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HomeMy WebLinkAboutPermit Signage 1996-11-13SIGN PERMIT APPLICATIOT 225 Fifth Street Springf ield, OR 97 477 SITE ADDRESS: 1 SPRINGFIELE,JOF M Zfr, tnspection Line: 726-3769 Oflice:726-3759 Stree S n f iel-d OR ADDRESS 601 Union CtTy: Seattle,STATE: WA Ztp: 9Bi 01 BUSINESS NAME, FtRfr/ ETC.: She I Servic e Station to be "B P Servic e Station" DESCRTPTION OF pROpOSED SIGN(Sl: (please check and complete all appropriate information) :rfr Wall XX Freestanding _ Projecting _ Roof _ Marquee F singte Face XX ooubte Face - Biilboard _ other Square Footage:B0/per fab Total Height above Grade i 20 , -0" Vertical Dimension of sign or enclosure: 2 0 t - 0 "Horizontal Width of sign or enclosure: 'l' -6" Dimension from Grade to bottom of Sign Enclosure: 6t -9+"(lf yes lVaterial Sign is constructed of: List ALL existing signage and attach a photograph of Electri lnstallation: XX Yes -_ No nal electrical permit is required I VALUE ) oFS;GN: $ 3,700.00 g\\nqD (a) Type (c) Type (b) Type (d) Type OFFICE USE Sq. Ftg Sq. Ftg CONTRACTOR/INSTALLER: Ramsa Si nl ADDRESS: 9160 SE 7Atj;r Ave. CITY: P PHoNE:(503).777-4555 ZtP: 97 206 bvqv (r,\ CONSTRUCTION CITYBUSINESS LI CO MBER:EXPIRES: Sign Di Zoning: Sign Permit Fee: REOUIRED INSPECTIONS: _ Site to be made prior to sign placement Use: Code Section: Approved By: Ouad Area: ,1- l/t Electrical prior to energizing electrical installation - DATE: l/ Footing prior to placement of concrete Lrt- Attachment after fasteners are Final completion of sign installationinstalled/pri to cover Ad ional Comments and/or Co ns By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereinis true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City ofSpringfield, and the Laws of the State of Oregon pertaining to the work described herein. lfurther certify that only contractors andemployees who are in compliance with oRS 701.Oss 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 uring the installationthe permit card is located at the front of the property, a nd the approved set of plans will remain on the site at all times d Validation: Receipt Number:2?1qO Received By 4a of the sig Signature Amount Received: Date Date Paid: ASSESSORS MAP: futureOWNER: (;I rcle K a. division of Tosco PHONE:206-442-7 059 Sq. Ftg. Sq. Ftg. /- (-"' SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you arehiring a contractor, you need to make sure that both the City of Springfield Business License Number and the RegiitrationNumber from the state of oregon Construction Contractors Board are listed on the application along with the Jxpirationdate of each. lf the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signedby either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns thebuilding in which you are occupying, and you will be performing the electrical installation yourself, you may sign theelectrical application. lf there are existing wall and/or freestanding signs, a photograph(s) of each existing slgn needs to be attached to theapplication. 