HomeMy WebLinkAboutPermit Signage 1995-9-21
lOCATION OF PIlOPOSED WOnK: _<.31?(J/
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OWNeR ~d.Jdm/jtL~rd (PtO;:Jev"ty) PHONE: J.j'ZAj-992~
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STATE: D~ ZIP: tJ7-Yol
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SIGN PERMIT APPLlCATIO~
225 Filll' Street
Springlield, on 97477
ADDIlESS: 1:2./C;-
CITY: --,(r-CJ-
BUSINESS NAME, FIHM ETC.:
JOB~BER C\~
~nspection Line: 726-3769
Office: 726-3759
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TAX lOT:
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Willi
Freestanding
DESCRIPTION OF PROPOSED SIGN(S): Iplease check and complete all appropriate information)
Single Face
Double Face
Square Footage:
,~~d)(.
Vertical Dimension of siyn or enclosure:
, /'
,? 0
_ Projecting Roof Marquee
Billboard -.2{ Other )uJJ1..;7j :cy~
Total Height above Grade: /0
I%'o,r
Dimension from Grade 7 I a
to bottolTl 01 Sign: ()
Electrical Installation:
(If yes additional perm t i
Material Sign is constructed of:
f/';slii:JP
Ibl Type
to be t'epJaeed
(01 Type
Sq. Ftg,
List ALL. existing signage and attach a photograph of each sign:
Sq, Fig.
lei Type ____
Sq. Ftg,
Idl Type
Sq, Ftg.
CONTI1ACTOR/INSTAllER: A1.e1i~,t.1JeskrH S,gK. i4Ull~t:3. IiH IJ1tR Y'61Jl( PHONE: Od f - J 09 Cl
cf . - V . V --L.d...
ADDRESS: /79,f1 AI ..y ~ -':!....... sf;
5;ar/1;1 h~Jd STATE: /JJP
CONSTI1UCTlONCONTRACTORSREGISTRATIONNUMBER: I) 77.5",9
CITY BUSINESS LICENSE NUMBER: qf) tJ "I..:::j~
CITY:
ZIP: tl7-,/Yf?
EXPIRES: /0- t9S-- 9.~
EXPIRES: c.. -. ?o - 9<0
OFFICE USE
Sign District~r\\ t['\\1\I'_" U land Use: ~ OA={g_ __QUad Area: ~ r Su
Zoning: \-\-L Code Section: q TJ ~ (\)
(~S ~ Approved By: \ l f\D. ~ DATE:
Si~Jn Permit Fce:
RFOUIRED INSPECTIONS:
____Site
to bu nwde prior
to sign plllcement
Footing
prior to plJcernent
of concrete
Additiolml Comments and/or Conditions:
q -/).J q:s
Attachment
alter fasteners are
installed/prior to cover
Electrical
prior to energizing
V:nal
completion of sign
installation
By sign<lture, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformation herein
is true and correct, (Jnd I further certily that allY and all work performed shall be done in accordance with the Ordinances of the City of
Sprin(Jlield, and the laws of the State of Oregon pertaining to the work described herein, I further certify that only contractors and
employees who arc in compliance with QAS 701.055 will be used on this project.
Ilurtller agree to ensure that all requirud inspections are requested at the proper time, that project address is readable from the'street,-ttla1""-l
the peflnlt card is located at the front of tile prop~rly...and,tt~ approved set 01 plans will remain on the Site at all times during the Installation
of the slgnls). f j r
Signature UK a.-ff4U'h ~ . Date q - I f2 - 9.'.;--
t 1'-"
Gt'S ' ~ I
~qT8~
Vnlitlation:
Amount Heceived:
Heceipt Number:
Date Paid: (~y. d-" I-CO
neceived By: 't)\ J0~
.
.
~
SIGN PERMIT APPLlC~TION
The application on the reverse side needs to be completed entirely. If you are the sigll-co"nlra~tgr/installer. or if you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each,
If the sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by either
a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in .
which you are occupying, and you will be performing the electrical installation yourself, you. may sign the electrical
application.
If there are existing wall and/or freestanding signs, a photographlsl of each existing sign needs to bo attached to the
application. The size of each existing sign also needs to be listed on the application.
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot plan indicating where the proposed sign will be located, If you are installing a freestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, if your signlsl is approved, one set will be returned to you. The approved set of drawings need
to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign(s}, you may be required to request olle or all of the following inspections during the installation
of 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.
