HomeMy WebLinkAboutPermit Signage 2010-7-29
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CITY OF SPRlNGFIELD, OREGON
Owner: C~j.L
g 56 S e-h eu-
~
Address:
City ~iAAt2-.J C'R .
Business Name, Firm, etc. ~ W I I (
IJ' ~'''' :
Tax Lot:
o SSO 3
Phone: JY/- l73/- 3'339
State o-R
C:&n vt;+-i {Jh
~7 LftJZ-
C. ~
51q V'\
Marquee
/'2-'10 "
Horizontal Width of Sign or Enclosure: (l
Electrical Installation:~Yes _No
(If yes additional electrical permit required)
Value of Sign: 62't.9t1
ContractorJInstaller: tIVI. -t7ftrz, (/lJ1!!?6 i:;e.V n
Address: I LfS-.s- HeM#?trSCfr-1
E4~
(b) Type
(d) Type
Zip:
Expires: PI - Z L- ;h:).JCJ
OFFICE USE
=1 Sign District: { L
~' I~ 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. I
11~1 further certifY that only contractors and employees who are in compliance with ORS 70 I .055 will be used on this project.
W
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 c:;;e's I cated at the front of the property, and the approved set of plans will remain on the site at all
times during t' '0 fthe sign .
7- )> 9- ,,=>~j~)
Signature Date v v '<..I
Zoning:
C(
Shared Drive{T:}lBuilding Forms/Sign Permit Applicationl.02.doc
CITY OF SPRINGFIELD, OREGON
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= 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753
I('i\ CO"", "Z-Ci '0 . 0' cr~
~ City Job Numbe.
. FAX: (541)726-3689
'-"
. ,
'1~1 Site Address:
JU\
~ Assessors Map
~j
ij
'l~
r,
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r- ,
~ Description of Proposed Sign(s): (Please check and complete all appropriate information)
~ ~ -1k Will '~'"' ,,,,,,,,,.., '00'
~ L Single Face Double Face Billboard Other
~~ Square Footage: .33',~ Total Height above Grade: /Cf I
/ f-~ Vertical Dimension of Sign or Enclosure: 3 h' II. ," Horizontal Width of Sign or Enclosure: /1'
j Dimension from Grade to Bottom of Sign Enclosure / f) 1 (:, " Electrical Installation: 6l Y es _No
(If yes additional electrical permit required)
~ Material Sign is Constructed of: JfY\ ~ Value of Sign: / t:P~
'1~1
~r j List ALL existing signage and attach a photograph of each sign:
1 (a) Type Sq. Ftg.
f,1 (c) Type Sq. Ftg.
_rJ
j ContractorlInstaller:_V\!\e#vD IN e>S 1-0j' J1
~ Address:
~1 City:
=1 Sign District:
~)
'l~
W
.57~ q -srr.e.-l-
I 70 :5 -Zk:, V-(
Tax Lot:
(") s 5"03
Owner: ~
?l6S" $@1/1,41f1L
Phon.f7/l- 1../3'1-3331
Address:
City e=-VUiij 6?f1 iZ-
Business Name, Firm, etc ~U
State
~
erR.
C+R-
Zip
q 7lfOZ-
Sf 9/1/1
Marquee
~pJ r~
(b) Type
(d) Type
Sq. Ftg.
Sq. Ftg.
<=;"ICjM
Phone: S~J-7 jJ-I -3312-
State:
Zip:
Construction Contractors Registration Number:
Expires:
OFFICE USE
Cc
Zoning:
cC'
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. I
further certifY that only contractors and employees who are in compliance with ORS 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 card is located at the front of the property, and the approved set of plans will remain on the site at all
times during the installation of the sign(s).
