HomeMy WebLinkAboutPermit Signage 1992-09-245f'fflN(il: lf,: t_l)JOB NU
ct
I ection Lirrc: 726'3769
( . rcoi 726'3759
IGN i',f I-ilul'r API.'LIc/\TloN
1r,., l: rltlr Strcct
prirrglit:ld, OR 97477
CCAI'ION OF PROPOSED WORK
11,o3?5 z
U? ELID:
TAXLOT:,SSESSORS fr4AP:
)WNER:?7-- A 647
ll o Afi r&? AVe e ,e\DDNESS
]ITY:STATE o?.ZIP:4 73 2-t
]USINI:SS Nn ME. flnM ETC ?-z ,5
)[scnll,TtoN oF pnoposED SIGN(S]: (plcase checl< and r:ornJrlcte all appropriate inforrnation]
{ *0,,
-
Freestanding _- Proiectirrg
-
Roof
---- Single Face
-
Double Face
-.-
Billboard X Otnu,
Square Foota0e
.)irrrcrrsir-rrr f rorn Grirrlc
lo bottonr of Sign 0 Elcctrical lnstallation:
-_
Yes _ No
(lf yes additional pernrit is requiredl
_ Marquee
Vt,AtlL
Total l-leight above Grade tZt
Florizontal Width of sign ermla:ue ,,
VtxYc
VALUE: 5 I q'\/
eS A/J
A,.4l rrq
1Q
3'
21 l, eo
Vlirtcri.rl Sigrr is corr$tructed of hut*tr*tg , looo'co
l-ist Al-L cxistirrg si1lrr:rgc arrcl attach a photograt)h of each sign
(a) Typc
(c) Typo
(b) Type
(d) Type
Sq. Ftg
Sq. Ftg
CONTNNCTOR/INSTALLER:PHONE:495- 55+b
ADDNESS
CITY: _STATE: AZ
CONSTI iUC-TION CONTNACTONS NEG ISTNATION NUMBEN b Za?oz EXPIRES
CITY IIUSINESS LICI:NSE NUMBER:4 z obTe
ZIP: q -71-oZ
o- | -"3
EXPIRES: 7- 2A -17
OFFICE USE
Sigrr District
Zorring I
Sigrr Pcrrrrit Fce
Nt.OUITI[D INSPECTIONS
____._-__ Sire
to l:e rnade prior
to srgrr.ltlacerrrent
Footing
prior to placernerrt
of concrete
nr
tcners are
installed/ltrior to cover
Electrical
-Kr=inarcompletion of sign
installation
d Use:
Code Section:
Approvcd By:
Ouad Area
n
-,
DATE
xaller las
Arlrlitit.rrral Cornrnrtnts arrd/or Conclitions:
[]y si1;rtature, lstat(] arrtl agree, that lhave carelully cxarninecl tl're completcd application and do hereby certify that all informatiorr lrereirris trtttl atttl correct, arrtj llurther certify that arly irnd all wort< lterlorrned shall be done in accordance wittr the orctinarrces of tlre city olSprirrgflold, atld tlte L;rws of tlre state of orcgort pertainirrg to the work riescribed hereirr. lfurther certify that only contractors anrJrlrrlDloyeres wlto irrc irl compliance with OnS 7O1.055 will be usetj on this project.
llurther aoree to ()nsure that all requirecl inspections arer requcsted at the proper time, that prolect address is reaclable from the street, thartlte pcrrrtit card is located at thc lront of the propcrty, and the approvccl set of plans will remairr on the site at all times cluring the installationof the sigrr(s).
Sigrrature Date n- I +-qL
Anrount Roceived:
Receipt Nunrber:
)2,q2 Date Paid l bqlaVirlitllrtiorr
l"3D Received By €8
) oro*r'
t -frA Ll./
J/499241LAr'f 0tNlL
-b&-
Sq.Frs. 9"o.4
Sq. Ftg.
prior to energizing
-
SIGN PERMIT APPLICATION
-l lur irll,lic.ti()rr o1 tlls rcvcrsc sicle rrccrls to lle cornpleted cntircly' lf you arc tlre sign corltractor/irrstaller' or iI you ore
lrirr,g a co.tr.rctor, you need to rnake sure tlrat bcltlr itre city ol Springliekl Business License Nurnlrer and the Registratiorl
Nurnber lror]l the state ol oregon corrstruction contractors Boarrj are listed on the applicatiorr along with the expiration
date ol eat:[t.
lf tlrc sigrr you are proposirrg is illumirrated, an electrical perrnit application also needs to be completed and signed bv either
a supcrvisirr0 ulectrician, linritcrl sign olectrical corrtroctor, or il you oro the buslness ownor who also owns tho builtllng itt
which you are occupying, arrd you will rr. puiiorring ine ot.rtrical installation yourself, you maY sign the electrical
application.
lf there are existi.g wall ancj/or freesta.ding sigrrs, a photog.raplr(sl of each existing sign needs to be attached to tlre
applicatioll.TlresizeoleachexistingsignalsonecrJstobelistedontheapplication.
