HomeMy WebLinkAboutPermit Signage 1988-09-01COMBI CATI RMITL 726-3753
Job Address 2 7/f
l-egal Description
EIIERGY SOURCES:
Heat
l,later Heater
Ra/
. Ftg . I'lai n '
Sq. Ftg. Access.--
Sq. Ftg. Other_
_l'lew_Adda1 ter_Rep.
_Fence_Demo Change/Use
0ther
0wn
Val ue of t,lork
Builciinq Permit Info: Desc
Farni'l y Res i dence l,li th Attac
.e., Build SingleAddressL{Ai S
Construction Lender
(/
Da
\(3
sr\
'-F-
a)
Addre s s Phone
name address lics. no.exD I res ohone no.
El ectri cal
Structura I
Pri ma r
Mechanica l
name addres s 'l i cs. no.exDr res ohone no-
Genera I
El ectri cal
l'lechani cal
ELECTR I CALPLUHB I NG MECHAN I CAL
FFF CHARGFN0.NO FFF CHARGF NO FFF CHARGF
Each single fixture Residence of
FTsQ
furnace/burner to
BTLI ' S
Rel ocated bui 1 ding
(new fix. additional )
New circuits alts
or extensions
Floor furnace
and vent
S. F. Residence(l bath)SERV I CES Recessed wal I
SDace heater and vpnt
Duplex (1 bath) each
Additional bath Temporary Constructi on Apol iance vent
separate
Change in existing
rpc i dpncpl,Jater servi ce Stationary evap
coo l er
Sewer
I ndu stri a I
multifamily, comm. or Vent fan with
sinole duct
Storm Sewer 0f amps.Vent system apart from
heatino or A.C-
COMH./IND. FEEDERS
Mechanical exhaust
hnod and drrct
I n sta I I /a I ter/ rel oc atedistrib. feeders l'Jood stove/heater
.amp s.0f
G
ISSIJANCF OF PFR!{IT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
WHERE STATE LAW REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permitshall not be valiC until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFULLY EXAMINED the completed application for oermit, and do hereb,y certify that all information hereon is trueand correct, and I further certify that any and all work performed shall be done in accoidance with the 0rdinances of the Cityof Springfield and the Laws of the State of 0regon pertaining to the work described herein, and that NC OCCUPANCY will be madiof any structure wjthout the permission of the Building Division. I further certify that my reqistration r,rith the Builder's
Board is in full force and effect as required by ORS 701.055, that if exempt the basis for bxemption is noted hereon, and thatonly subcontractors and employees who are in compliance with ORS 7n1.055 will be used on this project,
?-r-z(l,lAtlE(please print S iGNATUREPoeeR, C€n BTpEtL
t. Units So. Ftq. l4ain x ValueTone
TOTAL VALUATI nir
Sq Ftg. Access x Val ue
S q. Fts .0ther
LoadFire Zone Bedrooms
VaIueFlood Plain Stories 0cc.y Gro
Plan Ck. Cornm/lnd
65%/81do Per Fpe
Svsterns Deve
Charqe (1.5%
opmentBUILDING PERMIT
Charges and
Su rcharges Plan Ck. Res
30%/81dq Per Fee
FencePLUI4BING PERMIT
Charges and
Su rcha rges Dgmo
Sl dewa I kELECTRICAL PERI|]T
Charges andSurcharges ',i.
(s raea5 A/C Paving Tota'l Comb. Permit
Curb Cut 6"\I,IECHANICAL PERMIT
Charges and
Surcharges Lh._f \s358 .ZD TOTAL [5.15
TH Phone
:TORS
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
1. glample- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot l. Block 3, 2nd Addit.ion toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources1. example- heat/electrica'l ceil.inq/or forced air qas
- ?. "*rpl.- waterheateiTEETrJcalTor sdlTi--E. Square footage or valuation,GTil
l. examp_le- l?50 sq. foot house, 500 sq. foot garage2. elampie- if n-ew project, check new - if additio;,check add, etc.F. Building permit .information:
1. example - construct single family house with anattached garage2-. examp_le - remodel existing garage into fam.ily room3. example - convert single family-residence iniorestaurant (change of use)6. Vaiue of work as defined in Section 303 (a) of theStructural Speciaity CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Bui)dingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc.IL Abbreviated Piumbing, Mechanical, &. Electrical SchedulesA. Except where blank spaces occur'in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjaientto the appropriate item(s) to be.installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Building Division1, To conserve space on the permit form the schedu.les
have been abbreviated2. If the item(s) to be .installed are not covered onthe abbreviated schedules you should consult theful l schedulesC. BUILDING DIVISION STAFF WiLL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the labei must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor ii not authorizedto sign the electrical IabelIII. Applicant to sign and date
Whenever possible, the .initial application will be used asa.worksheet on1y. Where possible, Building Div.ision Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for hissignature.IV. Fees and Charges
PIan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid, All other fees and charges are due andpayable when the permit is issued.
