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Home My WebLink AboutPermit Plumbing 1985-6-27 ItlSPECTION LINE 726,3769 . CITY UF SPRINGFIELD COMBINATION APPLICATION/PERMIT ---~ E!IERGY SOURCES: . Meat ;;:, /P-r ~r, G !~ater Heater Ranqe e..seQ6Q . ~ .~~ . INFDRlIATION U,1l 726-3753 Sq, Ftg. 1,Iain ~q. Ftg. Access. Sq, Ftg, Other Ilew Add Alter ~ep, -Fence Demo Change/Use Other - - (),) ~ ~ '\I 'I Job Address 4z.oz- M,<J/A../ S-rJeGG-i Legal Description S&-r<r /LAlVS: 1?-<:><"'3'<-"3'2. rc.. (P/7O/ , Owner 77i6-4P2.r9,UT/c.. (.?/"N~/<"ZD Address fat:.?5 SO, 190 -t~ sf. "107, ValUE of flork: (l/)_ 2~., dat:>. -=- Ph (-za:::,- Builc;;nQ Pennit Info: Describe l~ork(Le.. Build Single oneB7Z_S'S'Z ~ Familv nesidence Hith .A.ttached Garaoe) Address Ut~ lliN r l:.Ar~ .u.0 (name I Phone ~ ~ ~_A,) (address.) flies. no.) CP&lg- ~vrh I'if?,....-~ .>-1'. ...,Ot.. .<6..ur, ~ Sir' "1VtE'l..", C""USdc..7)~ >,uc:;,.u66~s:', /.(..IC, IzeV/ ~-Irwf ~1J1.fJ?7 1'7,":-:/J?<Uh-f ""/ I"v~ /54v,l C."., t:>P.,. UAJW<:rTJ'W,! tfaA:lt1.J(./d". h ./ ' J::::&AJT. tU/JS' N , '18037- Construction lender 19~ (exoires) (ohone no.) Primary .!5l>,e,;;/Y'lf'dS'67V 1- ?t'X~-!37?--'<;!;Z7, Structural Sr<>/Y7C I -rl/ ...,c;.,,,,~~.i< d'h/') . '-L./~-1j'/9 KCLr/,v I &J1err c, =,.<) 1/~4t.>U!;4 h. /5.Jr kl.,!(.. (I",ht. 9/Tio S- 6,q", (See..lleOZ/GJ I Electrical e..v~U~ .:r: Mechanical ~11j,-!5.6J tONTRACTORS '{ name I General l,;u/GAJot.</Y (addre~c;,) (lies. no.) (exoirp,,) (ohnnp nn \ Plumbina J' ~ dl\..-. ~ IY~ E1 ectrica 1 I, ~'echan;cal JJ PLU1IBI NG ELECTRICAL NO. FFf I rHARr.E NO Each single fixture j Residence of 1'2, :;- ~~.. SQ, FT, Relocated building New circuits a1t5. (new fix, additional) .. or extensions S.F. Residence SERVICES (1 bathl Duplex (1 bath) each Additional bath ( Temporary Construction $S ~Iater service 124.... . Change in existing res. j qp'.nrp 'ad Sewer IS;- multifamily. comm. or Induc:.triill J ~ I Of C.::o amps.1 ~ Storm Sewer COMI.1. lIND, FEEDERS MECHANICAL ~~r: fl-lARG.E.--.tlO......... furnace/burner to BTU's <EL J:JJl\Rlil Floor furnace and vent Recessed wall ~o~rp hp~tpr ~nrl ~pnt z. .t-.~. ?V~;&> Appliance vent t;eoari'l.tp Stationary evao. cooler W . Vent fan with sinole duct Vent system apart from heat;na or A.C. Mechanical exhaust hond and durt 11ft - I I I TOTAL CMARGES 1'/11. - TOTAL CHARGES /!2::l "1 TOTAL CHARGES /'5'. s;::> WHERE STATE L'\H REQUIRES that the Electrical work be done by an. Electrical Contractor. the electrical portion of this pemit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division l'Install/alter/relocate ,di~trih_ fppdfr~ "3' IOf 7";2.5" amp~:ZS- I I I I ~/ I Hood stove/heater / tA.- ~ lSSUANCF OF PFR111T I HAVE CAREFUtLY EXN1INED the completed aprlication 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 Laws of the State of Oregon p'ertaining to the work described herein. and that rw OCCUPAr~CY 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 DRS 701.055. that if exempt the basis for exemption is noted hereon. and that only sUbcontractors~d employees who are in comoliance with O~S 701,055 Wil:~ ~roject~ 1lAJ.1E(please print) /,ijomh'~ ~ &W&;,A'/h'IYS,47.,! SIGUATURVb ~ ~.//~(: DATE t,!z7IBS- FO~'OrFICE USE~ r 5'-# Units Sq. Ftg, 11ain x Value"'--' ~J Occy Load Sq. Ft~. Access x Value I Occy Group ?~"':2... Sq. Ftg, Other~ld~ Value ~~ , TOTAL VALUATlON7~-"- < . Zone Fire Zone cc Tvpe/Const. Bedrooms Stories Flood Plain BUILDING PERNIT Charges and Surcharges I'P ~ y. :o-S" JJI: ((46;) ~~2?d.;i? I I ___/ff~~__1 Sidewalk I 6.'-' I A/C Paving~.....1 __nL7.:~J Curb Cut I .78 I I /~-, ~ 'Plan Ck, Conm/lnd ~~_". 65%/Sldn P~r Fee -- . ---;j:;;- Plan Ck, R'es . 17. 7 c:> 30%lBldo Per Fee ,. Vo ot=> I Fence --- J~~_I D~.o Systems Development Charqe (1.5~) "?3/'S. 0.... PLU'iB ING PERMIT Charges and Surcha rges I I I ELECTRICAL PERlHT Charges and Surcharges 11ECHANICAL PERMIT, Charges and Surcharges ~6. 6\:) Total Comb. rermit B1Z.~t; i(/n~'!ftG I TOTAL I' " . . COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION 1. Applicant to furnish A, Job Address B. Legal Oescription 1. example- Tax lot 100, lane County Map Reference II U3 43 2, example- Lot I, Block 3, 2nd Addition to Springfield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. examole- heat/electrical ceilinq/or forced air qas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ------ I, 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 garage . 2. examele - 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 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 OIVISION STAFF WILL FILL DUT ALL FEES AND CHARGES DN THE SCHEDULES '0, '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. --- 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. " .., - , " III. V, FOR OFFICE USE DNLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: -;:)/,.::~ ~/~ 70 ~.a"""'h~ '~~e:r;:- r-s;hc;..> e:J~ f/U'H(/C ~'/7Y "7") _ ./. / d:r-/A?/'r :"'S$"'~- --J::" ~ Permit applicant exempt from registration with the Builder's Board because: 'Additional Project Information: ':;;~e- .~__o,/ =.;." .~",C. 1?.tS V~>>~~~_Y";.Q.--h?P;:>:'?~"'" ~Y7~ ~~/ __~'.'Z>~/ e=-'--' .:.-?... <~-e~. , PLANS REVIEWEO BY: :,.:.>./ ,/:::l . name 1...Pi7~ rC.~-~ si~~ature~~ ~/ ' date 7-/o-.li?,)~ ..' -~ ~ \ WSPECT ION LIIIE 726-3769 . eu~v ~ CITY OF SPRINGFIELD CDHBIIIATIDN APPLICATION/PERMIT EIIERr,y SOURCES: , Heat ;:, If'. /' -rr, C; Hater Heater Ranqe NfORJIATION Ll, 726-3753 Sq. ftg. 1,Iain ~q. !='tg. Access. Sq, FIg, Other Ilew Add Alter ~ep, Fence_Demo _Change/Use _Other Legal Oe5cription S&r-r r'"...AVS: /~~'3<-"32, rc.. tP/70/ Owner 7/i.6 ~_6'.vT;c. f<d' /,1 Fla,~ Address I,,<<,?S 50, 110-/' sf. HID? I Job Address 4'1.oz.... ~ ~ ,~ " M,<;J/A..-J'S-ne..6(77' Valu€ of Iiork: (If), Z~ t:'~. ClIO Phonea;S~;z ~ ~~~~1~n~e~I~~~e Inf~~ Ji.~i:~~~~e(1~~~~e~-.e.. Build Single J::.I':NT, Construction {l.h9!: N, <t!30s z.. Lender 19.<:co Address Ul:.