PLANS
r.o subrnit Ior a sign permit, you need to prepare two cornprete sets oI drawings showir.rg all dimensions' total height' and
a 1rr.t prarr irrdicatirig *r,"r" ir.." proposed sign wilr bc rocated. rt you are institting a frecstanding sign which exceeds 2O
f t,:ct irr totar tlei0ht, the rooting detair needs to tre prepareo an,-t sta,ipeJ uv o registered engineer' AIter the plan review
pro(:cssiscor.llleted,r,.,l,ir'[ursign(s] i'"pp^'itr"orresctwill bei"t''nlotoYou' Tlreapprovedsetof drawingsnccd
.t0 l)c at tlrr.: site wtren an'irrspcotiori is rcqucsted for ttre irlspectors refcrence'
INSPECTIONS
Dcpcrrrrirrg or-l your sigrr(s), you may rre rcquirr:d to re(lucst onc or all of the Iollowing inspections during the ir.rstallatiorl
of your sigtt:
Site:ToDerequestedafter.irrtlir:a-tirlgorrttrelotwheretr,eproposedsignwil|.belocatedbutpriortoanywork
being perforrned lor tfre irrstaiiltio,r of tne sign. fnl'i"lpttiion is required if there is a question on the
locatiorr ol the ProPosed sigtt'
Foorirrg: To rrc rcquesteti arter excav.tiorr ar*l the forms are installecJ, but prior to pouring concrete' lf there will be
ele(:trical conduit placed ln ,rr,, ioo,ing, it rnust also lle in place prior to requestillg this inspection'
Altacl.llnent:TotrcrcquesterlwherrallIasterlersareinstalledbutpriortoCover.
tilcctrical:Tolrerequestedaftcrtheelectricalconrrectiorrtothesignismade,butpriortoenergizing.
Firral:AfterallrequirerJinspectionsarcConcluctedandapprovedandthesigninstallationiscomplete,
The inspections that are required {or your speciric sion,ryilr !e,idicated
on the application during the plan review process'
Fairure to rcquesr ANy of the required insplctro,,s courd resurt i" ,ig;r";ovar in order to in'p"-"t the sign at the required
ir'ltervals r:[. work' .r-- _^^^.,$nn
Tq request trrr irrspectiorr, phorre 726-376g.,Trris is a 24 rrour recording. on the.recorgrp^-r", wilr need to reave your city
Designatecr Jot-r lrunrr:ei,'rocation or whcre rr;';;;;i.1,ei,,g iusta'co, irre rvpe of inspecriorr you are requesting' and whctt
you wi, be ready ro, in"'i^*".tion. Ar-ins;;;;;; "rrrJ,r
in to rh;';;"";l;Jr-p'ior'to 7:00 a'm' will be made the same
workirrg rlay, all i"rpe"iion, phoned in ,rt", i"'60-o.m. wirr bc rnarle the lollowing work day'
rf vou rravc any questions regarrring the applicatiorr, requircd prans or inspections, prease feel free to phone the Building
:;,J;1,' ;;:;,i,1-i zo sz ss.
City rtt' SPrirrgl'ieltl
lluilttirrg Sll'cty l)ivision
225 lrillh Strcet
Slrrirrglicltt, Oll 97 4'7'1
I
i
tCITY onEGorud
s1'tUNGFII:LO
\
o;ect se submittetJ has the following
e lpecilic land use %
225 FIFTE STRBEf,
SPRTNGFTBU), oREGON 97477
INSPECf,ION REQUEST: 726-37 69
OFFICE: 726-3759
EI,^BCTRICAL PER}IIT APPLICATION
City Job Number qRl
COHPI.,ETE FBE SCBEDUIJ BBLOV
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
].. LOCATION OF INSTALI.ATION
l lao ttto ttAul< 6LVP.
JOB DBSCRIPTION
I Luun TLATED eNTPa>r-E Aq:N t,ttal
Permits are non-transferable and expireif work is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI,ATION OM,Y B.
Plzrttr4(\ 6Y o'( Xttlt'
v*to Electrical contractor 6.4blE gtclN & A''"trtt1
/4AW
OAILPMCA LP.
City €u.tE ,/€Phone 1O5'5576
Supervisor License Ndmber lto ,f
Expiration Date 3- t)-77
constr contr. Number LZ1o7 '47;n
Expiration oate /o- t -1 *
Signature of Supervi Electrician
cit Phone
C. Temporary Services or Feeders
)o Installation, Alteration or Relocation
200 amps or less $ 40.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see rrBrr above
200 amps or Iess
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect On1y
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
STIBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
t
s s0.00
$ 60.00
$100.00
s130.00
$300.00
$ 40.00
$ 2.00
40-@
Sum
Address lZt o
owners n"r"0f\Fr 0+-, f -rd, .