Footing:
To be requested after excavation and the forms ;)(e installed. but prior to pouring concrete. II there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical:
To be requested after the electrical connection to the sign is made, but prior to energizing.
Final:
After all required inspections are conducted and approved and the sign installation is complete.
The 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 inspections could result in sign removal in order to inspect the sign at the required
intervals of work.
To request an inspection, phone 726-3769. This is a 24 hour recording. On the recording you will need to le::lvc your City
Designated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and when
you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a,m, will be made the same
working day, all inspections phoned in after 7:00 a,m. will be made the fOllowing work day.
,
11 you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759.
City of Springlicld
Building Safety Division
225 Fifth Street
Springlicld, OR 97477
...........-'-.,
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COM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
~
.
JOB NUMBER
7~<r
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK' ,:?/In/ M4/)" <<?};.epT
ASSESSORS MAP' /?-t:?-::?- =:3>/G:>O
TAX LOT: ~?
OWNER: f?oiJ<ZY'W: RBt1. ~. yd PHONE 1<PI- c;~
, ./J!' He +- J.-
AOORESS:.LfiF, 11(/ytJY'd "/ (!,OvtlOe.I: EDCo (&h)
CITY- F~to.Y1,e> STATE:-Df( ZIP: (j:74fJ/
DESCRIPTION OF WORK: Ivada. II q/UHfIH~Y'(1We,. fnbr/e- enl/el'P,.j A,?Y1iit.&
NEW REMODEL ADDITION....r OEMOLlSH . OTHER ~ALUE: t1, ,-?flt"J
,
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NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME ".;;~ ADDRESS
GENERAL: SUu I1ff'l~o JJes.jerJ'i..
PLUMBING'
MECHANICA' .
~ST,
/ 7Cf/l M~;( TRACTOR' EXPIRES PHONE
sl'Pd. O/P?7i71 07,,<,') 111*iJr-I09'i
ELECTRICAl'
I NO.
PLUMBING
MECHANICAL
FEE
CHARGE
'If'
000
rl-llH~nl=
It.
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/8ingle
duel
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
(new Ii x, addtl!
Water Service
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS'
OUAD AREA-
. OF BLDGS'
LAND USF'
. OF UNIT~'
ZONING'
FLOOD PLAIN:
H-J
OCCY GROUP:
CONSTR. TYpo.
LIGHTING POWER BUDGET:
. OF STORIEf"
HEAT SOURCE:
WATER HEATER'
sa. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
X
SO. FTG ACCES~
X
SO. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK F~
/""2$.
. ~
RCPP
DAT"
BY
I BUILDING PERMIT
15% State
Surcharge
1<fj[~II.A tl'''''' ~~)
15% State
Surcharae
I PAVI NG
'n1~.W
\. \8
.,1
I PLUMBING
FT.
~ D~;L~~\r ,/
I
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
\<Ql~
j
I
I
I
]
I
5% State
Surcharae
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
L\\) .Un
4-~ -
.
REQUIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an Inspection, call
726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel is in
place but prior to placing
as phalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior 10 placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: In accordance
Seclion 306 of the State Specialty Code
a special inspector shall be employed
by the Owner! Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equi pment items are
In place but before any
concrete Is placed.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pI pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: in
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
. board Interior wall covering Is
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION ANO FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & eEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, Is in
place but before any
plastering is applied or before
gypsum board Joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.SC.
STDS. 25-10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
STRUCTURAL MASONRY: (306
a.7)
I/l
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
USC 2415,
ROOF SHEATHING ANO
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
*In addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
~ndScaPing, parking lot striping, etc. must be completed before
V requesting this Inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE OEPARTMENT
AOOITIONAL COMMENTS'
PLANS REVIEW~ A./11l1lrJt-
DATE q r<J 1 f.-{..:5
- -
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein 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 pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees
who are in compliance with OAS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
street, that the permit ca:2d Is I cated at the front of the property, and the approved set of plans will remain on the site at all
times during con,ructlon.
Slgnatur~ 0~ ~~~ Datp 9-/51-95
V / ~ _' ~
VALIDATION: AMOUNT RECEIVEO' L\~.lo DATE PAID: I ~ .'J- I. .
RECEIPT N' \ C\.'~ RECEIVEDElY: t ~@- '/