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, anda plot plan indicating where the proposed sign will be located. lf you are installing a freistanding Sign which excieds 20feet in total height, the footing detail needs to be prepared and siamped by a registered engineer or architect. After theplan review process is completed, and, if your sign(s) is approved, one set oi plans will be returned to you. The approvedset 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 installationof your sign: Site: To be requested after indicating on the lot where the proposed sign will be located but prior to any workbeing performed for the installation of the sign. This inspection is required if there is a question on thelocation of the proposed sign. Footing; To be requested after excavation and the forms are installed, but prior to pouring concrete. lf there will beelectrical conduit placed in the footing, it must also be in place prior to requesting this inspection. Attachment: Electrical: Final: City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 To be requested when ail fasteners are instailed but prior to cover. To be requested after the electrical connection to the sign is made, but prior to energizing. 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 reviewprocess' Failure to request ANY of the required inspections could result in sign removal' in order to inspect the sign at therequired intervals of work. To request an inspection, phone 726'3769. This is a24hourrecording. on the recording you will need to leave your cityDesignated Job Number, location of where the sign is being instalied, fhe type of inspectLn you are requesting, and whenyou will be ready for the inspection. All inspections called in to the recorder prior to 7;oO a.m. will be made the sameworking day, all inspections phoned in after 7:00 a.m. will be made the following work day. [rl:irT[:r'#ffiH!;;3:arding the application, required plans or inspections, prease feer rree to phone the Buirdins a fr' Aug - 09 -- 96 02 :26P SIGN PERMIT APPLICATION 225 Fif th Street Sprrngfield, OR 97 477 1795 5th StreeSITE ADDRESS P_O3 SPRINGFIELt,ttotu 53JOB NUMBER Zfr, Inspection Line: 726-3769 Of{ice:726-3759 L, S r].n fi.e 1d, oR ASSESSORS MAP:TAX LOT:1future OlVNER:Circle K a di vision of Tosco Cor ADDRESS 601 tlnion Street Suite 2S0O PHONE: CtTy: Seattle STATE: WA%Zlp: 9gl01 BUSII.JESS NAME, FIRM EIC.: tO bC ''BP Service Station', DESCRIPTIoN oF PROPOSED SIGN(S): (please check and cornplete alt appropriate inlormation) xX wall -- Freestanding -- Projecting - Roof - Marquee TX Singte Face _ Doubte Face _ Bitlboard _ Other 1 0.99 s q.ft.Total Height above 6rade. appox . 17 ' - 6" Verrical Urnrension of sign or enclosure:2'-6"Horizontal wldth of sigrr or enclosure: 4 t - j " Dimerrsion lrom Grade Electrical lnstallationl x yes _ No VALUEtoco:I0mof SignEnclosure: apprex- l5llfyesadditionatetectricJGlrmitii6ired) orsrcN, szrO00.00 Maicr;al Sign is constructed of: Acrylic face, Aluminum box Lrst ALr- existing srgnage and attoch o photograph of oach sl (a) Type Sq. Ftg eV(s*rn1 \to6n Sq. Fts. Sq. Fts. ued (c) Type Sq. Ftg (b) Type (dI Type C0NTBACTOR/INSIA.LLER: Ram $]qn's PHONE: (503)777-4555 ADDRESS: 9 l 60 SE 74th Ave. CITY Portland CONS TBUCTION CONTRAC ORS FEGISTRATION NUMBER CITY BUSINESS LICENSE NUMBER: STATE: OR ZtP-. 912A6 EXPIRES EXPIRES OFFICE USE Sign District: Z or'ng Sign Perrnll 6sg REOUIRED INSPECI IONS -- Site to be rnade prior to srgn placemenr Footin0 prior to placement of concrete l// Attachment after lasteners are installe d/prior to cover nd Use: Code Section: Approved By: Ouad \ ,-'-' Electrica I prior to energizlng electrical installation < DATE t/ .