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HomeMy WebLinkAboutPermit Signage 2020-02-21OREGON Web Address: www.springfi eld-or.gov Building Permit Commercial Sign Permit Number: 81 1-2O-OOO2O6-SIGN IVR Number: 811064399583 City of Springfield Development and Public works 225 Fifth Street Springfield, OR 97477 54r-726-3753 Email Add ress: permitcenter@springfield-or.9ov SPRINGF!ELD tb Permit Issued: February 2L,2O2O TYPE OF WORK Category of Construction: Sign Submitted Job Value: $0.00 Description of Work: Signs (5) for Dutch Bros kiosk Type of Work: None Specified ,OB SITE INFORTTIATION Worksite Address 1503 MOHAWK BLVD Springfield, OR 97477 Parcel 170325340440r Owner: Address: MOHAWK PARTNERS LLC PO BOX 7283 SPRINGFIELD , OR 97475 LICENSED PROFESSIONAL INFORMATION Business Name ES&ASIGNCORP-Primary License ccB License Number 163470 Phone 54 1-485-5546 PENDING INSPECTIONS Inspection 6999 Final Sign 6910 Sign Footing 6940 Sign Attachment 6950 Electrical Service - Sign Inspection Group Signs Signs Signs Signs Inspectaon Status Pending Pending ' Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work' Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project' Scheduleortrackinspectionsatwww'buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811064399583 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permitsexpireifworkisnotstartedwithinl8oDaysofissuanceorifworkissuspendedforlsoDaysorlongerdependingon the issuing agencY's Policy. All provisions of laws and ordinances governing this type of work will be complied with whether sPecified herein or not' Granting of a permit does not presume to give authority to viotate or cancel the provisions of any other state or local law regulating construction or the performance of construction' ATTENTIoN:oregonlawrequiresyoutofollowrulesadoptedbytheoregonUtilityNotificationcenter.Thoserulesareset forth in oAR 952-OO1-OO1O through oAR 952-OO1-OO9O. You miy obtain coPies of the rules by catling the center at (503) 232-L947, Allpersonsorentitiesperformingworkunderthispermitarerequiredtobelicensedunless (structural/ltechanical), ons czi.sto (Electrical), and oRs 693.O1O-O2O (Plumbing). Ptinted oni 2l2U2O Page 1 of 2 exempted bY ORS 7O1.O1O l C:\myReports/reports//production/0 1 STANDARD "-l Permit Number: 81 1-20-OOO2O6-SIGN Page 2 of 2 Fee Description Sign or outline lighting Technology Fee Copies - > 5, up to 11x17, per each State of Oregon Surcharge - Elec (L2o/o of applicable fees) Permanent sign - 0 to 35 square feet, per sign Sign plan review, per sign Prinled oil 2/2Ll2O Quantity 5 5 Total Fees: Fee Amount $44s.00 $56.6s $18.00 $s3.40 $440.00 $230.00 $1,243.05 5 36 Page 2 of 2 C: \myReports/reports/ / prcduction/ O I STAN DARD PERMIT FEES SPTINGTIELD OREGO'i www.springfield-or. gov Record Fees B 1 1-20-000206-SrGN 1503 MOHAWK BLVD, Springfield, OR97477 City of Springfield Development and Public Works 225 Fifth Street Springfield,OR 97477 Phone: 541-726-3753 permitcenter@sprin gfield-or. gov Sign plan review, per sign Sign plan review, per sign Sign plan review, per sign Permanent sign - 0 to 35 square feet, per sign Copies - > 5, up to 11x17, per each Sign or outline lighting Sign or outline lighting Sign or outline lighting State of Oregon Surcharge - Elec (12olo of applicable fees) State of Oregon Surcharge - Elec (12% of applicable fees) Technology Fee Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Technology Fee $0.00 $0.00 $0.00 $2s6.00 $0.00 $0.00 $0.00 $0.00 $0.00 $18.00 $0.00 $0.00 $44s.00 $0.00 9 9 5 5 36 9 9 5 1 1 $4L4 $414 $230 $440 Qtv Qtv Qty EA Qtv Ea Ea Ea Ea Ea EA Ea Ea EA $18.00 $801.00 $801.00 $445.00 $96.1 2 $74.45 $74.45 $53.40 CREDTTED CREDiTED INVOICED INVOICED INVOICED CREDITED CREDITED INVOICED CREDITED CREDITED CREDITED INVOICED 00 00 00 00 $0.00 $0.00 $230.00 $ 184.00 $0.00 $0.00 $96.12 CREDITED $0.00 $56.65 1 1 1 $0.00 $0.00 $o.oo $0.00 $0.00 $s3.40 1 $56.65 INVOICED Total Fees: Total Invoiced Fees Total