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Home My WebLink AboutPermit Signage 2011-3-2 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00314 IVR Number: 811178061160 Issued 03/02/2011. ISSUED: APPLIED: 03/02/2011 02/28/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@ci.springfield,or,us EXPIRES: VALUE: 08/29/2011 $0.00 SITE ADDRESS: 3528 GATEWAY ST, Springfield, OR 97477-1058 ASSESOR'S PARCEL NO: 1703153301500 PROJECT DESCRIPTION: SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Signs - Hilton Garden Inn Phone Number: OWNER: ADDRESS: GATEWAY HOSPITALITY LLC 2510 N PINES RD STE 202 SPOKANE VALLEY WA 99206 Contractor Type Sign Contractor Electrical Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Contractor Name E S & A SIGN CORP CONTRACTOR INFORMATION ~ Lie Type CCB ELECTRICAL BUILDING INFORMA TION ~ # of Stories: Lic No 163470 20-543CLS Lic Exp 03/16/2013 07101/2011 Phone 541-485-5546 541-485-5546 ES & A SIGN & AWNING o Height of Structure: Type of Heal: Water Type: Range Type: Hazmat: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edilion: Municipal J Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Fl1 51 Floor: Sq FI 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq FI Carport: Sq Fl Olher: 0 Occupancy Load: 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). Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: . Soils Report Required: Springfield Building Permit Site Information 3/2/2011 2:37:31PM ~ NOTICE: THIS pERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Page 1 of4 5P~.:lr.~:-..FIE~.~ . .~~ "".4, ~ . 0~ ~.,*,.. " OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: B11-SPR2011-00314 IVR Number: 811178061160 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541 ~ 726~3769 Fax: 541~726~3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 03/02/2011 02/28/2011 EXPIRES: VALUE: 08/29/2011 $0.00 03/02/2011 SITE ADDRESS: 3528 GATEWAY ST, Springfield, OR 97477-1058 ASSESOR'S PARCEL NO: 1703153301500 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Signs - Hilton Garden Inn 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 Tvee of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion Signs: 61 ~ 100 Square Feet ~!_~.~ Plan Revje,!!_._"_""..",._.,,_"."__._,,.__."__~_. Admin fee (10% of applicable fees) State-o~9regon S~r,Charge (12% of applicable fees) Techrl5.'?!lY fee (5% of permit total) Signs: 0 ~ 35 Square Feet Sign or outline lighting Total Amount Paid Amount Paid $560.00 $252.00 "'--'''--''---''~'''''''''-''"''-'''.- $72.00 $45.36 $54.90 $160.00 $378.00 $1,522.26 Date Pa id 03/02/2011 03/02/2011 03/02/2011 03/02/2011 03/02/2011 03/02/2011 03/02/2011 ReciDt # 2011000385 2011000385 ...-...-...-.-----........-...." 2011000385 2011000385 2011000385 2011000385 2011000385 Springfield Building Permit 3/2/2011 2:37:31PM Page 2 of 4 SP:t:.G.:._fIE. L~ ~,!;tb .. ,l',&"",~~ OREGON CITY OF SPRINGFIELD Building '.Sign Permit PERMIT NO: 811-SPR2011-00314 IVR Number: 811178061160 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 155 ued permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/02/2011 02/28/2011 03/02/2011 EXPIRES: VALUE: 08/29/2011 $0.00 SITE ADDRESS: 3528 GATEWAY ST, Springfield, OR 97477-1058 ASSES OR'S PARCEL NO: 1703153301500 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Signs - Hilton Garden Inn Plan Review ~ ~gn-Rev,ev;:::~I';;~itt :d:~~~~Y?8~.O~1.