HomeMy WebLinkAboutPermit Signage 1991-09-30city of springfield
225 n. 5th street
A
SPFlTNGFIErjI . tNFoRMATTON : 726-3?s3
INSPECTIOIIS: 226.326e
TA.Y LOT
PHONE
.7Vl b tlb
S
PHONE
SIGN PERMIT APPLICATION
. LocATroN 0F sIcN (ADDRESS)
LECAL DESCRIPTION
O}INER OR PROPERT]T L
ADDRES
OIINER OF SIGI{ CIF OTIIER THA}I PROPERTY OIINER)
I a
ADDRESS
or .BUsrt:Es s slBlrlr dllv 0 STaBE
D. usE AND CHARAcTER oF srGr{:
Y IDEITTITY
INCIDE}ITAL
-Xoousln recu
Y. smcl.s recs
. YULTI-FACE
P.EADER BOARD
BILLBOARD
H#q
E VENDORS,
SIGN ERECTOR
?TD
.8. ,*r oF woRK:
)( r*r., r ArrER
. RELOCATE
OTH}:R
I
STPT'CTUML TYPE 'OF SIGN:.
-,[uer.r. FREEsrANDruc
ROOT PROJECTING
7**nr*-
'' TNDER r.tARqUEE
OTHER
C.
DU.IEIISIONS, I}ISTALIiTIOI.I & CON
TOTAL HEIGIIT ABOVE GRADE
YEPJICAL DI.I,IENSION OF SIGN
HORIZONTAL !,'IDTII OF SIGN
DI}IEI.ISION FROM GRADE TO
BOTTOY OF SIGN
NOTE: IF PROJECTIOII IS IIORE TIIAN 12"
6!EE pusrrc pRopERry rIiE srGN EREcroR,
I.ruST FILE WITII THE BUILDING DIVISION
COPIES OF HIS/IIER LIABILITY AI,ID PPOP.
ERTY DA}TAGE IIISUP"ANCE POLICIES.
{L*I
,-tlIA
E
YES
LU
TIIICKTIESS OR DEPTB
DCES SIGN PROJECT BEYOND
PROPERTY LINE?
IT YES. DI}IENSION BEYOND
PROPERTY LINE
DESCRIBE TYPE OR YATERIAIS SIGN IS
CONSTRUCTED OT.
' VALuE oF SIGN: \ -) 5 o*1 -
t.
K
ooD
' SITE INFOFIIATIOH (LArrD rrSE) -- EXTSTTNG USE
oF BUILDII:C Op. LAND (OR IAST USE IF VACANT)
JTNDOOR DLTSTNESS _OUTDOO.'I I.TERCHAHDTS ING
PB.OPOSED L'SE OF BUILDING OR IAND:
J
aoEAWD
. -. .}JDIJSS,
CITY LICENSE }II,'I'{BER
SIGN I,IANUFACTURER CIF OTHER THJ\N ERECTOR)
ADDP.ESS
' I tt VE CAREFULLY D(AIIINED che complet, and
EXP DATE
G. ,,rtrr*c srcNs
ARE THERE A![r D(ISTII|G Src]ts? . . yN 4rro
ALL L\ISTINC SICNS
rOR DUSINESS, ETC.
H . IIILL SIGN HAVE ELECTP.I,CAL D
IF YES, ITHICE I.PPLY?SIGN
_rl.lu:ltrNAtuo ltllorrucff,Y
ELECTRICAL COIITRACTOR,
-
ADDRESS
CreRon p
i
er ca lni
ch che
ngci cy of-
Eo Elre crorli, describec! iterern. Iringfleld is ln full force and effecc
cher cercl
as reouired.fy char rnv !!:6n Co'rcraccor I-1-
by Spring.fie[d Codese1.,
8-2-6
tnformaclon ls true and correc
accordance wich che S
Eed a PP llcatlon for
If urcher cerct.fy
Unl
perurir and do hereby cerrlfy
chac all work oerformed shall
gn Code as adopced byd and che lalrs of the
pringfield Slgn Ordinance, t he forn SlSoringfleld and aIl ocher Ordinances of che Clcy o fspfur rinqfie I
(3) and 9
E.
(PLEASE P
qhac all
be done in
rhe Cic vf of.Srate o
I r-equesc all requlred slgr l)rre,oe ccions Ilste d on che approved
u L v<' ERS D \N'i
permi
-7 -20 (
sp I
E"
TE
l{AlrE oF BUsrNEss, FrRM. Erc.A-Ayy.eucau BuvFps TypE..