Fees Paid: Total Balance Due: $1,243.05 $ 1,243.05 $414.00 $829.05 C : \myReports/reports//prod uction/0 1 STANDARD REPORTS/std_Fee_Payment_By-Record-pr. rpt 2/20/20 10:30 am Page 1 of 1 Work Description: Signs (5) for Dutch Bros kiosk Fee Fee Amt Fee Status # Qry Amt Paid Balance Due Fee List Record lD: 81 1 -20-000206-SIGN Menu Add Delete Void lnvoice ReCalc Page I of 1 Fee Total Help $453.60Fee Galc. Factor: Showing 1-3 of 3 [] Fee ltem Page of1 Job Value(Contractor)$0.00 v aq Unit f Sion olan review. per sign f Cooies - > 5. up to 11x17. per each I Technoloov Fee I 36 432 Qtv Qtv Automatic :.1 https://av-oregon.accela.com/portlets/fee/feeList.do?mode:list&module:Building 211912020 5t,fllh{GffEL0 Transaction Receipt 811-20-000206-5IGN IVR Number: 81 1064399583 Receipt Number: 473700 Receipt Dale:1131120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri ngfield-or. govRE6ON www. springfield-or. gov Worksite address: 1503 MOHAWK BLVD, Springfield, OR97477 Parcrel: 17Q3253404401 Transaction date 1t31t20 2120t20 9.00 Qty 9.00 Qty 2t20t20 5.00 Ea 2120t20 5.00 Oty Description Sign plan review, per sign Sign plan review, per sign Permanent sign - 0 to 35 square feet, per sign Sign plan review, per sign Fees Paid Account code 224-00000 -425602- 1 030 224-00000 -425602- 1 030 224-00000-425602- 1 030 224-00000-425602- 1 030 Fee amount $414.00 $414.00 Voided $440.00 $230.00 Units Paid amount $414.00 $(414.00) $184.00 Payment Method: Credit card Payer: kim bennion authorization: 03187j Transaction Comment: via phone Payment Amount:$414.00 Cashier: Katrina Anderson Receipt Total $414.00 Prinled. 2120120 1 0:1 3 am Page 1 of '1 FIN TransactionReceipt_pr ,{& $230.00 SPRINGfIELD w Transaction Receipt 811-20400206-StGN IVR Number: 811064399583 Receipt Number: 473700 Receipt Date:1131120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 perm itcenter@spri n gfield-or. govOREGON www.springf ield-or. gov Worksite address: 1503 MOHAWK BLVD, Springfield, OR97477 Parcel: 1 703253404401 Fees Paid Account codeTransaction Units date 1t31120 9.00 Qty Description Sign plan review, per sign 224-00000 -425602- 1 030 Fee amount $414.00 Paid amount $414.00 Payment Method: Credit card Payer: kim bennion authorization: 031 87j Transaction Comment: via phone Payment Amount:$414.00 Cashier: Katrina Anderson Receipt Total:$414.00 Ptinled: 1 131 120 2:47 pm Page 1 of 1 F I N_Tra nsaction Receipt-pr U,- rd CITY OF SPRIN(iFIELD. OREGON SPNINGFIELO City Job Numbe r,illZ\-Mxyc SraN pdestrirn-orlentcd signs that rafsfy Municlpal Code 8.250(3) (J0)"-?.,J***.k,," 225 FIFTH STREET i' SPRINGFIELD, oR 9747'l * PH: (541)726-3759 * FAx(541)726-3089 Slte Address: Assessors Map(s):Tax Owner:Phone OREGON ls due wlth eppllcation, EXCEPT for # nvqT\H-Address: Buslness Namg Firm, etc:i),--\.\ Ro ,S DESCRIPTION OF PROPOSED SIGN(S) TYPE OF WORK: Please mark atl thet tpply: New: :l= Replacement: Alteration/Relocation: -QUANTITY OF SIGN TYPE(S): Pleese indicrte how many of each sign you propose to instell: Wall: X Freestanding: -Projecting: Roof:- Marquee: -Billboard: Other: _ -Pedestrian-Onented Sign (Downtown Sign District ONLY, See Municipal Code 8.250): WindowAfu'all: or Blade:_ DESIGN & PLACEMENT: Please attach edditionel information if more than one sign is proposed: Single-Sided, X- Double-Sided: - Non-Itluminated: - Illuminated: Internal * or Exrernal -Square roouge:fl0 [ [z Vertical Dimension: frffii{orizontal Dimension: e Distance from adjacent grade to bottom of sign t L' j[-o. Total heieh;;graa",lfll/n) f.ORWALL SIGNS: length of uall on which the sigrr is located: l-e-n. FOR WINIIOW SIGNS: Gross glass area of all windows on the side that the sign is located: --sq. ft. Electrical installation: Yes:V No:+-(lf "yes," additional electrical permit required.) Materials:t$,?,)QS n \ I List!L! (a) Type: (c) Type: existing signage and attach a photogreph ofeech l/ / /Y' Sq. Ft.: sign: (b) Type: Sq. Ft.: Sq. Ft.: _ (d) Type: Sq. Fr.: Con tractor/lnstaller : Address:State:av (J?