HomeMy WebLinkAboutPermit Signage 1996-08-22COM M ERCIAL/I N DUSTRlAL
PERMIT APPLICATION
225 Fiflh Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPRINGFIELD JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
n+OWNER:PHONE:
Or(STATE:CITY:
7il6-e L72
ADDRESS:AAL
ZIP orl7zZ,o/
, 14..k_DEMOLISH OTHER uor#zipoL
DESCRIPTION OF WORK:
NEW
-
REMODEL ADDITI
NAME ADDRESS PHONE
RESS PHONEEXPIRESCONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
PLUM BI NG
GENERA
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trtrtr (:HAEIGtr
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
d uct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUPT
# OF STORIES
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
\.g|J t8
BUILDING PERMIT \\OP PLUMBI NG DEMOLITION
5% State
Su rch arg e .FT.)5% State
Surcharoe ,\Jf\n0f-\t) 3()
*E€nAt+t€At39h -4e FENCE
VALUE $(lr\hff\4flpu
5% State
Su rch arqe
SIDEWALK
FT.
SUBTOTAN
PERMITS \
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTHICAL
\
\D<:r
REOUIRED INSPECTIONS
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, 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 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 SpEC;AL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 of 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 duringCURTAIN WALLS construction of the following w6rk. A
FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished io the Building Division.
excavated and forms are facing materials and before
erected, ail steel in ptace, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to placing concrete. V FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
-
STRUCTURAL \
made after ail insrab buirding 3l::5::.':ff 3iE:It".iHl:r" ;1n3,fly.*3"t HSfio?',rrz oservice equipment, conduit, and vents are.complete andpiping, accessories and other
anciriry equipment items are -_;tl',i::L"Jt"jffifl,Jj[H:[: - Sl?Xfl,?Eolnol,l",?,o"\l}t"oin place but before any fffi72ry .> '= 5 , tighte-ning oper"tions. (306concrete is placed. INSULATION &,I/ApOR a.6)
UN DERGROUN D: PIumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
t re nc hes.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
f loor insulation, decking or
floor 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.
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.
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.
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.l1 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25-10,11).
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.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information
herein is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Springfield, 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 employees
who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project 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
Signature Date t* c- ?b
times during construction
VALIDATION
RECEIVED BY:
DATE PAID:AMOUNT RECEIVE
RECEIPT #
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FlRE DEPARTMENT
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 .*-7+.
,
SIGN PERMIT APPLICATIOPT
225 Fifth Street
Springf ield, OR 97 477
LOCATION OF PROPOSED WORK;
SP'ITNGFIELl'QtrilbL,JO' 'JMBER
lnspection Line: 7 26-37 69
Office:726-3759il
ASSESSORS MAP
OWNER:
TAXLOT:
f PHONE L-L7A
ADDRESS: fl (- ?*f
CITY STATE: O
BUSINESS NAME,IRM ETC
DESCRIPTION oF PRoPoSED SIGN(s): (please check and complete all appropriate information)
-
Wall
-
Freestanding _- projecting Roof
t
_ Marquee
-
Singte Face _ Doubte Face .- Biilboard X Orn",
Square Footage:
Vertical Dimension of !_tgn or enclosure:
Dirrension from Grade
to bottom of Sign:7
N/aterial Sign is constructed oJ:
Electrical lnstallation
(lf yes additional permit
Total Height above Grade:
Horizontal Width of si gn or enclosure
VALUE
l(t
tl
d)X*o
vlc-oList ALL existing signage and attach a photograph of each si
(a) Type
{c) Type
Sq. Ftg.
Sq. Fts.
(b)ype
(d) Type
Sq. Ftg
Sq. Ftg
CONTRACTOR/INSTALLER dri*t f7
ADDRESS /77fl ,'/,4?,4/
CITY
CONSTRUCTION CONTRACTORS REG ISTBATION NUMBER
CITY BUSINESS LICENSE NUMBER:
STATE:ZIP q
EXPIRES
OFFICE USE
Sign District:
Zoning: _
REOUIRED INSPECTIONS
--- Site
to be rnade prior
to sign placement
Footing
prior to placement
of concrete
t-uio ur",
Code Section
Approved By:
/ Attachment
after fasteners are
installed/prior to cover
Ouad Area
\
Electrical
prior to energizing
(-/
Final
compt-etion of sign
installation
b
DATE
Additional Comments and/or Conditions
By signature, lstate and agree, that lhave carefully examined the completed application and do hereby certify that all inforrnation hereinis true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City ofSpringf ield, and the Laws of the State of oregon pertaining to the work described herein. I further certif; tiat onty contractors andemployees who are in compliance with oRS 701.0bs will be used on this project.
I further agree to
the perrnit card is
of the sign(s).
ensure that all required inspections are requested at the
located at the front of the property, and the approved se
pioper time, that project address is readable from the street, that
t oi plans will remain on the site at all times during the installation
Signature Date
Date PaidAmount Received
Receipt Number: .
Va lidation
Received By
2
ZIP:?77
27"
ll
(o sbO
o 77ET? ExptREs, /y'*/a6
Sign Permit Fee:
fu a.a-7b
SIGN PEBMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or lI you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number frorn the State of Oregon Construction Contractors Board are listed on the application along with the expiration
riote of each.
i
li the sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by either
a supervisirrg 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
a pplication.
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 subrnit 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
f eet in total height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, if your sign(s) is approved, one setwill be returned to you. The approved set oJ drawings need
to be at the slte 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
o{ your sigrr:
To be requested after rrrdicatirrg on the lot where the proposed sign will be located but prior to any work
being periormed lor 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 af ter excavatiorr and the forms are installed, but prior to pouring concrete. lf there will be
electrical conduit placed in the looting, it must also be in place prior to requesting this inspection.
Attachrnent: To be requested when all fasteners are installed but prior to cover.
Electrical: To be requested after the electrical connection 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 inspectiqns that are required {or your specif ic sign 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 CityDesignated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and whenyou will be ready for the inspectiorr. All inspections called in to the recorder prior to 7:OO a.m. will be made the sameworking day, all inspections phoned irr 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 BuildingSafety Division at 726-3759,
City of Springf ield
Building Suf'ety Division
225 Fil'th Sfi'eet
Sprirrgl'ield, OR 97477
t
S ite: