HomeMy WebLinkAboutPermit Signage 1994-05-20a
SIGN
.PERMIT
APPLICATIOII-
225 Fifth Street
Springf ield, OR 97 477
SITE ADDRESS
ASSESSORS MAP:
OWNER:
ADDRES
CITY:
S
BUSINESS NA FtRtvl
SPRIilGFIELE,
STATE:
JO' '" IMBER
PHONE:
lnspection Line: 726-3769
Office: 726-3759
ZIP'
TAX LOT:
DESCRI N OF PROPOSED SIGN(SI: (please check and complete all appropriate information)
Wall _ Freestanding _ Projecting _ Roof _ Marquee
le Face Double Face _ Billboard
-
Othere)uare Footage:
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
Total Height above Grade:
Horizontal Width of sign or enclosure:lo
8,,Etectricat tnstattation:
"u.
V to vALUE
(lf yes additional electriiliErmit ifii6-uired) OF StGN:
@
Material Sign is constructed of:
List ALL existing signage and attach a photograph of each 'isnirffifu[
(al Type
(c) Type
Sq. Ftg.
Sq. Fts.
(b) Type
(d) Type
Sq. Ftg.
Sq. Ftg.
PHONE:CONTBACTOR/INSTALLER:
ADDRESS:
CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:EXPIRES:
CITYBUSINESS LICENSE NUMBER: EXPIRES:
OFFICE USE
Sign
Zoning:
Sign Permit Fee
REOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
Use:
Code Section:
Approved By:DATE:
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
etion of sign
ation
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereinis true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City ofSpringfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors andemployees who are in compliance with oRS 701.055 will be used on this project.
I further agree to ensure that all required inspections
the permit card is located at the f ront of the property,
are requested at the proper time, tlrat project address is readable from the street, that
and the approved set of plans will remain on the site at all times during the installationof the
Signature Date
Date Paid:
Received
Amount Received:Validation:
Receipt Number:
STATE:_ ZIP:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
lf the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed
by either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the
building in which you are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application.
lf there are existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to be attached to the
application. The size of each existing sign also needs to be listed on the application'
PLANS
To submit lor 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. lf you are installing a freestanding sign which exceeds 20
leet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the
plan review process 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(sl, 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. lf there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical: To be requested after the electricaltonnection 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 the application during the plan review
process. Failure to request ANY ol 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 the sign is being installed, the type of inspection you are requesting, and when
yo, *itt be ready for the inspection. All inspections called in to the recorder prior to 7100 a.m. will be made the same
working day, all inspections phoned in after 7:00 a.m. will be made the following work day.
lf 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 974i17
,.
a
SIGN
.PERMIT
APPLICATIO}'
225 Fifth Street
Springlield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
OWNER
A
?
CITY:
SPRINGFIELD
STATE:
JO
PHONE:
lnspection Line: 726-3769
OlIice:726-3759
ZIP:
TAX LOT:
BUSINESS NAME, FIRIVI E[C.
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
\A *,,,
*.:":";€D
ce
_ Freestanding _ Projecting
Double Face Billboard
_ Roof _ Marquee
_ Other
Total Height above Grade:
Horizontal Width of sign or enclosurebVertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
v., / ruo vALUE \qD.a)v Electrical lnstallation:
(lf yes additional electrical permit is required) OF SIGN:
Material Sign is constructed of:1.J.i^fl
List ALL existing signage and sttach a photograph of each .isn, [\${\!.-/
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
{b) Type
(d) Type
Sq. Ftg.
Sq. Ftg.
PHONE:C O NTRACTOR/I N STALLER:
ADDRESS:
clrY: STATE:- ZtP:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:.
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
EXPIRES:
OFFICE USE
I
Ouad Area:Sign District:
Zoning
Sign Permit Fee:
REOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
Use:
Code Section:
Approved By:DATE:
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
Additional Comments andlor Conditions:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereinis true and correct, and I further certily that any and all work performed shall be done in accordance with the Ordinances of the City ofSpringfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors andemployees who are in compliance with oRS 701.0s5 will be used on this project.