Signature
Date
Shared Drive(T:)lBuilding Forms/Sign Permit Application I-02.doc
. ' CITY OF SPRINGFIELD, OREGON
1l ""="~~L~~-n'.::;,~:.. ':.:
=1225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753
'(1\ CO""", Z-OI C . OlO bJr
~ City Job Numbe.
l~ Site Address: ,-<;71/ ~ 5Trea-
~ Assessors Map (? 0 J Z b 2-4
~ Owner: ~~
V\ Address: ~ ~~
f) City 1&4 ()rJ e-
~1 Business Name, Firm, etc. ~ W i il
li"""\1
"
. FAX: (541)726-3689
,
Tax Lot:
OSS"~3
Phone: 6f1' - '/3/- 3331'
State ~
Oo-r.cdt ~
Zip Q7c(OZ
e-euv?-&?r-
~jj Description of Proposed Sign(s): (Please check and complete all appropriate information)
ff'1) . -K Wall Freestanding Projecting Roof
~1 ~ Single Face Double Face Billboard Other
~ Square Footage: 38',:::;- Total Height above Grade: / q r
/ Vertical Dimension of Sign or Enclosure: ~/. ~ '6 (I Horizontal Width of Sign or Enclosure: Ul
Dimension from Grade to Bottom of Sign Enclosure J 0 ' {] // Electrical Installation: ~ es _No
~ (If yes additional electrical permit required)
~ Material Sign is Constructed of: ~ Value of Sign:
11~1
~ ~.:':~ ~;~"' ,;~~, "'" .m~: ;:-""""" "" ""
~1 (c) Type Sq. Ftg.
~~ ~ eAYo
~j) Contractor/lnstaller:
~ Address:
~1 City:
= Sign District:
0J
ll~
W
5rqn I~/l
Marquee
v~
(b) Type
(d) Type
Sq, Ftg
Sq. FIg.
/AJ~+erf1
c::;::t q /]/I
Phone: ?~/- 7(/t -33/2-
State:
Zip:
Construction Contractors Registration Number:
Expires:
cC-
OFFICE USE
Zoning:
Cc
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. 1
further certifY that only contractors and employees who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure t
street, that the permit
times during t
t all required inspections are requested at the proper time, that project address is readable from the
is cated at the front of roperty, and the approved set of plans will remain on the site at all
of the sign .
Signature
Date
7- ;>9- Zc1'/o
Shared Drive(T:)lBuilding Fonns/Sign Permit Applicationl-02.doc
Electrical Permit Application
1~@IP'~[li1]~@~
225 Fiftb Stred+Springfield. OR 97477. PH(541)726-37S3+ FAX(S4I)726-J689
DEPARTMENT USE ONLY
I~
Permit no.: CI 0 -0/063
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire irwork is not started within 180
days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? 0 Yes 0 No
CATEGORY OF CONSTRUCTION
Commercial
City: ..s
Reference:
Name:
Address: '3:::;- go
City: ~~PO
77
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
Business name:
:51
Address:
City:
Phone:
E-mail:
CCB license no::'
Print name of signing supervisor:
Signature of sigJ.1ing supervisor:
440-2584-1 (9/08/COM)
FEE SCHEDULE
Number of inspections per item ( ) Qty. Cost Total
ea. cost
Residential. per unit, sen-ice included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. fl or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dweUing service or feeder (2)
Sen'ices or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary sen'ices or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch cinuits: new, alteration, extension per panel
a Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit $ 6.00 $
b. Fee for branch circuits without purchase of a service or Feeder fee:
First branch circoit (2) $ 55.00 $
Each additional branch circuit S 6.00 $
Miscellaneous fees: service or feeder not included
Each pwnp or irrigation circle (2) $ 63.00 S
Each sign or outline lighting (2) '? $ 63.00 $ &>3
Signal circuit or a limitcd~ncrgy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
APPLICANT USE
(A) Enter subtotal of above fees $ G3
(Minimum Permit Fee $58.00)
(B) Eoter 12% surcharge (.12 x [AD $ 7. 5j (?
(C) Technology Fee (5% of [A]) s 3.(;
TOTAL rees and surcharges (A through C): $7], {
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CITY OF' SPRINGFIELD
Building I Commercial Permit
PERMIT NO: COM2010-01068
IVR Number:.