\oZ Construction Contractors Number:lb 9rt?o Expires:o Print Name:Slgneture: OFFICE USE: Sign Dish'lct:Zoning: By signature, I strte rnd rgree, that as owner or ownero agent, that I have csrefully examined the completed appftcation and do hereby certify that all lnformation herein ls true rnd correct and I further certtfy thet eny rnd rll work performed shall be done in sccordence wlth the Ordinances of the City of Springfield, end the Laws of the State of Oregon perteining to the work described herein. I further certify that only contrrctors and employees who are ln compliance with ORS 701.055 will be used on this project. I further agree to en$ure that all required inspections are requested et the proper time, thet project eddress is rerdeble from the strcct, thrt the permit card ls located at the front of ttre property, and the approved set of on the site et all tlmes during the installation of the Signature: Edired 0?/17/2019 BJones Date:Tozb \-1 0 V>534 SPR.INGFIELO 225 FIFTH STREET * SPRINGFIELD, OR 97477 i PH: (541)726 City Job Number: Site Address; Assessors Mao(s): Tax is due withapplicetion, EXCEPT for pedertrien-orlented dgnr thet mtlsfy Munldpd Code 8.250(3) ($0) -37 59 * FAX(54 I )726-3689jiqft]&.z Pth-Rr&rlw rcc otClo pcr rtgn OREG()N Ovner:Phone Addrers:z,p q?\Tf Bucineso Neme, Flrm,ut, ?.A& &t; DESCRTPTTON OF PROPOSED SrGN(S) TYPE OF WORK: Please mark ell thet apply: New: * Replacement: . Alteration/Relocation: -QUANTITY OF SIGN TYPE(S): Please indlcate bow meny of cach sign you propose to instell: iWall:{Freestanding:Projecting:Roof:-Marquee:Billboard:othcr:- _Pcdcsbian-Oriented Sign (Downtown Sign District ONLY. See Municipal Code 8.250): WindowA}'rll: or Bladc: -DESIGN & PLACEMENT: Please attech edditionel informetion lf more then one sign ls proposed: Single-Sided, X- Double-Sidcd: - . Non-llluminated: - Illuminated: lnternal I orExtemal -t*"..."""r18-vrrtir"r o,."r,r.*alLiorizontal oilIlon, 4' . Distance from adjacent grade to bottom ors,gn rl-e, [io Total height above g."a.,lltn. FOR WALL SIGNS: I-ength of wall on which ttre sign is located: la t. FOR WINDOW SIGNS: Gross glass area of all windows on the side that the sign is located: --sq. ff. Elecnicatinstallation:Yes: V No:(lf "yes," additional electrical permit re4uired.) Materials:Value ($):2,ll+ List4l;. (a) Typc: erlsdng signage and attach a photogreph ofeech l/ ik sq. Ft.: rlgn: (b)T1Ae: q.Ft.:- Zip: Erplres: (c) Tlpe: Sq. FL: - (d) TtPe: Sq. ft.: - Con tractor/Installer : Y State:o ature: OFFICE USE: Sign Dlstrlctr Zoning: By signature, I strte rnd agree, that as olyner or owoers 8gent, thet I have carefully exrmined the completed applicadon end do hereby certtfy that all informafion herein is true rnd corec! and I further certiS that sny rnd all work performed shall be done in eccordance with the Ordinances of the City of Springfield, rnd the Laws of the Stete of Oregon perteining to the work descrlbed herein. I further certify that onty contractors and employees who are in compliance with ORS 701.055 wlll be used on this project. I further agree to etrsure that ell required irspectlono are requested at the proper time, tbat project address ls reedable from dre street, thst the permit cerd ls locrted at the front of the property, rnd the approved set of on the site at dl times durlng the installation of the Signature: Editcd 07ll 7/2019 BJones Date:Zozd C'lTY OF SPRINCFIEI-D. ORfr(,(X{ ^A,ddress: Construction Number: Print Ngme: SPRINGFIELD 225 FtrTH STREET * SPRINGFIELD, OR 97477 4 PH: (541)726 City Job Number: Site Address: Assessors Map(s): Tax is duc rlth rppllcrtion, EXCEPT for pcdcrtrien-orlented signs thrt srtls$ Munfiipd Code 8.250(3)($0) -37s9 * FAX(54l)726-3689 Siq/t+3 Pla-i Rqi/w Fct ol$46 per rlgn OREGON Owner:Phone Address:uet 4?