I further agree to ensure that all requi
the permit card is at the front
ol the
Sis
red inspections are requested at the proper time, that project address is readable from the street, that
of the property, and the approved set of plans will remain on the site at all times during the installation
te 3o
Amount Received:Date Paid:Va
Receipt Number:Received By:
4+-
v,^^,
ffiptetion of sign
,lnstallation
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
lf the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed
by either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the
building in which you are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application.
lf there are existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to bo attached to the
apptication. The size of each existing sign also needs to be listed on the application.
PLANS
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. lf 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 process is completed, and, if your sign(s) is approved, one set of plans will be returned to you. The approved
set oI drawings.need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign(sl, 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 perlormed 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. lf there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical: To be requested after the electricaltonnection to the sign is made, but prior to energizing.
Final: Alter 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 the application during the plan review
process. 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 the 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 7:00 a,m. will be made the same
working day, all inspections phoned in alter 7:00 a.m. will be made the following work day.
lf 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 974i17
,.
Permit No:
Address:
lssued Date:
R OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt f rom registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in th icable blanks, and initial boxes 1 and 2, and either box 3A or 38
1 I own, reside in, or will reside in the completed structure.
I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
2
3.A My general contractor is ,
Contractor registration num
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
3.8 I will be my own general contractor.
lf I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. lf I change my mind and do hire a general contractor, lwill
contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certily that the above information is correct and that I have read and understandthe lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
-rlkbluoPermcant
CONSTRUCTION CONTRACTORS BOARD
o244J 8191
Dale I
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
OR
rNFoRir-ATroN NorrcE To pRopERTv oWmens
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This.lnformation Notice to Property Owners About Construction Responsibilities
was developed by the Construction Contractors Board in accordance with ORS 701.055(5),
passed by the 1989 Oregon Legislature
lf you are acting AS your own contractor to construct a new home or make a substantial an
existing struct
of concern
u,Je, ygu can prevent many problems by being aware ol the following responsibili.es ahd areas
lf you hire pergons not registered with the Construction Contraclols Bgard to do labor in co4structing or assisting
in the construction or im0/ovement of g reSiUential structure,'you will,':in mcrst iristdricas,'te.ruled to be an
"employer"
"iia tne peopie you hire will b6 "einployees'1, fu the:employer, y6u must compti $tflttre following:.-: i .!. ,e
- .l .ii..;.''
Oregon's Withholding Tax Law: As an employer, you must withhold incomg,px"i'ii;ri
"*ptoyee
wages at
the time ernployees are paid. You will be liable for the tax payryents even if you don't aclually withhold the
tax from your employees. For more information, call the Oregon Departrnent gflReveOue qt 378-3390.
Unemployment lnsurance Tax: As an employer, yo, are ieqrirdo'to'pay a tax forun.i,ii$ioyrent insurance
purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR
at 378-3224
Workers' Compensation lnsurance: As an employer, you aresubject to the,Oregon Workers' Compensation
Law, and must obtain workers' compensation insurance for your employees. lf you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be'liabl5-fOr atl cfdim costs if'one of your
employees is injured on the job. For more information, callthe Workerl'pomOensa]ion.Division DIF at 973-7434.
U.S. lnternal Bgvenue Service,: As qn qmployer, you must withhold federal income tax from employees' wages.
iaym9ltiFlI.y"i,EidnJactuqllyryithholdtrre,g1xFormoreinfoimation,call
the lnternal Revenue Service at 221-3960.' -
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance: As the permit.holder for this proiect, yourare responslble'Jorrfeeolving any failure to meet
coae requfiements that may be broughtto your attention thiough inspectiona-; ti.:
Liabil$Lgnd Prbperty Damage , Contact !o0r insurahce agerit to,qtrgli^ryOlnave adequate insurance
coverag€chasfallingtools,paintoVerspftiy;.t{6tetdimagefrompipepunc-
tures, fire, or work that must be re-done.
Time to Superuts e Employees: Make sure you have sufficient time to supervise your employeeS:
Expertise: lvlake sure you have the expertise to act as your own general contractor, to coordinate the work
ot rougfi-in and finish,trades, and to notify building officials at the appropriate times so they can perform
the required inspections.
lf you have additional questions, write to:Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
o24N 10124189
CITY OF SPR OREGON
lollowing proJecl as submltted hae the foll,
zoning and does not require specific land use
approval.