~ H.iU T EAr~ ..u ..0 (name) Primary ;6v,e,;"f-'-f'vS'C"'W Sr9/>'?C [leelrieal C4~.e(..G.! .:r. 11eehanieal ~14(!SGJ CONTRACTORS " name 1 General I.>UK,IJO"'-".</ Structural Plumbina Electrical Hechan;ca 1 -1!Q." /2. Each single fixture I' /, " PLUIIBING Relocated building (new fix. additional) S.F. Residence 11 bath) Duplex (1 bath) each IAdditional bath gSf~'ater service ~/I Sewer ~Storm Sewer I I I I I I TOTAL CHARGES WHERE STATE L~H REQUIRES shall nOt be valiJ until the I HAVE CAREFULLY EXMllNED 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 Springfield and the Laws of the State of Oref)on pertaining to the work described herein, and that UQ OCCUPArKY 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 ons 701.055. that if exempt the basis for exemption is noted hereon. and that only sUbeontraetors~d employees who are in eomolianee wilh OP.S 7n],055 Wil~ ~~rojeet,~ !lAIIE(please pri"t) //TO.m.-9~ .4. C;W?./;hA7tC/,U?7.j SIr.rI^TUR~ ~./~('. - om ~;t7IBS- FO~ ij'f'F I CE USE GIlLY .' " - I Sq. Ftg. Haio x Value .,.~ ~d: Sq. Ftg. Access x Value ':VA .- Sq, FIg, Other r<r14~ Value :z/-.~ . TDT^L VALUATIOIl72/..-"_ - cc Zone Fire Zone flood Plain BUILDING PERfIIT Charges anc Surcharges PLur~BING PERMIT Charges and Surcharges ELECTRICP.L PERr:1T Cha rges and Surcharges I1ECHAN I CAL PERMIT Charges and Surcharges / /-:;>-, e>.> Plan Ck, Conm/lnd --=t.~_~.____'_ 65%/BldC1 p.pr I=""p ~/<:) Plan Ck, Res 1"/. 7 C> 30UBldo Per Fee ,. Vo Dt!> I fence _n ...I~~-I 06RlO ___LQ~~nl Sidewalk I 6...... I A/e Paving~.-I ____L-Z-=~J Curb Cut I .78 I I Type/Canst. Bedrooms Stories &'=-!r-<.e--I /PfJ?- r:m 1'7/,v: /Jttu ,e.J I~/ P'v-,?,>,-, I /:5/n.v,J O""c-P.. I.JL-'Wcn'W J ~iX 4.1> Phone I c,.v....cI So ..ell.} ~/ :. (addres~) (lies. no.) lexnires} ~Z~' Sol/rl-r IW?.-1-'>-f.~/ot.. /C.6.AJ":"J~S~' '1VQ.I'V CdVS,v~7/<:k >"",r:;d../66.r..~. /OC, /2(3'1/ (ohOnf~ no.) 1'-';:0(,-87?--'<;[;27, I ,..."rt/. vt,-"I"->-fi d''''I,") . /-~':>_ij'lq K..C6/,u (~rr c. nc ,,u 1(~t<:I''{(~i4 PiC. /5.;rkl:. (I"ht. 911!;oS' 6/'1", (j;etLrfieOZ/G) I f address) (11C5. no.) (p)fl}irpc:) (ohnnp nn. \ ELECTRICAL MECHANICAL FFE CHARGE NO ~~~ r~ NO. , "LIJJiAB.li.E.. 5' Residence of furnace/burner to BTU's ~~. SQ, fT, New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wall ~~~~,~r ~nrl vpnt I 6-V-<,., . I I I~- I/I~', I I I I I I Z. 1/t9. -I I I I II ~I I I- IInstall/alter/relocate I I I dic;,trih. fppdprc;, amp~I~I7S1' I I I I I I I I I .;'~ ~ TOTAL CHARGES Electrical Contractor, the electrical portion of this permit Supervisor and returned to the Building Division ( lTemporary Construction IChange in existing res5 rt.encp' Imultifamily, COIl1ll. or Tnrl1Jc;,trial U ~J ,....... "'I j~, / -:!~;.- Appliance vent c;,~oa ra tp Stationarv evao. cooler ~ . Vent fan wi th c;,inole duct Vent system apart from I heatino or A.C. I Mechanical exhaust hood and dUr".t I Wood stove/heater I I I 2(1. .. ' I /,S7- I ~s:- I I I I I I I I'SI". ~ TOTAL CHARGES that the Electrical work be done by an label has been signed by an Electrical 10f 6.::0 I COMI.