HomeMy WebLinkAboutPermit Signage 1991-07-23city of springficlrl
225 n.5tlr street
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GFIELE'I NFOR.MATION : 726-3?53
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INSPECTtONST 726-376e
SIGN
LOCATTON 0r' SIGN (ADDRESS)o
LECAL DESCRIPTIOI.I
IT APPLICATION .
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PERM
A.
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O}INER OR PROPERTT Tkao ( @obttt )PIIONE ?L b'-^ ?c,z g
o
or.INE& Or SrGr{ crF oTltE& Tll tl PRoPERTT owNER)
. VENDORS, CONTRACTORS:
D. uss AND cM.itAcrER oF srGN:
t)y'rro*rr"v
INCIDETIIAL;
DOUBLE FACE
[/stlrclu rncu
YITLTI.TACE
t';
.. .P.EADER
BOARD:-. .
_BILLBoARD . i.
E
Gu 6r)9t 'fitatN +85, ,551L
SIGN
STP.UCTURAL TXPE 'OF SIGN: '
3Lv*r, --;FREESTANDTuc
ROOT PROJDCTI}IG
MAROUEE
- UNDER l,l RqUEE
OTII.ER
.B- urn oF woRK:
ALTERVsw.cr
_REL0CATE
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er6
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IT YES, IJIIICI:
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ELECTRICAL o
7
LIGHTED)
- ZZINlIMNFNLISC.
.I'ILL SIGN IIAVE ELECTSJCAL
D(ISTING SIGNS
ARE TIIERN ANY EXISTIIIG
AI,L D(ISTING SI,GNS
roR EusrNEss. ETC.
vEP.TrcAL DLlrENsroN oF srcN -3':6'
lloRrzoNrAl wrDflr or srcN 3W
DCES SIGN PROJECT DEYOND
PROPERITr LrNE? _TES
IF YES. DI}IENSION BEYOND
PROPERTY LINE
NOTE: IF PROJECTIOII IS IIORE TILAN 12"
6VEE pusl.tc PRoPEP.TY THE srGN EREcroR
}IUST TILE WI,TII TIIE BUILDING DIVISION
COPIES OF IIIS/IINR LIADILITY AI.ID PPOI'-
ERTY DA}I,AGE INSURA}ICE POLICIES.
E
ll'-er"
TIIICKIIESS OR DEPTII.
DU.IT,IISIONS, IIISTALLATIO}I
TOTAL IIEIGIIT ADOVE GITADE
& CONSTRUCTIOII
/5'' o"
DI}IENSION TROPI GRADE TO
I}OTTOM OF SIGN
_5"
Il. DEscRTBE TypE oR vATERrALs.srcN rs
CONSTRUCTED OT.
2,5n75-o$o
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olr DurlDr,ltc on r.ruto <on-tl3r usE rF vAcANT)
-glruooon DusrNuss
-curDool
I4ERCIAIIDISING,I . '
9A
oJ tfut
0R IAND:-OT DUILDINGPROPOSED UsE
I 1*oz..t DDILESS o
CITT LICENSE TIT':.IBER - 255 ct-,
srGN tt NUFACTUREII (rr OTllEIt ,r^ u*aroo)
ADDP.ESS V ULE
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aDDREss " PtloNEL
N ME or BusrNEss, rrRM, Erc. fnii'hgt* nPE or tusntess'Fft5T frio'?
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PLEASE REA
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Separale Stg,n Appltcatlon :
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d'I i .,'rr,' ,i l.: r, ri l-l 1)
It t;'ri i 1,,'r.
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itji
hil
1)
2)
I separace applica ls requlred for each separeEe slgn.as deflned
ln che Sign eode.
Electrlcal:
Ehe supply
musc be mad
and exEerne
dlnance.
3)!f,ans Reqrlt_!:qd_:- Thls appllcatlon le to be subnltted wlch Euo compleEe secs of plans shoulng -dt-ffin_ffi;'sj-if-6'elght of iign; edverElslng message on slgn; locaulon of slgn on,ProperEy wlthrdl-
mensions co propircy 1lnei, sEructural detalls-of supp6rc frauing, braglng and fooClngs; r:taEerlals
of construcEion-for-sign Bnd sign sEructure; elecfrlial equipmenc and ltghtlng: slze and locaElon
of existing eip,ns on pioperty Eot Ehe samo buslenss. all as requircd t,o deEermlnq comPllance wlthih.-s;;i;;Er.iE--iriii biai"""L.-(erirctu-z or *re ipirninerd ciuy code). Arso,.ihow the fo1low-
lng lirformaElon on-the ploc plan (plan showing propcrty llnee and locac,lon o.[ slgns):
Any perurlc lssucd under thls applicaElon will lncludo wlrlng 11 or on slgn scrucEure,
wlres for connection musu be covercd on an elect,rical porrniE. Electrlcal connecc,lon .,...