BIACTRTCAL PERHIT APPLICATION225 TTFtg STREBf,
SPRTNGPIELD, ORBGoN 97 City Job Number ?bz/7INSPBCTION REQIIBST: 7
OPFICE: 726-3759 Aurhori;ed slsn*ru,"l- ,31:1 .COHpr.FrF. REE SCffiDULB BBLO9
1.LOCATIoN OF TNSTALLATTON
A Nev Residentlal-Single or
Multi-FamilY Per dvelling unit.
Service Included:
I tems Cos t
$ 8s.00
$ 1s.00
$ 40.00
JOB
180 days.
2. COI|TRACTOR INSTALI,ATION ONLY
Electri Contractor
Address
c1
Supervisor License Number
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular DveIIing
Service or Feeder
B. Services or Feeders
tallation, Alterations
locat ion:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect OnIY
c.
D.
SPRI?{GFIELO
5. SUBTOTAL OP ABOVE
5f State Surcharge
TOTAL
%
Pump or irrigation
Sign/outline Light ing-
Limited Energy/Res
Limi ted Energy/Comm
Sum
Permits are non-transferable and expire
if work is not started vithin 180 days
of t""r"nce or lf vork ls suspended for
$ s0.
$ 60.
$ 40.
$100.
$130.
$300.
00
00
00
00
00
00
=
Exp iration Date
Constr Contr. Number
Bxpiration Date
Signa of Supervlsing Electrician
Ovners
Address
ci Phone
ALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0sners Signature:
DATE:
Temporary Services or'Feeders
Instal}ation, Alteration or Relocation
200 amps or less $ 40.00
201 amfs to 400 amps
-
$ 55.00
over 4bl to 600 ambs
-
$ 80.00
0ver 600 amps or 1b00GTts see rrgn
"ffi
Branch Circuits
Nev, Alteration or Extension Per Panel
i
One Circuit $ 35.00
Each Additional
Circuit or vith Service. nor Feeder Permit [ $ 2.00 Cv,
E. Miscellaneous (Service/feeder not included)
-Each installation
40.00
40.00
20.00
$
s
s
s
+ I.bb
RBCEIVBD
36.
250 N
/
1"/30
SIDEIIJ/IIJ-K / CURffi)I
APPL ICATIOI.,I / PEff1IT
225 NORTH FIFTI{ gTREET
SPRII.IG'F IELD, OREGOhI 914'11
EI.l6 tNEERtr.{6 D lvl5lot lffilcE No. 12b-31>7
IN9PECTION LINE' 12b -316a
JOB ADDRE99:
A99E590R5 l'1AP NO.TAX LOT NO.
9JBDIVI9ION:
ou^lEFe
ADDRE93,CITYT
STATE:ZlP.Pilor{E No,
IIJOFK DE9CRIFTI6I,
9TDEuALK: x cURts grDE gEr3Ac< _
CURts-CUT: RE9IDE}.{TIAL COI.IIIERICAL
-
g=COND DRI\EIJAY ( gEE TRAFFIC )
R=aUlR=g APPLICATIOIT FOR A *CoND DRI\GUJAY(T-4.1a)
OR A COiJNTY APPLICATION FOR FACILITY FEB1IT (C W-2@3)
IF IN THE U65.
DATE G APPLICATION
II,loFK TO tsE PEFfuRIIED EY:
RE9IDENTIAL _ COHI-IERCIAL
f-fra/
,Y coNTRAcroR
SPFIINGFIELO
h
oir.{=R
RECEIPT NO, /2 8?E
CA*1
cL,EcK -4^5ffi7r€7
*
CI.{ECKED FOR DEL INAUENCIEg
9IGNED'
DATE,
l.REGISTRATION NO.