\. /I NO, fEEDERS amps.1 '3' 10f I I I -;;z ?5" I SSUANCf OF PFRIII T /~ St:> 5'-N Units Occy Load Oee"y Group 7!'~'" '2... / ~~7:;';- tr46~ ~..;~?d?- Systems Development I =;~. .,...,. CharQe (1.5~) /~{~. '76.~ ITotal Comb. rermit I TOTAL 81 Z .~~ i(1S'7 '-Y61 . COMBINATION APPLICATION/PERMIT (CAP) I. Appl icant to furnish A, Job Address B. Legal Description 1. examjPle- Tax lot 100. lane County Map Reference II UJ 4J 2, example- Lot 1, Block 3, 2nd Addition 10 Springfield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. example- heat/electrical ceilin~/or forced air Qas Z. examole- waterheater/electrical/or solar E. Square footage or valuation, etc. - I, examole, 1250 sq, foot house, 500 sq, foot garage 2. example- if new project. check-new - if addition, chee k. 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, OESIGN TEM4 ANO 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, BUILOING OIVISION STAFF WILL FILL OUT ALL FEES ANO CHARGES ON THE SCHEOULES O. 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 ,/ /' . ~~ C.s;by ~~ .iPU']lfU.:;' ~/~ 70 "/) / 6-T~/r /~~,:"':;; -.-..F , u .v OF SPRINGFIELD Clly Hell Sprlngfteld, Oregon Department of Public Work. OFFICIAL RECEIPT No. B 65237 I Oete ~~~9~;~/~ Rec'd From ~ ! _ /~,,'" ~", --I"~ I Address 11~1f/:. 1#"4. C)~ 3'2 I / =ived For: CJ~#=SS6~.) '-I3? -. r:J.? I 7. .,8 t, '. ~ ',./..... "0- '\1\ . .~~ I S.~O l\t t.~ /~<=...- l1fr '- f:tf.~ """t;:.' . 0,0 IJ . /'tI.r~. 1-'1:~ ~ ~t;~ ~::: ~ . ~p<. ~ :3!..5 g._eo ~.~~;J::;, "z ~_. ~er,. '7 . '7 JII ~ . ~&..I\L..~""" 10' uo ",,1/":d>. · 7 . 107I'Il.. _~7,. 76 ,",- Amount Received .(I '2S? ?~ I~ d- ~ ID:- /' ~H~~~ I IIUS1NES$FOFlMS.1NC. 1~]l]n'l" Permit Clerk Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: S &::-e:- ~A70" C=--=J c:s..c -i???w~ ~___/ J. ,-_~ ' P &V~~~,./ / p~ e='~ -' ~'?... <~-8~. PLANS REVIEWED BY: y.~~ ,~"yl;'~~A<" J riarrie~j~-~~___~ Signature~~ ''/ ~,. date 7-/t:;:)-li?d-- ,. :~-(~'" ~ " , , . " . ,INFORMATION: 72603753 city of springfield 225 n, 5th street SPRINGFIELD . /(;;~~"m - r, SIGN PERMIT APPLICATION A. LOCA~ION OF SIGN (ADDRESS) 4202.. M/9/..0 Sr'.e66"; LECAL DESCRIPTIO~ Bee /iI #,ett'A1..LcY .o/~) 17a? ~ 2.3 LTAX LOT '1' I OIJNER OR PROPERTY The. .4;/l_a.u./>c ~d~k fh j,J Ce>, ADDRESS tdG26 f>o. 190 -1-'1; ~/oZ k:.6A.JT, !u195)h <2/70 / PHONE I-Zot;-!)7Z--5<;z'Z.. .ZIP PBW'Z.- o,mER OF SIGN (IF OTHER THAN PROPERTY OWNER) ADDRESS NAME OF BUSINESS, FIRM, PHONE ETC .,4/!!.L:e) / A+c / PM NIAll NkriR~ OF BUSWESS / / C. STRUCTU~L TYPE 'OF SIGN:. _HALL LFREESTANDIllG .8. TYPE OF WORK.: ...K..ERF.CT _ALTER _RELOCATE _OTHER _ROOF _PROJECTING D. USE AND CI'.ARACTER OF lIDEtlTITY _INCIDENTAL ..K..DOUBLE FACE SIGN: _MARqUEE _UNDER ltARqUEE _OTIlER _SINGLE FACE __'illLTI-FACE --.:..READER BOARD _BILLBOARD E. VENDORS, CONTRACTORS: , / ' SIGN ERECTOR 1\./0 T VGr /GvOu..