HomeMy WebLinkAboutPermit Signage 1990-07-20&
INSPECTION LINE
726-37 69 COMBI NAiiON APPL ICATION/PERMII 1
.!nJob Address
Legal Description
EIIERGY SOURCES
Hea t
l,Jater Heater
. Ftg. l4ai
Sq. Ftg. Access._SG
--\Va]ue of l'/ork
owner ff )l-sQln A/rnil1 ,anl.L10*t*fu1aL,ffiDescribe-work(
Family Residen@
..e., Build Single
Addres s
Z.zr I
Constructi on Lender
Addres s Phone
name ss
Pri ma
Structura l
El ectri cal
I
Mechani cal
1 \
E 1 al
ELECTRI CAL MECHAN I CAL
PLUI.IBI NG
N0. l
Each single fixture Residence of
SQ FT
furnace/ burner to
BTLI' s
Rel ocated
(new fi x.
building
addi ti onal )
Res
'I
New circuits alts
or extensions
SERV ICES
Floor furnace
and vent
Recessed wa 'l I
Duplex (l bath) each +Appl iance vent
tionarY evaPAdditional bath
-__-.--t-
TemPorarY Constructi on
[.later servi ce
Chan in existing
mu lt family, cornm or Ient fan with
sinqle duc t
Sewer Vent-system apart from
heatinq Pr"-A.!-
t-Storm Sewer
0f amps.
Mec nica exhaust
tlood stove/heater ---l
=I
ISSUANCF 0F PFRIIIT
TOT AL C HARGE S
TOT AL c HARGES I tri ca 1 port 1 0n o f th 1 s perm''I t
TOT AL CHARCES be done bY a
an Electrica
n E I e ct r 1 ca 1 Con tractor the e ec
I 'I
REQU I RES tha t tlte E I ec tri c a 'I wo rk
1 and returned to the Bui 1 d 'I ng Di s on
I^IHER E S T A,TE LAN been 1 ned by 1 Supe rV s 0r
ha I 1 t be VA I I c u nt 1 I the I a be 'I has s s t ruesn0cert'I t ha t a 1
'I
1 n forma t 1 on he reon s
I etedt anY
te of
ap p 'I ca on for t do hereb.Y nce w1 th the 0rdinances f the c I tythecomp
1 I rk shall be done in ccorda t NC OCCUPANCY wilI be made
and correct, and I fu rthe r ce rt 1 fy t ha nd a wo
ng to the work described herei n and tha
of he S ta 0reqon Pe rtaini tha t g 1 stra t 1 0n vll th the Bu 1 1 de r s
of Sprit
of anY
Board i
1on1y su
n9 f I e 1 d a nd the Laws t Di VI I fu rt her cer ti fy m.y re
noted hereon and th a t
wi thout the Permi ssion of the Building s on
ba 1 for exemp ti on I sstructureredbyORS701055thatIfexemPtthe5s
force nd ef fe ct as req 'I I be ed on thi s proj ec
s 1 n fu 1 I a
1 'I a nc wi t h 0r?s 701 0 55 r{1 us
bc trac tors and emp I oyee s who are n comDon
G
I
DA
S I GNATURE
tlAl.tE(P1ease Pri nt)
l'la i
'lue
q Fto
Ftg
Fts
al ueZo
Load Acces s
Fi r Val ue
Group SQ
TOTAL VALUAT
an 51,
BUILDING PERNIT
Charges and
Surcharges
an Res
Fence
FI
F
0the
PLUI4BING PERMIT
Charges and
Surcha rges
Demo
Sl dewal k
ELECTRICAL PERtlIT
Charges and
Surcharges
,OD
T,IECHANICAL PERHIT
Charges and
Su rc ha rge s
_L 5
A/C Paving Total Comb. Permit
Curb Cut TOTAL l5t t
o
. Ftg.0ther
/
COHI.I./IND. FEEDERS
0f
oca teInstal I /a ter/ re
,
t
COMBINATION APPLICATION/PERI'IIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
l. e!amp!e- Tax Lot 100, Lane County Map Reference
I7TTr4'32. example- Lot 1. Block 3, Znd Addition to
SprTnlTield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources1. example- heat,/electrical ceilino/o2. exampTe- wa terfiea t,eFlETecTFiEilTorE. Square footage or valuati6il-ETd-
1. , example- l2l! sq. foot house, 5002. ;xamEler Jf new project, ctreik-i-ew
check add, etc.F. Building permit information:l. example - construct single family house with anattached garage
