HomeMy WebLinkAboutPermit Signage 2011-2-14
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CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00128
IVR Number: 811141709523
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
02/14/2011
01/26/2011
Issued
02/14/2011
225 Fifth St
Springfield, OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
pennitcenter@cLspringfield,or.us
EXPIRES:
VALUE:
08/13/2011
$0.00
SITE ADDRESS: 770 HARLOW RD, APT# 100, Springfield, OR 97477-1133 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703223402800 WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign - freestanding sign for Spring Valley Assisted Living
Phone Number:
OWNER:
ADDRESS:
SUN RETIREMENT CORPORATION
200 HAWTHORNE AVE SE A-140
SALEM OR 97301
Contractor Type
Sign Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWNER
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
0000000
Lic Exp
08/12/2025
Phone
lot Size:
Sq Ft 1 st 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;ATTENTION: Oregon law requires
Soils Report R&\l\llVlld":llles adopted by the Orego:~~'lto
. .. ~~1~~I~;OCOelnter. Those rules are set f~;rh
-0010 through OAR 952-001-
0090.. You may obtain copies of the rules b
calling the center. (Note: the telephone y
number for the Oregon Utility Notification
Center IS 1.800.332.2344).
NOTICE:'."'.'
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
2114f2011 9:28:05AM
Page 1 of 4
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00128
IVR Number: 811141709523
www.ci.springfield.or.t.Js
PROJECT STATUS:
STATUS DATE:
Issued
02/14/2011
ISSUED:
APPLIED:
02/14/2011
01/26/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,springfield.or.us
EXPIRES:
VALUE:
08/13/2011
$0.00
SITE ADDRESS: 770 HARLOW RD, APT# 100, Springfield, OR 97477.1133 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703223402800 WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign - freestanding sign for Spring Valley Assisted living
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure
to north property line:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
,
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Valuation Description
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Sidewalk Type:
Downspout/Drains:
I
Unit Cost
Value
FEES PAID
I
Descriotion
Admin fee (10% of applicable fees)
Signs: 0 - 35 Square Fe~I_~oo~..o_o _____.____._
!echnology fee (5% of permit total)
Sign P~an Review
Total Amount Paid
Amount Paid
$8.00
$80.00
-,_._~.,_.,_.,._......
$4.00
$42.00
$134.00
Date Paid
02/14/2011
02/14/2011
02/14/2011
02/14/2011
Springfield Building Permit
2114/2011 9:28:05AM
Reciot #
2011000278'
2011000278
-,-----
2011000278
2011000278
Page 2 of 4
SP']\~,~"N:- ,F IE?ij,D. '.,
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. ':<';"". 'OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00128
IVR Number: 811141709523
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
penn itcenler@cLspringfield,or,us
PROJECT STATUS:
STATUS DATE:
Issued
02/14/2011
ISSUED:
APPLIED:
02/14/2011
01/26/2011
EXPIRES:
VALUE:
08/13/2011
$0.00
SITE ADDRESS: 770 HARLOW RD, APT# 100, Sprin9field, OR 97477-1133
ASSESOR'S PARCEL NO: 1703223402800
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Sign
New
Commercial
PROJECT DESCRIPTION:
Sign - freestanding sign for Spring Valley Assisted Living
Plan Review
~
Department
Application Acceptance
Received Due Date Comoleted Result
01/26/2011 01/26/2011 01/26/2011 Application Accepted
Reviewer
David Bowlsby
l~r~~~::~;{5}~t'i;;i;~;f~!f*~~fg~~f~!r~J;;1~~~o~:~~~:t:~J~;~;~~~;n'~~tri:i~;~Vj~~~~::~:~:;:r'~r:~i;:::'tt:~~:, > " 'T~:J
t;~ ", . ,- ,,".~-, (1.r89meOqClJ~p,~tf~h::~~gP;j-~Jn~1~:f~~\~Y-'o:r.q~p)e.X}jwell!ng-;unit't~aftias recei.ved'd~ve,IOPIT;eh~~app~O'v.~(,fo:horyie1' ~- . - '::'~
f . ",,:,occupatlonshau be'~Uowed',one_H).non~llJurnmated:walll.S!gnof not mor.e,than t5square feel..' " . ."'.'', .
F' " <-~~<~ lJ;\l7'~,~);fy1AJ~L;f ~~IJ~,',~~q~i~~~9W~,e~~k's, :paylcar~FaC~I(Ue_S~(~~.q~X,i~lo'~s~.a-n~a;ql~,up':qy,ifJg;F,~s,ilitiel'~Jcli~D~:,;; '~ ,: ,.; ~.
.. A/::' "-" ."B~~_~lta""st:F_a,ciliti~s,, Each.,rgro~p;living:sJt~~tiO-Q;:n1~ltiR!e.!tamily d~elpng ~ coMp!e~; : bed ,and;breakfast;fg6IJiti~s;'af}d,' __-'. , . 0, ,,<,
, , ~ ':~ ~iQ~lJdingia:-mQbi.lt~oftte,'p~~,,;~,h~l,p~ ~,'Lmie,~ ~n~ JD, ~all:signi~r~f(~f stapdi9g:signJl;t".e,a-~~-:PlJbl!9.-,y.;h.1cU!<:Ir;~ntraece flf ",
,:,:.1( not more than eight (8) square feet for one'face, or 16 square feet for two O[ more faces Jhelmaxlmum'helght for free <',. ';,.
, '- stanolng slgns'shall be five feet above"grade ,the ma"x'lmum height for wall signs shall be 20 feet above grade, Rrovided
!, ?m"at'in'ho'cas€'shaILa \v.alt'sigrl;e'xi;nd~abo';e":tBe'btjilding ~aH."JnternaIlYli!IGmi~ated,sigh;i'shall.be .pr~hlbite(t0'P;,,~ .- i?
',~'/s;" .,r~(3):N9~~Reside.r:lti,aLPrQfe'~sTo~al'O~-ces.:Ea.;h:'~PProveddevelo'p,ment'are~~shall 013 limited t'~ ,One,L(1 }ifree'.~tanding j'
0, s'ignand o'ne (1) walrslgn.'o/TI1e;'free:sr~f;"ding"sign,shall,be a maxlmu'm o(1f.fsqua're feet fo'r'oriiface':'and32:squar~tfeet<'
, ,:for\Wi5.6r'rii6refui:es'th{"'al1';;gn1;halloea;maxinium~f,165guarefeetFreesia~ding sig'nsor warrsigns~hallnotbe ' I
r:;:' ':~;~~T;~f1:~~ffi1:~;~~~~:~~~~:~~i~i~~J~~~~::~~~~E:~:t~~.;;Zj;i;t~~t~~;:t~:~:;';i:~:~;)t:~~~€ed,', ,', ,~' '1
'I . ~.. "..: :~ sigh: The signs- shalrbe:a:rnaximum:of 32jsqu~F:l, feetJ?r one f~ce~n~'6fl.;Squafe;:fe~t'f?ftwci dr' mo're]a"~s:'Fr,ee"".> .. ,', 1
r. ,.",''') .,,~, ".'?~~ricij~g;si~,~~ 9~ wall~~i~~~,'S~h'~~:inJl,!b~~~m?Lt,:t~a,'_8::7!~i~!;~8)':fe,.el.j~b9~~,9~~1e~~~g~~q,.~t~.~hed.'b~i(ciin~,"~~aJ'Lbe'-per~itted ^' '-. ,j.';' :.,
. . "~~,:~ll.el(1t~E!9)t~Q?~~gQ..!.!~~ee~gIJL(~t~_q~j?~L~~g~J.!r:f?.;PIQb!t;>!t~~L:~.:1~~~~--.:..~'::..;..:."~~t'"",,~_..::~1
Permit Issuance 01/26/2011 01/26/2011 02/14/2011 Issued David Bowlsby
INSPECTIONS REQUIRED ~
Inspections
6900 Sign Location
6910 Sign Footing
6930 Sign Structure
6940 Sign Attachment
6999 Final Sign
Sign Location: To veritx the location of the proposed sign.
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.
Springfield Building Permit
2/14/2011 9:28:05AM
~age 3of4
. .
S~~:\N::~.
.~~~~
'-:,r~~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00128
IVR Number: 811141709523
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
02/14/2011
ISSUED:
APPLIED:
02/14/2011
01/26/2011
EXPIRES:
VALUE:
08/13/2011
$0.00
SITE ADDRESS: 770 HARLOW RD, APT# 100, Springfield, OR 97477.1133 SCOPE: Sign
ASSES OR'S PARCEL NO: 1703223402800 WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign - freestanding sign for Spring Valley Assisted Living
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.
'.J iA .Mt+; 1+.::> C/v.A-dA'-
Owner or Contractor Signature
~~
Springfield Building Permit
2114/2011 9:28:05AM
Page 4 of 4
~1 · ..
~1225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
r.
o CityJobNumber 51""- ZCLI-OC 12 8
'~1~1 Site Address: -..:::l-::!o ~(].r\OIA.J f2.tr1ri
, i
;= Assessors Map I 7 0 3 Z. '2.. '3 Lf
~) .
~~J owner:~~(~ 'lhrl-nPS'lIP
~r\\ Address: 55 ~' rou+-
~ '
.....J City_M 1~\S::;Qllcn ,
'I !':"'Ii "CJ
...::/ Business Name, Firm, etc. 'O0'1~ Vane. J,
lr"I ~
~, Description of Proposed Sign(s): (Please check and complete all appropriate information)
fA~ 1 - Wall ,./ Freestanding
M. - Single Face Double Face
lr:1 ·
,: "<_"00",'
~
'l~~:
r1
1-1
~1 Contractor/Installer:
~l~.'\
~} Address:
~1 City:
Tax Lot:
OZ80<::::'
Phone: C2eA) 3tO - I2.CXJ
State mmrllr)
Ass\~J L'OI~
Zip L5l2. 1\82.