D. Branch Circults
Address \(D *fn,A .S"<-Nev, Alteration or Extension Per Panel
$ 3s.00
OTINER
The installation is being made on
property I ovn vhich is not intendedfor sa1e, lease or rent.
ovners Signature:
DATE:
RECBIPI
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $Sign/0utIine Light ine ^r€ $Limited Energy/Res g
Limited Energy/Comm S
00
00
00
00
40.
40.
20.
36
2. oa
RECETVED BY:
q 5
42, oo
W_
SPEINGFIELO LCOM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP;
efr,
JOB NUMBER
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
TAX LOT:056 d>
,5
4 zo - 8677PHON E:
\ LbAill q-7) ztSTATE:ZIP:o?
I to TlttW AUE 9, E.
CITY:
ADDRESS:
OWNER
NEW )( REMoDEL ADD|IoN / @o.oo
4ut4,1
VALUE:
INDESCRIPTION OF WOFIK
DEMOLISH OTHER
NAME ADDRESS PHONE
ADDRESS PHONE
Ct Zo
3-t7-5flL
o b
CLfuTbc.AI.PLt R( dT ta-t
o'?
CONTRACTOR'S NAME
ARCHITECT;
lvttGll+tl{{€A{.:
EXPIRES
/o-
PtlJuS{*i€:
G EN E RAL:
CONST.
CONTRACTOR #
MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
NO FEE EHA RG F
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall oill,cor
mounted unit heater
Appliance Vent
separate
nary evap.
cool r
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
ActN t Nq
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICEAuruu)HANDICAP ACCESS:
FLOOD PLAIN
ZONING
LAND USE
OCCY GROUP:
* OF STORIES:
QUAD ABEA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE;
LIGHTING POWER BUDGET:
WATER HEATEB:
* OF UNITS:
SO. FT.$/SQ. FT,VALUE
(22O. aoTOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
BUILDING PERMIT PLU M BI NG DEMOLITION
5% State
SUrcharge 5% State
Su rcharge
MECHANICAL FENCE
VALUE $5% State
Su rcharg e
SIDEWALK
FT.
SUBTOTAL
PERMITSPAVINGCUBBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
L
ft.
.:4(,i,.31)
T q3
4C
DATE
V REOUIRED INSPECTIONS J
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726-3769 (recorder), state your City designated job number, lob address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work daY.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRICAL & and approved. section 306 0f the state Specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during
CURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: E'DED| A^E. E copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' STRUCTURAL CONCRETE: ln
prior to placing concrete. FRAMINGT To be made after excess of 2500 PS'|. (306 a1)
coNcRErE sLAB: ro be $:#:L i[J'i['Jlfl;t]i ," srRUcruRAL wELDS:
made after all inslab building place and all pipes, chimneys Performed on the iob' (2722 l)
service equipment, conduit, and vents are complete andpiping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and mechanical are approved. During all bolt installation and
in place but before any tightening operations. (306
concrete is placed. INSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or filling applied. SpEC;AL GRAD;NG,
trenches.
UNDERFLooR: Prumbins [l::']""=^'fHJ3[H]"' 5l;iJt'l:il#ll:'5J:'i]''l
electrical, mechanical. To be according to plans' Chapter 29)
made prior to installation of rr^,n D ^vncrri, GLU.LAM BEAMS: lnspectionfloorinsulation,deckingorLATHAND/ORGYPSUM
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency' furnished to the City's
posr & BEAM: To be made interior and exierior, is in Building Division before
prior to installation of floor fiace but before any beams are placed' (2501 U'B."'
insulation, decking or floor plastering is ippflea or before STDS' 25-10J1)'
sheathins.
/sv'\ Y PJ*:lli:ilo,lil$",ilo srRucruRAl MASoNRy: (306
f inished. a'7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made Prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
CURB AND APPROACH
APRONS: After forms are
erected but Prior to Placing
concrete.
ROOF SHEATHING AND
NAILING: Prior to installing
anY roof covering.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating comPlete and form
work and sub-base material in
place.
"ln addition to the insPec'
tions specif ied, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITEPLANREVIEWBOARD:Mustberequested2daysinadvance
of the date you wish inspection. All project conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this insPection.
FINALBUILDlNG:Requestedafterthefinalplumbing,electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
certificate of occupancy has been issued by the Building Division
and Posted on the Premises'
ADDITIONAL COMMENTS:
NS REVI BY
By signature, r state and agree, that I have caref uily examined the completed application and do hereby certify that all information
herein is true and correct,"anj I further certify thit any and all work performed shall be done in accordance with the ordinances
of the city of springf ield, and the Laws of thestate of oregon pertaining to the work described herein, and that No occuPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees
who are in compliance with oRS 701.055 will be used on this proiect.
I further agree to ensure that all required inspections are requested at the proper time, that proiect 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.
Signature DateilL ?-1542
VALIDATION os
4laulq
2, ()3 RECEIVED BY:
DATE PAID:AMOUNT RECEIVED:
RECEIPT #