\7A"- Buslness Nemg Flrm' etc: DESCRTPTION OF PROFOSED SIGI{(S) TYPE OF WORK: Please mrrk ell thrt rppty: New: >anephcement: Alteration/Retocation: -eUANTITY OF SIGN TYPE(S): Pterse indicete bow meny of eech sign you proPose to lnstall: wall:*nreestanding:Projecting:Roof:-Marquee:BilIboard:othcr:- _Pedcstian-Oriented Sign (Downtown Sign District ONLY. See Municipal Code 8.250): WindowAl/all:-or Blade: -DESIGN & PLACEMENT: Pleese attrch additionel informetlon lf rnore then one sig;n is proposed: Single-Sided' X- Double-Sided: - Non-{lluminated: - ffltlminatea:.Ft.rn.f X orExternat -Square Footage: (i.'NV"ni"ut oimension:|')(&Horizontal Dimension: ?'-tOtlt|" ., -r, N Distance tom adjacent grade to bottom of sign hce: -L I Total height "Uor. gpa.6 -Ylf;. FOR WALL SIGNS: kngth of wall on which thc sigr is located: -k-n' FORWINDOW SIGNS: Gross glass area of all windows on the side that the sign is locatcd: -.sq. ft. installation:Yes: X No (If "yes." additional electrical permit required.) n Value 1q: '1,31\ sign: O)Type: Sq. Ft.:- (c) Type: q. Ft.: - (d)Tyle:Ft.: Contrac{orllnstaller : Address:E"aenL- stete:nv q7\o?* Construction Contrsctors Number:Expira: Print Name:Signature: OFFICE USE: Sign Distrlct:Zoning: Electrical Matcrials: List l\ll (s) Type: erlsttng slgnage and attacb a photograph oferch /l /k sq.Ft.: - By signahre, I stete and agree,that as owner or owners agent, tlat I have careful$ examlued the completed epplicadou end do hereby ccfriry thet all lnformatiou herein is tme and correc! end I further certlfy that eny rnd all work performed shall be done in accordance wlth the Ordinarcet of the City of Springfield, and the Lews of the State of Oregon pertaining to the work descrlbed herein. I further certlfy thet only contractors and employees who are in compliance with ORS 701.055 wtll be used on this project. I further agree to ensure &at etl reguired lnspections ore requcstd at the proper tlme, ttet project eddreis ls reedable from the ttreet,thct the permit card ls located 8t the front of &e property' and the on the site at all times during the installation of theapprovedset of Signature: srgnG). I lEo lzrro Editcd 07/l 7/201 9 BJoncs Date: CIT\' OF SPRIN(iFIIjLT]" OREGO\; C ITY OF SPR I}{GFIELD. 0RT.,GON SPRINGFIELD 22588-fH STREET * SPRINGFIELD, OR 97471 i PH: (541)726-3759 + FAX54l)726-3689 "*d}..kt.,gnisduc ONEGO City Job Number: Site Address: Assessorc Map(s): Tar with rppllcedon5 EXCEPT for pedestrirn-orlcnted signs thet rrtlsS Munldpd Codc 8.250(3) (t0) Orvner:Phone Address:z.p q?17+- Buslness Name, Firm, etc:D,A"\ Au,S DESCRTPTION OF PROFOSED SIGN(S) TYPE OF WORK: Please mrrk atl thet eppty: New: *Replacement: -Alteration/Relocation: -QUANTITY OF SIGN TYPE(S): Plerse indlcste how meny of cach sigp you proPose to lnstrll: Wall: F Freestanding: Projcctrng: Roof: - Marquce: Billboard: Other:- _Pedesbian-Oriented Sign (Downtown Sign District ONLY. See Municipal Code 8.250): WindowAffall: or Blade: -DESIGN & PLACEMENT: Plesse eftech edditlonrl informetion if rnore then one oign is propo*d: Single-Sidcd, Y Double-Sidcd: - NonJlluminatcd: - Illumingted: Intemal X o, Extcrnal -SquarcFoouge:rb]?v,a""tol.ension,3,]6f[Ho.i-nt,tDirrrension:,?,-to,ft,,, Disrance from adjacent grade to bottom of sign t *, 3O, Toal height above grd"r[) ' Stlttt" FOR WALL SIGI{S: t ength of wall on which the sigr is located: 9L*. FORWINDOW SIGNS: Gross glass area of all windows on the side that the sign is located: -_sq. ft. Elcctrical installation: Yes: X No:(lf "yes," additional electrical permit required.) Materials:Value ($): l, 3l{ Listlll (e) Type: (c) Tlpe: Construcdon Prlnt Neme: _ --sq. Ft: slgn: (b)Type: (d)Tpc: Contractorflnstgller: Address:F4,€N-=-st^t,7lp:\o Number:J Expira: Slgneture: By slgneture, I state end egree, that as owner or oryners sgenq thtt I heve carefully exrmined the completed applicetion ana Ao hereby certiS thet ell lnformation herein is true and correcg and I further certlfy thrt any rnd ell work performed shgll be done in accordgnce with the Ordinances of the City of Springfleld, rnd the Laws of the Sttte of Oregon pertalnlng to the work descrlbed herein. I further certify thet onty contractors and employees who are in c:omplience wlth ORS 70f .055 wlll be used on thls project.I furtber egree to ensure that all required lnspections are requested et the Proper time, tbat project address is recdeble from the street, tbrt the permit crrd lc loceted rt the front of fre property, snd the approved set of site at all times during the instellation of the Signature: exisdng slgnrge end rttach e photograph of each Ft.: Ft.: Editcd 07r172019 BJoncs on the Date:Tozb L.