HomeMy WebLinkAboutPermit Signage 1996-03-29,,.
SIGN PERMIT APPLICATIOT_
225 Fifth Street
Springfield, OR 97477
SPETNGFIELO JOE MBER
h,lnspection Line: 726-3769
Office: 726-3759
SITE ADDRESS:
ASSESSORS MAP:
OWNER:T U IDJ5PHONE:cTqb- B?,q
,f\
TAX LOT:
ADDRESS OA N. 5+r)
.CITY STATE: bL ztP: q1lq11
BUSINESS NAME, FIRI'T EEC,:ltorlhur-tes+ Noh c/ls
DESCB|PTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
Wall
-Freestanding -ProiectingSingle Face _ Double Face
-
Billboard
Square Footage:tllo.5 '
Vertical Dimension of sign or enclosure:3'
Dimension from Grade
to bottom of Sign Enclosure:
Electrical lnstallation: _
(lf yes additional electrical
_ Roof _ Marquee
_ Other
I
Total Height above Grade: '5
Horizontal n or enclosure:l5'ro"
X-
x_
iL
VALUE
OF SIGN:r5p
Material Sign is constructed of:tlD roa drrt{ PA rprcn 6 PH ICS
X*o
List ALL existing signage and attach a photograph of each
(a) Type
(c) Type
Sq. Ftg..
Sq. Ftg.
(b) Type
(d) Type
Sq. Ftg
Sq. Ftg
NO LVlsTl r-Ja" sr b^) S
CONTRACTOR/INSTALLER:T51 PHONE: I s- ssc/
ADDRESS: i2 lC Oj KPATc,H P-D
CITY E.I.)GF-N)
CONSTRUCTION CONTRACTOBS REGISTRATION NUMBER:illzBG r
STATE:ol<ZIP:9rqo
EXPIRES 2-2-q T
CITY BUSINESS LICENSE NUMBER:-7 RES:
OFFICE USEbSign District:
Zoning
Sign Permit Fee
BEOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Land Use:
Code Section:
Approved By:
Attachment
after fasteners are
installed/prior to cover
Ouad Area:
\
Electrical
prior to energizing
electrical installation
/ rinat
completion of sign
installation
DATE:
By signature, i state ar-rd ag;ee, that I have cargfuily cxarni;'':cC thc cornp!e'.3C appliceticn anC Co hereby certlfy that a!! lnfcrmatlcn herein
is true and correct, and I firrther certify that any and all work performed shall be done in accordance with the ordinances of the city of
Springfield, and the Laws ol 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 proiect.
I {urther agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the pernritcard 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
ol the sign(s).
Signature
Amount Received:
Date
Date PaidValidation:
Receipt Number:Received By
1
-9to*zb
SIGN PERM]T 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 ol Springfield Business License Number and the Registration
Number f rom 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 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 of drawings need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign(s), you may be required to request one or all of the following inspections during the installation
ol 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 ot 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
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 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 97477
/A/,,t4 OieZ
C'TY OF OREGO'U
SPCrINGFTdLD
z! irr,ll, and does not reql
approval.
SPRTNGFTELD, OREGON 97477 , *.,. r: /-
INSPECTION REOUEST z 726-3769 J-' "'*'7'*- [j-
0PFICB: 726-3759
Ci ty Job Nunbe, QUO E n q
225 PIFTE STREET
I^EGAL ON 3l Cs 261)f
JOB DESCRTPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2 CONTRACTOR INSTALI,ATION ONLY2A-;2Ac
Electrical Contractor
Address / Zo fr?onroe
Ci ty Eu nej Phone 3 /4-3sa t
Supervisor License Number /oqe g
Expiration Date /D'/' ? 6
constr Contr. Number 7 o; o o
Exp iration Date 3- rc- 7 r
Signature of Supervising Electrician
Ovners Name
Address 4o &rx aFa
!1 .u't !,tl vnone /f{"sf /r
t \, /-,{,/L: ELECTRICAL PERHIT APPLICATION. \*.
1
COHPLETB PEE SCEEDTILE BELOII
Nev Residential-SingJ.e or
Multi-FamiIy per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
-Hodular Dwelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
A
Sum
B. Serviees or Feeders
Installation, Alterations
. , or Relocation:
c
Limited Energy/Res
Limi ted Energy/Comm
SIIBTOTAL OF ABOVE
5Z State Surcharge
T T*L
s7o AAmt,r r.stt<Ti.-rl Fr-Tt,\"-t
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0nly
Temporary Services or Feeders
Installation, Alteration or Relocation
$ s0.00
s 60.00
s100.00
$130.00
$300.00
s 40.00
200 amps or less S 40.00
Over 401 to 600 amps $ 80.00
0ver 600 amps or 1000 voTts see I'8" a56tA-
Ci ty
OSNER TNSTALI*ATION
The installation is being made on
property I olrn vhich is not intended
for sa1e, Iease or ren(.
Ovners Signature:
DATE:
D. Branch Circui ts
E
Nev, Alteration or Extension Per Panel
One ci rcui t / S 35 .00 3 €. o')
Each Addi tional
Circui t or vi th Service
or Feeder Permi r / $ 2.00 t. o D
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation s 40.
s 40.
s 20.
$ 36.
00
Sign/0utIine Lighting-00
00
00
RBCEIVED
5 ', o)
COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fniln Street, Springfield, Oregon 97477
SPFlIn.GF3ELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TaPZ
LOCATION OF PROPOSED WORK U EtD OQ.
