufficl-ent clarity or detail will be returned to the applicant wLth no permit beinglssued.
Signs must Deet corner vision clearance requi.remenls as described !n Figure 9 of the SpringfieldComprehensive Zoning Code.
I#9:_,I:,"ifl,T]y be erected which is less than 12 fee! horizonrally or verrically from overheaderectrlcar conductors in excess of 750 volts, or less than 5 feet in- any direction'froo overheadelectrical lines whLch are energized at less'than 750 ;ii":
If a sign is not Lnstalled lrithin 60 days after the date of issue of this permit, the permir shallbe void.
Inspections:
a) gige Ingpec,tion - to be nade bef_ore the sign is placed. Usually, the Footing Inspection(ifappIi-c56IeJu.rayb-emade.atthesametiieas^thusit.r"sp""tion.-ffi-tion is to be made after hole(s) is excavaceci, but prior to ihe placernent of concrete.b) Final Inspectlon:- to be made upon coryletion of all work.
c) #]S**99t - all electrical .signs must be lnspected for electrical hook up after rhe signts-er-ecEE?' and before the sign-is tu=rred on.-'
CALL T'OR THE REQUIRED INSPECTIONS ON T"TIE 24 HOUR INSPECTION LINE AT 726.3769
FOR OFFICE USE ONLY
SIGN DISTRTCT EO.?.4 ZONE DISTRICT c<
TOTAL SQUARE FOOTAGE OT SIGN * , 3I ,lt
ITE/L0CATrOr{OR METHOD OF ATTACHMENT
-trr.r*r.* -Z**
_OTIIER
SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFORMAIION NEEDED BEFORE PERMIT MAY BE ISST]ED:
APPROVED BY:DATE
o3
ELECTRICAL PERMIT FEE:
FEE:
47. STATE SURC}IARGE:
TOTAL:
+
F
RECEIPT
JOB
a
IGN PERMI
SECTION:RINGFIELD SICN ORDINANCE
I
7
LINE
Cr)IlBI APPL I T 726
t/D,
Legal Descri p t on'I
Job Address filliBt'e'8t$iorced a i r
l,Jater Heater el eCtf i C
Ranqe nOne
0wner r0 C
Va l ue of tlork:
$78,500
Sq. Ftg. Access
Sq. Ftg 0ther
AI ter_Rep.I_N et^/
nSq. Ftq
,l e
Fam i
u ri
'I Descrilli th Atta
.e., Build Single
Portland, Oregon 97225 Buf ld commercial buildin g for ice Cream
Construction Lender Parlor and future retail space.
Addres s Phone
h
\
\
\
Dts I GN TEAI{name address 'I CS. nO.exD l res ohone no.'
58th. Portl and 97215. #232-4349. Rowell, 1311 S.E.Primary Payton F
Structura I
El ectri cal
l'lec han i ca I
CONTF )TORS name a ddres s l ics- no-exDlres Iohone no.
Construction Co.#164517207 ]ak Eu o eneGeneral Sl attery oat-ch Rd 9184 485-6362
Plumbinq Co., 1121 Bailev H'ill Rd. - Euo #20-3PBplumbinq A"ps 6/85 484-7246
eqert. 1415 Clearwater Lahp-#3 4909Electrical R.A. R reswel I 6/85 746-7293
r,lechanical Terfy Smith Sheet- Met-al - 354qn Camn Cr aotz Prt 42QnOAtr,7?6-q1q4
PLUI{BI NG ELECTR I CAL MECHAN I CAL
NO FEE CHARGF NN FFF .I.14 PCF N0 FFF CHARGF
65*B Each single fixture {.*
Residence of
FTsQ
furnace/burner to
--
BTU'S
Relocated buiIdinq
(new fix. additional)New circuits alts
or extensions
FIoor furnace
and vent
S. F. Residence(t bath)SERV I C ES Recessed wal l
Soace heatpr and vpnt
Duplex (l bath) each I lYrl < Os.rr 6.n
Additional bath /Temporary Constructi on p.4 Apol iance vent
sepa rate
1'[.later servi ce /o.a Change in existing
resi dence
Stationary evap.
cool er
Sa'Sewer /5-n multifami1y, comm. or
Industrial /Vent fan with
sinole duct v4
,/Storm Sewer 84'6"I of %- 3+' amps.zf Vent systern apart from
heatino or A.C.