Projecting
Marquee
Roof
Billboard
'0'-0"
Other
Total Height above Grade:
'5'-0"
Material Sign is Constructed of:
A)UMlnU~.
4'-0"
Horizontal Width of Sign or Enclosure:
Electrical Installation:/ Yes _No
(If yes additional electrical permit required)
Value of Sign: ~ ,ona . 00
Vertical Dimension i or Enclosure:
3' "
Dimension from Grade to Bottom of Sign Enclosure ,. 0
List ALL existing signage and attach a photograph of each sign:
(a) Type frtZ"3Int)j.\~ Sq. Ftg.~ atlllC.r.eo\ (b) Type
(c) Type Sq. Ftg. (d) Type
Sq. Ftg.
Sq. Ftg.
Phone:
State: Zip:
Expires:
OWNe-(L
Construction Contractors Registration Number:
Sign District:
/2t:.:::,.
OFFICE USE
8, ZLfO
Zoning:
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).
C. {tjJ~
Signature
Date k 2,f1 ?nltl
,
Shared Drive(T:}lBuilding FormslSign Permit Applicationl-02.doc
----
D0fVi.INI0N
5 I G N S
Feast your eyes
June 30th ,2010
Object: Authorization Letter
To whom it may concern,
By this letter, we are confirming that Permit World, located on 57 William Street
West, Waterloo, ON N2L 1J6 and their certified agents are authorized to apply
for municipal/governmental permits on Dominion Signs' behalf in order to obtain
such permits.
Signed in Anjou, this 30th day of June 2010
//~ ::;~.:~:ia.g/JefAA._eA~"
C. i/ Philippe Desautels
President
--..~-
9225 du Parcours, Anjou (Quebec) H1J 3A8 Tel: 514.3546366
Toll Free: 1 800663.2868 Fax: 514354,1182
e nse iq nes@. ensEJigD.~sdom inion. ca
~Oo
revera)
Enhancing Lives
Revera Inc.
5S StuJldish Court, 8lh riot)(, Mbsis,ilUoa. ON I 5R '1112
r (189) 360-1200 r (289) 360-1201
Landlord Letter of Authorization
Friday, January 15th, 2010
To whom it may concern,
This letter is to confirm that Dominion Signs has been granted our full authorization to proceed with the
supply and install of exterior signage as legal owner of the properties listed below. As per our approved
drawings provided to them, this sign(s) is to be constructed. In doing so it is understood that we take full
responsibility for any sign permit issues that may arise on this either now or in the future.
Residence Ad9ress , Pr.operty Subsidiary LsgalDescription
Name Owner Owner
Spring Valley 770 Harlow Road Spring Spring PARCEL 3, LAND PARTITION
Assisted Living Springfield, OR Valley Valley PLAT NO. 91-P0177, LANE
97477 Limited Limited COUNTY OFFICIAL RECORDS,
USA Partnershio Partnershio IN LANE COUNTY, OREGON
/uf ((-\:;:J'/
/-c 1 Y--.Tr
Chris McDermott
Signage Manager
REVERA INC.
www.reveraliving.com -<i
. . .
SPRINGFIELD
~..,
....~
. .. OREGON
TRANSACTION RECEIPT
811-SPR2011.-00128
770 HARLOW RD. APT 100
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
permilcenter@ci.springfield.or.us
RECEIPT NO: 2011000278 RECORD NO: 811-SPR2011-00128 DATE: 02/14/2011
[DESCRIPTION f 'F,!; '/T';r.,r"i""':.\t.y:7:>'S~~:i..' ~.;" :.. :..ACCQUNL(;bDE'F:;C,;v,;o;';!i.;':."tAMOUNfiDUE','l
._,~'.!'in!"e j.1~o/"."!.."Rp'licable fee.~.___.~~,_.__ "_'_ 224~O.llOO.426605 8.00
.._Si.g.n.~lan Review 224.00000.425602 ____._~3..~~,.___
~ns: ~'35 Square Feet 224.00000,43,5602 ...__" 80.00 .____
Technology fee (5% of permit total) 100.00000.425605 4.00
TOTAL DUE: 134.00
b:EAiMi~Rt;I.Y:PE!5~..PAi()R;;':;CAS'HIER:DBOWmy.;rr~:':';::::;:CQMMJJjls:'l"""':' .:.',-'j' . ";':.':Aril9UNTPAID;':;;':::' ' c' 'j
Credit Card svetlana levant 134,00
076856
TOTAL PAID:
134,00