ADDR=99 e
PiiONE:
PROCEDURE FOR TN9PECTION REAUEST,
c/LL 12b-316A (re,CO@ER ) STATE YOUR CITY D=SIGNAT=D JO3 Nt,T1ts=R, JO3 APDRE9STYPE OF
INSFECTIOT'I REaUE9TED AJ'{D [rrlEN YoU IUILL B= REA?Y FOR lNgFEcTloN, coNTF?ACToRg oR oL)Al=Rg NA]'1= AD
PHoNE NlJllBEFa R=aUESTS RECEIVED B=FoRE ltoo At1 UJILL BE IIADE Tl-l= 5A1E DAY, EoUE9TS #IER. ltoo
AF1 IUILL tsE F1ADE TH= NEXT UDRKING DAY
EXI9TIhIG BLII IT NO. ( IF APPLICABLE )
*CITY JoB No. tsfgEE BOOK
REAUIRED INgPECTIA{g SIDEIUALK / DRI\€IUAYrcR AL CONCRETE PAVING IUIT|-.IIN
TI-{= 9TREET RIGI..IT OF Ij,]AY, TO BE
I1ADE AFIER AL EXCAVATING
19 COHPLETE AND FOS1 I,I/OR<
AlD sUB-tsAg= I1ATERIAL 19
IN PLACE
CUF5 / APPROACH APROhI,
AF ER FOg15 ARE EREC]ED
BUT PRIOR TO POURIN6
CONCRETE.
FEE9: giDEUJALKg CUF?B-CUT I.IJALK X,
TOTA PEFIIIT FEE:*za.5o
rlA.Oo + tO.lb/LF.( X )
OF I]JALK
tlO.OO+*A)>/LF.(X)
COMIIERICAL DRI\€IUAY5 SHALL
HA\G 5' TO A'FLAIR9
3'- A'gTAIDARD
I i-{A\€ CAREFULLY EXA*1INED ]'+]E COI"IFLETED APPLICATION FOF? PER.IIT,,{,ID DO HEREBY CERTIFY ':-I-.i,4T ALLNrcR-IATIO}'] IIEREON 19 TR]E A\D CORR=CT, A\D I FURTI-.,iER C=RTIFY THAT ANY AND ALL IIORK PEE=OR-1ED9}-IALL BE DoNE IN accoRDAr'JcE tiJlTl{ iHE oRDNant'Eg G TrtE ctT.r cx gpRtNc#tELD. AND THE LAu.t5 oF THESIATE CF OREGON PERTA\N\NG lO Il{E u)c,R< DESCR\BED \rEREtN, A\D ri{Ar No occuerNc,y \!\LL BE r-1ADE
oF ANy 5IR.JCIURE I.U\THO\.IT PERllSSlOll OF Tr{E tsUILDlNG Drvlsrorl l FuRrr{ER cERTlFy rFlAr oNLy coNrRAcroRs
AND EHPLOYEE9 IIJI.IO AE IN COT1PLIANCE \IJ\TI'I ORg 1@\O>5 UJ\LL BE UgED ON T\t\5 PROJEC.I'
N ?E
4ft
MINIMUM DEVELOPMENT STANDARDS
AGREEMENT
This Agreement is and betw een the clrY oF SPRINGFIELD (citv) and BUILDING
OWNER (Owner)t^o t?on
1994. The Owner named above is the Owner of the prope
+
v described in Exhibit A.
AGREEMENT
1 The City and the Owner have approved plans conforming to the Mini
Development Standards of the Springfield Development Code, dated
and attached as Exhibit B.
2. The Owner shall enter into a contract with Con
mum
01
n
3
Upon completion of the public improvementsand final inspection, the City will
reimburse OWNER in the form of a GRANT for the sum of One Thousand Five
Hundred ($1,500) Dollars. The City is not responsible for any sum in excess of
One Thousand Five Hundred (S1,500) Dollars'
COPIES OF PAID RECEIPTS MUST BE SUBMITTED TO THE CITY AS PROOF OF
PAYMENT. A WRITTEN VERIFICATION OF THE FINAL CITY OF SPRINGFIELD BUILDING
INSPECTION REPORT MUST ALSO BE SUBMITTED AS PROOF THAT THE JOB IS
COMPLETE.
Owner's Oblioation on the Grant. lf the Owner fails to fulfill any of its
responsibilities under this Agreement, and the City declares Owner in DEFAULT,
Owner shall repay the grant to City within fifteen (15) days.
