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HomeMy WebLinkAboutPermit Miscellaneous 1990-12-15 city of springfield 225 n. 5th street SPRINGFIELD . I N FORMATION: 726-3753 . INSPEC'T10NS: 726-3769 SIGN PERMIT APPLICATION J\. LOCATION OF SIGN (ADDRESS) LECAL DESCRIPTION /C;]I.{ Yha..-r. fJ III r?d. ADDRESS PHONE ;O~tA~d LMM /'-'Uflt,!P . LttLi - 1ft I, z.. . TYPE OF BUSIllESS tei.Ju, i 1 TAX LOT-f! 2&-]-1.{1I/ f17'l/7 ZIP mINER OR PROPERTY 1M) N,..... #t1f"rl1~f A/- /,v- ADDREss311J AlG;cI.. i-n~h/r(l.:VV t (/uJJ tJrlvf OUNER OF SIGN (IF OTHER THAN PROPERTY OWNER}_~. rydtr i 17 1-0 G,.e,pJr. fdrtS j(tA.. . bf.1t;ot'^l NAME OF BUSINESS, FIRM, ETC. TJ." rJ,d{ /;vt.Wphofft,le PHONE B. TYPyg.F WORK: JL..ERECT _ALTER _RELOCATE _OTHER C. STRUCTURAL TYPE OF SIGN:. ~ALL _FREESTANDING ____ROOF ____PROJECTING ____MARqUEE ____UNDER liARqUEE ____OTHER [). USE AND CPJlRACTER OF SIGN: VIDENTITY . INCIDENTAL * _DOUBLE FACE " ~LE FACE ' . ____MULTI-FACE ____PJEADER BOARD ____BILLBOARD E. VENDORS, CONTRACTORS, . . SIGN ERECTOR J't)htl Stir... 5ylV;,..,/ 'I.DD~-ESS /67(( LvPJT jf:! ~. CITY LICENSE NU!1BER C(tf-# &Zk)7 SIGN liANUFACTURER (IF OTHER THAN ERECTOR) ADDRESS PilON!: Lj~I.j-l..{n'lz. ZIP otl't/2 1/4? ~/j,JJ EXP. DATE PHONE F, DIMENSIONS, IIlSTALLATION & CONSTRUCTION TOTAL HEIGHT ABOVE GRADE f.{" 1- () {( VERTICAL DIMENSION OF SIGN :;2 '-01/ HORIZONTAL WIDnl OF 5 IGN 2 r i. z l{ DIMENSION FROM GRADE TO /'1, '~fJ If BOTTOM OF SIGN ~ 1"2. II ~NO G. EXISTING SIGNS , / ARE THERE ANY EXISTI!lG ~IGNS? _YES ~NO ITIn1BER SIZE IN SO,FTG. ALL EXISTING SIGNS FOR EUSINESS, ETC. -~ - THICKNESS OR DEPTH DOES SIGN PROJECT BEYOND PROPERTY LINE? _YES IF YES, DIMENSION BEYOND PROPERTY LINE ' .'<,-- NOTE: IF PROJECTIOn IS !-lORE THAN 12" OVER PUBLIC PROPERTY TEE .SIGN ERECTOR IruST FILE WITH THE BUILDiNG DIVISION COPIES OF HIS/HRR LIABILITY AND PROP- ERTY DAMAGE INSURANCE POLICIES. H. UI~L SIGN HAVE ELECTRICAL..)fiRIIlG? Y {l J IF YES, WHICP. APPLY? VELECTRlCAL SIGN ILLUMINATED (INDIp~CTr? LIGHTED) . ELECTRICAL CONTRACTOr.. -IA YIlt hlJlNv.. ADDRESS LISC. NUMBER 0i~1 n~- PIlONE I. DESCRIBE TYPE OR I'ATERIALS SIGN IS CONSTRUCTED OF, II /1- . fiVJJ.vJ.~ mt1J!J.ll!1!f!:! wl'lt.. ptal'ht /itI-,( f- hlb l/tf4"'" J. SITE INFOPllATIOII (LAND USR) -- EXISTING USE OF BUILDING OR LAND (OR LAST USE IF VACANT) ~ VaLftlr:!- red-q;iI ~/q~- K. VALUE OF SIGN: J. ~ f}() !:L / l/INDOOR BUSINESS OUTDOO~ ~ERCHANDISING PROPOSED USE OF BUILDING OR LAND: ~rHtL;/ f)ViJr (iA~ . L'I HAVE CAREFULLY E~IINED the completed application for permit and do hereby certify that all information is true and correct, and I further certify that all work performed shall be done in accordance with the Springfield Sign Ordinance. the Uniform Sign ,Code as adopted by the City of Soringfield and all other Ordinances of the City of SprinRfield and the laws of the State of Ore~on pertaining to t~e work described n~L~Ln. I further certify that my ~~3n Co~tractor Li- cense with the City of Springfield is in full force and effect as required by Springfield Codes 8-2-6(3) and 9-7-20(2). I will request all required sign insoections listed on the approved permit. NAME (PLEASE PRINT) SIGNATURE }:;.1I...... Jr9h1j /2/J'~ Q,w~ c/ DATE 11- j{,-QD .~ PLEAS E REAt ... -- . .. 1) A separate application is required for each separate sign as defined 2) Seoarate Siqn Aoolication: in the Sign Code. Electrical: Any permit issued under this application will includ~ wiring in or on sign structure, the supply wires for connection must be covered on an electrical permit. Electrical connection must be made only by a State Licensed Electrical Contractor. Illuminated signs (both internally and externally).must conform to Sections 9-7-4 (4) & (5) and 9-7-18 of the Springfield Sign Or- dinance. 