,e only by a Scace Llcensed Electrlcal ConcracEor. Illurninaced slgns (boch lncernallylly) musc conform co Secrtor.r.: 9-7-4 (4) & (5) and 9-7-18 of chc Sprlngfleld 51gn,Or-
. .i .i ,,i1.,i.]
rl1ir6.' For wal1'
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a) Show Ehe locaElon of alL exlstlng slgn(s) as well as proposerl slgn(c).
b) Show the lengch o( che acreec frontage taken up by che buslness or bul1slgnsl show Ehe lcngch of the buildlng fronEage.
c) Show the locaclon of entrances.open Eo thc publlc and drlvewayel i
4)l.llren requlred, because of deslgn, slze. etc., englneered drawlngs and calculacions musc be p
pared by a licensed englneer or shall conform to doslgn sEandards on flle at, the Ilulldlng Dlilon Offlce. , ., i ,
rf g-
vl-
5) Plans -of lnsufflcr.enc clarlty or detalL wtlL be reEurned to the appllcanE wlth no p
lssued. ., . : ,,., , .-: i
ersdE being
r"i
6) Slgns musc ltreet corner vlsloo clearance requlremenEs as descrlbed ln Figure 9 of, Che Springfleld ..
Comprehensive.ZonlngCorle. : ! i
7) NOfq: No slgn nay be erecEed whlch ls Less than 12 feet horlzonEally:or vertically from'overhead i' El6Ecrlcal conductors in excess of 75Q volcs, or less Ehan 5 feet, in any dlreccion froo overhead I
elecErlcal 1lnes whlch are energized aE less Lhan 750 volus
B) If a elgn ls
bs votd... , ,
nou lnscalLed wlthln 60 days after the dace of lssue of rhls peruiE, the pernlE shall
,I
"e)Ins ec lons :
a) 51te Inspectlor! - to be nade before the sign ls placed. UsualLy, Ehe Footln8 Inspectlon
che SlEe Inspectlon. ilhc foocing Inspec-
ut, prior to Ehe placemenE of concrece.
all work.
ced for electrlcal lrook up afcer the slgn
CALL rOR TuE REQUTRED INSPECTTONS ON r"HE 24 llotiR INSPECTIoN LINE AT 726-3769
SIGN DISTRICT ZONE DISTRICT
TOIAL SqUARE'TOOTAGE OF SIGN
lrat,lon
aFFfi-ca6le) may
, is co be uade ,
be uade ac rhe saue tl,me as
af,ter hole(s) ls excavaEeri, b
b) Flnal Inspeccl-on:- to be made upon corpteiton of
c) .$lectrlcat - +11 elcctrlcal-slgns musc be lnspecfs er-EiAEEeA and before the sl,gn ls turned on.
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.SITE/LOCATIOII X*OIT'"-K""u.*rr*
, *rry"
OR METIOD OT ATTAC}IMENT
O1}IER
SPECTITL CONDITI,ONS TO BE SATISTIED BETORE ERECTION OF SIGN:
ADDITIoN^L INroru,!\TIoN NEEDED BEro&E PERMIT MAI BE ISSTIED:
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AIPROVED BY:
,t rrr. ' I(.1
TOT\L:
,ffi
JOB
SIGN PER}IIT FEE:
DA]tr
CLE&K
SECTION I SIGN ORDINAIICE
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225 PIFTH SI3BEf,
SPRTNGFTBU), oRBGoN 97477
INSPBCTION RBQIESTT 726-3769
OFFICE: 726-3759
1
I.BGAL
Permi t s are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contracto@
Address\\\O \\ b.S\
c i t y tF e.rlsc=srs-:sPhon"]if\i}}\}
Supervisor License Number 3-fD\5
Expiration Date \o\q*
constr contr. Number 'bS*5=t-
Expiration Date \o\l\"rt
Signa of ising Electrician
0vners Name
Address
Ci ty one
OIINER INSTATLATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATB:
RECEIPT
BI.,BCTRICAL PERHIT APPLICATION
City Job Number
3. COHPIJTE FBE SCEEDULE BELOS
A. Nev Residential-Sing1e or
HuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
$ 8s.00
st,nrNGFtELo
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
atu
Sum
$ 1s.00
$ 40.00
B.Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Cireuits
Nev, Alteration or Extension Per Pane1
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 600 amps or 1000 volts see rrBrr above
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
E
5
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/0utIine Lighting-T $
Lini ted Energy/Res _ $
Limited Energy/Comm $
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
not included)
40.00
40.00
20.00
36.00
m
CD
Ott"o
RECEIVBD BY:
'r\t?ffi'ot.rnAtn () I
CITY OF
225 TIFTH STREBT
SPRINGPIELD, OREGoN 97477
INSPECTION RB0UEST: 726-3769
0PPICB: 726-3759
1
SP}IINGFIELO
BLBCTRICAL PBRHIT APPLICATION
City Job Number
3. COHPLBTE trEE SCIIBDUIJ BBLOV
A Nev Residential-Slng1e orMulti-famlly per dvelling unlt.