4 Owner's Hiqhts a R es oonsibilitie s
Owner is responsible for all costs of: designs and detail plans sufficient for
obtaining necessary building permits; bidding out the project; and payments
to the contractor.
b. The Owner shall comply with all State and local building codes.
5 Default. lf the City determines that the Owner is violating any of the Owner's
responsibilities under this Agreement, the City shall notify the Owner in writing of
such violation.
a lf the Owner fails to correct such violation within fifteen (15) days, the City
may declare the Owner in default and demand repayment of the City's grant
lf the Owner fails to repay the One Thousand Five Hundred ($1,500) Dollars
grant, the City may pursue all available legal remedies to recover the amount
due from the Owner.
a
b.
6 Citv's Riohts. The City's rights under this Agreement are against the Owner and all
heirs, successors, and assigns of the Owner's interest in this property. This
Agreement is effective on the date of the last signature to this Agreement.
7 Notice. Any notice under this Agreement shall be in writing and delivered as
f ollows:
To the Owner:
To the City:Cynthia Pappas
Downtown Manager
Springfield Development Services Department
225 Fifth Street
Springfield, OR 97477
The parties agree to provide written notice of any change in the above, within seven (7)
days of the change.
CITY
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Date
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LAKESIDE CONSTRUCTION
1792 NORTH 42]UD STREET
SPRINGFIELD OR 97478
(503t 747-6765
PROPOSAL A]UD CONTRACT
Date:MAY tB, 199*
TO:.JTM RAY
I'IAP SUqI{ITTED
Dear Sir or Madam:
Lakeside constructlon propose to furnish alr materials and perform alrlabor necessary to complete the following at: _
t
PLANTS:
All of the above work to be compreted in a substantiar and workmanlikemanner according to standard practiies for the sum of NIIIETEEN .HUNpRED A}IDTHIRTy ._ DoIlars (91.930. O0) .
Payments to be made s0. t DowN,.BALANCE uppN coMpLETr.oN. _.
Any arteration or deviation fron the above specifications or groundconditions such as rock or underground obstacles invotving-";[="-cost ofmaterial or labor. wirl, only be exLcuted upon written order! for same, andwill become an. extra chargl over the sum irentionea in this contract. Alragreenents must be made in writing.
Respectfully submit,ted,
WTLLIAM D. ROGERS-ceneral Manager
il
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W GoncreteIta o
945 North zBth Street * Springfield, OR 97477
(503) 746-3673 " FAX (S03) 746-4002
Cuetomer;JIM RAY
Project: ESPRESSO DRIVE,THRU
IIrIs guofauon lc offered subtectto acceptance wlthln 30 days, Thank you for tha
appoftunlty of submlttlng thls quotatlon lnterEst chergod on overdue aucounts
@1,5Y0 pir month. We ara n aqual oppoftunlty dmployor,
Flle:JllrtlRAY XLS
May 5, 1994
Plans & Speolfloatlons
Material Testlng, lf Required
All Flnograde Materialff Ptacement
Location of CB's, Drlveways & Ramps
is Frlme Contracto/s Responsibility
Traffic Control
All Excavation exoept for Catch Basin
Bond: Add 2%
Ourb & Guffer: Over.nrn ovcr !-r%
Search for Catch Basin Pipe:
Pipe to be Laid within 1'of CB
Malerials t0 Hoolr Up CB's, lt nol Provlded
CB's over 6' Deep and $100 per Foot
(From top of Curb)
Publlc Works ProJecls $ubJect to
lnterest Bearing Retention Accounts
Subdivisions: $20 per Curb Drop
Retalnage to he held no longer than
180 days after completion of our work
By: Rick Langelierc
State License#; 0R-250, WA-WALTSCC174JG,lD-5682-AAA-1-2, CA-669144, NV-34389
ITEM QTY UNIT PESCRIPTION UNIT PRICE TOTAL FRICE
2,759.s3367,5 SF SA/V 7.51
INCLUDES ALL EX,
LOAM &SAWING
NO PERMITS FIGURED-IN
TOTALBID:2;?59;e5
QUOTATION
MATERIAL TO BE FURNISHED
BY CUSI.OMER:
WORK SUBJECT TO EXTRA CHARGE
Walt's Concrete Co,
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