3) Plans ReQuired: This application is to be submitted with two complete sets of plans showing di- mensions and height of sign: advertising message on sign: location of sign on property with di- mensions to property lines, structural details of supoort framing, bracing and footin8s; materials of construction for sign and sign structure; electrical equipment and lighting; size and location of existing signs on property for the same busienss, all as required to determin~ com~liance with the Springfield Sign Ordinance (Article 7 of the Springfield City Code). Also,. show the follow- ing information on the plot plan (plan showing property lines and location of signs): a) Show the location of all existing sign(s) as well as proposed sign(s). b) Show the length of the street frontage taken up by the business or building. For wall signs, show the length of the building frontage. c) Show the location of entrances open to the public and driveways. When required, because of design, size, etc., engineered drawings and calculations must be pre- pared by a licensed engineer or shall conform to design standards on file at the Building Divi- sion Office. Plans of insufficient clarity or detail will be returned to the applicant with no permit being issued. Signs must meet corner vision clearance requirements as described in Figure 9 of the Springfield Comprehensive Zoning Code. NOTE: No sign may be erected which is less than 12 feet horizontally or vertically from overhead electrical conductors in excess of 750 volts, or less than 5 feet in any direction froD overhead electrical lines which are energized at less than 750 volts. If a sign is not installed within 60 days after the date of issue of this permit, the permit shall be void. ' Inspections: 4) 5) 6) 7) 8) 9) a) Site Inspection - to be made before the sign is placed. Usually, the Footing Insoection (it applicab.Le) may be made at the same time as the Site Inspection. The !'oot1ng Inspec- tion is to be made after hole(s) is excavateci, out prior to the placement of concrete. b) Final Insoection,- to be made upon completion of all work. c) ~lectrical _ all electrical signs must be inspected for electrical hook up after the sign is erectea and before the sign 1s turned on. .. CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 ,;, \ FOR o,r:Jf1cfr USJ:; ONLY SIGN DISTR~CT\l1Yr1[1\J ZONE D~ICT '\.' 1 \ .J . ,JOBfi~ TOTAL SQUARE FOOTAGE OF SIGN \ \ '2'\0' . SIGN PERMIT F~O .,...... /' '\ REOUlRED INSPECTIONS: ~C'\ ~ t;yOOTING OR METHOD OF ATTACHMENT AlNAL _ S}TE{LOCATlON ..0LECTRICAL .t......t.......A.A~~i..;...::..: FIi:::: . ; -5'- :~.n. S1:.~: OTHER ,~~ \l f't(> \C\()D_, ~\ t- ,-f<.) ~ r-c::A '\l '4 '" 11'\'\0 0) "j\ \)! ~-, Q. \l~~ [' ion N - (j TOTAL: '-~~ .SO DATE --;-717 ft/ RECEIPT 2D<grJ& CLERK. (1 /f/t;1.;---..Q. t SPECIAL CONDITiONS TO BE SATISFIED BEFORE ERECTION OF. SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: ~, DATE \\.2D.Qc) of-/ APPROVED 8Y: W~ SECTlON,J<6 TRO SPRINGFIELD SIGN ORDINANCE lor I INSPECTION LIIIE 726-3769 . CITY U~ SPRINGFIELD COMBIIIATlON APPLICATION/PERMIT EIIERGY SOURCES: Heat Hater Heater Range ValuE of Hark: . INFORlIATION UNt 726-37S3 Sq. Ftq. 1,Iain ~q. Ftg. Access. Sq. Ftg. Other lIew Add Alter Rep. -Fence Demo Change/Use Other- - ~ ........ .~ o Job Address /q':3~ Legal Description /7~:Z-25"-':;;r~ - , MA"'~C6'4- ~ ~ /e:::rt?J owner,~L/..AY~p :~;P..DiP Addres<~;:;-.- ..v. , h? '" "fH4~"'; ,??,~r/~--:V..D,. ~. Construction Lender Phone BuilriinQ Permit Info: Describe Work(;~e.. Build Single Family nes;dence With Attached Garaoe) Address UtSHjN TEAI1 (name) Phone (address) ~~~~ ,~?r dJ-.:P',df" ~~~~&r5'~ ~ .$~~~. flies. no. J (exoires) (ohane , no. ) Primary -~~~ ~ Structural Electrical Mechanical CONTRACTORS (namel (iHfrlrpc;s) flie". no,) (j:lXO;I"PC:' (OhOflP no..) Genera 1 Plumbina Electrical ~'echan;cal - J""") . L_ _ __ 1.J~~ER5-S;o/ A'""'~ PLUI1B I NG ELECTRICAL MECHANICAL NO. FEE r.HARGF NO EEL..l:lfAlli NO SQ. FT. furnace/burner to I BTU's Floor furnace and vent I t:t"c i IJiAR.G..E. Each single fixture Residence of 6.