~3cr>~?~~J~211 ~-:~~2/2.,8/2Q111~{:. ~pifroveq/l~:~~ 'lj "~+~:GaYld B~wJsbY' f;;;;'t,!~ tL::: 1~ .~ ': :~;--l !:'''-C~fum~nts:( _3 wall 519n5,'2 kJgos, ,1.freestan"d~ng anorefere1lce)o-1"exempt dlrectlonarsigii~-approved a's~fevlsea_by apphcajlj -s'... . ~j.'2; '. ,." ""~ ~::f~;~;: ~~:~~~~~~~~~: _y' ~: _ '.. .~: :~?~74 ,~.~..\,-_ ~, ~:"xf~~f~~': ,<~ * ".~. - 0~:~ ~;g 1Ef ~~~':'.:,A; ~~ ;~ T '1~. ,;~~ ~~.~.~~~-_l~;,.~'~~ _ , &,4 ~,_~ 82561-5CommerclaISlg-n~Dlstntt"~1:-~n.<:!" j~'~~X; ,;i?'.~?,~ >t'f~.,-:;~"J1,'"" ,','; ';:~>"'. '. ,. .~,-"'" -",_~ e_~*, . fd,-~ ,0'- "" _",,~-_",~ " , . _'j _ .~, Area Covered The t-5 Commerclal,Slgn Dfstnct appl1es only to-propertl~s"V'designated CC and NC UlaJ are within [* '.' * .:{i4'~'" _ Jhe geographlcall{bOL!hded area locatea on Map Ncp2 _ ~. _ y ~:~ 'lI Hy ",,'" ", . -, """ ",,' .~. '. :~i!~~~~:~~;;l~~f;):;';i~:~~~~~.:7i~;;::t '. ~ . :: .<' >~. 'squgrefe.etfortilyp.~t~9f~.J~c.e,s,~i!h,'ajrn~ximu~:;h~i90~of~O,f~et~,bov~*~r51Cle;}':/"'",.,,;'~:.'::"~'" ~'.;,~ ~~~.'~"'_. "< " '",~ :_ '~~",:J~) :.~~c'1~d; ~t~ry~Busi,nes~~s~ndrAb6v:~')S,aS~~9j!~~*~!JeJ:::>~~nal,1 :?~;P~~fTItteSH,<<o,(2~:~?Jts~g9-s,:~~I b~u~lrJe~s shaH ~~ perrmtted.~:lth~amaxl~um'.Slg[L'dlsplay are~:of1]5squareifeekJ<> ..' '. c'. .... .:,;, ," .1,~ '~,..iY(4}!Additioiial Freffstandfng Sign. Each,approveddevelopment.area.Shafi,be.permittedone"(1)ad ditiohal',free ,."....:.O,.."...,'c""'\'T'".,..,..,_.' .'. '..:':' .'. ,., '~":"":".::'F"', ,.".,-' .....:. ...:.... . .:<;. , ' 1standing'"Sign. The:.total areClperrnittedshall'.be;~OO's:cfu~re;feet;for onefa~e.and,400'squarE;feerfor:two or,more fa,ces; '., ~, \NiH1 a maxirrium;height 'O(65:fe.ei,iaboveJ.grade,:Tffe:'~dajtiqnal'{reestClnqing,~,ign:that1:is^"ovef',: OO'square:'feetshall:be: . " . _;: ,iDsiall~d ?t.a:[O!nJ'r:r:1Y.nJ~~12o.!~.~vlglQi[grt -f[Om'.~~~~de-to.tt'e'bottom:o~fhe'sjifn.:t:'~:~~':~':ir:;~~~"""",,'+.'7?,;~,,:~ j: ~":'~:}Y;~. ,;';1;' J74;rj+<:';;:,..>j5),L.099s .a'r~..~llo~edin, ~ddition to.the;peri11ittedI/fClIL~igq~)~tediib(iY~RrQ,!i9~dJ~e Jog,q,l,s .t~€l'lo'Qo#qfit~'e" ..,. ~:'h.:;~:~'.":'" ',~u~jness re~i?ing'6n 1i1e"RremiseS:~arlci:provid~d,the:t~talsquare ~footage':bfttie:perm_iited'waH:signs,:and fhe'lpgos 'do;not\ ~'<~ ~'Y2';~ -~. c. ~;~xi~e~Ui ;,C?,,~bJQ:~~L.?JJ'~:2f'~92:~m~~[~,f~e,qO!t~i~~",~"st~";Y.tiu,sif1tsses;~h~: ti.5,~g~~!~}~~twrt~.~S8Dgj~,~?iy:~Y~~9~:~;s~,~;' ,.: ~~Y:2~2?~iS:~J':::j.A,:P~rrnit)s.;~eqyir,edJoF e~~ch 'log~.;thati~,being:installe'dibasedLori tne squar~'f6otage .of the.p[.opose~. logo'",,r' .~"." ." '::,,;\~f:G~~~[:t~~;';,ftc;xG:;~,i~) ,nluminaUO~"From:Si_g~~';6ii}'~on..ReSid,e~tial'_~r?perty.:'Ex't'erflal ~illuminaiion~Sha!l:'be:'shie'ld€;d:~;"o;that~thelig,tit~, , . r20:"'?;"~~':'-'~"" .:,~sou~ce..elernents are nofairectly,yfsjbl~:frorn"pri5pertY~i.~~~'teSjdential!ZOne which'_is:ad]acent:to'Clr.;<:'l,cross:a:street frolll.the :'~);g", 1:~i~,' tfk:~ P1QR~I!y:in-',the"nQ.Q-i~.