>V rIlONI: ! i , ,/.DD~.ESS CITY LICENSE llU!1BER SIGN I1ANUFACTURER (IF OTHER TFJ<N ERECTOR) ADDRESS ,ZIP ,EXP, DATE , / f.. / ok. DUlENSIONS, WSTALLATION & CoNSTRUC'I:-lOl TOT~ HEIGHT ABOVE GRA~?-I' 7" VERTICAL DUlENSION OF SIGN """'T;"'t.. HORIZONTAL wronl OF SIGN 10' ro If DINEtlSION FROM GRADE TO BOTIO!! OF SIGN ,PHONE ~ I if!?- G. EXISTING SIGNS ~ ARE TIlERE ANY EXIST!!lG. ~IGNS? ~YES 'y lIO ~. .".... .. 'l~IBE~, SIZE IN SOhG,. ~ ALL ~XISTING SIGNS FOR EUSINESS, ETC, 15/ ; TlUCKllESS OR DEPTH DOES SIGN PROJECT BEYOND \. PROPERTY LINE? ___YES -A-NO IF YES. DIMENSION BEYOND PROPERTY LINE NO':'E: IF PROJECTIOn IS !lORE THAN 12" OVER PUBLIC PROPERTY THE SIGN ERECTOR l'lUST FILE WITIl TilE BUILDING DIVISION COPIES OF IlISIIlF.R LIABILITY AND PROP- ERTY DA}1AGE INSUP~NCE POLICIES. H. HI~L SIGN HAVE ELECTRICAL InRIllG? y~ It.. YES. IIIlICH APPLY? X ELECTRICAL SIGN ~LLUMINATED (INDIP~C~ LIGHTED) , ELECTRICAL COtlTRACTOlt ADDRESS LISC. NUMBER PI:CNr , I. DESCRIBE TYPE OR t'ATERIALS SIGN IS 'CONSTRUCTED OF. , /;:>~ ~....A'/Y"ac.~r I~ J. SITE INFOF11ATIOll (LAND \J~F.) n EXISTING USE, . OF BUILDING OR LAND (()R LAST USE IF VACANT) " (/A(2.4V/ (6)?Vte ~ ) , /J..r,',U H ~a,~ .s~VICe-~7l'fTuAl /~ i ~INDOOR BUSINESS __OUTD09R'MERCHANDISING i PROPOSED USE OF BUILDING OR LAND: ,4IU,O /9 ,A?-.-P/?? ;??,;V) -;?JaA )://1' A/aI) , Ci4-1--f ?: K'VALUE OF SIGN, 5ooo,QVi. r L. I HAVE CAREFULLY EXAHINED the completed application for permit and do hereby certify that all informacion is true and correct, and I further certify that all work performed shall be done in accordance with the Springfield Sign Ordinance. the Unifo~ Sign Code as adopted by the City of Soringfield and all other Ordinances of the City of Sprin~field and the laws of the State of Oregon ger.cainin~ to t:le worl.. uescribeu i1t:&.~.l.n. I further certify thar; my !;~r,!1 CO'1Craccor Li- cense with the City of Sprin~field is in full force and effect as re~uired by Sprinr.field Codes 8-2-6(3) and 9-7-20(2). I will request all required sign inspections listed on the approved ' permit. NAME (PLEA~PRI) N0'>1415 -:.-l.' ,8,1.,t::GN""VS&V SIGNATURE . . ~ . .,J/ G...-. ,J(, _ ._, - G, /, " .z , . ; , .DATE t;./Z7/8s.- ....-,,-. .. . . PLEASE READ " 1) 2) Seoarate Sip.n Aoolication: 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 electrical permit. Electrical connection muse-be made only by a State Licensed Electrical Contractor. Illumfnated signs (both internally and externally) must conform to Sections 9-7-4 (4) & (5) and 9-7-18 of the Springfield Sign Or- dinance. A separate application is required for each separate sign as defined 3) Plans Recuired: This application is to be submitted ~ith two complete sets of plans showing di- mensions and h'eight of sign; advertising message on sign;. location of sign on property with di- mensions-co property lines. structural details of support framing, bracing and footines: ~aterlals of construction for sign and sign structure; electrical ~quipment 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- eion Office. Plans of insufficient clarity or detail wil~ 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 froe 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.. Insnections: 4) 5) 6) 7) 8) 9) a) Site Insnection - to be made before the sign Is placed. Usually, the Footin~ Insoection (1.t appl1.cable) may be made at the same time as the Site Inspection. 