?. examp]e - remodei existing garage into family room3. example - convert single iamily-residence iniorestaurant (change of use)G. Value of work as defined in Sect.ion 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Bui)d.ingDivision Staff.must be able to contait appropriitepersons_regarding design information or jbb iitecorrect.i ons , etc.II' Abbreviated prumbing, Mechanicar, & Electr.ical scheduresA. Except where blink spaces o.cu, in irie J;;.;i;;;;;-"portion of the Mechanica.l and Electrical Schedutes.the applicant nqed fiil_in only rhe ltr. e.i.i-il:ui.nt
^ to_the,appropriate item(s) to 6e insta,lled - --"--- -
B. Full piumbing, Mechanicil, and-Electrical Schedulesare available at the Building Divisionl. To conserve. space on the-permit iorm the scheduleshave been abbreviated2. if the item(s) to be installed are not covered onthe abbreviated schedules you should .onirit-in.ful I schedulesC. BUILDING DIVISION STAFF I,,ILL FILL OUT ALL FEES ANDCHARGES ON THE SCHEDULESD. As noted on the CAp, the labe.l must be delivered to theetectrical contracror ror signaiure by his;i;;;.i;.i',"supervisor. The general conlractor ii ,ot irir,o.irui. -to sign the electiical label.I r I . App I r cant to sign and datelJhenever poss.ible, .the initial appl icat.ion wil I be used asa worksheet onrv. where possibiE, srltding Diviiio;-i;r;;will.prepare u iypg written.opy-unJ-..turn it to theapplicant at rhe iire tte-aci;;i ;;;rit is .issued for hiss i gna ture.IV. Fees and Charoes
Plan.check feis are due and.pfJable at the time of theapplication, and no plans wiii"O. proi.rred untij thesefees. are paid. Ail bther i..i ina-.tirges are due andpayable when the permit is issueJ. -'-
V. FOR OFFICE USE ONLY
r forced air gas
sol ar
sq. foot garage
- if addition,
PERMIT VALIDATION
Permit Clerk
w
?d
fr
1-
fl1s4
7A40
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI.ICY:
rmPe t a I I anc tpp ex t f rom 'temp ts tra 'lreg o w'tn ht Bthe .Iu dI er s oB rda cbe ua es
Additional project Information :
PLANS REVIEWED BY:
name
da tes'l gna tu re
city of springfield
225 n. 5th street
A. roaorroN or srcN (ADDRE'')Corn
I -03-2
SPFTTNGFIELE'
PERMIT APPLTCATION
L
7# 74
INFORMATIONz 726-37s3
INSPECTtoNS! 726-3769
.'
LECAL DESCRIPTION
O}INER OR PROPERTY
I TA.:" LOT ?l08pe
n 65 2- 2225ss
ADDRESS I
OI.JNER OF SIGI'I CIF OTITER THAII PROPERTY OWNER)5 tvte/
qruts
IGN
ADDRESS
NAME OF BUSII'IESS, FIRM, ETC.(:e CLLLch
USE AI{D C}IA"RACTER OF SIGN
y'tonmtw
INCIDEI{TAL
y'ooustE rtcs
SINGLE FACE
}ltTtTI-FACE
P.EADER BOARD
BILLBOARD
D.
E.
.B. ,rrt oF woRK:
' eo 5igi" Pr,rf
J. a ck trq n'lhe r-.
oh Fuh ProPeFB
Fn o vrn Sf r.eet,
AI.TER
RELOCATE
OTHER
y'sw.cr
C' ,rr.uarrRAl
'YPE
oF srGN:
MAROUEE
I'NDER I,IAROUEE
OTITER
Ir4*rto"o***c
PROJECTING
I'ALL
ROOF
. H(ISTING SIGNS
ARE THERE ANY H(ISTII'IG SIG}IS?
G
\
e
4t No
EXISTING SIGNS
1+ sz, Fl,
V"S
rrq-c l"BUSTNESS, ETC,
y"s t
witLe4
'I.rrLL srcN HAvE ELEcTRTcAL wrnruct Ve.S
rF -yEs. iil{rc* l.,p,.y? rr,scrorc;Z, srctttl{ttuirw *ED ( rND;E fiflLy, J w?gpj Le c-th i
ilLr.r*rc* coNrRAttbR-D;;t^ LeE3T;; -
H
c
PI:CIIELISC.
ADDRESS
,
DU"TE}ISIONS, I]ISTALITTION & CONSTRUCTIO}I
TOTAL HEIGHT ABOVE GRADE
VEPJICAL DI].,IENSION OF SIGN
IIORIZONTAL I.IIDT}I OF SIGN
DII.IENSION FROM GRADE TO
BOTTOM OF SIGN
TIIICKIIESS OR DEPT1I
DCES SIGN PROJECT BEYOND
PROPERTY LINE?
IF YES, DII'IENSION BEYOND
PROPERTY LINE
-NOTE: IF PROJECTIOII IS I{ORE TIIAN 12"
6VEE pusr.rc pRopEpsy rnE srcN EREcroR
}ruST TILE WITI{ THE BUILDING DIVISION
COPIES OF HIS/}IER LIABILITY AI'ID PPOP-
ERTY DA}IAGE I}ISUP"ANCE POLICIES.
E
YES t/no
8'4'
tt -l -b tt
I 12.