-- Final completion ol srgn ins!allation By s'gnature, lstate and aoree, that lhave carelully examined the completed application and cjr: heretry certify that aI irrformarion hereinis truc and correct, and l,urther certify that any and all work perlormed shall be done in accordance with the ordinances of the city cfSprin3iield. and the Laws ol the state of Oregon pertaining to the work described herein. I Iurther certify that only contractors andemployees who are in compliance with oRS 701.0s5 will be used on this proiect. I {urll'rer agree to ensure that alt requi the permit card is located at the lron! red inSpections are requested at the proper time, that project acjdress is readii6le {rom the street, thotof the property, and the approved set of plans will remain on the site at all rimes during the installationof the srgn(s) Signature Date /. Amount Received Receipt Number: Date Paid:Validat,r,rr Received By: Square Footage: Adoiticnai Comrnents and/or Conditions: Aug - 09 - 96 02 -- 26P SIGN PERMIT APPLICATION 225 Fifth Srreet Springf ield, OR 97 477 SITE ADDRESS: 1 795 5th Street, P _04 SPRIHGF]ELO JOB NUMBEB lnspection Lrne: 7 26-37 6 g Office: 726 3759 Sp!ingfield ,oR ASSESSORS fulAP:TAX LOT futureOWNER: Circ1e K a drvision of Tosco ADDFESS: 601 Union Street Suite 2500 orD.PHONE: Ctry Seattle STATE: WA BUSp1ESS NAME, Ft3fr/ ETC.: to be "BP Service Station" Square Footage;10.9 9 sg. ft.Total Height above Grade. appox . 1J' -6" Vertical Ormension of sign or enclosure: 2' - 6"Horizontal Width of sign or enclosure: .1 ' - 3tt Dimerrsion Irom Grade to botlom of Sig n Enclosure: aDDr Electrical lnstallation: X Yes _* No VALUE 5 lll yes additional etectrical permit is requirerjl OF StGNox^ 1 s2,000.00 Ma'tt:r.al Sign is constructed of: ACr ylic f ace, A1umi. num box Lrsr ALL exisring sisnase and sttach a photosraph of each "ls^LALt r!)f,( tti ,.q, D \+o he- (a) Type (c) Type Sq. Ftg Sq. Ftg (b) Type (dl Type Sq. Ftg Sq. Ftg. __-. COTiTRACTOB/INSTALLER: R ADDRESS: 9 1 6 0 SE -/ 4t-h Ave . Si n'Pr{OrJE: ( 50 3 ) 7'l'/ -4 5 55 CITY Portland CONSTRUCTION CONTRACTOBS REGISTRATION NUMBEB: CITY BUSINESS LICENSE NUMBER STATE: OR Zip: 97 20 6 EXPIRES OFFICE USE Sign Disrrrct: Zoning Sign Pgrmit Fee REOUIRED INSPECTIONS: _ Site to tie made prior to srgn placernent Land Use Code Secti Approved By Quad \) Area DATE Footing prior to placement of concrete V Attachrnent after fasteners are installed/prior to cover - /Electrical prior to energizing electrical instaltation r't-Ftnat "Jrnpr"tion of sign insta llatlon Addrtiorial Comments andlor Conditions By s gnature, I state and agree, that I have carefully examined the completed application and do hereby certif y that all informaticrr he,re irris tr';e and correct, and I lurther certify that any and all work perlormed shall be done in accordance rvith the Ordinances of the Crty ofSpringfield, and the Laws of the State ol Oregon pertaining to the work described herein. lfurther certify that only conrractors andemplcyees who are in compliance with oRS 701.05s will be used on this project. liurtirer agree the pernrit car of rhe sign(s). I to ensure that all required inspections are requested at the proper time, that project address is readable tJ rs located at the f ront of the property, and the approved set of plans will remain on the site at all times d from the stroet, that uring the installation $ ignature /- Amount Received:Oate PaidValioation I Receipt Number Received By )n -4.1)-7nc,q ZIP: 98101 XX lVall - Freestanding - Projecting - Hool - Marquee XX singte Face -_ Doubre Face - Biilboard otirer EXPIRES: Alt Qn Aug - 09 - 96 02 :25P SIGN PERMTT APPLICATION 225 Fitrh Srreet Sprrr:glield, OR 97477 SlrE ADDRESS: 1 795 5th S Qt, P -O? SPFlINGFIELO JOB NUMBER afr, Inspection Line: 726-376g Office:726-3759 s r].n fi-e Id, oR .ASSESSORS MAP:TAX LOT:futureOWNEB: Cl rcle K a dlvisi of To co Coro PHONE:a5-44 -7 A59 ADD[1ESS: 501 Union Street Suite 2500 CrTy: Seatt le STATE: WA ZIP: 981 01 BustNESS NAME, F|RM FEC.: to be ,,Bp Service Station,, oESCElPTloN oF PRoPoSED SIGN(S): (please check and complete all appropriate information) *$- VJall - Freestanding _ projecting _ Roof -- Marquec XX Sir,gio Face _ Double Faco _ Billboard Other Square Footags 55 s Total Height above Grade.aprox. 