HomeMy WebLinkAboutPermit Signage 2002-08-26 (2)SPRINGFIELD
Job# 02-01012-01
INDUSTRIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 ot 2
Job Number: 02-01012-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 07700
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 302 Shelley St Spr
AssessorsMap#: 17032710
Lot: Block: Addition:
crTY oF SPRINGFIELD, OREGOA'
Owner: Gateway Medical Equipment
Address: 302 Shelley Street
Scope Of Work: Sign
Gateway Medical Equipment
Sign
Phone Number:
City/State/Zip:
New
541-747-5430
Springfield, OR97477
Value: $500
Contractor Type
Sign Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Gq
Regig(ration
L\q'z
Phone
541-343-7049
Contractor
TripleJ&SSigns, lnc.
86501 Lorane Highway, Eugene, OR
97405
o\
$'.1
Group:
To request an inspection call the 24 hour recording at
a.m. will be made the same working day, inspections
working day.
Footage:
nspections requested before 7:00
after 7:00 a.m. will be made the
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Required Inspections
Sign
Sign Location -To verify location of the proposed sign
Sign Footing/Attachment -Footing: After excavation and
FinalSign -After all required inspections are
Gonstruction Types:
Occupancy Groups:
sign installation is complete.
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory Total
Office Use
#
((2\
Range:
Land Use:
Zoning
Bedrooms:.(os \\,e
Job# 02-01012-01
Sign District:Community Comm Type of Sign: Wall Sign
Page2 of 2
Face Type: Single Face
Sign Dimensions
Vertical: 1'
Height (Above Grade): 16'
Sqr. Footage: 25.5
lllumination?
Gomments:
Horizontal: 25'6"
Gateway Medical Equipment
Thickness:2"
From Grade To Bottom: 14'
Sign Material: Styrofoam
Fee Paid On Receipt# Value/Quantity Fee Amount
Sign Permit - 0 - 35 Square Feet
Sign Application Plan Review
TotalSign
08t26t2002
08121t2002
10428
10377
500
1
$80.00
$40.00
$120.00
Grand Total
Plan Check Type Checked By Date Completed Comment
Sign David Bowlsby 0812312002
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 Springfield, and the Laws of
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 project. I further agree to
ensure that all required inspections are requested at the proper time, that project address is readable
and the approved set offrom the street,the permit card is located at the front of the property,
plans will rema the site at during the installation of the sign(s).
Signature Date
$120.00