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Home My WebLink AboutPermit Signage 1994-7-20 SIGN PERMIT APPLICATION. 2?5 Filth Street Sprinulield, OH 97477 sf'ftlNQPUlLO I II .~ JOB .BERJ-. q 4COl3. Inspection Line: 726.3769 Office: 726,3759 i LOCATION OF PROPOSED WORK: Ll-'b1JO lI1t1..4l1'1l ~~ ASS~SSORS MAP: \ '1 ~'2:G.~ \ , OWNEH i:JL.J4.I/'}- it. LDLJA.I" 1\1 kC'C H ADDIIESS: \Z-qL;" AOOISL A.\)-.c~ .8.Q~~ BUSINESS NAME, F1HM ETC.: WlA-1 N 9. r: 11111. \ 1\11 PHONE: [)9,J~iCf) Gg'X-- '3~ 1"- TAX LOT: Z. CITY: STATE: 0~ ~'D)'{M(~ ZIP: q 7tJ.tJCI DEScrllPTION OF PflOPOSED SIGNISJ: (pions" check and complete nil nppropriate inlormntionJ W"II Freestanding projectino Roof ",,""'" ~~ t ~D~cno$ . "7; Single Face -i- -/.- If) Billboard Other Total Height above Grade: '-vA I ...p;.. I ~ (;ital Width of sign or enclosure: Electrical InstalJatior . "" es No ~ (II yes additional e;;r.;-;-;; required) VALUE: V c;:,T1~I~L 9^- PLAST1C- !Sl. Double Face Square Footage: V{:rtic:JI-Oil1lcnsion of sign or enclosure: DinH:rlsion frorn Grade tu bottom 01 Sitlll: XIO' ~, DOt) Material Si{Jll.is constfucted of: List ^LL t!xistinn siurwgc and attach D photograph of each sign: (,,) Type NoN V=- Sq. FIg. Ib) Type Sq. Ftg. (e) Type Sq. FIg. Id) Type Sq. FIg. / Fi-J\ ,'7/>'" llGVi"I"J HytK=tf'''iJb::JIb(eXPilf<5 Iqi!n)PIJONE', /?///1_I,,,",c-'" CONTHACTOntlNST ALLEn: I-'. t-X (, /\ , -rT L ,~_'-? - ., ADDnESS .~mh \J1SW ~r2.l A-L t2.() I t::O',~. CITY _LDJLA,b.t(.;_ STATE: O~ ZIP: Q7//,t;,,/ CONSrnUCTIONCONTnACTORSREGISTRATIONNUMBER: OIJ.t"l<i?" Iik EXPIRES:-2/Z....Z:-/1!1_ <Ji!' CITYBUSINESSLlCENSENUMBER:1 G\40\'?>91 EXPIRES: \.6 . ~ .l{6 *' OFFICE USE SiUfl Districl: 0'ni\NH\..n.'tT-,U( Zoning: . ~ ~ flO CD Land Use: ~ ~rr) Quacy,ea: <3 t.t\)~ Code Section:.' q - fJ - \4- (:, "\ Approved By: \ ,:~.) (-'~TE: f'). \4 Q.1' Siun Permit Fcc: I1EOUIRED INSPECTIONS: Site '\; Footing Altach~ ~ Electrical -k Final to ~)e n~ade prior prt; to plClcement after fasteners are prior to energizing completion of sign tiJ sign plnccmclH of concrete installed/prior to cover _ inst311,:ltion ... A'lditional Comments and/or Conditions: f~1}) j ,Q11~ ~~Oj\ f'I'!-t l}.J;)J)\ ~ \.~Q<__-t:o '-~O~-tf:..A1) '\~\f\ ~~())-... \ By Si{JIW~re, I Slaw and agree, that I have carefully examined the completed application and do hereby certify. that all information herein is Hue alII..! CUffeel, Hud I further cenify HUH any wuJ all work performed shall be done in accordance wittl the ,Ordinances 01 tllo City 01 Spfinufield, WHJ thD Laws of the State of Oregol1 pertaining to the work described herein. I further certify that only contractors [Ind erllploy(~es who ;HO in compliance with ORS 701.055 will be used on this project. Ilurll1er auree to (:n:-iure '.hat all required inspections are requested at the proper time, that project address is readable from Ow strc:ot, tlwl i the permit card is located"at-the front of the property. and the approved set of plans will remain on the site at all times during lhe installation 01 tile Signlsl~ . SignJture ~ -f)~A..<AA;:~ Date 7-t,-q~ - / Received By: 7--y-yr ~6~-" Receipt Number: -'7"& .d"t) e !/fA~{ Date Paid: Validation: .' Amounl Received; " 'SIGN PERMIT APPLICATION Th(! npplicatiOIl on the re....erse side needs. to be completed entirely. If you are the sign contractor/installer. or if you arc hiring II c.olltrnclOr, you need to make sure that lJottJ the City of Springfield Business License Number and the Registration Numuer'froll\ the State of Oregon 'Construction Contractors Board are listed on the application along with the expiration ~.lle of cae,h. .~ . <. If rhe sign you arc proposing is illuminated. an electrical permit application also needs to be completed and signed by either ~~ supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in whictl YOLl are occupying, and you will be performing the electrical installation yourself, you may sign the electrical :lpplicntion. It th.ere ;:IH~ 0xisting wall and/or freestanding signs, a photograph(s) of Bach existing sign needs to 1.>0 attached to the npplic8tion. T~\e size of each existing sign also needs to be listed on the application. PLANS To suhrnit lor;1 siUIl pennie you need to prepare two complete sets of drawings Showing all dimensions, toW I height, [lilt! ;j 1'10\ p/iHl indic<:Jti(lg wilen:: thc P(opust.:d Sigll willlH:: hJciJttJd. II you are installing n freestanding sign which exceeds 20 ICl~( in to\al twight, tile footinu detail needs to be prepnred and stamped by a registered engineer. After the plan review prllCCSS is t:olJ\plcted, and, if your sign(s) is approved, onc set will be returned to you. The approved set of drawings need to be al tile site when an inspection is requested for the inspectors reference. INSPECTIONS Depending on your sign(sl, you mny be required to request one or all of the following inspections during the installation 01 your sign: Site: To be requested after indicating on the lot where the proposed sign will be located but prior to any work being performed for the installation of the sign. This inspection is required if there is a question on the location of the proposed sign. Foolirio: To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be electricJI conduit placed in the looting, it must also be in place prior to requesting this inspection. Atwcl1l1lcm: To lJe requested when all fastellcrs are installed ~ut prior to cpver. Electrical: To be requested after the electrical connection to th'e ~sign is made, but prior to energizing. Final: After all required inspections me conducted and approved and the sign installation is complete. . . , Ttw inspections that are required for your specific sign will be indicated on the application during the plan review process. Failure to request ANY of the required in~pectiolls could result in sign removal in order. to inspect the sign nt the required . ill\l.