V. FOR OFFICE USE ONLY
PERMIT VALIDATION
*
5
q-v(
Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name Si g nature date
ffi:lr,:r4iEEEalltEr rc.:s1:&,.Lfd-
city of springf ield
225 n.sth street
A.
SPFIINGFIErjD I N Fo RMATtoN : ?26-3753
tNSPECTtor.rsr 726-3.76s
SIGN PERMTT APPLICATION
LOCATION OF SIGN (ADDRESS),/1it-r:i. ///n 7t+ ,t4,(r i*l:/t- L D n,tr
LEcAL DEscRrpTrou iq-e'3/-
.OIINER
OR 'r
ADDRESS
OIJNER OF SIGT{ CIF OTHER THAII PROPERTY OWNER)
-n
-03 32
ADDRES
NA}IE OF BUSII,IESS, FIRM, ETC.IYPE OF .BUSII:ESS
D.USE AIID CPJ.RACTER OF SIGN:
'/I/ IDENTITY
INCIDEIITAL
r/poust.e racs
SINGLE FACE
I{LILTI-FACE
P.EADER BOARD
BILLBOARD
VENDORS, COMTMCTORS:
SIGN ERECTOR
QtO, 6q I I
.,JDI'.ESS
CIft LICENSE IIIPIBER Ftrp n^T,r:
SIGII I.TANUTACTURIR CIF OTIER TEAN ERECTOR)
ADDPTSS
G.
i
{
t
I
I
E.
. I HAVE CAREFULLY EXAII}IED IhE ted application forlnformacion ls true and correc complet, and I furcher certifyaccordance with the
E(ISTING SIGNS
/.{irE flE:i.i A:i-f EiisTr,trc srGtrs?' allxs no
SIZE IN
AIL EXISTING SIGNS
rOR. NUSINESS, ETC./1V o:
permitthat aI and do hereby certtfyd shal11 work oerforme
that allbe done in
Soringfield ind all
Cregon percalning
cense sriEh the Ci
Spring
oEher
fi.eId Sign Ordinance Ehe UnlformOrdinances of rhe CiEy of Sprinqfi Sign Code as adopted by che Cicy of
e1d and Ehe laws of the Stace of
8-2-6(3) andpenaic.
NA}TE (PLEASE.
to Ei'le worlt describetl ilerern. I further cert Lfy thar nv 51gr'. ConEractor Ll-
(2). I crill requesc all required slgn inso
of Springfield is in fu1l force and effecc
eccions listed on Ehe aporoved
as recuired by Springfield Codes
D
.8. type oF woRK:
AL?ER,J/'*"'. RELOCATE
_oTlutR
STP.UCTTTRAL IYPE rF SrGN:
irArt, -.2jr*rrr*rr,,"ROOF PROJECUNG
}TAROUEE
. I'NDER I,IAROUEE
OTITER
c.
frl,o
E
f ; DnEHsroNs, rrlsrAll,[Tr'oll e
TOIAI. HEIGHT ABOVE GRADE.
VEP.UCAL DI},IENSION OF SIGN
ITORIZONTAL WIDTII OF SIGN
DI}IEIISION FROM GRADE TO
BOTTO}1 OF SIGN
TIIICK]IESS OR DEPTE
CONSTRUCTIOHs!{3./T
4/T
DCES SIGN PROJECT BEYOND
PROPERTT LINE? _YESIF YES, DI}IENSION BEYOND
PROPERTY LINE
NOTE: IF PROJECTIOIT IS IIORE TITAN 12',
OVER PUBLIC PROPEP.TY TllE SIGN ERECTOR
I.IUST FILE WITI{ THE BUILDING DIVISIONCOPIES OF IIIS/}IER LIABILITY AI,ID PPOP-ERTY DA}IAGE IIISUP,AIICE POLICIES.
t&o . IIILL SIGN HAVE ELECTP.ICAL TilIRITIG?
LISC. NTJMBER_PICNE_
SIGIT
H
IT YES, IBICI:
_ILLIJ}{INATED
ELECTRICAL
ADDRESS
I' DEscRTBE TypE oR yArERrAr.s srcN rs
ldTO Cl.il CA€TF Efl :\F
K
trin ,\ //:t Ait
. VALUE OF SIGN:,Q 1t0 , ('O
-l SaLiD I
rt-/ Pe nD A^
CONSTRUCTED
. SITE INFOF}tATIOII (I.ATID USE) .- EXISTING USEoF BUILDIITG OR LAND (OR LAST USE IF VACANT)
_INDOOR BUSINESS _OUEDOOR. IIERCIiANDISING
PB.OPOSED USE OF BUILDING OR I.AND
J
9-7 -
cy
20
T tr (?
DATE
APPLY?
e-
PLEASE READ
1)sepalatq Stqn Aoolication: A separace applicatton 1e requlred for each separate slgn.as definedln Ene Srgn Cocie.
2)
3)
4)
s)
6)
7)
8)
e)
Electricg'l: Any per:urlt lssued under thls applicatlon wirl include wiring ll o" on slgn sEruccure.Ehe suPPly wires for connecEion must u. covEl.a-;;-; erecrricar p'erait. srectricar connecEionmusc be made onlv by a stace ir"""""a grecciicir-EoI"r".cor. rlrurninare.d "ig.,: (boch insernsrl.yand excernarlv) irust contonn co-i..ir.n. i:7:+-ioi-i-tji-;i g:7:rii"i-.tu springfierd sign or-dlnance.