'rne .foot1.ng Inspec- tion is to be made after hole(s) 1s eACavat~ci, Due prior to the placement of concrete. b) Final Insoection:- to b~ mad~ upon completion of all work. c) ~lectrical - all electrical signs must be inspected for electrical hook up after the sign 1s erected and before the sign is turned on. CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 FOR OFFlCi::: U::ir: U~~LY SICN DISTRICT ( fl)..{ Y JOB IF xsoSL)(0 de ZONE DISTRICT (" 'Y TOTAL SQUARE FOOTAGE OF SIGN REOUIRED INSPECTIONS:~ . . SITEILOCATION FOOTING OR METHOD OF ATTACHMENT ~ECTRICAL 0UlAL SICN PERMIT F~' '1' '-< :2 I aZ) ELECTRICAL PERMIT FEE: If), 0 () OTHER 4~ STATE SURCHARGE: TOTAL: "Vr'J Y Y;2. -y () J I, DATE RECEIPT CLERK SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SICN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: APPROVED BY: J2/-5- 1'-7- 7 7-/t"-J'~ SECTION: SPRINGFIELD SIGN ORDINANCE ....-- - " . city of springfield 225 n. 5th street SPRINGFlELD ~~ . .INFORMATlON: 726-3753 INSPEC'T10NS: 726.3769 SIGN PERMIT APPLICATION A. LOCA~ION OF SIGN '(ADDRESS) 420 -z.. M...., >-.l LECAL DESCRIPTION "'5><.'<l-'<' ,\.." -'-'~--. ~, " 'OWNER OR PROPERTY 1k"T'L^,"";'" 'k>. "'... r.:.. .~ r> (' _ . ADDRESS /6(;,.<.<' ~ 1Clon-r.~'\l'-\OL... 1<..<a..Yr ~ofi" \107,'l, V,"Z. lu<l. TAY. LOT -f 0 "0 1 ,PHONE 1- 'l<ll..- 9..1't.- ~~"l......_ ZIP <:1'00'2,"1..... OlffiER OF SIGN (IF OTHER THAN PROPERTY OWNER) ADDRESS NAME OF BUSINESS. FIRM. ETC. J1~J?A-~ - PH.. !VA) C'STP.U L TYPE OF SIGN: L-l ALL _FREE~TANDUIG _ROOF _PROJECTING _MARqUEE _UNDER HARqUEE _OTHER ,PHONE TYPE OF .BUSU:E~S ~. TYPE OF WORK: LERF.CT _ALTER _RELOCATE _OTHER [). USE AllD CPJlRACTER OF SIGN: A- IDENTITY .A...INCIDENTAL _DOUBLE FACE _SINGLE FACE _MULTI-FACE _P~ER BOARD _BILLBOARD " , E. VENDORS. CONTRACTORS: .. I. , ( SIGN ERECTOR lJ,..;... <-fl...r" 1/. \.":,~ rIlON!: ,1.DDl'J':SS CITY LICENSE InP.iBER' ,ZIr . .EXP. DATE SIGN HANUFACTURER (IF OTHER THAN ERECTOR) ADDRESS '. ,PEOIlE F: DU1ENSIONS, I1ISTALLATIOIl & CONSTRUCTIon TOT~ HEIGHT ABOVE GRADE . ~.. G)~~ VERTICAL DIMENSION OF SIGN HORIZONTAL WIDnl OF SIGN DIIIENSION FROM GRADE TO BOTTOM OF SIGN TlIICKllESS OR DEPTH G. EXISTING SIGNS ARE THERE ANY EXISTI!IG ~IGNfi? _YES A.110 1!UlIBEP. SIZE IN SO, FTG, ALL ~~ISTING SIGNS FOR BUSINESS, ETC, DOES SIGN PROJECT BEYOND PROPERTY LINE? _YES IF YE~. DIIIENSION BEYOND PROPERTY LINE NOTE: IF PROJECTIOn IS !lORE THAN 1Z" OVER PUBLIC PROPERTY TEE SIGN ERECTOR truST FILE WInl THE BUILDING DIVISION COPIES OF HIS/HF.R LIABILITY AND PP.OP- ERTY D~~GE INSURANCE POLICIES. ~O H. HI~L SIGN HAVE ELECTRICAL IHRIllG? ~ IF YES. WHICE APPLY? ELECTRICAL SIGN __ILLUHINATED (INDIP~CTtY LIGETED) ELECTRICAL COllIRACTOR ADDRESS LISC, NUMBER PEONE I. DESCRIBE TYPE OR fo'ATERIALS SIGN IS CONsrl~~~ OF. . -'. .. J. SITE INFOP1~TIorl (LAND USF.) -_ EXISTING USE OF ~~R LAND (IJR LAST USE IF .VACANT) '. bl'-e~c.