'l 6' Verr,cal 0imension of sign or enclosure: 'l I ,t Horizontal Width of sign or enclosure approx. Dirnerrs;On frorn Grade tc boltom of Sign Enclosure:15' Mate.'r6r Sign is constructed of: VlnyI . ft. 5 Electrical lnstaltation: -*-yes X .No VALUE $250.O0{lf yes additionat etectricaftErmit il?Girired] OF SIGN: List ALL existing signage and Ettach o photogroph of each sign tt\th q\e fewtO ed(a) Type (cl Type Sq. Fte Sq. Ftg (b) Type (dl Type Sq. F ts. Sq. Ftg. U COI.TFiACTOR/INSTALLER: RAM SAY 51 qnts ADDRESS: 91 60 SE 74th Ave. CITY Port Iand CONSlRUCTION CONTNACTORS REGISTRATION NUMBER: CITY BUSINESS I-rCCruSE HUMBEB: STATE: OR PHONE: (503)717-4555 Z)P: 97 206 EXPIRES EXPIRES OFFICE USE Slgn Drstrict Zon;ng Sign Permit Fee BEOUIBED INSPECTIONS -_ Sire Io be nr36g p1i61 to sign placornent Footing prior to placernent of concrete d Use Code Se Approved By '--' Attachment after lasteners are installediprior to cover Ouad Area . U Etectrical prior to energizing electrical installatjon ,/.Zrrntlffillit;on of sign !rstallation DATE Aridjt,onal Comments andlor Conditions I lurther agre€ to Bnsure that all required ins the perrnil Card is located at tne lront ol the By signaturo' lstate sncl agreo, that lhave carefully examined th€ completed application and do hereby cerrify thar ail information hereirris true and correct, and t further certily that any and all work perforrned shall ue oone in accordance with the ordinances of the city ofsptingfieJd' and the Laws ol the state of oregon pertaining to th6 work described herein. I further certify that only contractors .?ndemployees who are ir1 compliance with oRS 7o1.0s6 will bi useo on this project. 'l'rY r"< pections a16 tequested atthe proger time, that prolect address is readable lrom the streer. rharpropertY, and the approved setof plans will rernain on the site at all times during the instaltationo1 the sig Signa:uro Vaiic arion Amount Received Receipt Nt-;mber: . Da Date Paid o Received By; tDb3 a$eubmitted lras the lollowing )r1 l{eCITY OF SPR"VGFIELD, Tha lollorving Prolect ,r,r:iirr't. and do€9 not specitic land uge Ei. '. i:vS!SPRII{GFIELD 225 FTFTH STREET . -:. I':...,-Ii" SPRTNGFTELD, oREGoN 97477 INSPECTION REQIIBST: OFFICE: 726-3759 (. ELECTRICAL PERI{IT APPLICATION 726-3769 Job Nunber L -l 11 FTION> JOB PTI 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. COMRACTOR INSTALI.ATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Jn-a5scl , Exp iration oate [0^l -q I Constr Contr. llumber I l'\fi, (- Expiration Dat e Signature of Supervising Electrician COUPLETE FEE SCEEDT'I,E BELOI{ A. Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver l-000 amps/volts Reconnect 0n1y C $40 $ss $eos see Temporary Services or Feeders Installation, Alteration or Relocation ON OF TNSTATLATTON<{A oK160 Sum .00 .00 .00rB,, a66tt B $ s0.00 s 60.00 $100.00 $130.00 s300.00 $ 40.00 200 amps or fess 201 amps to 400 amps -Over 40L to 600 amps Over 600 amps or lbOO voTt 0vners Address Ci ty pno""2Dh:_?(2_&5? OVNER TNSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation SignZOutline Light ing--q- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL \ E ( $ $ $ 40.00 40.00 20.00 36.00 ry 5 RECEIVED B -q1 lb0.0a tr'Ft'rt/.s0 t74,80