Prans Required: Ttrls applicatlon ls to be submltted wlth tro corrpleEe sets of plans showing di-trenil.*_-anE-E'eight of ;1.;;;-;ii..ii"i.,g r"";;;;-;; sign; Iocarion of slgn on properry !,irh di_uensions co proPerEy llnet' structurar tetaiii'oe-""iporr frauing, bracing and foocings; narerlalsot consEruction for sign and sign strucEure; et".riilir-"q"ipr""E'""a-iigficlng; ;i;;;;j locarion
ii:'iiiiiE?,ri5"i,Er.q:iiiry*i?i,:la;a;*;":":i!;i;**il,:r.Iaili':I.:i ilii:r:iffi'rii,i:i;:i!'
lng lnforrnali.on on che proc pla; (pi;; strot i"t--frliiiti unes-ani io"iiio" of signs):
a) Show the locaEion of alr exisEing slgn(e) as well as proposed slgn(s).b) show the. length of the street frontage taken up by the busfl.ness or bullding. For wallsigns, show che length of the brrilditg r=oni"!E.-- -r----- -- esr^urr'5' EeL wd'
c) show the locacion of entrances open to the publlc and driveways.
When required. because of design,- size, etc., engineered drawings and calculations un,st be ore-pared bv a'licensed engi-ne.r oi shall ioniot i;'e;;ig" "ranairEs o"-trr. aE rhe a,ri:.aing=oiiilaion Office.
Plans of lnsufficient clarity or detail will be returned to the applicanE wlth no perrrit beinglssued.
sigas Elusc Deet corner visioa clearance requirements as described in Figure g of the springfieldCouprehensive Zoning Code.
NorE: No sign n'ay be erecced which is less than 12 feet horizontally or verticalry from overheadereccrlcar conduccors in excess of 750 votis;;; i;";-;;.;'5-;;;;-i;'r;y direcrion fror: overheadereccrical lines whtch are energized "t i.""'d""-750 "ori".
ot: i"ilT t",lot instalLed within 60 days after the dare of issue of this perait, rhe percric sharl
Insoections :
?l!"==rlig!!!l?l - to be n-de before the sign is placed. usua1ly, rhe Foorinq rnsoecricn(LiaPPIrcaoIe)naybeuadeatthesametimeastheSiceInspe.ti;.-ffi.tion is to be Eade- afser hoj.e(s) ts excavac,ea, ir"i-pii;r ;;-H;-tr."..!"r of concrere.
a)
b)Flnal
e) Electrical - aI
cEion, -to be made upon co4leEion of all work.
I electrical slqns must be Lnspeeted for electrical hook up afcer the signbefore the sign-is Eurneci on. ' b-ebE-'Lat "\is ereccEd and
CAIi FoR TIIE REQUIRED INSPECTIONS oN TtlE 24 HOIR INSPECTION LII:IE AT 126-3769
srcN DrsrRrcT /L.C ZONE DISTRICT B-L
TOXAL SQUARE FOOTAGE OF SIGN R,( A
REOUIRED INSPECTIOIIS: - )
v
-sr:E/LOCATTON
3$OOrruc OR METHOD OF ATTACHMEM
-ELEC:RTCAL
-/6rrr*do_oI:IER
ry
SPECIAL COIIDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFORI,IAUON NEEDED BETORE PERIfIT MAY BE ISSIIED:-/
\4.1*{/-Z'O(
,-tbe-2m.
APPROVED BY DATE
ELECTE.ICAI PERMIT EEE:
47. STATE SIIRC}IARGE:
TOTAI.:
4-sDA /o
JOB
CLERK
SIGN IEP*YIT FEE:
SECTION:0
/0. /r0
ELD SIGN ORDINA}ICE
Q'3'F7
-At'nRESS-
4X1 S 40rH $T
OOl-O8O-S IGH T INAL
OO?-079.S IGN ELEITH I[AI.
FU II"n Itifi n Iu IS I0N JtrB* 870640
-LEGAL-
LOT
. F INAI"
-VAI.UE_
-rtlr I
/ B'10403
RIiPT CAT +910
$Hn-REntJ IREIi PERi'l ITS-* FEE--*$URf,HARfiE-I'ATE-Rl:iCH IPT--*PERI't IT+*--..--UALtJi:-*-
001-007-srfiN 10,00 0,CI$ 870904 I01SI.
00';-037-S IGN ELECTR If,AL 15 ' 00 0 . 75 BB09(i 1 1I'.15I
003-034-ELECTE lCAL LAITEL 0. ?0 0.00 880901 12?51 1535tr
sEn-Fi IN Ii,tul,t INsFETIT IuNS + REc{U IEEI'IENT$ --*--EXP ITATE---ACT trATH*
iIESCR: S ir:N
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47,1 $. 40TH
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