~Lq,~lltiaLzor;e:;~:~%;;\,~' c'..: "'::"> ~ ::'~-~.. < '''-''~ 'c,~ w~ +\, -': f".'/' .:: ,,,':." .~. ..-. ,~'" - ~ " '" - :~"--dJ5 i~~: < ~ Permit Issuance 02/28/2011 02f28f2011 03f02/2011 Issued Chris Carpenter Denartment Application Acceptance Received Due Date Comoleted Result 02/2812011 02/28/2011 02/28/2011 Application Accepted Reviewer David Bowlsby ".. 'j '* ... """1 INSPECTIONS REQUIRED ~ Inspections 6900 Sign Location 6910 Sign Footing 6930 Sign Structure 6940 Sign Attachment 6950 Electrical - Sign 6999 Final Sign Sign Location: To verify the location of the proposed sign. Sign Footing: After excavation and forms are in place, but prior to concrete. 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. Springfield Building Permit 3/2/2011 2:37:31PM Page 3 of 4 . SP~IN...GFIE.~.D.. ~1.,.__... "". 'cfJJ;s "C .l.'!.,;;.?.1 'I: '''OREGON www.cLspringfield.OLUS CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00314 IVR Number: 811178061160 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 . Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/02/2011 ISSUED: APPLIED: 03/02/2011 02/28/2011 EXPIRES: VALUE: 08/29/2011 $0.00 SITE ADDRESS: 3528 GATEWAY ST, Springfield, OR 97477-1058 ASSESOR'S PARCEL NO: 1703153301500 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Signs - Hilton Garden Inn 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. Mu~~~~&C ~(z/m/! Owner or Contractor Signature Date Springfield Building Permit 3/2/2011 2:37:31PM Page 4 of4 ,~ Electrical Permit Application t 225 Fifth Stl"eet+Springfield, OR 97477+ PH(541)726~3753.FAX(541)726~3689 This permit is issued uuder 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. IMcY'I;;;V';hIi0CAIi[G0Yl:RNIiIIE.N:r,,;Ii..~~R0YAIi~.y~~~'~ Zoning approval verified? 0 Yes 0 No .'I.,CAl'l:G0R'fJ10F;;,CPNSl'ROC;t'ION;;,;;;',c';;;t;'I...; D Residential D Government Commercial ;'.I';.;"OB,;Si;t'l:.;INF;ORMA:rIOfll;AN[);;il!0:CA'I"IONI1I,;;;;;,;~l Job site address: ~'52f> b~ City: '5P~ t.Jb""~ State:o<Z... Reference: 70 ~ / ~ 3'3 Taxlot: " s (...I...V"" W I-'\ON.vA"-ld'ol r S 1""-1 Name: Address: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This propelty is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479,560(1). Signalure: . , tJ I k ;:,";;.ii1h;*IC0N'I;RAc;t'0RfJINS;11Ii..I.!l.lIi..'I"IONI;1l1,i,;;fJ;C";~~; Business name: 0 fq"u"", I tYG- City: Phone: E-mail: CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440.2584.) (9/08/COM) . :e . f' "".1 ,'~'I ..." " .,"'rf',' Qt~\'rC . 'j,i}i~;. ,;'Tolarl' ;-:+;~Q~t':" / Residential, per unit, service 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 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20110400 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 (7) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 20] to 400 amps (2) $ 87.00 $ 40110600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: 11el1J, 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) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) {" $ 63.00 $ "31g-,- Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ~~ br. 