HomeMy WebLinkAboutPermit Signage 2010-10-13
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Plan Review Fee of $42 per sign is dne with application.
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Tax Lot: D 0"0
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Phone:
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State
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Zip
f 7,/ 7 7
Marquee
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Value of Sign:
Sq"Ftg.
Sq. Ftg.
Contractor/Installer: I11t:'rLt::> WE:"Tft:.VLt-.C $1611
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State:
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Zip: 97V03
Expires: 9/z ZhZ
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/60381.(
OFFICE USE
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Sign District:
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Zoning:
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~. ,. By signature, I state and agree, that I have carefully examined the completed application and do hereby certity that all
r ' j I information herein is true and correct, and I further certity 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
II~~ further certity that only contractors and employees who are in compliance with ORS 701.055 will be used on this project.
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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 !he site at all
times during the installation of the ~ign(S). I
Signature <).""," 1 '- )~fVl //f 0. ?iV Date i b - I ~ - / D
Sh>lrl'ln T)rivr.(T'\lRllilrlinl> Fnnn<:.fSipl1 Pr.rmit Annlir.Hlirm l_Cl? nor
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SIGN PERMIT APPLICATION
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The application on the reverse side needs to be completed entirely. If you are the sign contractorlinstaller, or if you are hiring a
contractor, you need to make sure that their Registration Number from the State of Oregon Construction Contractors Boards
are listed on the application alonf,,,.vttlilthe;e1'I'iration date of each. , 5' ;.. ".: ,:;. r' ,,,. I
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If the sign you are proposing to install is illuminat~dl an electric~1 perrriit.~pplication also needs to be completed and signed by
eIther a supervlsmg electriCIan, lImIted Sign electrlc~h;bAt{"'"ttlr,.biJ!rtY~l\are the busmess owner who also owns the bUlldmg
in which you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical
application.
Ifthere are existing wall and/or freestanding signs, a photograph(s) of existing sign needs to be 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 showi~g ,\11 di~ensions, total height" and a plot
plan indicating where the proposed sign will be located. [fyou are installing a freestapd!{{'~~~l9fe.~O~fe'et in total:..
height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan revle\'v process'
is completed, and, if your sign(s) is approved, one set of plans will be returned to you. The approved set of drawings needs to
be at the site when an inspection is requested fltT tl)e irJ.'pe'itors' reference. \,~
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INSPE'{ttalVS'
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Depending on your sign(s), you 'n)a)l be required to request one 0;\11"(tl)e following inspections during the installation of
your sign.
Site:
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To be requested after indicating on the lot where iIi~~ilposedlsigli-Willr.o. 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 are installed, but prior to pouring concrete. If there will be
electrical ,onduit placed in the footing, it must also be in place prior to requesting inspection.
Attachment:
To be requested when all fasteners are installed but prior to cover.
BleMr...al~,\.)~ .1\0"'" reques!'\d 'l!fter.tha.e~ewJ..\1 ~nne~ion-J:o lp}; si0]Js,mM!!,'pUl pri~r.lp"'n..erg.iZJjQg,
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Final: After all required inspections are conducted and ~P.II'.{:..~d al)41P.e~\iv~~!on i~~~~l!;.
The ins~;eil'J~~hat are required i~>>fo'ur sign installation will be indicated on your permit. Failure't~r.t\jtiest~.:\fthe
requirJ:.<l,' 'i.n'lllei!i~~~ could result in sign removal in order l~i'l.s~tjh",~jgn at the required intervals of work.
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To request an 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 sign is being installed, the type of-inspection you are requesting, and when you will
be ready for the inspection. AII..idsp~ctions called in to the recorder prior to 7:00a.m. will bem,ade.the same working day, all
inspections phoned in after 7:00'a.m.-will be made the following work day. ___.J _.J .