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cl,springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/3.1/10
APPLIED: 8/6/10"
EXPIRES: 2/26/2011
'VALUE: $7,000.00
SITE ADDRESS: 514 a ST
ASSESOR'S PARCEL NO:
Springfield
1703262405503
SCOPE: SGN
WORK INVOLVED: NEW
TYPE OF STRUCTURE: COM
PROJECT DESCRIPTION:
OWNER:
ADDRESS:
Signs - Goodwill
Phone Number:
CONTRACTOR'INFORMATION I
Contractor Type
Contractor Name
~-"f"..'~,; -'.' ..i,e;:.. .
Lie Type
lie No
Lie Exp
Phone
..i....z\..
BUILDING INFORMATION I
# of Bedrooms:
Sprinkled Building:
Hazmaf:. ;. ,j '"
. ., . '.;.':~_::' '. ..
Lot Size:
Sq Ft 1st Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
# of Units:
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range'Type:
Fire Alarms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
StructutalSpecialty Code Edition:
. .'-'-"7:::~":"::':':~~""~",r.. :.. ;. _
';11< "b;:' ,.,
~"N~l'~ Sit~;I.ITorrnatron
I
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Require1i-TTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies oNhe rules by
calling the center. (Note: th~.te!ephon.e..
number for the Oregon Utility Notification.'.
Center is 1-800-332:.2344).
" . i
NOTICE: ... '/'C..;"';'f.(C, .
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT .-
COMMENCED OR IS ABANDONED FOR ~:'
ANY 180 DAY PERIOD. ..,..
Springfield Building Permit
8/31/2010 10:01:19AM
Page 1 of3
Pol.
www.cLsprlngfield.or.us
CITY OF SPRINGFIELD
Building I.qPmlT)~rcial Permit
~>:'n'~'~~ ;,:;r;"j}:~ ';T" ":;,,"_ : .
PERMIT NO: ,!;;'~,[VI29.f~~01 068
, WR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
SP..~.IN.~. I.E. l..~
L~~
~OREGON
permitcenter@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/31/10
APPLIED: 8/6/10
EXPIRES: 2/26/2011
VALUE: $7,000.00
SITE ADDRESS: 514 Q ST
ASSESOR'S PARCEL NO:
Springfield
1703262405503
SCOPE: SGN
WORK INVOLVED: NEW
TYPE OF STRUCTURE: COM
PROJECT DESCRIPTION:
Signs - Goodwill
DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure to
north property line:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
PUB~19'IMp'~qVEMENTS
:':;'fi1l, '~;/: }1\.-:,tb ' '
"1", ..-
.!V':'"
I
Sidewalk Type:
Downspout/Drains:
;.: Valliati_o.I)'p~'$.~crip~ion ~
t....:.'''"",",>:.. ; ,.,,,"~:>,
Descriotion
Tvpe of Construction
;,
Unit Amount Unit Tvee
Unit Cost
Value
~;~~'-:~,t ',/~TI;~~~;'"~~7::-~ j0i?{rz~~;x~1i[~j'~~.~:'3:,~~J;;;t,F.E~ES --~~i[}ff-:t~,-;;:Zn:7f=~ii~~#~:._';~"1=~": ~~ \ ~~::-7!'.~~ ~- ~;:~~~€& ~ ':;;,i~-::.'tr :,
Descriotion
Sign Plan Review
Sign - Outline Lighting Each
+ 12% State Surcharge
***+ 10% Administrative Fee***
+ 5% Technology Fee
Sign 36-60 Square Feet
+ 5% Technology Fee
Amount Paid
$168,00
'c"-- $189,00
;'1,;,1;' ,i::"h :,~$2~'68 '1' , i .'
\:;rt~t;t~~ · .
,',,", $220.00
~' .',
$11,00
Total Amount Paid $642,13
Date Paid
08/31/2010
08/31/2010
08/31/2010
08/31/2010
08/31/2010
08/31/2010
08/31/2010
Receiot #
299372
299372
299372
299372
299372
299372
299372
Springfield, Building Permit
8/31/2010 10:01:19AM'.