3go
8+'
. SITE INFOF]{ATION (LAND USE) .. EXISTING USE
OF BUILDI}IG OR LAND (OR LAST USE IF VACANT)
vfnoooe. BusrNEss
-ourDooR
tlERcHAtlDrsrNc
J
OR
e
r.
PB.OPOSED USE OF
l. DEscRTBE TypE oR vATERrAts srcN rs
. VALUE OF SIGN;
r
K,
0 oK2
c C
trol-
VENDORS,
SIGN
..LDDI'.nSS L
CITY LICENSE III]]'IBER 2O
SIGN I.IANUIACTURER CIF. OTHER ERECTOR)
ADDP.ESS 6 o
5
Sz r s
EKP. DA
-2 L
2
tock
. I HAVE SAREFULLy EXAI1INED rhe completed application for permit-and do hereby certify that all
informarion is rrue and correct, .rrI-i-f;[[;;-;;;iify th"t all work performed shall be done in
accordance wirh rilI si-ii"iii"ra'sii" otai".""u, the- Uiriform sign code-as-adopted by the cLcv of
Springfield and "11 olh"r"ordinancEs ;i-;i;;--ci;y-or-Spi:-"efieIi.and.the laws-of the State of
Cregon perralning Eo ghe work descrlU"a i"."r".' f guithei-certJfy tha! rnv 91gn Cortraccor 'r-i-
cense irirh rhe ciry-"i-'spii"gri"ra ii-in--i"it'force and effecr as- require'd by Springfield codes
g-2-6(3) and g-7-r:o(rt.' i ri-ff lequest all required sign inspections listed on Ehe approved
permic.
NA},IE (PLEASE
a
L,,
DATE
oY-
--S
PLEASE REA-D
1)*w:AseParaEeaPP1ication1srequ1redforeachseparatesignasdef1ned
2> Electrical: Any Pemrlt issued under thls application will incrude wiring 1! o. on slgn structure,EE-e supp$-wirei ior "o""""iiorr-r*"c be covered on ._ffi
dlnance.
3)red:s to be submitted
ofe Ehe s
,n8; s d location
the (Artlcle ternine comoll,ance withAlso,. dhow the follow-, of signs) :
lng an (plan Eion
a) Show
G) show
I slgns
the location of alL exlsting slgn(s) as well as proposed stgn(s).
bulldingt
I
4)
the I busine or For wallage
s)
I6)
7)
8)
e)
c) show the location of entrances open to the publtc and driveways.
l{hen required, because of design, size, etc., engineered drawings and,calculatlons un1sE be pre-pared bv a licensed engineer oi shall conforo t--a""ig standarts ".i-rii"-"r-;;;"B"il;ir,! olri-sion 0fflce.
Plans of lnsufficient clarity or detail will be returned to the applicant wlth no permit beingls sued.
signs must xoeet corner vision clearance requirements as described in Figure g of the sprlngfieldComprehensive Zoning Code. --1------"-e !
t:*i.+llr"i*.ffiIei:-i;.::::":':i",# l:i:":n:l i!:i":;"1";'?:::.11,":; :i*::ill,,f:3-"3::;::3uelectrical lines which are energized at lese'tt."-i5o;;il": -ese rr' qr^,
ff i"ili i1 nou installed within 60 days after the dare of lssue of thls peroit, rhe permiE shall
Inspectlons :
a)slEe rnsoection - to be mode before the sign is placed. usuaIly, the Footins rnspectionlrT-FFriEebreI mav b-e ,"t.-"t-ttri-""r. riile as irrJ sir. rnspgctlon. rr+:triftitr;S#-tion is to be made-after hole(s) rs e^c.vilea,-a"ii-piior to the plaeemenr of concrete.Final Inspection,- to be uade upon coryletion of all work.b)
c) Electricar - all electrical.sLgns Eust be lnspected for erectrical hook up after the signis ereEEEd and before the srgn-i" E".""a-o"l-
CAIJ. FOR TTIE REQUIRED INSPECTIONS ON T14E 24 HOT'R INSPECTION IINE AT 726.3769
srcN DrsrRrcr lD?zoNE
TOTAL SQUARE'FOOTAGE OF SIGN
REQUIRED INSPECTIONS:bl-?1
SIIE/LOCATION4r'o**METHOD ATTACHMENT
Yjtnar-
OTHER
SPECIAL CONDITIONS !0 BE SATISFIED BEFORE ERECTION OF SIGN:
buLbb ut-U rw{L-lb bt OtandancL .s,{.I
ADDITIONAI INTORMATION NEEDED BETORE PERMIT },tAY BE ISSI,IED:
us&
APPROVED BY:
D REcErPr I 17 4y
STAIE SURCIiARGE
TOTAI.:
/?'l)
ELECTRICAI
b"
rD
DATE
CLERK
JOB
SIGN
SECTION:SIGN ORDINAIICE
6'&'4o
hqw{whf lru?4Ln^, nh Olnn vru ov*
Mtil_uta- u/tuL (t-td %) tw