If 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 Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
Electrical Permit Application
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CITY,OF SPRINGFIELD. OREGON
,
225 Fifth Stre~t.SpriDgfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
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I' .:: DEfARTMENT USE ONLY
SPt2.-Z0CO - OOSI ,
Permit no.:
Date: 10 -It/-I 0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work 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.
o Residential '0 Government ommercial
JOB SITE INFORMATION. AND LO ATION
Job site address: /5 bS ;vro,",AW ~ lrLV
City: S r--~ State: ~ ZIP: C; ''177
Reference: 7 0 J' Z. S 3 \ Taxlot: 6680 0
. DESCRIPTION .OF ,WORK '.'
/..Ov Vol ,,,,r vel+- 51"
~~+(\...v.- MENI.A. ~
. .' .PROPERTYOWNER
Name: 'bcJNA-~S C1;t(l...p o:H.-ocz1
Address: ISb'S wto Aw 'U("J
City: ~ POa State: cf'.. ZIP: ., 7'1"7 7
Phone:S\.( -.5CS - '4 bOe Fax:
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(l)~
Signature:
Business name:
Phone:
E-mail:
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-J (9108ICOM)
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. . FEE: SCHEDULE
:N~Dlb~r_?fillspeetionsper item.()^ 9ty. Cost Total
ea. cost
Residential, per unit., service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services 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 services 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 circuits: 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 circuit (2) I $ 55.00 $.5S
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Ea.ch sign or outline lighting (2) I $ 63.00 $63
Signal. circuit or a 1imited~energy panel, I $ 63.00 $63
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
~ ~
(A) Enter subtotal of above fees $ /8/
(Minimum Permit Fee $58.00)
(8) Enter 12% surcharge (.12 x [A]) $Zr u.
(C) Technology Fee (5% of[A]) $ 9O~
TOTAL fees and surcharges (A through C): $ZII.7
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00519
IVR Number: 811150164020
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
10/21/2010
10/14/2010
155 ued
10/21/2010
225 Fifth Sf
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci,springfield.or.us
EXPIRES:
VALUE:
04/19/2011
$2,000.00
SITE ADDRESS: 1565 MOHAWK BLVD, Springfield, OR 97477-3355
ASSESOR'S PARCEL NO: 1703253106800
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
New drive thru customer order display with canopy and 2nd menu board.
Phone Number:
OWNER:
ADDRESS:
MCDONALDS CORP 036-0023
1565 MOHAWK BLVD
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION I
Contractor Type
General Contractor
Contractor Name
METRO WESTERN SIGN & AWNING INC
METRO WESTERN SIGN & AWNING INC
Lie Type
CCB
ELECTRICAL
Electrical
Lie No
160384
CLS12
Lie Exp
09/22/2012
07/01/2011
Phone
541-746-3312
541-746-3'312
# of Units:
o
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal! Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Sprinkled Building:
Fire Alarms:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
~-
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Rep.m ~t!..,quired: ,:.;."
NU IIGt: . K
THIS PERMIT SHALL EXPIRE IFTHE WOR
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. TllOse rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit
10/21/201 10:25:50AM
Page 1 of 3
S:~~liN:El~.
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~OREGON
CITY OF SPRINGFIELD
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00519
IVR Number: 811150164020
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
10/21/2010
ISSUED:
APPLIED:
10/21/2010
10/14/2010
EXPIRES:
VALUE:
04/19/2011
$2,000.00
SITE ADDRESS: 1565 MOHAWK BLVD, Springfield, OR 97477-3355
ASSESOR'S PARCEL NO: 1703253106800
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
New drive thru customer order display with canopy and 2nd menu board~
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
PROJECT DESCRIPTION:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
DescriDtion
TVDe of Construction
Unit Amount Unit T\loe
Unit Cost
Value
FEES PAID
I
Description
Amount Paid
Date Paid
10/21/2010
10/21/2010
10/21/2010
10/21/2010
10/21/2010
10/21/2010
10/21/2010
10/21/2010
10/21/2010
10/21/2010
Receipt #
374671
374671
374671
374671
374671
374671
374671
374671
.374671
374671
Building Permit F.:.: $58.00
Branch circuits without service or feeder - 1st circuit $55.00
-.,.--.