~rvQls lit work. . -.... . To request 3n inspection, phone 726.3769. This is a 24 hour recording. On the recording you will need to leave your City Designated Job Number, location of where the sign is being installed. the type of inspection you are requesting, and wtlCll you will lJe r~ady for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same workin[) (Jay. all inspections phoned in after 7:00 a.m. will be made the following work day. If you have any questions regarding the application, required plnns or inspections, please feel free to phone the Building Safety Divisioll at 726-3759. Cily or Spl'ill~licld BlIildill~ Sal'cly Divisioll . 225 Fil'lh Sll'cet S(ll'ill~l'idd, OR 97477 . . , .' ,. . NO. 9c.fooT'? . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ~\ Go -k:'Oc....l-l LOCATION: c..(~OO M""I~ s-r . \., 0"2.? 2. '=? \ - 2:Z.ao. "Z-'2-9"1 . '2.-100 . 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 3. TRANSPORTATION Copf- '<;1 : M,'-l \ - w/cl>tI-\cO\.l!>f; ~ 0 :2..c../1'Gr~ NO OF UNITS X TRIP RATE X COST PER TRIP IE> . X $42.08 PER PFU G?I'fj~ '--- .../ X X $424.31 0'b99~ '-- .-/ $ $ ?;" .'75 X C>.Uo X $424.31 X X $424.31 4. SANITARY SEWER-MWMC NO. OF PFU'S \ e, x $15.125 PER PFU + $10 MWMC ADM FEE $ '2.6"2-"'2- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ~~~~ TOTAL-MWMC SDC r- 0 ~ '-- ./ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ :2..\-~':.--z.. _.:.-,'2... 11,'573:2 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V~ ~Lc..L IIHf,"Lf . \J Kip Burd i ck . I SOC Coordinator G1-~~ -z..?2..~ ~ TOTAL SDC $ ~-~ (? t{Y/i 0 -- W FIXTURE UNIT,CALCU ~N TABLE: Number of New Fixtures .it Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET aaditional ftxtures) , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT 'UNITS t.. I 2 1 2 3 B 2 6 6 1 3 2 l/Head 2 2 1 6 4 'L Bathtub.. .............. ...................................................... Drinking Fountain. .................................................... Roor Drain......... ....................................................... Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Ootheswasher................................... Ootheswa~er - 3 Or. More..................................... Mobne Hdme Park Trap (1 Per Trailer).................. Receptor Fi?r RefrigeratorfWater Station/Etc....'.... Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single.Stall................................................. Shower, Gang........................................................... Sink, Bar, Commercia!............................................. Urinal, StallfWall.....................................................:. Wash Basin/lavatory, Single:.........:.....:.........,....:.. Water Oosel, Public Installation.........................:... Water Ooset, Private............................................... Miscellaneous: "2.. 'Z..- Z G L1- TOTAL FIXTURE UNITS = \B CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. - - - - - ' Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 1979 or before 1980 1981 1982 .1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 Credit for Parcel or land Only If Applicable ~.2.1 X $ ~D2 ."\'\ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL "??:> 0 (.,~ . Improvement (rt after annexation date) = (,,0 = $ ~?o- RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL............................; ....................:... 0.4 CommerciaL................................................... 0.9 IndustriaL........................................................ 0.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . o l!.l!i!I.i!!!!!!l!~! . Job No. q 4!11J:3 SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~f)()'Jf) 'i\C0h ~ PHONE:loRx\=)Ro ADDRESS, \ 'd- c(5, J\l riDCL AL 'f' Y nt; STAnee. ZIP il'J40l- \1ruJu LOCATION OF PROPOSED BUILD1t!k~: Street Address if Known: 4-=~ 1 ) Platt Name: f\ \(\ ~ Tax Lot Number: lQ.D8.'.31~\ o?2fjjj)22Cf1 02.\00 ') 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Sinl1le Family - Detached -.L Single Family home NO OF UNITS \ B. Sinl1le Family - Attached NO OF UNITS C. Multi-Family Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC _ Manufactured home not in a park ciJ X $400 PER UNIT = $ 4m X $370 PER UNIT = $ X $277 PER UNIT = $ X $280 PER UNIT = $ $ 4fJf) ~ $Rf $ 4{){) pc) 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approyal. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) \~~~~ ) City of Springfield lQ / q / q~ Date