- OFFICE USE: Stgn Dlrtrtct: Zonlry: ( I'TY OF SPRINGFIELD. 0REGON SPRINGFIELD 225 FIFTH City Job Site Address: TarAssessors Mep(s): Owner:Phone Address:zlp q7\7+- 'A"h -,SBuslness Neme, Firm' etc:p DESCRTPTION Or PROPOSED SIGN(S) Tl/pE OF WORK: Pleaee msrk all that apply: New: )4 Replacement: Alteration/Relocation: -QUANTITY OF SIGN TYPE(S): Plerse indicate bow many of each elgn you propose to install: Wall:-Frcestanding: Projecting: Roof: -Marquse: Billboard: Otlrer; _pedcs6ian-oricnted Sign (Downtown Sign District ONLY. See Municipal Code 8.250): windowruall: or Blade: -DESIGN & PLACEMENT: please atrch edditionel lnformetion lf more than one rign is proposed: Single-sidedr X- Double-Sided: - Non-Illuminated: - Illuminated: Intemal - or Extemal -il";;;;UL;;";;,'* ifi*;;*Htatoilnsion'Q"@Qk6",. Distance &om adjacent gnde to botlom of sigr ,I"-r 30. Total u.,gni"-* o^", ffil'|" FORWALL SIGI\S: I*ngth of wall on which the sign is located: -!tzt. FOR WINDO'til sIGNS: Gross glass arca of all windows on the side that the sign is located: -sq' ft' Electrical instaltation: Ycs: Y= No:(lf "yes." additional electrical permit required') Malerials:Value ($):t.3 rq Listtll (a) TWe: (c) Tlpe:Ft.: slgn: (b)Type Sq. Ft.: (d)T1pe: Sq. FL: Con tractor/Instsller : Address: Construcdon Contractors Number: Print Nrme:Slgnature: OFFICE USE: Sign Dtstrlct:Zonlng: State:apt,4?\oZ- Explres:o Editcd 07r I ?/2019 BJone-s signage and rttach r PhotograPh ('lT\' OF SPRING['I[LI). ORI(jON SPRIXGf IEI.O 725 FlIrfH STREET r SPRINGFIELD, OR 97477 * PH: (541)726-3759 * FAX(541)726-3689 #J#1"*,k.* -"on.r()RE6ON is due wtth rppllcrtioq EXCEPT for City Job Number:pede$:irn-orleuted slgns that srtls$ Muntcipal Codc E.250(3) ($0) Site Address: Assessors Map(s): Tex Owner:Phone Address:z,p,q?1?+- Buslnesc Neme, Firm, etc:O,A"\ DESCRTPTION OF PROFOSED SICN(S) TYPE OF WORK: Pleeee mark atl thet apply: Wew: ->lRcplaccment: Altcration/Relocation: -QUAI{TITY OF SIGN TYPE(S): Pleace indicete how meny of each sign you propo3e to install: Wdl: -{Freestanding: Projccting: Roof: -Marquce: Billboard: Other: _Pedcstrian-Oricnted Sign (Downtown Sign District ONLY. See Municipal Code 8.250): WindowAilall: or Blade: -DESIGN & PLACEMENT: Please attech rdditionel informrtion lf more than one sign ls proposed: Single-Sidcd, X- Double-Sided: - No^n{flq$nated: - Illuminated; Internal X- * Extemal -square root"g"' 9, I vertical Dimentior' ,'- ? l/#;ntal Dimmsion' l'- (( '/6tt ,_, 13/6\. Distance from adjacent grade to bottom of sign face: l\-t. Total height above grade: ltlhl FOR WALL SIGNS: Length of wall on which ttre sign is located: )aO FOR WINDOW SIGNS: Gross glass area of all windoun on the side that the sign is located: -sq. ft. installation: Yes:-[ No'(If "yes," additional electrical permit required.) Value ($):4q Electrical Materials: ListALL (e) Tlae: existing signage and attach a photograph ofcach /l lk sq.Ft.: - sign: (b) Type: (d) Type: Ft.: Ft.:(c) Tlae: Sq. FL: - Contractor/Insteller : Address:Endn,(- state:zzrp,4?