~~ , /U~V/~G""Sn9'f1'V -~ ~NDOOR BUSINESS ~UTDOO~ MERCHANDISING PROPOSED USE OF BUILDING OR LAND: ,(~#l-S~"~ ~ K'VALUE OF SIGN: tt>~_,.,T"l I L. I HAVE CAREFULLY ~IINED the completed application for permit and do hereby certify that all informacion 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 Sorin~field and all other Ordinances of the City of Sprin~field and the laws of the State of Ore~on pertaininR to t~e worl; describea n~~~Ln. I further certify tha~ my S~r,~ Co~tr3ctor Li- cense with the City of Sprin~field is in full force and effect as re~uired by SprinRfield Codes 8-2-6(3) and 9-7-20(2), I will request all required sign inspections listed on the ap?roved permit. NAME (PLEASE \PRjINT) t-\...ll. '\A-.2WIS"~ I fM),/<t. \" SIGNATURE ::"tLJ.. ~ - \. -.j.sc.S2._ ,- U-() ,DATE ~/i /85 ....-..- . . . PLEASE READ 1) Seoarate 5120 Aoolicatlon: 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. Illumi.nated signs (both internally and externally) must conform to Sections 9-7-4 (4) & (5) and 9-7-18 of the Springfield Sign Or- dinance. ' A separate application is required for each separate sign as defined 2) I 4) 3) Plans Reouired: This application is to be submitted with evo 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 sup~ort framing, bracing and footings; ~aterials 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. ~en 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 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., .' Insoections: -I S) 6) 7) 8) 9) a) Site Inseection - to be made before the sign is placed, Usually, the Footin~ Inseection (1t appi1cable) may be made at the same time as the Site Inspection. The Foot1ng Inspec- tion is to be made after hole(s) is ~avat~ci, bue prior to the placement of concrete. b) Final Inseection,- to be made upon completion of all work. c) ~lectrical - all electrical signs must be inspected for,elec~ical hook up after the eign 1s erected and before the sign is turned on. CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 REOUIRED INSPECTIONS: FOR OFFICE USE UNLI SIGN DISTRICT /' ,tJJ.tfl, ZONE DISTRICT M ", ' TOTAL SQUARE FOOTAGE OF SIGN ande~ fl CJ tzJ QI- .3 '1 ~r t'rlt.t tt./ / FOOTING OR METHOD OF ATTACHMENT :;;;INAL JOB IJ fSGJ ?4 W SIGN PERMIT ,9!E: . . ;0 -<go, (}?) ___SITE/LOCATION 4.<::ELECTRICAL ___OTHER ELECTRICAL PERMIT FEE: -r9- 4'1: STATE SURCHARGE: -rr- ~ i. cr- tf() I TOTAL : DATE RECEIPT ,l- I j CLERK SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: SECTION: BY: J]:1/ 9--/!- ? /" APPROVED ) DATE 7'.- b'-' f(s --'- SPRINGFIELD SIGN ORDINANCE ..-.... - .