HomeMy WebLinkAboutPermit Signage 2010-10-18
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~ ~, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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~ City Job Number SP(l.ZCtO-Ot) t:>'-C>
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~) Owner:
UI Address:
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.....I City
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\, ~l Business Name, Firm, etc,
~1 Des~Ption of Proposed Sign(s): (Please check and complete all appropriate infonnation)
~\\ _ Wall Freestanding Projecting Roof
~_.u' i --,-L Single Face Double Face Billboard Other
< 1i7"/' j"(
. i, Square Footage: . 't' Total Height above Grade: _ Q
r ~~q"
"i Vertical Dimension of Sign or Enclosure: <-_
! l"(-'~
~ Dimension from Grade to Bottom of Sign Enclosure ->
~ Material Sign is Constructed of: ~"",,J';"'1 i
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t: ~:' :~: ~'''m,,'~' eo,,' '''''::E"~'' "' ~~ '~ ::
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Contractor/Installer:
~ Address:
~ City:
~,_' I,
' _ ~ Construction Contractors Registration Number:
Plan Rdiew Fee of $42 per sign is due witb application,
Site Address: >3""3(. ~~~ 91-
Assessors Map--J 7 D 3 Z 220
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Tax Lot:
0\ ?()()
Phone:
S''t/ 7'-/("
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State
D f'Lt~ <.w Zip
17'171
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(]DJ{y..l :s
Marquee
Horizontal Width of Sign or Enclosure:
Electrical Installation: J<Yes _No
(If yes additional electrical penn it required)
J4T Value of Sign: ~~-
17'
Sq, FIg,
Sq, Ftg,
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Phone:
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State:
OlAk"'1o.J
tu ~11
. Expires:
Zip: ? '7'1<>> '-
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'Sign District: --I- ~
OFFICE USE
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Zoning:
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By signature, ] state and agree, that I have carefully examined the completed application and do hereby certify that all
infonnation herein is true and correct, and I further certify that any and all work perfonned 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 70] ,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 instala o~;~e sign(s),
SIgnature ~ Date -/6/('1/'0
Sh:m~rl OriVf'JT'\fRllilrlinp" Fnrm~/Sil'11 Pp.nnit Annlil'.fllinn I_OJ elm:
SIGN PERMIT APPLICATION
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The application on the reverse side needs to be completed entirely. If you are the sign contractor/installeT, 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 along witMh'eJ~pimt~ date of each, (") ';;- ,,-".:: .:: (~, ,-- .
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If the sign you are proposing to install is illuV'inated, 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 a) so owns the building
in which you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical
~~~. ..
If there 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 showing all dimensions, total height, and a plot
plan indicating where the proposed sign will be located, [fyou 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 or architect After the plan review 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 for the inspectors' reference.
INSPECTIONS
Depending on your sign(s), you may be required to request one 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 are installed, but prior to pouring concrete. Ifthere will be
electrical conduit 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.
Electrica],
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 in,stallation is complete,
The inspections that are required for your sign installation will be indicated on your permit 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 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, AI~sp"ectipns called in to the recorder prior to 7:0"Qa.~I! ~e made the-sa'ge'wijtking day, all
inspections phoned in after 7:00a,m. will be made the following work day, ,_." ...~.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 A
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753+ FAX(541)726-3689
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Permit no.:
Date:
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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. '
~*f~?L\'Qe'/f.8'4,GOV,E8NIIi1I;N;rrr'/f.&eRQv''AI1\f~~~~
Zoning approval verified? 0 Yes 0 No
~~e::~\\~~!J~C:M:E<30RYdi1(j~;(e(jN$m~J!J.e511IQf)lN,~~t\\\:~~
D Residential D Government Commercial
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Job site address: "3
City:
1,000 sq, ft. Ot 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 Dr less (2) $ 81,00 $
201 to 400 amps (2) $ 95.00 $ .