\o7- Conetruction Contractore Number:J Expirc: Print Neme:Signeture: OFFTCE USE: Slgn lXstrict:Zonlng: By slgnature, I state and agree, thet as owner or owners agent, thrt I heve cerefully examined tbe completed applicetion ,na a, hereby certlff that all lnformation herein is true and correc! end I further cerdS that any and all work performed shall be done in accordance wtth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descr.lbed herein. I further certify that onty contrrctors and employees who are in eompliance with ORS 70f.055 will be used on thls project. I further agree to ensure thet eII requlred inspections are rquested at the proper tlne, thet proJect address is reedeble from tte street,thet the permit cerd is located rt the front of the property, end tbe approved set of on the site rt all times during the installatlon of tbe Slgnature: Edilcd 07/l 7/2019 BJonas Dete:ToZb C'IT\' OF SPRINCiFIELD. OREGON SPRINGFIELO 225 FIFTH STREET . SPRINGFIELD, OR 97477 * PH: (541)726-3759 + FAX(541)726-36893iar-+7m/nuJ' rc.Jfuplrrlgn 'bon€GON ls duc wlth rpdlcetion, EXCEPT for pedertrirn-orletrted sigD3 thrt rsdsfy Mutdctpd Code 8.250(3) (S0)Ctty Job Number: Site Address: Arsecsors Mep(s): Ter Owner:Phone Address:z.p,4?\?A- Buslness Name, Firm, etc:Cr\"\ g DESCRTPTION OF PROPOSED SIGN(S) TYPE OF WORK: Please mrrk all thrt rpply: Ncw: * neplaccment: Alteration/Retocation: -QUANTITY OF SIGN TYPE(S): Plersc indicete how meny of each dgn you proPosc to lnstrll: Wall: _Freestanding: _Projccting: Roof: - Marqucc: Billboard: Other:- _Podcsbian-Oricnted Sign (Downtown Sign District ONLY. See Municipal Code 8.250): WindowAilrll: -or Bladc: -DESIGN & PLACEMENT: Please attsch eddttional lnformgtlon lf more than one sign ls proposcd: Single-Sided, X_ Doublc-Sided: - Non-Illumiuated: - Illuminated: lntemal - or External -squarc r-tue;fLv"a""r oir,'*io*&!dt)),t; ;,r*" r, y121 f - - Distance from adjacent grade to bottom of sigrr face: LL * Total height above grade: f',ln. ' FORWALL SIG?{S: t*ngth of wall onwtrich the sigp is located:312-n. FOR WINDOW SIGNS: Gross glass arca of alt windows on the sidc that the sign is located: -sq. ft. Electrical installation: Ves: X No:(lf "yes," additional electricsl permit required. ) Materials:Value (s)UqS Llct lLl (g) TWe: eristing slgnage and ettach a photogreph of erch sign: (b)Type: (d)Type: Ft.: FT:(c) Tlpe: Sq. Ft.: - Contrector/Instdler: Address: Constructlon Contractors Number: Print Nrme:Signature: OFFICE USE: Slgn lXsfict:Zoning: Stete:zrp,9HZ o LJta l&ozr- Expirc: By signaturg I sttte and agree, thst as owner or ownerc egent'thet I have cerefully exemlued the completed epplicetion and do hereby certlfy thrt ell lnformetlon hereln i3 hrre rnd correct'end I further cerds thrt rny and allworkperformed shsll b€ done ln eccordrnce wlth the Ordinances of the City of Sprtngfield, end the Laws of the Strte of Oregon perteiahg to theworkdescrlbed hereln. I furtherceffi thrt only contrectors and employees who are in ctmplience wlth ORS 701.055 wllt be used on thls project' I further egree to cnsure thet all required inspections rre rtquested rt tbe proper time, thrt proJect eddrets is rerdeble from 6e stre€t'thrt the permlt card ir loccted et the frontofthe propcrty' end the the installation of theapprovedset of Signature: sign(s). laE lzoro Editcd 07i I ?O0l 9 Blancs on the slte rt all tlmes during Dste: CITY OF SI'}tlING['ItrLD^ OttE(jON SPRINGFIELD 225 FIFTH STREET r SPRINGFIELD, OR 97477 t PH (541\726'3759 * FAX(S4I)726-3689 ,-.,#l**#,,." -r': OREGOil ir due wit[ rpplicrtion, EXCEPT for pedestriu-orlcuted rlgns thrt ndrfy Munidpd Code t.250(3) ($0)City Job Number: Site Address: Assecsors Il!ap(s): Tu Ovvner:Phone Address:np 4Wf Business Neme, Firm, etc:D,A,\S DESCRTPTION OF PROBOSED SIGN(S) TYPE OF WORK: Plcese mark dl thet apply: New: * neplacement: Alteration/Relocation: -QUANTITY OF SIGN fiPE(S): Pleese indicete bow meny of eacb siEr you propose to lnstrll: Wall: - Freestanding: Projccting: -Roof: - Marquce: . Billboard: Other:- _Pcdcstrian-Orientcd Sign (Downtown Sign District ONLY. Sec Municipal Code 8.250): WindowAilall: or Blade: -DESIGN & PLACEMENT: Please attr$ edditionel informrtlon lf rmre then one rlgn ls proporod: Single-Sided, Y Double-Sidcd: - Non-lllpminated: - Illuminated: lnternal - 0r External - 7-n Squarc Footagc: h. fi/erticat oimension :Q3[(fl1)i^nt"t Dimension: ?'' Z'k t\ Distance fiom adjacenr gnde to botom of sign face: Edi. Total height aUore gr"dc:I5 - ) n. FOR WALL SIGNS: I*ngtb of wall on which the sign is located: JJ-n. FOR WINDOIY SIGNS: Gross glass area of all windows on the si& thet 0re sign is located: -sq. R. Electrical installati on: Yes:V No:(lf "yes," additional electrical permit requircd.) Materials:Value (s):5rb LtstAll (e) T}?e: eristing signage end tttach a photograph of eech /l /k sq.Ft.:- sign: (b) Tlpe: Sq.Ft.:- (d)T1Ae: Sq.Ft.:-(c) Tlpe: Sq. trt.: - Contractor/Insteller : Address:En(n(- stere:uzrpt q+\o?- Number:J Expircs:oConsfuctton Contractors Print Name:Signature: OFFICE USE: Sign Dlstttct:Ttningz By stgne$re, I strte rnd agree, thst as orvner or ownert egenq thet I have crrefully eramlned &e completed eppllcatton ""a do hereby certlfy thrt eU informetion herein is true and correc! end I further cerd$ that ily and dl work performed shalt be donein accordance wtth the Ordlnances of the City of Springfield, end tbe Lews of the State of Oregon pertrining to the work descr-lbed herein. I further certify thet only contrrctont and employees wbo rre in compErnce with ORS 701.055 wlll be uced on thls project. I further agree to ensure thet all required Inspectlone me rqueeted et tte proper time, thrt project address is resdeble from tte street'thet the permit card ls loceted rt the frontof the property, rnd the on the site et all times during the installation of the I ltz kozr- approved set of Signature: :slgn(r). I lqq lzoro Edited 07/l 72019 BJones Date: t-r -i CIT\' 0F SPRINGFIELD, 0REGON SPRINGFIELD 225EtF-tH STREET I SPRINGFIELD, OR 97477 + PH: (541)726-3759 * FAX(541)726-3689 ,,;.1#I**1,,," ontGON lc duc wftlrpfllcetion, EXCEPT for pedestrian-orlctrted sigtrr thrt srtlsfy Munldpal Codc t.250(3) ($0)City Job Number: Slte Address: Assesson Msp(s): Ter Orvner: Address: Business Neme, Firm, etc: Phone zle:4?174- c DESCRTPTION OF PROPOSED SIGN(S) TYPE OF WORK: Please mrrk ell thet epply: Ncw: *neplacernent: -Alteration/Relocation: -eUAI{TITY OF SIGN TYPE(S): Plerse indicete how mrny of eech clgr you proPosc to lnstell: Wall: - Freestanding: F p-.i...ing: -Roof: - Marquce: Billboard: Ot[er: - _Pcdcstrian-Oricntcd Sign (Downtown Sign District ONLY. See Municipal Code 8.250): WindowA{all: or Blade: -DESIGN & PLACEMENT: Please attech edditionel lnformrdon lf more then one sign ls propostd: Single-Sided, X- Doublc-Sidcd: - Non-Illupninated: - Illuminated: Internal X a External -squ-"." ,*o*E@uenical Dimen "ion 7'-2(&8i-r,"r Dimension: ?'- Io4/4"| Disrance from adjacent grade to bottom of sigrr face: )-lLn. Total height aUove greae:5r1f n. FORWALL SIGIr{S: frngth of wall on which the sigr is located: -ft.FOR WINDOW SIGNS: Gross glass area of all windows on the side that the sign is located: -sq. ft. Elecuical Materials: installation: Yes:-[ No (lf "yes." additional electrical permit rcquired.) ($), l/ ? Nq eristing slgnege end ettach a photogreph oferchListl\ll (a) Type: (c) Type: Sq. Ft.: - Contrector/Installer : Address:Eq^€a( ststet Zlp:o Consructlon Contractors Number:l(, jq --fr:J Erpirc: Prlnt Neme:Signature: OFFICE USE: Sign Dletrict:Zoning: By signenrre, I state rnd agree, thet as owner or owners rgent, thrt I hrve carefully exrmlned thc completed epplication "nO d'o hereby certifi ttrrt a1 lnformetion herein ls true and correct, and I further certify that any and all work performed shall be done ln accordrnce wtth the Ordinences of the City of Springfield, and the Laws of the State of Oregon perteining to the uork descrlbed hereln. I further certify thrt on$ contractors end employees who are in compllance with ORS 701.055 wlll be used on this project. I further agree to ensure thet eU required inspec{iono are rquested at the proper tlme, that proj ect eddress ls reedeble from the street thrt the permit card le loceted at tte front of the property' and the on the site at all times during the instaUation of the sign: ft)Tvoe: Sq. Ft.: (d) Type: Sq. Ft.: approved set of Signature: dgnG). t ko lzoro Edircd 07/l ?