3s-is-
l.t'
Lrsc. NUMBER_PI:oNE_
---
1)
2)
3)
4)
PLEASE READ
Separate Slpn Aoolication: A separace applicaEion ls requlred for each separare slgn as deflnedhffi
Electrical: Anv oerolc lssued under thls applicatl"on trill tnclude uirlng in or on slgn rarr"a,r.",Ene supPly wlres for connecElon musE be covered on an electrical i'erniE.- Electrical Eonnectlon
:::t^::^=1:,:ltl- by a Scare Llcensed Eleccrlcal ConEraccor. rlllrni.naced signs (boch incernallyano exEernallv) musc conform co SecEions 9-7-4 (4) & (5) and 9-7-18 of che S[rfngfiefd Sign Or-'dlnance.
FooElng Insoecrlon
Ttrc Toocrngi Inspec-r"": ot-.tncrece.
**+:rltreg:, 31"-appllcaclon Ls to be subtr(cced wlth two compleEe seE,s of plans shor.ring dt-::::l!:: and height of.sign; advercislng message,on sign;, locaEion of slgn o., piop"rry r^,rrir-ar-
::":i:i:_-io-proPerEy llnes, .sEruccural decails-of supp6rr fraaing, braciig and'fobcings; narerlals.:::3:::X:E1?" for sign and slgn strucEure; elecErrtir equipmenE'and lig[clng; slze 5nd locrcion
;i:'iililE,liE"i,!1. H:l::fl"'?i.I|:,:"T..?Tl:"3i;,ill,lioiEl:i.Ejol;.i"iiH:SnSl,l,ll"?li,I.llnlng lnrorrnacion on rhe pror pran (pran showing t.;;;;$-ii;;r-;;e illili." "r irg";) , - -
a) 'show the tocdrton of all exlsting stgn(s) as welr. as proposed slgn(s).b) Show the- length of the street'frontage taken up by Ehe builness or bulldlng. For wall, , signs,'show che lengrh of rhe bu-ildif,g froniat!.-'
c) Show Ehe rocacion of entrances open co the publlc and drlveways.
when required, because of design,- slze, etc., engineered drawings and calcurarions u[rsc be pre-pared by a licensed engine.r oi stratt conform co"J."ig sEandaris o. fttn aE che Building Divi-slon Offlce.
Il:Uo:t lnsuffLcLent clarrty or derail will be reEurned ro Ehe appricanE wiEh no permir being
stgns Eust eeeE corner vLsion cLearance requirements as described in Flgure g of the springflcrdComprehenslve Zoning Code.
*}!:-, I:,tiry,-y be erected whlch is less than 12 feet horizonraLly or verrically from overheadelecErlcal conducEors ln excess of 750 volcs, or less than 5 feeE in'any direccio"'fio"-overheadelectrical llnes urhich are energized ac less'rtran-i5O;;ilr:
rf a slgn ls noE lnstalled wlchin 60 days after Ehe date of lssue of thls peruic, the penniE shalrbe vold.
Insoectlorls:
stte rnsoectlon - to be nade before the sign ts placed. usually, EheTlr€pEriaa;rry gay be oade-aE it"-"r.o rrie as 'che stce rnspecElon.Eton ls.co be nrde afEer hole(s) ls c:cavac,eci, buc prLor cJ tn"-pri."
Flnal Inspectlon:- to bo mado upon comploulon of all work.
$+++5+l:_111-:I."crlca1,signs must be lnspecred for elecr.rical hook up afEer che signJ.s erecE,eo and before the sign is curned on. -
s)
6)
7>
8)
e)
a)
b)
c)
CAJJ TOR IITE REQUIRED INSPECTIONS ON NE 24 HOUR INSPECTION LINE AT 726-3769
SIGN DISTRICT -0-NrAmTAL SQUARE FOOTAGE OF SIGN
REqUIFXP rNFPEcrroNS:
_srTE/LOCATTOTT
_ELECTRTCAL
(-
32
FOOTING OR METIIODF'*
ZONE DISTA.ICT
A
OT}IER
SPECIAL CONDITIONS TO BE SATISFIED BETORE ERECTION OF SIGN
ADDITIONAL IMORMATION NEEDED BEFORE PER}fIT MAY BE ISSUED
APPROVED BY:DATE
M.