401 to 600 amps (2) $158.00 $
Address: 601 to 1,000 amps (2) $205.00 $
City: ZIP: Over 1,000 amps Dr volts (2) $469.00 $
Phone: Reconnect only (2) $ 63,00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
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:
i!'~~-1i,~"tiZ0Nm~4'GmQB13IN$;r~I!!I!~mIQN:R;~~41;~"~
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Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-J (9/08/COM)
200 amps or less (2)
201 to 400 amps (2)
40] to 600 amps (2)
$ 63.00 $
$ B7.00 $
$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 purc~ase of a service or feeder fee:
Each branch circuit
$
b. Fee for branch circuits ~ithout purchase ofa service or feeder fee:
First branch circuit (2) ,
Each additional branch circuit
$ 55.00 $
$ 5.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
$ 63,00
$ 63.00
$
$ 1
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (I) $58,00 $
;'~~~gI&Ti;;'ANm1liilisl:~~g~.j:~~
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
$ 63.00
$
(B) Enter 12% surcharge (.12 x [A])
(C) Technology Fee (5% of[A])
TOTAL fees and surcharges (A through C):
$ h3
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$
$
$
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~.OREGON
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00628
IVR Number: 811118241128
www.ci.springfield.or.us
225 Fifth Sl
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/02/2010
ISSUED:
APPLIED:
11/0212010
11/02/2010
EXPIRES:
VALUE:
05/01/2011
~O.OO
SITE ADDRESS: 3336 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703222001900
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign - wall sign for Jimmy Johns
Phone Number:
OWNER:
ADDRESS:
3346 GATEWAY LLC
840 BEL TUNE RD STE 202
SPRINGFIELD OR 97477
Contractor Type
Sign Contractor
Electrical
Contractor Name
IMAGE KING INC
IMAGE KING SIGNS
CONTRACTOR INFORMATION ~
lie Type
CCB
ELECTRICAL
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal f Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Sprinkled Building:
Fire Alarms:
Energy Path:
Lic No
161313
20-530CLS
Lic Exp
09/0112012
07/01/2011
Phone
541-484-1482
541-484-1482
Lot Size:
Sq Ft 1st Floor:
Sq F12nd 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 Report Required:
ATTENTION: 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 of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE: K
THIS PERMIT SHALL EXPIRE \F THE WOR
I\UTHORIZED UNDER THIS PERMIT IS NOT
"'''~FNCED OR IS ABANDONED FOR
- '\I DFRIOD.
Springfield Building Permit
11/2f2010 2:38:10PM Page 1 of 3
;;.-S.PR.ING... FIE. ~
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00628
IVR Number: 811118241128
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or,us
PROJECT STATUS:
STATUS DATE:
Issued
11/02/2010
ISSUED:
APPLIED:
11/02/2010
11/02/2010
EXPIRES:
VALUE:
05/01/2011
$0.00
SITE ADDRESS: 3336 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703222001900
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Sign - wall sign for Jimmy Johns
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
,
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
Descriotion
Signs: 36 - 60 Square Feet
Sign Plan Review
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
Sign or outline lighting
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
FEES PAID
Amount Paid
$110.00
$42.00
$11.00
$5.50
$63.00
$7.56
$3.15
$242.21
~
Date Pa id
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
ReceiDt #
374775
374775
374775
374775
374775
374775
374775
Springfield BUilding Permit
11/212010 2:38:10PM
Page 2 of 3
.' S~RING..FIE.:i
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~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00628
IVR Number: 811118241128
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.u5
PROJECT STATUS:
STATUS DATE:
Issued _
11/02/2010
ISSUED:
APPLIED:
11/02/2010
11/02/2010
EXPIRES:
VALUE:
05/01/2011
$0,00
SITE ADDRESS: 3336 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703222001900
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign. wall sign for Jimmy Johns
Plan Review
~
Deoartment
Permit Issuance
Received Due Date
11/02/2010 11/02/2010
Comoleted
11/02/2010
Result
Issued
Reviewer
Nancy Machado
Application Acceptance. '"
- ".,:;'(;i:-t
'11/q2/2010
~-"
,11/0212010 .11/0212010 . . APplica~ion Accepted
Davis! Bowl~bY.iB-- -
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-
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Sign Review
11/02/2010 11/02/2010 11/02/2010
Approved
David Bowlsby
INSPECTIONS REQUIRED ~
Sign Electrical: After connection is made but prior to energizing
Sign Final: After all required inspections are conducted and approved and the sign
installation is completed.
By signature, 1 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
cCl~~~ ((I;1-frO
Inspections
6940 Si9n Attachment
6950 Electrical - Sign
6999 Final Sign
Owner or Contractor Signature
Date
Springfield Building Permit
11/212010 2:38:10PM
Page 3 of 3
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www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00628
3336 GATEWAY ST
CITY OF SPRINGFIELD-
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@ci,springfield.or.us
IlATE,11/02/2010
[QESCRIPTION -~" "
Signs: 36 - 60 Square Feet
Sign Plan Review
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
Sign or outline lighting
State of Oregon Surcharge (12% of applicable fees)
]:echnology fee (5% of permit total)
RECEIPT NO, 2010000731
~ ,
-, ',.
RECORIl NO: 81 I-SPR20IO-00628
" ~C:C_O.uN:T::::C.oOE "
224-00000-425602
224-00000-425602
224-00000-426605
100-00000-425605
224-00000-426102
821-00000-215004
100-00000-425605
TOTAL DUE:
-C.0MM1=NJS
PAYMENT TYPE _ P1I.YOR:,' CASHIER NMACHADO_
Check
15394
IMAGE KING INC
. ~-
~1VI0_UN:tD_UE:
$110.00
$42.00
$11.00
$5.50
$63.00
$7.56
$3.15
$242.21
AMOUNT PAID'
$242.21
$242.21