HomeMy WebLinkAboutPermit Signage 1990-10-1
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SPRlNCFlELD
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.INFORMATION: 726-375:
ci ty-ot. Sp ri,ng; t i eld
225 n. 5th street
INSPEC'T10NS: 726-3769
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SIGN PERMIT APPLICATION
A /.~"S ,m!7~~e.:~/). i:f;f'~~ "";; u r> I
. LOCA~ION OF SIGN '(ADDRESS) ///nAl/Yl/V 1'\ fFln I'-Me
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LECAL DESCRIPTION TAr. LOT~'
'OWNER OR ~ROPERTY~ mrE/2..(jp'7 /J/Q~.I?~~HONE /;"':<8'~~~//!
ADDRESS_9t7 cJ ~1J6J1/1<' /<;/~h 'P/2, EIZI~M? ()12~. ZIP 9?P./7
OllNER OF SICll (IF OTHER THAll PROPERTY OWNER)/A'.;:...c.#~ /_~~Af:. ,~s...._"X"'
ADDRESS PHON!: ~ _ _.' _.
r . r' ../..-:P..". ~.p..4~ ()
TYPE OF ,BU~II.E.,,..,. " c,' .1iJT' ,
NANE OF BUSIUESS, FIRM, ETC. 1lJ./L.j<<!I~ .130,", ";,,:",/2
B. TYPE OF 1I0RK'
. ~CT ~ALTER
_RELOCATE
_OTHER
C. STRUCTURAL TYPE 'OF SICN:,
'~LL _FREESTANDllIG
_ROOF _PROJECTING
~R(lUEE
_UNDER lIAR(lUEE
_OTIlER
D. USE AllD CI'.ARACTER OF
~llTITY
"'-'."
_INCIDENTAL
_DOUBL!: FACE* ,..-
~INGLE FACE .
,....-.-
":"-''!I1LTI- FACE
_READER BOARD , '
SIGll:
_BILLBOARD
,E. VENDORS, CONTRACTORS:/ . ,"'.'
:' SIGN ERECTOR /l) LJ /2'1/1/; B/2. tJ 5> 5/ e;/i'5 //i e.
'/.DD~",-SS_?O' f3dX" ,::9 ()t....,9 ' ,p~i8~~~/JR,IE:
CITY LICENSE llU!1BER' '"'}r?}-,:::) J iJ r 1 '
SIGN liANUFACTURER (IF OTHER Tl'.AN ERECTOR) ~'l1 /
ADDP.ESS
rIlON!:
B<;/2-- 17~7
, ZIP 971"0 z... ' '
DATE {,p (?;X) I~
EXP.
PI!ONE
F,
DUlEllSIONS, 1I1STALLATION & CONSTRUCTIC'rT
;',/1
TOTAL HEIGHT ABOVE GRADE 'f"
.,//'/
VERTICAL DUlENSION OF SIGN ~7
HORIZONTAL IIIDTll OF SIGN 1.1'-,7 (
DUlE!lSION FRmr GRADE TO
BOTTO~ OF SIGN
.:.;
G. EXISTING SIGNS
ARE THERE ANY EXISTI!IG ~IGlI~? YES ~'
- ~
l!U1fBE? SIZE IN SO, FTG.
ALL ~XISTING SIGNS
FOR r.USINESS, !:TG.
/2
T1UCKlIESS OR DEPTll
s"
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DOES SIGN PROJECT BEYOND , ./
PROPERTY LINEl ___YES ~NO
IF YES, DUlENSION BEYOllD
PROPERTY LINE
NO'!"E: IF PROJECTIOn IS 1l0RE TItAN 12"
OVER PUBLIC PROPERTY TI'y' SIGN ERECTOR
l-lUST FILE IIITH TilE BllILDING DIVISION
COPIES OF illS/HER LIABILITY AND PROP-
ERTY DAllAG" INSURANCE POLICIES.
H. m~L SIGN IIAVE ELECTRICAL IIIRIllG? y;:!::""~
IF YES, ImICI! APPLYl ELECTnICAL SIGlI
_ILLIJ!jINATED (INDIPJ:CTI:? LIGI!TED)
ELECTRICAL COllTRACTon
ADDRESS
LISC. NUMBER PI:Oll!:
I. DESCRIBE TYPE OR I'ATERIALS SIGN IS
, 'CO~~UCTE'1/'~:',
tAIJ2rIl ~ m F o//j 1, ._/11 E f2fi!
. ". .,
J'S'ITE INFOPllATIOll (LAlID tJ~F.) -- EXISTING USE
OF BUILDING OR LAND (~R LAST USE IF VACANT)
#PI1-- I3JJ>q
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, (]o
K'VALUE OF SIGN:' /5/)11, ~
~DOOR BUSINESS _OUTDOO:t l<ERClI{IlIDISING
, PRopns~" ~~. OF /.BUILE!~~R,~ND:
7)/2 Es<:, SV,ffD
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L'I HAVE CAREFULLY EXAllIlIED the completed applic3tion for permit and do hereby certify th3t all
informacion 1s true and correct, and I further certify that all work performed shall be done in
accordance with the 5pringfield Sign Ordinance. the UniforD Sign Code as adopted by th~ City of
Sorin~flcld and all other Ordinances of the City of Sprinp.field and the laws of the State of
Oregon percaininR co t~e warl; tlcscribco n~~~Ln. I further certify tha~ rn~ ~~Z~ Co~tractor Li-
cenSe with the City of Sprin~field is in full"force and effect as re~uired by Sprinr.field Codes
3-2-6(3) and 9-7-20(2). I will ~equesc all required .i~ ~ections listed on che approved
:~~i~~LUSE PRINT) I i/,1) !vi, CI2 O~7
SIGNAnJRE ~ ~ . 1.!1M.4- OATE "7- /7- 90 '.-- -
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PLEASE READ
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1)
Se03r~te S1v.n Auolic3tion: A separate application 1s required for each separate sign as defined
1n the ~ign ~ode.
Electrical: Any permit issued under this application will include wiring in or on sign structure,
the supply wires for connection must be covered on an ele~trical permit. Electrical connection
muse"be made only by a State Licensed Electrical Contractor. lllumi.nated signs (both intern~lly
and externally) must conform to Sections 9-7-4,(4) & (5) and 9-7-18 of the Springfield Sign Or-
dinance.
2)
3)
Plans Reouired: This application is to be submitted with tvo complete sets of plans showing di-
menSlons and neight of sign; advertising message on sign;, location of .sign on property with di-
mensions to property lines. structural details of support ftaming. bracing and footines. ~aterlals
~f~onstruction for sign and sign structure: electrical equipment and lighting; size and location
'of' exis tlng signs on property for the same buslcns 9. all as r~quire:d to de: terui.nq com!lllance: wl th
the ,Springfield Sign Ordinance (Article 7 of the Springfield City Code). Also,_ sho~ the follow-
ing information on the plot plan (plan showing property lines and location of si&ns):
A)' ,Show th'" location of All existing sign(s) as well AS proposed sign(s).
b) . Sllow' 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 t~e Building Divi-
sion Office. ' '
Plans of insufficient clarity or detail wil~ be returned to the applicant ~ith 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 ~y 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 di~ection froo 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 pennit shall
be void.,
InSDcctions:
4)
5)
6)
7)
8)
9)
a)
Site Insoection - to be made before the sign 1s placed. Usually, the Footing Insoection
(it applicaole) may be made at the same time as the Site Inspection. lhe root~ng inspec-
tion is .to be made after hole(s) is ~~a.v~t7ci.. out prior to the placement of c~ncrcte.
Finol InsDect1on:- to b~ mAd~ upon completion of all vork.
~lectrical - all electrical signs mu.t be inspected for electrical hook up after the sign
is erected and before the sign is turned on.' . "
b)
c)
CALL FOR THE REQUIRED INSPECTIONS ON TILE 24 HOUR INSPECTION LINE AT 726-3769
rUR OFrlC~ us~ O~LY
SIGN DISTRI~ZONE DISTRICT Cl../
TOTAL, SQUARE FOOTAGE OF SIGll % 'h. ctT
JOB U~\U - C\ ~
SIGN ~ERMIT FEE: 00
" '1.f:r /
ELEC~ PERMIT 7'
47. STATE S~
TOTAL: / ,QspO
DATE (~;, 1/ C{() RECEIPTJa1OiI.
CLERK TM,
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REOUtRED INSPECTIONS:
_SITE/LOCATICllI 'I. FOOTING, O~
'i..ELECTRICAL LflNAL
_OTHER
--...
OF ATTACHMENT __)
SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
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ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED:
APPROVED BY: ',~ H1~:VV,
SECTION: _ !I~. 011.2....., (~J, ' SPRINGFIELD
DATE
4-oYfl)
SIGN ORDINANCE
....-...-
~ INSPECTION LINE
1726-3769
Job Address
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INFORrIATlON UNt
726-3753
Sq. Ftg. 1.lain
~q. Ftg. Access.
Sq. Ftg. Other
Ilew Add Alter Rep.
--Fence Demo Change/Use
Other - -
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CITY Uf SPRINGFIElD
COMBINATION APPlICATION/PERMIT
, I\(' D\o..) ,I ~~;~GY SOURCES:
legal Dmription ~~, )~~7{Y) tr'ttLV ~:~~: Heater"
Owner ~ Q ~(\~ f\ j)}movt 1_ Q .n ValuE frfLl )
A~dr~~ ~CY ~~~~~ I; \~ffi~~~~ ~~1~~~~1~' Build Single
:::::::cti;n lender Phon. - 0(1",. ~ or():1::PYU
DESIGN TEAI.I (name] -iaddressY"-' <J"O \ I~xnires\ 'phone no.\
Primary
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Structural
Electrical
Mechanical
CONTRACTORS
enamel
(..rlrlress'
(lice; "In \
'''''mires' (.Q..~'~f\'" "fl.)
General
Plumbino
Electrical
,I -In" ._~ n' . r) I~ III VV7 . - IYYY71
\L wU .lL{JuA t l'o C-{)(~: g;t /1.1lt-L ~}()
PlUllBING U ElECTRICAl' \. J~ MECHANICAl
/Ci3/ /q/) .
rl::1h.:) h~ I
~1echan;cal
NO.
HF rHARr.E' NO
~~L -.C..I:iAR.GI. NO
HI=' rl-l~
Each single fixture
Residence of
SQ. FT.
furnace/burner to
BTU's
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
and vent
S.F. Residence
(I bath)
Duplex (1 bath) each
IAdditional bath
Iwater service
Sewer
SERVICES
Recessed wall
"Oilrl" "pilt"/:n' ilnrf "",nt"
Storm Sewer
Of
COffi1./IND. FEEDERS
Install/alter/relocate
rli~trih fpprlpr~
amps.
Appl iance' vent
seoarate
Stationary evap.
cooler
Vent fan wi th
sirlOle duct
Vent system apart from
heating or A.C.
Mechanical exhaust
hood and rlurt
Wood stove/heater
Temporary Construction
Change in existing
rec; j d.fJu'e
multifamily, COIllTl. or
Inr1u<:.trial
Of
amps.
TOTAl CHARGES TOTAl CHARGES
WHERE STATE l.'l~ REQUIRES that the Electrical work be done by an
shall not be vali~ until the label has been signed by an Electrical
ISSUANCf OF PFRPIIT
TOTAl CHARGES
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 oerformed shall be done in accordance with the Ordinances of the City
of Spri ng fi e 1 d and the Laws of the Sta te of Oregon perta i ni ng to the work descri bed herei n, and that UO OCCUPArKY wi 11 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 ons 701.055, that if exempt the basis for exemption is noted hereon, and that
only subcontractors and employees who are in compliance with OP.S 7~1.055 will be used on this project.
SIGIlA~R~1 /. sAJ U J) d \:)\ oJw
FO~ OFFICE USE mil Y
Sq. Ftg. Ilain
Sq. Ft9. Access
Sq. Ftg. Other
IWIE(please print)
Zone
Fi re Zone
Flood Plain
Tvpe/Const.
Bedrooms
Units
Occy load
Occy Group
x
Value
Value
Value
x
Stories
x
TOTAl VAlUATION
BUllDIIlG PERHlT
Charges an':
Surcharges
Plan Ck. Comm/lnd
65%/Rldo Per F"pe
------------""""P'f'an Ck. Res
3D%/Bldo Per Fee
Fence
Syste~s Development
Charoe (1.5~)
PlUP1BING PERMIT
Charges and
Surcharges
D~mo
ElECTRICAl PERInI
Charges and
Surcharges
Sidewalk
A/C Paving
___lS..:Q:?__ Curb Cut
.lS
Total Comb. Permit
MECHANICAl PERMIT
Charges and
Surcharges
TOTAl
J tcs.lsl
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COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. Legal Description
1. example~ Tax Lot 100. Lane County Map Reference
17 oj 43
2. example- Lot I. Block 3, 2nd Addition to
sprlngfield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceilinq/or forced air Qas
2. example- waterheaterjelectrlcalfor solar
E. Square footage or valuation, etc.
I. examole- 1250 sq. foot house, SOD sq. foot garage
2. example- if new project, check-new - if addition,
Checl< add, etc.
F. Building pennit information:
1. example - construct single family house with an
attached garage
2. exa~le - 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. DESIGN TEAM 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
fu 11 schedul es
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. ---
III. 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
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
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PERMIT VALIDATION
"# 1IoCS90
\cA\1~ 4J 1m
Permit Cler~~ ~
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Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name
signature
date