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Home My WebLink AboutPermit Signage 2011-1-6 . CITY OF S~RINGFJELD " Building I Commercial Permit , PERMIT NO: 81!~-SPR2010-00993 IVR Number:'811126448342 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLiED: 01/06/2011 12/29/2010 Issued 01/06/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 07/05/2011 $0.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477:1057 , ASSESOR'S PARCEL NO: 1703222000904 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Signs - re-image for Me Dona Ids Phone Number: OWNER: ADDRESS: MCDONALDS CORP PO BOX 51060 EUGENE OR 97405 Contractor Type Sign Contractor General Contractor Electrical CONTRACTOR INFORMATION ~ Lic Type CCB CCB ELECTRICAL BUILDING INFORMATION ~ # of Stories: ii Height of Strupture: Type of Heat: 'I " Water Type: Range Type: :' Hazmat: Contractor Name E S & A SIGN CORP E S & A SIGN CORP ES & A SIGN & AWNING # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Spe~ialty Code Edition: . Springfield Fi~e Code Edition: Mechanical S~ecialty Code Edition: Municipal I Development Code: Plumbing spe:biarty Code Edition:" Residential S~eciaJty Code Edition: " Structural Spe:cialty Code Edition: Site Information Engineered Fill: NOTICE: , Fill Volume: THIS PERMIT SHALL EXPIRE IF THE WORK Flood Hazard Area: UTHORIZED UNDER THIS PERMIT IS NOT Land Hazard Area:" OR Retaining Wall: COMMENCED OR IS A8ANDONED F . Soils Report RequireiV ..( CHI r ;",',' pr::......'r" """" Springfield Building Permit 1/6/201'1 2:22:34PM Lic No 163470 ...63470 20-543CLS Phone 541-485-5546 541-485-5546 . 541-485-5546 Lic Exp 03/16/2011 03/"'16/2011 07/01/2011 Lot Size: Sq F11st Floor: Sq F12nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: I w requ'lres you to ATTENTION: Oregon a Ut'I't d b the Oregon II Y follow ruleS~a~?~_teTh!" rules are set forth !'rlll~';lIU~_oo;'''o61O through OAR 9o~-UU \- OAR 95 btain copies of the rules by 0090.. You may 0 (Note: the telephone calling the c~n~;~gon Utility Notification number for t e. 1 800 332-2344). Center IS - - Page 1 of 3 . S:~1~N.G~IE~ ~C,_... .- .:i"'.'~ W', ." OREGON www.ci.springfield.OLUS CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00993 IVR Number:!'811126448342 225 Fifth 51 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 01/06/2011 ISSUED: , APPLIED: 01/06/2011 12/29/2010 EXPIRES: VALUE: 07/05/2011 $0.00 SITE ADDRESS: 3405 GATEWAY sT, Springfield, OR 97477:'1057 AssEsOR's PARCEL NO: 1703222000904 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: Signs - fe-image for McDonalds~', DEVELOPMENT INFORMATION I Overlay Dist: :1 # Street Trees "Reqd: Paved Drive R~qd: % of Lot Cove~age: Highest point on structure to north property line:!; REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Special lnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valu~tion Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value ;!FEEs PAID I Descrintion AmOlint Paid Date Paid Reciot # Signs: 0 - 35 Square Feet '; $1~0.00 01/06/2011 2011000054 ~-~~(~~i~~~~le leeS)---------------' $i~i~~--. ~~;~~;~~~~-------~~~~ State of Oregon Surcharge (12% of applicable fees) $75.60 01/06/2011 2011000054 Technology fee (5% of permit lota!L $56.00 01/06/2011_...