Servlce Included:Items Cost
1500 sq.ft. or less
Bach addltlonal 500
sq. ft or portion
thereof
Each Manuf,d Home or
Modular Dvelllng
Service or Feeder
$ 8s.00
$ 1s.00
$ 3s.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
IJGAL DESCN PTION
Sum
JOB DBSCR,IPIION
Permlts are non-transferable and expirelf vork ls not started wlthin 180 daysof lssuance or if vork ls suspended for
180 days.
2. COT,If,RACTOR INSTALIJTTION ONLY
Erectricat conrrac ,o, il{ryf 4ffi
t'7to Z8r1+L00 amps or less
101 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect Only
Address 00
00
00
00
00
00
9/,Cl ty Lh €d4^"^"
Supervlsor License Number J43 s
Expiration Date (o*l -?z
constr contr. Number ZDSTC
Explration Date /c-l ^7/
ture of ing Blectrician
Name
Address
CIty Phone
OVNBR INSTALI,/\TION
The installation is belng.made on
property I own vhich is not lntendedfor sale, lease or rent.
0vners Signature:
Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocation
3
$3s
$oo
$e0
$130
$3oo$rs
$ 3s.00
$ s0.00
$ 1s.00
ee trBtr aSove
c
200 amps or less $
201 amps to 400 amps
-
$
Over 401 to 600 amps _ $
0ver 600 amps or 1000 volts s
3s.00
40.00
80.00
D. Branch Clrcuits
New, Alteration or Extenslon Per Panel
One Circuit
Tvo to ten Clrcults
Each Addt,l ten orportion thereof
SUDTOTAL OF ABOVB
5Z State Surcharge
TOTAL
i
B. Miscellaneous (Servlce/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Slgn/outllne Llghtlns- $ 36.00
Slgnal Clrcuit or
limited energy panel $ 36.00
DATB:
RBCBI PT
RECBIVBD III:
5
/L
CO M M ERCIAL/I N DUSTRII.-
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
SPFlINGFIELO JoB NUMBE^ a, /a7
I NSPECTION LIN E: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP '74) 7.? 57a ) L)TAX LOT:
zte, ?27a./STATE:
OWNER:
ADDRESS
CITY:
ADDITION VALUE,(+-DEMOLISH OTHER
DESCRIPTION OF WORK:
NEW- REMODEL
MECHANICAL:
NAME ADDRESS PHONE
EXPIRES PHONECONTRACTOR'S NAME
ARCHITECT:
ELECTRICAL:
ADDRESS
@
PLUMBING
GENERA
CONST.
CONTRACTOR #
PLU MBING
NO.FEE CHARGE
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trtrF (:HA EIGtr
/Furnace/burner & vent
< 100,000 BTUs -/ oob.
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
G,qs Srrrt+o .-) a-a
Permit lssuance $10.00
TOTAL PERMIT ra/r'/.->?aF
,\UNID
*N
_ OFFICE USE
ZONING
HANDICAP ACCESS
LIGHTING POWER BUDGET:
WATER HEATER
* OF TJNITS:
LAND USE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
FLooD PLAIN: ' /.
$/SQ. FT.VALUESQ. FT.
/frAo
rorAL VALUE OF PROJECT ?/ae €7 .
7
SQ. FTG
X
X
X
SQ. FTG MAIN
SO. FTG OTHER
PLAN cHEcK FEE /?€,76 Rcpr, fteB / oerc {'26-?/BY
153,?a
BUILDING PERMIT /?7*PLUMBI NG DEMOLITION
5% State
Su rch arg e ?.6.f'5% State
Surcharqe
MECHANICAL -.r 4- alc,FENCE
VALUE $
5% State
Surcharoe /- 2s SIOEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT 4a?AD.11-) .
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
a?z
PHoNE: #f-u^t
Single Fixture
5,zae
-REOUIRED INSPECTIONS
It is the responsibility of the permit holderto see that all inspections are made at the proper time. To request an inspection, call
726-3769 (recorder), state your City designated job number, job 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 r 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 acoordance
ELECTRICAL & and approved. Section 306 0f the State Specialty Code
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
f loor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
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,
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
X FRAMTNG: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghteni ng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-1011).
STRUCTURAL MASONRY: (306
a.7)
*ln addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
I
/
SIDEWALK & DRIVEWAYT
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
I f urther agree to ensure that all required inspections are requested at the p
street, that the permit card is located at the front of the property, and the
Si gnatu Date
roper time, that project address is readable f rom the
approved set of plans will remain on the site at alltimes duri nstru c
VALIDATION VED:453 7aAMOUNT REC
RECEIPT *:
DATE PAID:
RECEIVED
FINAL PLUMBING
x FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
J
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, etectrical,
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:
-PLANS REVIEWED DATE s-7
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 Springf ield, and the Laws of the State 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 employeeswho are in compliance with ORS 701.055 will be used on this project.
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