Page 2 of3
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
CITY OE SPRINGFIELD
. . :. , '~ -.' ; . >
www.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: COM201 0-01 068
permitcenter@ci.springfield,or.us
IVR Number:
PROJECT STATUS: Issued
ISSUED: 8/31/10
APPLIED: '8/6/10
',- ~ c" ,.-, ), ";;". , .
EXPIRES: 2/26/2011
VALUE: $7,000.00
SITE ADDRESS: 514 Q ST
ASSESOR'S PARCEL NO:
Springfield
1703262405503
;::'~t1
:r;~~i'::nL\'~ SCOPE: SGN
":;~'" WORK INVOLVED: NEW
TYPE OF STRUCTURE: COM
::::--;;;;r
'i,.
PROJECT DESCRIPTION:
Signs - Goodwill
-'\;f~';~'.~~-~':L~-f e;'l~',,~1;;;:g::~\;:~~t~:~Ii~%i(1.y~Lt4f:::"~::Y;}---iN~t;:j-:~~::0t/i;::,^'~~~W_i\:5{k:;"::~.~:~-~';:,-,:~Ti1
DeDartment Received Due Date Comolete Result Reviewer Comments
Sign Review 08/06/2010 APP
Permit Issuance 08/31/2010 08/31/2010 08/31/2010 Issued David Bowfsby
Application Acceptance 08/31/2010 08/31/2010 Applic,ation Accepted David Bowlsby
Sign Review 08/31/2010 08/31/2010 08/31/2010 Approved. . David Bowlsby
INSPE~TIONS RE,q41~ED I
Inspections
6940 Sign Attachment
6950 Electrical - Sign
6999 Final Sign
.'-,.", '
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By signature, I state and agree, that I have carefully examined the completed application 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 St<;ite or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without perrni~,~jE:~"o:Lih,~~g.9:r;),rl)u,n!ty ,Services Division, Building Safety. I further
certify that only contractors and employees who are in compli~mcE!Jwith'ORS' 701,005 will be used on this project. I further agree
'. '~'", '. "','.j '". ,-',"~ "
to ensure that all required inspections are requested at the:p-roper timej.that each address is readable from the street, that the
permit card is located t front of the property, and the' ap'proved s~t""of plans 'will remain on the site at all times during
construction
Date
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Springfield Building Permit
;'8/31/2010 10:01:19AM
Page 3 of 3
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www.ci.springfield.or.us
TRANSACTION RECEIPT
COM2010-01068
514/" Q' ST.
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CITY OF SPRINGFIELD
225 Fifth 8t
Springfield. OR 97477
541-726-3753
pe rmitce nter@ci.springfield.or.us
RECEIPT NO: 2010000183 RECORD NO: COM20io:01068 DATE: 08/31/2010
: . '. ~~-,
lDESCBJR.TION~;J"\!~f~"'~',:"',(''J.",.}t'''!;';''$~~~~::?:r;~~'; c8C:cJ).u'N';f~C:::~QP.E';~' .,^,:'."';~" ;,XMQU]i-i2.QI;;;'" .. ;':;';1
Sign Plan Review 224.00000-425,602 $168.00
Si~n. Outline lighting. Each 224.00000.426102 $189.00
+ 12% State Surcharg.!'. 821.00000.21;;004 $22.68
"'+ 1 0% Administrative Fee'" 224.00000-426605 $22.00
+ 5% Technology Fee 100.00000-425605 $9.45
Sign 36.60 Square Feet 224.00000.425602 $220.00
+ 5% Technology Fee 100.00000.425605. _.!12:()()
TOTAL DUE: $642.13
tl!iiPA.'(IIIiENTi:..tyjfE""'''"~F1AYOR,,,.:;-;:C!\'LH'IE~(:bEioWLSB:if~~G~.MMj:r{;t$"~!'Y:::~ "".~,.....\,:(:;"~'AAMOUNT,f'AID~~~:;;.,",::.i
Check
1634
METRO WESTERN SIGN &
AWNING
$642.13
$642.13
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