/201 9 BJones Date: tr Electrical Permit tion DEPARTTTIENT USE ONLY permit no.: 20 - 00D2de Date: t lgo(srea This permit is issued under OAR 9t&309-0000. Permits ere nontransfereble. Permits expire if work is not sterled within 180 days ofissuence or ifwork is suspended for lEO days. FEE SCHEDULE Numbcr of lnspecdons per ltem ( )Qty.Cost ee. Totd cost Residenthl, pcr unlt, ccrvlce lncluded: 1,000 sq. ft. or less (4)$17't.00 $ Each additional 500 sq. fl. or porrion thereof $ 33.00 s Limited energy (2)$ ,ft.00 $ Each manufactured home or modular dwelling service or feeder (2)$ 8r.00 $ Services or feeders: installation, alteralion, relocation 200 amps or less (2)$ t03.00 s 201 to 400 amps (2)$120.00 s 401 to 600 amps (2)$203.00 $ 601 to 1,000 amps (2)s26t.00 s Over 1,000 amps or volts (2)$599.00 $ Reconnect only (2)$ 81.00 ( Temporary serryices or feeders: instollation, aleration, relocation 200 amps or less (2)s 81.00 ( 201 to 400 amps (2)s l{1.00 s 401 to 600 amps (2)s{62.00 s Over 600 amps or 1,000 volts, see services or fecders section above Bronch circuits: nev,, aheration, e\lension pa-panel a. Fce for branch circuits with purchase of a scrvicc or fccder fce: Each braneh circuit s 7.00 $ b. Fce for branch circuits without purchase ofa service or feedcr fee: First branch circuit (2)$ 81.00 $ Each additional branch circuit s 7.00 $ Mlscellaneous fees: sen,ice orfeeder not included Each pump or irrigation circle (2)s 8t.00 $ Each sign or oulline lighting (2)q $ 93.00 $93+ Signal circuit or a limited-energy panel, alteration, or exlcnsion (2)$ 93.00 s Eech eddltlonel lnspectlon: (l)$93.00 s DEPARTMENT USE (A) Enter subtotal of above fecs (Mlnlmum Permlt Fee $93.00)'89 ? (B) Enter 12% surcharge (.12 x [A])qoo,tl.l (C) Technolog Fee (5% of[A])s ',l1.3> (D) Continuing Education Fee $2.50 s2.50 TOTAL feee rnd surcharges (A through D):$v Kil225 flfti Sre.loSprlqfield, OR 97a77oPH(5r41f26,,,3?53oFAX(s{l)72G36t!t LOCAL GOVERNMENT APPROVAL Zoning approval verified? n Yes n No CATEGORY OF GONSTRUCTION E Residential E Government plCommercial JOB SITE /tJob site address: \SOT /a State: OR ZIP 97477 Taxlot.: OESCRIPTION OF WORK t PROPER' Name: \ Address: State ZIP: Phone or farm property family, This onmadeinstallationThis immediateownedmeby intended or rent.OARexchange,lease, and 479. Property is 479.s40(r)s60(r ). E-mail GONTRACTOR INSTALLATION Business name: ES&A Sign and Awning Address: 89975 Prairie Rd City: Eugene State: OR Zl?: 97402 Phone: 54 Itl85s546 Fax.54148s581s E-mail : csoodmanfriresasisns. com CCB license no.r 163470 BCD licsnse no., (L9ZOS\, Signing supervisor's license no.: SI4SIG Print name of signing supervisor: Gordy Roseboro Signature ofsigning supervisor: I Last edited i,5-$2017 BJoncs CITY OF SPRINCFIELD, OREGOI( AN rl \ie rtC )-^rr(/* <t qr{ SUirlrlARY DRAWING SUT]IARU. FBEESIAIIOIIIG SIGTS I IIETIUE 0lltt6 #: 30239 urt lltu u[ - Dt0lt tSct [0fllUt 3tn $uffo,(lr rrl,, m[ryrm ilNill flol llrm lllt.tt tsmD mJtru TNT84O UtT D [II. rultrolED m,lltr DIII OIED EilII T Dm flEDUUn rur.trIIUEEmHl rfiD $rofftsur.lllil, lrilo m rur I rotD trt| tuourEm- tll3r.cEL tn ErtME loclal DATF RFl.FllrEl.l r .1^-, ^toB No_zD-nr)190 l- ZONE OCCUPANCY GROUP UNIT OCCUPANCY LOAD THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH ATTERATIONS NOTED ONTHE PI.IINS OR BYATTACHMENT CHANGES ORALTERATIONS MADE TO THE APPROVED DRAWINGS OR PROIECTAFTER THE DATE BELOW SHALL BE APPROYED BY THE BUILDING OFFICIAL. /e = /uo|- F4 wLl?t€D. *z ,h 9I \t Al"rr,,ta r o -CIri * i 3tr 1r /,' ,// <t CITYOF OREGON S]IE PI.AN .JJl{_< t€ E (,oI\,(.,(l) t\, E EE* =;i =E}E =H =FF EEE I=pF ,!E "EE,I "BE;T-F tr :rr7t> =I E E a.> =e (,c) E,H # E a II PB iE frEt h a =Jd Bo!Itc,.lt .ct,t--c3 C,:tdI,n C. -at =Fa att C'n E =- Eltr 6t --E Hlac,. 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