COMI.I./IND. FEEDERS Mechanical exhaust
hood and duct
i nstal I /al ter/rel ocate
di stri b. feeders l,Jood stove/heater
0f amps"
J5€{A}tCf-!E-pt*}1{+
TOTAL CHARGES //qp TOTAL CHARGES 3s*rorAL CHARGEi lV*y, /O,-o
WHERE STATE Llll REQUIRTS that the Electrishall not be va'liC until the label has been s
cal work be done by an Electrical Contractor, the electrical portion of this perr,rit
igned by an Electrical Supervisor and returned to the Buiiding Div.ision
a./-2-/*t'lAl.lE(please pri I GNATURE DATE/n
fy
L Y DNE the a at no for t an d d o heccompp!-)Derm l hat at nf,rmao t hereoon n sreby truedancorrectndafuhertrcertithataWOkrrformedhasbenandfydoneW'Iaccordance h+the rd fpeonances Cthe tyrtfanddSofany
ofDtheofLawssthetan9te nt to worktheoe rta0regon crldes hereibed n thaand NCt ,AI'ICYOCCUP w1ng be made
s rut ctuaof re twl thou th 0 UInS5permi Buithe d D sny rIn9he cert tha t tras t n0 htfurt Buithe der sm.y reg
Boa rd s n fu afo rce nd ha t ftUred701ORS055as bathe s fors onreqbyexempt no hereoted n thand atexempt0ntracbconantorsdlyarenceanthwl7Awho0r?s 055 til be us ed 0n t hi scomD ectproj
E
toad /2 ffi-*cegsVQelO x______Vat u
zon"--68-_rykrt.oni=4tV un its
?
rln. nu,
h", 6/7114147*+ uu1
TOTAL VALUATION
Flood Plain Stories
Fire Zo Bed rooms
P l an Ck . Conrm,/ l nd
65%/81dq Per Fee /trz.fi Svster,rs Develooment
Charqe (-1.5%)
A/,'. KE4.<CJiEiD B<r*..-BUILDING PERIIIT
Charges and
Surcha rges
2/2.4a
%2Plan Ck. Res
30%/81dq Per Fee
-u'AY.aZtlst-Pe* 1fir* I Tqxo *lst*
Fence rut lrlz.e f- <JBCUtf
. c;a
a6
Dgmo ra*,&lq Fax fuanDy * ,/a, tro
Stdewal k
[ .\-\/?-
Total Comb. Permit 46o. ta
*
?8.aA/C Paving
Curb Cut /{?.zaTOTAL--/Q,::---. rfo
PLUI,IBING PERMIT
Charges and
Su rcha rges
ELECTRICA.L PERI1IT
Charges and
Surcharges
I,IECHANICAL PERHIT
Charges and
Surc harge s
PhoneAddres s tuck Road
I
t.?o
*,5LL'W\
+lr#1\
PERMIT VALIDATION
Permi t Cl erk
COMBINATION APPLICATION/PERMIT (CAP)
Appl icant to furnish
A. Job Address
B. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 43
2. example- Lot 1. Block 3, Znd Addition to
Springfield Estates
C. Name, etc. of owner and construction Iender
D. Energy Sources
hea t/e l or forced air gas
or sol ar
1.
L.
E. Squa
wa ea ter,
e or valuation, etc
1. example- 1250 sq. foot house, 500 sq. foot garage
2- exampie- if new project, check new - if addition,
check acici , etc.F. Building permit information:1. example - construct single family house with an
attached garage
2. example - remode'l existing garage into fam'i1y room
3. example - convert single family residence into
iEsTiurant (change of-use)G. Vaiue of work as defined in Section 303 (a) of the
Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or job site
corrections, etc.
Abbreviated Plumbing, Mechanica'1, & Electrical SchedulesA. Except where blank spaces occur in the description
portion of the Mechanicai and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Ful l Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division1, To conserve space on the permit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult thefulI schedulesC. BUILDING DIVISION STAFF HILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES0. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor is not authorized
to sign the electrical label
Applicant to sign and date
l.lhenever possible, the initial applicat'ion wil l be used as
a worksheet only. lJhere possible, Building Division Staffwill prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
s i gna ture.
Fees and Charges
Plan check fees are due and payable at the time of the
appiication, and no plans wi ll be processed until these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
examp l e-
exampl e-
rre footag
II
III
IV
V. FOR OFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAITCY:
Permit applicant exempt from registration w'ith the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY
name dateS1gnature
I