TOTA]-:
6)
ffi':
q RECEIPT
sDoo
SIGN PERMIT FEE:
JOB {/t
oo
DATE
CLERK
SECTION:SPRINGFIELD SICN ORDI}IANCE
q3c qt
Permit No:ltc ?,t4
t *Address
lssued Date:
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are iot registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 29:
1 I own, reside in, or will reside in the completed structure
2. A. -a
My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B.I will be my own general contractor.
lf I hire subcontractors. I will hire only subcontractors reqistered with the
Gonstruction Contractors Board. lf I chanoe mv mind and Eo hire a oeneral
contractor. lwill contract with a contrattor'who is reqistered witn tne
Constructibn Contractors Board and I will immediately-notify the office
issuing this building permit of the name of the contradtor.
I hereby certify that the above information is correct and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
v i\
\0\d
ignature of Permit App icant
. CONSTRUCTION CONTRACTORS BOARD
0244 10t24189
\tt
Date
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
@s
-t )nr
n tntg I
tl\-
1
225 FIruE STREET
SPRTNGFTELD, ORBGoN 97477
INSPBcf,IoN REQIIEST2 726-3769
OFPICE: 726-3759
SI,,IINGFIELO
ELECIRTCAL PERilTT APPLICATION
City Job Number q 1/8/r
CO}IPIJTE FBE SCEEDUI.E BELOS
Ner,, Residential-Single or
Multi-Family per dvelling unit.
S.ervice 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
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/vo1ts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
TOCATTON OF
la'?-, S
INSTALI"ATION.) | 'jLt-l
3
A
I,BGAL DESCRIPTION
l'7c i3G4z-c 7b 60 Sum
DESCRIPTTON
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COT.ITRACTOR INSTALI,ATION ONIY
Electrical Contractor
Address
city- Phone
Supervisor License Number
Exp
(-\>
B
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
iration Date
constr contr. Number
Expiration Date
Signature of Supervising Electrician
0vners Name
Address bo l>
Ci ty 5*orrf Cl2- pr,on e 44l-2- Q+L" cl,lq 1g
OIINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signa
DATE: 4- l>'c1l
RECBIPT
200 amps or less S 40.00
201 amps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see ilBtr above
t4'
c
E.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit t $ 35.00 ,7i-
Each Additional
Circuit or vith Service
or Feeder Permit L. $ 2.00 i l. CC
5
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/outline Lighting- S
Limited Energy/Res $
STIBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
not included)
40.00
40. 00
20.00
47,cto
,2,.,,75
RECEIVED BY:
COM M ERCIAL/I N DUSTRIAL *
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WOR
ASSESSORS MAP
SPrlINGFlELO
?fr,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
sh,
PHONE:
ZIP:STATE:
OWNER
ADDR
CITY:
DESCRIPTION OF WORK
NEW- REMODEL VALUE:OTHERLISADDITION DE
ARCHITECT:
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
MECHANICAL:
ELECTRICAL:
PHON EADDRESSNAME
PLUM BI N G:
G EN ERAL:
PLU MBING
NO.FEE CHARGE
4 Single Fixture 4D.aLi
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT 4n@
MECHANICAL
NO FEF CHA RGE
Furnace/burner & vent
< 100,000 BTUs
Furnacelburner & 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
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
I OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJECT
X
X
SO. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
4-L
BUILDING PERMIT PLU M BI NG 4D,CP DEMOLITION
5% State
Surcharoe
5Yo State
Surcharoe Ad)
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
OC)
It is the responsibility of
7 26-3769 (recorder), state
for i nspection. Requests
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, butprior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UN DERGROUN D: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor 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
ny roof covering.
REQUIRED INSPECTIONS
the permit holder to see that all inspections are made at
your City designated j n ber, job add
received before 7:O0 a e made
the proper time. To request an inspection, call
of inspection requested and when you will be ready
ng day, requests made after 7:0O a.m. will be made
PAVINGt After gravel is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: tn accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owneri Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.t. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: tnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 2s-10,11).
ROUGH
ELECTR
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
INSULAT]ON & VAPOR
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 & DRTVEWAY:
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.
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.
LUMBIN
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot striping, etc. must be completed beforerequesting this inspection.
FINAL BUILDING: Flequested after the final plumbing, etectrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMMENTS:
--
PLANS REVIEWED BY DATE
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 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, 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
Signatu Ct-'\-Date t-
plans will remain on the site at alltimes during construction
VALIDATION AMOUNT RECEIV
RECEIPT *:RECEIVED BY:
DATE PAID
/