__.___2~11 000054 ~ign or oul~ne li!!hling_____._.._______.._.___._,~.$.~~,~_____..____~1!?6/20~._____ ____ 2011 0~054_ Sign Plan Revie:". " $210.00 01/06/2011 201.10..'l~5~ Total Amount Paid $1,510.60 Springfield Building Permit 1/6/2011 2:22:34PM Page2of3 ii s,p~~~.~?i) ~~% ~OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00993 IVR Number: 811126448342 " www.ci.springfield.or.us 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 01/06/2011 I ISSUED: i APPLIED: 01/06/2011 12/29/2010 EXPIRES: VALUE: 07/05/2011 $0.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477-1057 ASSES OR'S PARCEL NO: 1703222000904 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Signs - re-image for McDonalds ~, plan Review DeDartment Permit Issuance Received 01/06/2011 , ComDleted 01/06/2011'1 Result Issued Due Date 01/06/2011 Application Acceptance 12/29/2010 0110612011' Application Accepted 12129/2010 I Reviewer Nancy Machado David Bowlsby " ~~u,c;~a~~2> ?};~il:~~~~~~I/~~~~~_;;~;~~6/;~1 6,/::r?v:,\:::~?:: ~ '~~~:~o;I~~t;"l~~S;j~~ INSPECTIONS REQUIRED I Inspections 6900 Si9n Location 6910 Sign Footing 6930 Si9n Structure 6940 Si9n Attachment 6950 Electrical. Sign 6999 Final Si9n Sign Location: To verify the location of the proposed sign. 'I Sign Footing: Aft~r excavation and forms are in place, but prior to concrete. Sign Electrical: After connection is made but prior to energizing Sign Final: After ~II required inspections are conducted and approved and the sign installation is com'pleted. 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 an/ 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 ~ime, 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 ii~~ . I,Ib/~// Owner or Contractor Signature Date Springfield Building Permit 1/6/2011 2:22:34PM Page 3of3 Thi~.permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180 days oftssuance or if work is suspended for 180 days. .: I, \~, "tPCAL:\7G'6VERNME:Nrt:7AeeR6YAL::;r:~::7:\d:~:.::: Zoning approval verified? 0 Yes 0 No "." !1!'\l;cAmE:J,PRY:1PIi;'CPNS:FRl!CjtIPN1::;J.;;;j',#..;:j D Residential D Government 3Commercii1.l '''l,::;.':JQ~!:.Si:fE~INFQRMAjtrPN!!ANb.!t.PCA;r:16N\7l}'Ji\i! Job site address: ~ ';1"'..1 City:,S State: orL ZIP: "I1'f1/ Reference:f7f) 32-7. z.o 00:90 ., 225 Fifth Street+Springfield, OR 97477. PH(541)726-3753 .FAX(541)7,~6-3689 10 1'-i.AJl...tI'-lkT\..~ ~lbN.$ Name: LMN'Il-....~ ZIP: ql <+Os- City: Phone: E-mail: I 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). 'I Signature: N (A- " ""'Gf$;c,zrltill"'CON'TRA'C TO'Rfl'N'ST,"';"^T"IO' .N'..."'.:t.b.,"'.""".....'#. " UvsYlf"r:1i1'-iLl!,\J:t!:,:,', '" ,',,' ..'L .i"'t.,;;.Li~Li'_ j,XL:)+'Nt/':Vt'o:'WfF:?'ti; 'I Business name: Ir..\ '" c.u . 'I Address: ZIP: Q7'/Oz.. Signing supervisor's license no.: Print name of signing supervisor: ~ '~1!:l:>11 Signature of signing supervisor: '5llf .$ t ~ ~~ \\ \ ~ \.l~ . V\?, 440.2584.) (9/08/COM) SP/l. 'ZO/O - 00 ct q'S Permit no.: Date: (j /- 0:, ~ / ;;_..,- ".L, , F-~~"jzr' ':"Total '; cost ., Residential, per unit, service included: 1,000 sq. fl. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 $ $ 25.00 $ Limited energy (2) $ $ 32.00 Each manufactured home or modular dwelling service or feeder (2) $ 63.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 40 I 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) 20t to 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: nelv, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ b, Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outlioe lighting (2) 1(:;) Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (1) $ 63.00 $ 63.00 $ $~ $ $ 63.00 $58.00 $ (A) Enter subtotal of above fees (Minimum Permi,t Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through C): ~; 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~, .1 o CityJobNumbe. SP(l..ZOIO .00993 "~1 JLJI ~ Assessors Map ~ ~~J Owner: ij Address: City t)J~ II~l 1-1 t.:j)OI\l ^""' r-C , ~~ Business Name, Firm, etc. ~ f!1, :1 ~'j De7tion of Proposed Sign(s): (Please check and c91nplete all appropriate information) ~ - Wall Freestanding Projecting Roof r) I ~ Single Face . Double Face Billboard Other r:- d I I II ~.I Square Footage: 14p Total Heig?t a,~ove;!Grade: ----1J,,; c.. . LL1 :t fl j Vertical Dimension of Sign or Enclosure: ~ ~ :, Horizontal Width of Sign or Enclosure: ...:::r:: , I I Dimension from Grade to Bottom of Sign Enclosure I ~ Electrical Installation:.2~::] es _No ;i (If yes additional electrical permit required) ,: ~ Material Sign is Constructed of: RvUMINou.... wi ~LI;'_ fA"tG Value of Sign: J1ltJo- 1 U;1:> I..{hltn.u i>l :: '*~l I I rj .', ';. " & ~\" ~1 ~l ~l ~) 11~1 m Site Address: ;Sl/-a;; ~1r'1 ~~ I /703 Z'2 '2.0 (:;> 0 90'1 Tax Lot: SAsS /I\J(... /~ <::'ODHAc.H' , 7D P;~ 5"10(,,0 :: Phone: State 0 (L Zip q'!fK Marquee List ALL existing signage and attach a photograph oieach sign: A\;L.onh:;;12... "SlbN& 'TV Os /Ze-tOvl:,1) (a) TypeWW~Jd:lJ-i sE Sq. FIg. (b) Type Sq. Ftg. (c) Type Sq. Ftg. (d) Type Sq. Ftg. Contractorllnstaller:...Q..ttl\- &?IIoN .ilJ..J D Address: 8Q'1'1 S- ?1l,A-1 ~ (?f). City: at&tiNc;;- h<JNINC:lW. Phone:i3f ,. <IIb;-. t)2;l.fb State: OR- Zip: q'tfO"l- ;II~{~/l Construction Contractors Registration Number: (0~~(o Expires: !OFF/CE USE Sign District: r s.- Co-'^'"' Cc.. Zoning: By signature, I state and agree, that I have carefully exJ,mined th; 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 durinh~5 installation ofthe ~n(s). ,', (Je:tr~-r~ .Ii IZ/f-!.to Signature , Date " 6t~N(b) 'vJP Shared Drive(T:YBuiJding Forms/Sign Permit Applicationl-02,doc ~ . ~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 ^ ' 907 ~ CityJobNumbe. SP/'l..ZOIO-OO ( I}~~ r. ~ Ij o ~~ IA~~O S ,,::;~ Business Name, Fi~, etc. ,., I V N Ik"VO ~~ D/tion of Proposed Sign(s): (Please check and complete all appropriate info~ation) ~ - Wall Freestanding Projecting Roof L Single Face Double Face Billboard Other r I A ,..,.( 'I!:l' ( I' ~j. Square Footage: '+'P Total Hei~t, :~~~eGrade: -' 7 '" 4' ~ Vertical Dimension of Sign or Enclosure: .2!f! Horizontal Width of Sign or Enclosure: I,n' v. 1 Dimension from Grade to Bottom of Sign Enclosure "_ Electrical Installation:~Yes _No (If yes additional electrical permit required) ~ Material Sign is Constructed of:Ilw.ru., /\.IV ^^ wi 'ltLiutwc...- fA1..F Value of Sign: -11 (d)- ..~~ u::V UloitTl oJb' 1 1 l (c) Type 1 ~ ~j ,r .;' . FAX: (541)726-3689 SiteAddress:~ /'OA-rR.,)~ "'$'. Assessors Map / 70 3 'Z 'Z 0 Tax Lot: oo5Jo,! Owner' "'5~ IIJL /Wt c..C.ONA{~.s. . , Address: TO"'&Jy, S 10(,,0 City B.t ~l.~ Phone: Zip qllf-O~ O~ State Marquee List ALL existing signage and attach a photograph of'each sign: 1\tL.~ slltNS Th ~ 'REM 1l\II3~ (a) Type WLOtJ; lt111 Sf=: Sq. Ftg. (b) Type Sq. Ftg Sq. Ftg. (d) Type Sq. Ftg. ContractorlInstaller: j::;;S g, A- 4[ t.:.N ~ 1) AWkJ/ kL &. t.J'. Address: 8QQ,r; 7l4'hH.E t2f). City: e.tb0J~ , Construction Contractors Registration Number:~ 0 " Phone:'3fI.C/SS--~ State: of- Zip: q.,q,o'2- Expires: '!>/ I" (;].ol , OFFICE USE ~r'~ Sign District: . J: 5' CO............. , Zoning: Cc... ~l .: . ~' I~ By signature, I state and agree, that I have carefully exam, ined the completed application and do hereby certify that all r info~ation herein is true and correct, and I further certify that any and all work perfo~ed shall be done in accordance with . , the Ordinances of the City of Springfield, and the Laws J~f the State of Oregon pertaining to the work described herein. I II~l further certify that only contractors arid employees who are in compliance with ORS 701.055 will be used on this project. V!iJ 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 pe~it card is located at the front of the property, and the approved set of plans will remain on the site at all times duri~9ry installation of the si~). . Signaturt.Jf:1k.Leftt.-~ -:i/!L./V-t.-L Date ,Z/,(/q '5/0N @) (50 \,.0 Shared Drive(T;)lBuilding Fonns/Sign Pennit Applicationl-Q2.doc =: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . Pfl:(541)726-3753 . FAX: (541)726-3689 o City Job Number SPIL'Z.CIO .00 99~ Il~l ~ ~(. ij~J Owner: o II" Ilt.-V ~IA-...... " Business Name, Firm, etc. 1"1 (O~....S ~1 Description of Proposed Sign(s): (please check and coinplete all appropriate information) C - Wall Freestanding Projecting Roof ~ I ~ Single Face Double .Face , Billboard ./ Other , . j LiI\ ~ ILIQ'!..." <I Square Footage: ~ Total Height above Grade: II:> 1 ~ "r Vertical Dimension of Sign or Enclosure: 2' '3'Iz..1I I Dimension from Grade to Bottom of Sign Enclosure ....l't' f.," ~ Il~~ r~ r~ r i . I , ~L ~l , . Site Address: ?'+Or:; 6~~ ~. Assessors Map I "/ {):1 'Z 'Z. 0 Tax Lot: ("')0 90'1 S AS~ (~t' J / IlIA (. i:l o,v""~S /. Address: "PO PJ'^I 15 (O&;,O City t>l1 bIeN€: Phone: ofL Zip 'l'7<fD5" State Marquee /b.( Horizontal Width of Sign or Enclosure: V Electrical Installation:~"yes _No (If yes additional electrical permit required) Material Sign is Constructed of: flruJM ''''''1-{ wI ~ LA (.... fA-u;;s Value of Sign: '2-1/ 3- Let> t..lloll'rlr-l ~ List ALL existing signage and attach a photograph o('each sign: A-u-0fl1E1l. ~lb"-lS to /3(;. Pat11\k.,-r:;> (a) Type -Wnrd H1 ?-I ~ Sq. FIg. (b) Type Sq. FIg (c) Type Sq. Ftg. (d) Type Sq. FIg. ContractorlInstaller: S~ t A ~ {{,IJ A-N. D Address: ~~iS' ~ltie (2..1). City: ~~e 'I Construction Contractors Registration Number:~D Awt..&I~ W. Phone: ",",.tfe6:.~c.. Zip: t:('7cfo2. Expires: '3/1 (, ( 2c II State: rl OFFICE USE = Sign District: .::r- ~ Cb........ ""-, Zonmg: L L ~' I ~ By SIgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all r II informatIOn herein IS true and correct, and I further certify that any and all work performed shall be done in accordance with . ~ the Ordmances of the City of Springfield, and the Laws ,pf the State of Oregon pertaining to'the work deSCrIbed herem I II" further certify that only contractors arid 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 duri~insta1latiOn of the signlfl. . .. S. f""4.1'-:a/.e1~ Date 12./"(.1_(() 19nature """r<': . ~ JJP 5l0tJ.<W Shared Drive(T:)IBuilding Forms/Sign Permit Applicalionl-02.doc OFFICE USE ~1 SIgn District: ::r-S- CO......- ' Zoning: ~~ ~' '~ By SIgnature, I state and agree, that I have carefully exarinned the completed application and do hereby certIfy that all , II mformation herein IS true and correct, and I further certify that any and all work performed shall be done 10 accordance WIth '~ ~ the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descnbed herem, I 'l~~ further certify that only contractors arid employees who are in compliance with ORS 70 I ,055 will be used on this project ~ , ~ I, rl 1:JLf oS; 0A-reu "'1 5T1Z0=--'-- /703 'Z'Z. 'Z. 0 Owner: StK<; ~(' -' / VIA c. bo.v.4(./l j' Address: .JD ~ S l,Q(oD City.~ I Business Name, Firm, etc.--"'t1)o~s. 00 '0 If Tax Lot: Phone: Zip q,'fDS d- State List ALL existing signage and attach a photograph or'~ach sign: 1tu-00000000.<7/IoI\lS (a) Type 'PLII.ON SIIoL Sq, FIg, (h) Type (c) Type Sq. Ftg. (d) Type 11:> rx: ~1IV12"Q Sq. Ftg Sq, Ftg, ContractorlInstaller: ~ ~ A. ~lvt.J AND kNI~.. (.,) . Address: 8H7~ VlLA-\&ot6 f2.t,.' ....1__. ...". City: ~~ Construction Contractors Registration Number: --110 ~Lf 76 'I Phone:~ State:~ Zip: Q,ofo"1- Expires: '!.IU../ZD" cC , 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 duri';ll91 installation of the si~), . . Slgnatur~~-r~ Date 12-{110110 ei-~ sl (pN @ Shared Drive(T:)lBuiJding Fonns/Sign Pennit Applicationl-02.doc =J 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 o City Job Numb.. S7>I2..ZOtO 'oo1'7:I 'l~( ~ =J ij , ....I, I~ 'r-~ ~l Description of Proposed Sign(s): (please check and complete all appropriate information) ~ - Wall Freestanding Projecting. Roof Marquee . ~ j .-L Single Face Double Face Billboard II ~ Other qJ C-ANOP1 ~ on+et2.S r71 t..., lI.l . . ql 1\ "If <Square Footage: ~ Total Height above Grade: "J' . Vertical Dimension of Sign or Enclosure: f?~11 rsl! 'i' ?/ ~ Dimension from Grade to Bottom of Sign Enclosure . , . ., ~ 'I~j rl ri ~ r. r~ ~ ~\ ii, , 1 SiteAddress:~40'5 ~~ sr. Assessors Map 170 S. z z 'Z. 0 Owner: SMS I NL- / VIA '~O"",.4 ,c.1 ~ ~ Address: 70 Bo,c 51 o(po City~~~ I Dft Business Name, Firm, etc.-.Yf t.f)o N~~, Tax Lot: 0090'1 Phone: Zip q'1"'O~ State M:~I II Horizontal Width of Sign or Enclosure: If Electrical Installation:_Yes $..,No (If yes additional electrical permit required) '12.q - Material Sign is Constructed of: A'\AIM INVM Value of Sign: List ALL existing signage and attach a photograph of each sign: A- u...-o'Tlh!)t $/ ~S ro P::e" ~ I've) (a) Type ~~ KI. p.,\F:: Sq. FIg. (b) Type (d) Type Sq. Ftg Sq. Ftg. (c) Type Sq. Ftg. Contractor/Installer: ~s4 A- 4/ ioN M-li~ '~I""'61 Address: t11"1~ 1'12..4, kE (Z.-(). City:_~~ Construction Contractors Registration Number:_l (p'; l.f 10 0>. Phone: l5'f~ ~.'5SZIfo State: oil- Zip: 11l/(tZ.- ';11~llall Expires: OFFICE USE =1 Sign District: .J: S (0___ ,. Zoning: C c.. ~' I~ By signature, I state and agree, that I have carefully exatpined the completed application and do hereby certifY that all r' I 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 "fthe State of Oregon pertaining to the work described herein. I , ....Ij further certifY that only contractors and employees who 'are in compliance with ORS 701.055 will be used on this project. JTr'~ rrJJ 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 duri,;2;.inst~~n ~fthe sign(~ Signature~~ .-f'~ Date /';'/t-!llJ i'. SIft,1\! @) e 'fJ:- ~V\ (f Shared Drive(T:)/Building FonnsiSign Pennit Applicalionl-02.doc . =225 FIFTH STREET. .SPRIN,GFIELD,OR 97477. :PH:(541)726~3753 . FAX:. (541)726-3689 o CityJ~bNnmbe' 5P(2.Z'oIO.OO 99'~' . 'l~ ~J I) Owner: . O. Address: 'i~ ~~ Site Address: :S4-OS~"I'~~ .. Assessors.Map /703 Z'2.'Z.O '. Tax LOt: o090l{' . SAsS II\.J~' /""'" "-OOHAt....f. 170 &~ s-/o(,,(.) .City'e:i~ ~nsinessName,Finn, etc.' )Jt t.DorJ~ ., ,. Phone: . StateD IL Zip q-riws" ~. DescriPtion of Proposed Si~(~): (pie~~e che~k"m:d'c~m~iete all apP;o~riate informatipn) Q --'- Wall . Freestandin:g . Projecting "Roof. Marquee. ~ j ~. Single Face' Double.Face" . Billboard V. Other Wt.e>'l..... 130.4a.b .~' 'j' Sq' uar.e Footage,' I J '"1 c:p . " / '/ (I .' ..., .) Total Heighiabove Grade: t:;> Co 5/<r~" ". .... -g/-3/ " .Vertic~l Dimimsion of Sign or EncloSu~e: .. Honzontal W,dth of SIgn or Enclosure: .. ~ . . j Dimension.from Grade to Bottom bfSign Enclosure,:' _I '_'2"'," Electricallnstallation:Xy'es ~No . ...... .. (If yes additional electrical permit required) .: ~ MaterialSign is Cons~cted;~f: ~V~INU ~ wi ~Ll'i!.. HaG' Value of Sign~ . 'l~~ ~ . _.L',~ List ALL existing signage and attach a photograph ot each sign: /iiA..-onh;,tZ..:->ibNS, 'TV BE: /ZaA.0Vb1) (a) Type W~\ 1-1-1 !?-l SE Sq. Ftg. . (b) Type Sq. Ftg . (c) Type Sq, Ftg. (d) Type Sq.Ftg. r , ~r ContrilCtor/lns~ller:~PrA10N Jb.J.D Addres~: 8Q"lr S-?I'ir1~ MJ: City:.~ , . . ~Ntj.jC:06D , Phone:/3f"'<f0:i-~fc, State: (){2.. . .z.. q7<tO l- IP: Expire;: ;/1 ~ (26 /I Construction.Contracto~s Registration Number: lto:~'~(o . :1. .. ;~OFFICEUSE .. ~ Sign District: ::r: 5;. .CD"""'.......... c., Zoning: C L ~l " " ~I By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all r mformation herein IS true and correct, 'and 1 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 arid employees who are in compliance with ORS 701.055 will be nsed on this project. rrJ1 1 further agree to ensure that all required inspections are requested afthe proper time, that project address is readable from the street, that the permit card is located atthe front of the !"operty, and the approved set of plans will remain on the site at all' ::::::CJl~~ 'I . . Date I~/(,II() Sl (,.II (f) i.b~ ~ :# j.. "'^ f:;I>llJ.1 Shared Drive(T:)lBuilding FormsiSign Permit ApplicationF02.doc .= 225 FIFTH STREET .SPRINGFIELD,OR 97477 .PH:(541)726-3753 ~ FAX:(541)726-3689' ^ SP(l..Z6Io.oo99'~ . ~ City Job Numb.. Il~~ ..lJJ.l ~ Assessors'Map .~t,Jl ij~ Owner: U II~j tA t.1) +r . Business Name, Finn, etc. ',.., 01\1 k\.1.7S . Q1 Descri~tion of Propos~d Sig.( s ): (Ple""e check and c~mPlete all appropriate infonnation) .~.. ',;'. Wall ,.... Freestanding Projecting" 'Roof. ' Mirrqu~e .. ,I .....:........:. Single Face. . DoubkFace Billboard' V'. Oiher ~~.,^"&,.+W' " e.J JAil ,<~,..,.~quareFootage: 43rpTotaIHeight~bove'(];.I.e:..b/-b;,1 " '. .... '8'~.3" Vertical Dimension of Sign or Enclosure: S - 3 L Horizontal Width of Sign or Enclosure: _ . , Dimen~ion from Grade to Bott~m of Sign Enclosure _ . I ~ "2!Z~lectricalInstallation:.xYes "':"""':'No . . . . . .' (If yes additional electricalpennit ~~q~.5 MateriaISignisC~ns~cted:~f: ItvVMINu",\ v..iJ~ue- fM.G . ValueofSig~- ' . .SiteAddress: ~lf~~.,.,., ~~. ..' . . I /703 Z'Z.'ZO '. Tax Lot: 0(;) 90'1 SAsS Jt-Je:.... /,M ~O()'VM....s . ); Address: :PD &0'/. 5'10(,,0 .City'.t)J~ Phone: State '0(2.... Zip q-,l.fD5"' . ' r. ! J ij .~, ..~\ ..~.~;-1 List ALL existing signa~e aud attach aphoto~rapli.of each sign: PnA...-onh,;;12.. oSihJ\lS, ID BE; /Za40Vb1) (a) Type W~II-l-I~ sE Sq. Ftg. (b) Type Sq. Ftg. (c) Type . Sq. Ftg. (d) Type Sq. Ftg. Contrilctor/Installer: f2,tf;f\- .?71foN Jh.J.o' AwN INC:> c:.o . . Ad~ess::tWllS-?(2.In ~ NJ'. City: aib~a:' , Phone''?f''~-62;'f1o " Ifo-~Lj(O State: OR- Zip: q,<j-O 1- gll(ol~lj Cons~ction'.Con~ct~~s Registnition Nwnber: , . E~pires: iIOFFICEUSE' .~~ Sign District: r S- ~_.......... Zoning: C L . ~i ,- : . ~\ I By Slgnattrre, I state and agree, that I have carefully examined the completed application and do hereby certIfY that all r infonnation herein is true and correct, and I further cert,ifY that any and all work perfonned shall be done in accordance with the Ordmances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herem. I li~l further.certifY that only contractors and empl~yees Wh~ are in compliance with ORS 701.055 will be used on this project. W- I further agree to ensur~ that ail reqUired. inspections ar~ requested anhe p;oper time, that project 'address is reada~le from the If street, that thepennlt card IS located at the front of the property, and the approved set of plans WIll remam on the sIte at all ,. times duri/>J2 inS~I~~ti~~ Ofth~(S). ..' I~I (, I/o Slgnature~ ~ ,Date c..,.<-.I &'lr; . ,t..~/" 'go,\(l.~ -rf., J 'J~ ~ .'V\. ~ V" -rr ..&- Shared ~rive(T:}lBuilding Forms/Sign Permit ApplicationJ..02.doc SP.~.1.7~E~.D. itR'\ """"""'~ J~"~ .<\. OREGON TRANSACTION RECEIPT www.ci.springfield.or.us II 811-SPR2010-00993 3405 GATEWAY ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@cLspringfield,or.us RECEIPT NO: 2011000054 RECORD NO: 811-SPR2010-00993 DATE: 01/06/2011 lDESCRII1.TloN.;':" 'i~.i,~..A' /.i-:"""--_\L.:;':;Z.=':;, .{,~-";;,,:,, .',Acc-oDNt:c6DE,,:""~I:i,_:'~_iAIII10UNT.DUC_ ;"~...:__J Admin fee (10% of applicable.!ees) 224-00000-426605 ____.___~~:I!.O_._.._ Sign Plan Revi":" 224-00000-425602 210.00 Sign or outline Iighling 224-00000-426102 630.00 Signs: 0 - 35 Square Feet 224-00000-425602 160.00 Signs: 36 - 60 Square Feet 224-00000-425602 330.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 75.60 Technology fee (5% of permit total) 100-00000-425605 56.00 TOTAL DUE: 1,510.60 ~".PAYIII1g,NT-JYfS.E.: '<:PAY6R;o-,:iCASHiE",:NMACH~oc5-SL",..;~c::_QMMEN:r:S~__,__."-:i;"'_lJ:':~::!yAMQ.UNT,P.A-1D .\,..:- ./ , J Credit Card ES & A Sign Corp ,i $1,510.60 006993 _W__~"~_~_W'~_""_~'_"W_______.__'~_"" TOTAL PAID: $1,510.60