Sign or outline lighting _ $63.00
Data I Telecommunications $63.00
Structural Plan Review Fee Commercial $37.70
Admin fee (10% of applicable fees) $8.00
Signs: 0 - 35 Square Feet $80.00
Sign Plan Review .___~___.~___",____~~.oo
State of Oregon Surcharge (12% of applicable fees) $28.68
Technology fee (5% of permit total) $15.95
Total Amount Paid $451.33
Springfield Building Permit
10/21/201 10:25:50AM
Page 2 of 3
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00519
IVR Number: 811150164020
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
10/21/2010
10/14/2010
Issued
10/21/2010
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
\
permitcenler@ci.springfield.or.us
.EXPIRES:
VALUE:
04/19/2011
$2,000.00
SITE ADDRESS: 1565 MOHAWK BLVD, Springfield, OR 97477-3355
ASSESOR'S PARCEL NO: 1703253106800
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Plan Review
New drive thru customer order display with canopy and 2nd menu board.
,
PROJECT DESCRIPTION:
Deoartment
Application Acceptance
Received
10/14/2010
Comoleted
10/19/2010
Result
Application Accepted
Due Date
10/14/2010
Reviewer
David Bowlsby
10/19/2010
Approved
Initial Review
10/19/2010
10/19/2010
P!,rr1JltJ?S,u~nse~ '; -'~::-_.'=, -10/19/2010- ~\Q!1W2q1\(;':.10t~VfPl
& -~r*~5'$ T'"7~Z', f!, z:'::I~:~;~~,~~::~~~i~;~~:~;,"}~~,'::*is'~~~
INSPECTIONS REQUIRED
Inspections
1110 Footing
1999 Final Building
David Bowlsby
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, /.-:,"':r': _~"",?:,~~;_:+&,"_0:,':;'<w",:~~~" '":"f - J
Footing: After trenches are excavated.
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough Electric: Prior to Cover
4500 Rough Electrical
4550 Limited Energy
4999 Final Electrical
6950 Electrical - Sign
6910 Sign Footing
6940 Sign Attachment
6999 Final Sign
Final Electric: When all electrical work is complete.
Sign Electrical: After connection is made but prior to energizing
Sign Footing: After excavation and forms are in place, but prior to concrete.
Sign Final: After all required inspections are conducted and approved and the sign
installation is completed.
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 State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each 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
construction.
9"'::'0"".)-'
Owner or Cont~actor Signature
s
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(~dJ'LV
-
/&-,iZ!r 16
Date
Springfield Building Permit
10/21/201 10:25:50AM
Page3of3
SP:lN~.FIE.L. ~
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i&.i':OREGON
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR20 10-00519
1565 MOHAWK BLVD
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541-726w3753
permitcenler@cLspringfield.or.us
RECEIPT NO: 2010000635
RECORD NO: 81 I-SPR2010-00519
DATE: 10/21/2010
lPESC~lfiiION;' ~~:~_'j ";:';'~fL~~';:'; ""E'ri".; _j_ACC~:(UNj'd;:OQE: "':.. ~. . ~;:~M9_LlNT2[)_l!E:';' ! ':11
Building Permit Fee 100-00000.425602 $58.00
Branch circuits without service or feeder - 1st circuit 224-00000.426102 $55.00
Sign or outline lighting 224-00000-426102 $63.00
Data I Telecommunications 224-00000-426102 $63.00
___'_~'_~_W~
Structural Plan Review Fee Commercial 100-00000-425602 $37.70
Admin fee (10% of applicable fees) 224-00000-426605 $8.00
Signs: 0 - 35 Square Feet 224-00000-425602 $80.00
Sign Plan Review 224-00000-425602 $42.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $28.68
Technology fee (5% of permit total) 100-00000-425605 $15.95
TOTAL DUE: $451.33
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Credit Card
211212
sandhar corp
$451.33
$451.33