TAX LOT:OrfrooASSESSOBS MAP:/7^27-9*=,/
7?/-055? tn.72l'9rYPHON E:
432 ry2, 'n ''
?7/77zlP?2,STATE:5Pz t//4iE /OCITY:
ADDRESS:
OWNER
-/NEW
-
BEMoDEL € ADDlrloN DEMoLISH orHER
,4carrs ztc.
VALUE:
E 'Lt.t/(, 5y siz.otDESCBIPTION OF WORK
ARCHITECT:
-CONST.
CONTRACTOR'S NAME ADDBESS CONTRACTOR # EXPIRES PHONE
ELECIRICAL:
PHON EADDRESSNAME
- S27Ib
,/?Io
S
P,q.' 3
fl<e
da
MECHANICAL:
€.1/E Ot<,
GENEBAL:
PLUMBING
NO.FEE CHARGE
Relocated Bldg
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trtrtr CHAFIGF
Furnace/burner & vent
< 100,000 BTUs
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
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET
WATER HEATER:
OCCY GROUPT
# OF STORIES
QUAD AREAI
, OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
VALUE
TOTAL VALUE OF PROJECT
93ooo3:
X
X
$/SQ. FT.
-, Oo"/-
SQ. FT
/fa oSQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
4r-;7
BUILDING PERMIT 7g-ro PLUMBING DEMOLITION
5% State
Su rc harq e B ,7Z 5% State
Su rc h arqe
MECHANICAL FENCE
VALUE $
5% State te
SIDEWALK
FT.
SU BTOTAL
PERM ITS
PAVI NG CU RBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PEBMIT FEES
EXCLUDING ELECTRICAL
-fn rr
Single Fixture
REQUIRED INSPECTIONS ."
It is the responsibility of the permit holder to see that all inspectlons are made at the proper time. To request an inspection, call726'3769 (recorder), state your city designated job number, job address, type of inspeciion requested and when you will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be madethe following work day.
SITE INSPECTTON: To be ROUGH PLUMBING, pAVtNG: AttJr graver is inmade after excavatlon, but ELECTRICAL & place but prior to placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.be covered until these
UNDERSLAB PLUMBtNG, inspections have been made SpECIAL ;NSpECT,ONS: tn accordanceELECTRICAL & and approved' section 306 of the state specialty codeMECHANICAL: To be made
berore any work rs covered. Arflc DRAFT srops & ;r"i;""5;l:i;3:"j,:I1[,bi?iTgrov"oCURTAIN WALLS c6nstruction of the following work. AFOOTINGS & FOUNDATIONS: EroEDr A^E. - copy of the special testing ieports shallTo be made after trenches are FIREPLACE: Prior to placing oe rurnisneo io tne guiiotng Division.excavated and forms are facing materials and before
erected, all steel in place, but framing inspection. STRUCTURAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 p.S.l. (306 a.1)
CONCRETE SLAB: To be the roof, ail framing, fire
. made after ail instab buitding blocking and braclng are ln STRUCTURAL WELDS:
service equipment, conduit, place and all pipes, thimneys Performed on the iob. (2722 t)
piping, accessories and other and vents are complete and
ancillary equipment items are the rough electrical, plumbing HIGH STRENGTH BoLTING:
in place but before any and mechanical are approved. During all bolt installation and
concrete is placed. TNSULATTON & VAPOR x.8f,"r,nn
operations. (306
uNDERGRoUND: prumbins, l*[,:i.,* ]:J:e[Te%"J:"J.?,, spRAyED oNelectrical, gas, sanitary sewer, barriers are in place but FrREpRooFrNG: U.BC.storm sewer, water and before any lath or gypsum standards 43-g.drainage lines. To be made board interior walliovering isprior to covering or f illlng applied.trenches. SPECIAL GRAD|NG,
,NDERFL..R: p,umbing lll:,S"jrfHJp[gi'* il;flTjiil_til:,IJb.j],"telectrical, mechanical. T5'be according to plans. Chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GypSUM GLU.LAM BEAMS: tnspectlon
f loor sheathlng. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the City's
POST & BEAM: To be made interlor and exterior, is in Building Division before
prior to installation of floor place but before any !9ams are placed. (2501 U.BC.
insulation, decklng or floor plasterlng is applied or before STDS' 25'10,11).
sheathing. gypsum board joints and
fasteners are taped and srRucruRAL MASoNRy: (306
FLOOR TNSULATION & finished. a.?)
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
NAILINGT Prior to lnstailing
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'ln addition to the inspec.tions speclfied, the BuildingOfficial may make or requlre
other inspectlons of anyconstruction work to ensurecompliance with the Bullding,City or Development Code.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th.at all informatlonherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinancesof the city of springfield, and the Laws of the state of oregon pertalning to the work described herein, and that No occupANcywill be made of any structure without permission of the Building safety Division. I further certify that only contractors and employeeswho are in compriance with oRS 7o1.os5 wiil be used on thls project. rrr' \r'|srvrr'|' vvrr,avtvr
Signatu re Date Z
I further agree to ensure that all required inspections are re quested at the proper time, that prolect address is readable from thestreet, that the permit card is located at e front of the property, and the approved set of plans will remain on the s ite at alltimes during con ctlo
VALIDATION <27/AMOUNT RECEIVED:
RECEIPT #RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: MUSI bE rEqUEStEd 2 dAYS iN AdVANCCof the date you wish inspection. Ail prolect conoilion's-such aslandscaping, parking rot stri ping, etc. must oe compreleo beforerequesting thls inspection.
FINAL BUILDING: Requested after the finar prumbing, erectricar,mechanical and Fire Department inspections are made and
lpproved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the auiroinj oivision
ryE'#LE'i1D*;1r*n- t=rE .-ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE