HomeMy WebLinkAboutPermit Signage 1981-4-15
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APR I 5 1981
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INFOR~TION: 726-3753
CITY OF SPRINGFIELD
SPRINGFIELD, OREGON 97477 .
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IXSPECTIOS REQUESTS: 7~6-3~69
CITY OF SPRISGFIELD
SIGN CONSTRUCTION AND ELECTRICAL INSTALLATION ~
CO~IBINATlON APPLICATlOS/PER'llT . .
LOCATlON OF SIGN(ADDRESS) 1"'t z,.., ~, .
LEGAL DESCRIPTlON I, h '7 _ ' ;::? 7 . =? I . AX lOT' f.-..::<: rr r-\
Ol<SER OF PROPERTY "Pt a IU ~ pe/LJ c E: _c., PHONE
ADDRESS +4- ':? -, JH , 14- aU .., r, "S/1:r:-lcI. ZIP '9 74"77
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Oh-SER OF SIG.~(IF OTHER TIL\.~ PROPERTY OImER)
ADDRESS
N.I.'IE OF BUSIXESS. FIR'I, ETC.~U "{l8 ~.
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PHONE
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TYPE OF BUSINESS
TYPE or: :~ORK: TYPE OF SIGN: -' SIGN CI~CTER (CHECK APPLICABLE tTE~lS) :
0RECT ALTER IjALL 0REESTANOING .0'ENTlTY NON-IDENTITY
RELOCATE OTIIER ROOF PROJECTING PROJECTING c;..Z:~DARY
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MARQUEE READER BOARD INCIDENTAL NGLE FACE
OTHER BILLBOARD DOUBLE FACE InJLTl-FACE
VESOORS. CO~;R\CTORS:
SIGN ERECTOR
ADDRESS
PHONE~~1'
EXP. DATE
SIGN H.I.~UFACTURE~ (IF OTI1ER TIL'l~ ERECTOR) ~~
ADDRESS
ELECTRICAL CONTRACI1lR
ADDRESS
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PHONE
PHONE
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LICENSE NUNBER
OI:-IEXSlO~;S. I~STALL\.TIO:-; :\.'i0 COXSTRUCTION INFOR.\IATIO~:
TOTAL HEIGHT ABOVE GRADE~ I 0 1/ VERTlCAL DHIENSION OF SIGN ~ ( 0" ~O'}IZONTAL WIDTH OF SIGN ~O' t:J It
DIIIENSION FRO~I GRAD!: TO BOTTO" OF SIGN~ II ,THICk')>ESS OR DEPTH OF SIGN r:,/lilC Lc
DOES SIGN PROJECT BEYOSO PROPERTY LINE _ YES ~ IF YES, DI~IENSION BEYOND PRohRTY LINE
NOTE: IF PROJECTIOS IS :.'ORE TIlA.' 12" OVER PUBLIC PROPERTY TIlE SIGN ERECTOR ~IIJST FILE InTII THE BUILDING DIVISION COPIES OF
HIS PUBLIC LIABILITY .I.'D PROPERTY DA.'~~~SU~~CE POLICIES.
WILL SIGN HAVE ELECTRICAL InRING? _YES ~ IF YES, WHICH APPLY? ELECTRICAL SIGN ILLIDIINATED (INDIRECTLY LIGHTED)
DESC!UI!E TYPE OF ~\TF.!tI.\LS SIG~! IS co~!Sr~IJCTEO OF~ tiI'~
PROVIDE UL NUMBER IF APPLICABLE
SITE INFOR'~TION (lA.~D USE)--EXISTING USE OF BUILDING OR lA.~D
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VALUE OF SIGN . fJlO) ";f' .
(OR lAST USE .IF VACA.~):~
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PROPOSED USE OF BUILDING OR
lAND: ./
CHECK ONE IF APPL~LE: INOOOR BUSINESS ~IrrDOOR ~IERCHANDISING
ARE THERE EXISTING SIGNS? _YESV' IF YES, DESCRIBE ALLEXISTINGS~~N~F9R ~US~NESS.
EXISTING SIGNS (SiGN CODE):
PIR~. ETC.:
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ALL EXISTING SIGNS ON PREmSES (SA."E TAX LOT): - VLo ~
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FOR OFFICE USE ONLY .; ,
SIGN DISTRICT./;mH~/ ~(lNE DISTRICT t: - '1 TO~AL ~QUARE FOOTAGE OP SIGN
INSPECTIONS REQUIREO: _SITE/LOCATION _FOOTING OR llETHOD OF ATTACHMENT ",:,ELECTRICAL
I HAVE CAREFULLY E~\IINEO the completed application for permit and do h~reby certify that all information hereon 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 Springfield and all other Ordinances. of the City of Springfield. and the laws of
the State of Oregon pertaining to the work described herein. I further certify that my Sign Contractors License with the
City of Springfield is in full force and effect as required by Springfield City Codes 8-2-6(~1 and 9-1-20(21. I will request
all required sign inspections listed on the approved permit.
NAME (PLEASE PRINT)~ M~ SIGNATURE
:......DATE1.~1;~1
gO
XFI NAL
_OTHER
FEES:
SIGN PERMIT:...I /
CHARGES: 7' 1<7 .O()
TOTAL FEE FOR PER'IlT:
CIo.Oo
ELECTRICAL PERmT:
CHARGES:
STATE SURCHARGE:
);,-9. 00 ~
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PLEASE ."AD
1) Seear~te Si~n Aoolic3tion: A separate application is required for each
separate slgn as defined in the Sign Code.
1) Electrical: Any permit issued under this application will include wir-
ing in or on sign structure. the supply wires for connection must be'
covered on an electrical permit. Electrical connection must be made
onir by ~ State licensed Electrical Contractor. Illuminated signs (both
internally and externally) must conform to Sections 9-7.4 (4)&(5) and
9-7-13 of the Springfield Sign Ordinance.
3) Plans ReQuired: This application is to be submitted with two complete
sets ot plans drawn to scale, showing dimensions and height of sign; ad-
vertising mess~ge on sign; location of sign on property with dimensions
to property lines. structual details of support framing. bracing and
footings; D3terials of construction for sign and sign structure; elec-
tric~l equipment and lighting; sit~ and location of existing signs on
property for the same business, all as required to determine comp~iance
with the SpringfielJ Sign Ordinance (Article 7 of the Springfield City
Code). Also. show the following 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.
c) Show the location of entrances open to the public and driveways.
4) When required. because of design. site, etc., engineered drawings and
calculations ~ust be prepared by a licensed engineer or shall conform
to design standards on file at the ~u}lding Division Office.
S) Plans of insufficient clarity or detail will be returned to the ap-
plicant with no permit being issued.
6) Signs must meet corner vision clearance requirements as 'described in
Fig. 9 of the Springfield Comprehensive Zoning Code.
7) ~OTE: ~o sign c~y be erected which is less than 12 feet horitontally
~ertically from overhead electrical conductors in excess of 750
volts. or less than 5 feet in any direction from overhead electrical
lines which are energized at less than 750 volts. .
8) If 3 si;n is not inst~lled within 60 days after the date of issue of
this permit. the pe~it shall be void.
9) insoections:
a) Sit~ Insoection - to be made before the sign is placed. Usually,
the FOotln~ Insoection (if applicable) may be ~ade at the same
time as the Site Inspection. The Footing Inspection is to be
made after'hole(s) is excavated, but prior to the placement of
concrete.
b) Fin31 Iosoection - to be made upon completion of all work.
c) Electrical - All electrical signs must be inspected for electri-
cal hook up after the sign is erected and before the sign is
turned on.
CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOU~ INSPECTION LINE AT
726-3769. .'
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SPECIAL CONDITIO~S TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFOR'~TIDN NEEDED BEFORE PERMIT !IAY BE ISSUED:
PlA.~S REVIE\~ED BY:
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I PER~I!T \'AlID"TIO~
12~'~>N ( j
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CLERK
DATE
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Great Oregon
Tie Co.
4427 MAIN STREET
CITY OF SPRINGFIELD
COMBINATION APPlfCATlON/:ERMIT
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11~SPECTION LINE
, ,.72W769
I Job Address
I legal Desuiption
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INFORMATION LINE
726-3753
ilA2LMatn-Str..eet
ENERGY ~Q.URCES: .
H.a' l: I ectrl c
Sq. Ftg. Main
Sq. Ftg. Access.
Sq. Ftg. Other
_New_Add_Alter_Rep.
I_Fence_Demo_Changel Use
.XXo,'h., --IemPOr:ar.y
, O'f'fi('p
Building Permit Info: Describe Worle (i.e., Build Single
Famil" Residence With Attached GcrCQe)
rn
Water Heater
17-02-32-31, Tax Lot 6300
Ow,., Howar:d_R.-Etheridgc
A~~. 33964 "D" Street
C::o.shen.._Oregon
_ Ran~e
I Value of Worle:
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7il7_0070
Temporary office for sales yard.
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Phone
Construction lender
Address
Phone
DESIGN TEAM
(name)
(address)
(Iics. no.)
(expires)
(phone no.)
Electrical
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Primary
Structural
Mechanical
CONTRACTORS
(nome)
(address)
(lics. no.)
(expires)
(phone no.)
General
Owner
Plumbina
Electrical
1t1 prt .1 prtd.c~ 1 fn"1:,any
19W-Nor-tll-28th Stre::::, 5:;wingfield,--X:::
747-2213
Mechanical
PLUMBING
ELECTRICAL
MECHANICAL
Residence of
I FEE
I CHARGE NO,'
FEE
. CHARGE
NO. I
FEE I CHARGE NO. 1
SERVICES
furnace/burner to
~TU's
Appliance vent
separate
Stationary evap.
cooler
Vent fan with
single duct
Vent system apart from
heoti....R or A.C.
Mechanical exhaust
hood and duct
Each single fixture
Relocated building
(new fix. additional\
S.F. Residence
(1 bath)
sq. ft.
New circuits, alterations
or extensions
Duplex (1 bath) each
Temporary Construction
Additional bath
Amps.
Water service
Sewer
Wood stove/heater
Storm Sewer
FEEDERS
Heat Pumc
Air handler to
10.000 CFM
Air handler over
10.000 CFM
Amps.
1
1
Service I inp
10..0r
100R
Elect. Connecti,n
ISSUANCE OF PERMIT
TOTAL CHARGES
TOTAL CHARGES
2fl.on
TOTAL CHARGES
WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor, the eledril;al portion of this permit shall not be valid until a
label has been signed by an Eledl'ical Contrador and aftal;hed to the .1.dl'il;cll! ponel.
I HAVE CAREFULLY EXAMINED the completed opplication for permit, and do hereby certify that all information hereon 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 lows of the State of Oregon
pertaining to the work described herin, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. 1 further
certify that my registration with the Builder's Soard is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted
""0'_ a,d that a,'y ,ub'a",a""" a,d .mplay.., who a,. " "'mp"a'~ wah ORS 701.0.5 ~_5 Wi,/" b,.,/U"d hO' ,h', Pw-"
Basis for Builder's Soard exemption' #""\ 7.. ~/ ~/ L
NAME (pl.a,. p",t) J4.w~ -I' - ~".A.zf.. SIGNATURE ~ DATE 7/f;!P!'
FOR OFFICE USE ONLY
Zone
Fire Zone
Flood Plain
c..-J.t
Type/Const.
Bedroom'
C;torie"
M
Units
occy Load
Occy Group~
C-:. Ftg. Main
~". Ftg. Access
Sq. Ftg. Other
x
Value
Value
Value
x
x
TOTAL VALUATION
BUILDING PERMIT
Charges and
Surcharges
25.00
Plan CIe. Comm/lnd
65%/ Bldg Per Fee
plan CIe. Res
30%/ Bldg Per Fee
Systems Development
Charge (1.5%)
PLUMBING PER.MIT
Charges and
Surcharges
Fence
Demo
Total Comb. Permit
ELECTRICAL PERMIT
Charges and
Surcharges
20.00
Sidewalk
MECHANICAL PERMIT
Charges and
Surcharges
"sc
A/ C Pavina
Curb Cut
TOTAL
45.80
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COMBINATION APPLICATION/PER. (CAP)
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.~~RMIT VALIDATION
I. Applicant to furnish
A. Job Address
. B. Legal Description
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1. example-tax lot 100, Lane County Map Reference 17 03 43
2. example-Lot 1. Block 3, 2nd Addition to Springfield Estates
C. Name" et~. of owner and construction lender
D. Energy Sources
1. example-heat/e!ectrical ceiling/or forced air ~as
2. example-water heater/electrical/or sOlar
E. Square footage or valuation, etc. _ .
1. example-) 250 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
garage
2. example-remodel existing garage into family room
3. example-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.
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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 abbrevi-
ated schedules you should consult th'e full schedules
C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
III. Applicant to sign and date
Whenever possible, the initial application will be used as a
worksheet anly. Where possible. Building Division Staff will
prepare a typewritten 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
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V. FOR OFFICE USE ONLY
Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
1) The temporary office must be a minimum of 20 feet from the ~rqpJrty linp pvr~pt wh~"O
front4gQ on streets or yards over 40 feet in width.
II A joint use aQreemoRt for use of t6ilet facilities on neighboring property is required.
Additional Project Information:
THIS PERMIT IS CONDITIONAL UPON THE FOLLOWING REQUIREMENTS:
1) The temporary office is allowed for a maximum of 18 months (October 3, 1982)
2) Site Review Application must be made prior to applying for Building permit~
3) Application for a building permit for a permanent structure on the premises must be filed
with the City Building Division within 6 months (October 3, 1981).
PLANS REVIEWED BY,
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o:.ignaturo
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