-- Relocated building (new fix. additional) New circuits alts. or "extensions S.F. Residence (] bath) Ouplex (1 bath) each Additional bath SERVICES Recessed wall ~n~rp hp~tpr ~nrl vpnt ~later servi ce Temporary Construction Change in existing rP'l i dflnr:p l'multifamilY, comm. or Industrittl IOf amps.1 ICOMI'I./IND. FEEOERS I Ilnstall/alter/relocate I dic:trih. fppdprc; 10f amp~1 I I I Appliance vent seoarat.p Stationary evap. cooler I I. Vent fan with sinole duct I' Vent system apart ,heating or A.C. I Mechanical exhaust hood and dur.t I ~'lood stove/heater I I I J.-- Sewer Storm Sewer from /?7..w . ./5:- . /e::r.- ' ~ ISSUANCE OF PFR'IIT TOTAL CHARGES TOTAL CHARGES WHERE STATE L\H REQUIRES that the Electrical work be done by an shall not be valid until the label has been signed by an Electrical TOTAL CHARGES "2--5': "Electrical Contractor, the electrical portion of this perQit Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work Derformed 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" rw OCCUPAIKY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Board is in full force and effect as required by O~S 701.055, that if exempt the basis for exemption is noted hereon. and that only subco~tractors and employees who are in compliance with OP.S 7~1.055 will be used on this project. IlAI-lE(please print) I ). ,(j/i~ f' ,dtc...1.-Ie.. SI(:IIATURE ~t".7~ OATE /Z/rA;;.,) FO~ OFFICE USE Dlll.Y' -., Zone Tvpe/Const. Units Sq. Ftg. riain x Value Fire Zone Bedrooms Occy load Sq. Ft!J. Access x Value Flood Plain Stories Occy Group Sq. Ftg. Other x Value TOTAL VALUATION BUILDING PWIlT Charges and Surcharges Plan Ck. Comm/Ind 65%/Bldo Pj'r Fee Plan Ck. Res 30%/Bl do Per Fee Fence Systems Development Charqe (1.5%) . PLU'1BING PERMIT Charges and Surcharges O~mo . ISidew, 1 k ----------~-I A/C.Paving, ... ..~ .- "25:"~ I Curb Cut -----/:~?I '- Tqt3~1. Comb. Permi ~ ELECTRICAL PERI~IT Cha rges and Surcharges ..' MECHANICAL PERMIT Charges and Surcharges , , iOTAL ::;.>tG.2S- , . , ~ . . l~ "'. . COMBINATION APPLICATION/PERMIT (CAP) .... .' I. Applicant to furnish A. Job Address B. Legal Description 1, examele- Tax Lot 100, Lane County Map Reference 11 OJ qj 2. examp1e- Lot 1. Block 3, 2nd Addition to springtield Estates. ,'" .. C. Name. etc. of ownerand'construction'lender D. Energy. ?ource~ ..~" _ ,.' ,..... .... . \ 1.... example: h'eat/el'ectrfcal'ceilin...Q/or' forced air Q3S 2. examyle- ~a~~rhe~ter/electr;call.~r~~ E. Square "footage or valuation, etc: 1. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, check add, etc. F. Building permit information: 1. example - construct single family house with an attached garoge 2. example - remodel existing garage into family room 3. exam~le - convert single family residence into restaurant (Change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. OESIGN TEM1 AND CONTRACTORS To avoid design or construction delays. Building Division Staff must be able to contact appropriate persons regarding design information or jOb site corrections. etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules. the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is .not authorized to sign the electrical label. --- 111. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signature. IV. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY ........; .....,.,.. P~OJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . . , " .'t-' ....,.,'. \ , ' -"," ..... "\ - , . , :~:P.ERMr:r: VAtI.DA))ON .'." )t', ,- .'...~ .... ..... . , ~ ...~,\.":-..;: "~'~~'~ , , . . . .. ... ,'OJ"..'.... ~ r'O,O . . . . . . ...:..;:- "\ -: .~. . ! 2- --7~ rD \UV~ {~gq f Permi t C1 erk (j J1AM.t..... ~ I Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: ~R~ ;i2s:7~Signature~"':.Y . " name ,,~ '> C-,' .l ~.--?late -c / /'- <C:: -"7 c:> " . ..', . <::.. .