'Ill;;!::, (A) Enter subtotal of above fees $ '01 ~....I- (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ tk. "k (C) Technology Fee (5% of [A]) $ 19>."0 TOTAL fees and surcharges (A through C): $l/c.f2.U' ~ 'iti'" Z:) ~1225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~l ~ City Job Numb"" S 'PtL '2-0 I J -- 0 <:l S/'1 ~52.8 G.~"'i /703/5'3'3 ~ 'l~\ Site Address: ~ Assessors Map ~~ ~~r Owner: ~\ Address: .1 '" ..."j City Oll'Fll Tr-(~ Business Name, Firm, etc. ~ Description ofproposed Sign(s): (Please check and complete all appropriate information) ! ~ 1 ...L Wall Freestanding Projecting Roof ( \ I V Single Face 9juble Face Billboard Other <'I Square Footage: . ~ 'It fotal Height above Grade: 3:7 !.- {. ~. f I' Vertical Dimension of Sign::;'i Enclosure: ~ S:{,~' Horizontal Width of Sign or Enclosure: 3 ' . \ Dimension from Grade to Bottom of Sign Enclosure 32.' Electrical Installation:~Yes _No (If yes additional electrical permit re~u~red) ~ Material Sign is Constructed of: A1..-UMI N lfM ~(~ LAe...- ?~S Value of Sign: ~ I ~ O!~! IItfJ'{l--lDPl ' ~ 1w..-uI"lI/'.fflro\lo..J r- ~ List ALL existing signage and attach a photograph of each sign: IJONG . j 1 (a) Type Tax Lot: o/soo 6-A TelJA '7 t-k <:. If r;H-ll-y , , 2$10 N P"vr:S ~~ ~t'o ~.ANtF V A LI.../:-y . Ih l....rVN b~ l-L L. sr€ Phone: 2'02- uA State Zip cr720b INN Marquee Z'l'-IC" ~ f~ ~ ~l\ ~l " frt ~1 ~1. ~\ ~) "~1 00) "'- Sq. FIg. (b) Type (d) Type Sq. FIg. (c) Type Sq. Ftg. Sq. FIg. Contractor/Installer: F:~ ~ A <;/1d\L ANT:> Address 8qql S YI2.-Po:. 't.{ e fU). City: r::ll.b~ /lrwt..J.INt- c.v Phone: 5111, <H36- 1;;'54("" State:d Zip: '(1<..(-0 'Z.. Expires: '3>11 b ( 'U:> I ( Construction Contractors Registration Number: 1 Co ';4-10 OFFICE USE Sign District: ~s cCc...""""" 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 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 durin~~s~all~~ft~n(s).p~ SIgnature ~ Date (P/~'1/f),OI(j 5l&.^J fS) Shared Drivc(T:)IBuilding Forms/Sign Pennit Applicalionl-02.doc Ci 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 Cr\ , City Job Number '(j! li~' Site Address: ~. ~~--;.' i,l ;,'} Owner: ~1 \1 Address ~ Il~\ City. ~i ~~I, Description of Proposed Sign(s): (Please check and complete all appropriate information) ~. V' Wall Freestanding Projecting Roof Marquee r \ ! v"" Single Face D~ble Face Billboard Other. <r'ji Square Footage: J~~lt'aIHeightabove rade: ~~ n/~b J{' i Jo-" " ""5'/1'7/ -.'-ff"'Z3~/O.' ~ I Vertica! Dimension of Sign or Enclosure: . '7 > -'" 7'f Horizontal Width of Sign or Enclosure: ~ . - I, ? I 1 Dimension from Grade to Bottom of Sign Enclosure Z. Electrical Installation: VYes _No . (If yes additional electrical permit required) ~} Material Sign is Constructed of: !Jcu)U IN v~ wi ~l-< L ~ Value of Sign: 4'115- _I!~~ V iN'( L- Ilo P '1 I LeV , L.L.U-'''',.J .erno ,j 1 , r ~ List ALL existing signage and attach a photograph of each sign: J.lOtJG' \ (a) Type ~. fl. r:' ~ ~~ ~~ ~(.ri 'If ~ ! h~! rr/Jf. d... I i I \ g , ~J ~~ Sp{L.zo I { -003/'1 ~'52B ~~~ ~ Assessors Map 1 '7 0 3 / S "5 '"3. Tax Lot: (;-Ait:tJA'f tloS.P'TALI~Y L.LL ZSt (:) }./ A,;.'~s. ~~ I STe- s/c)~AA(~ 1/ A-l.L.~y Business Name, Firm, etc. ~ l-f1)r-J b~ I N /'oJ o/so 0 Phone: '2'0z. State t..JA "f<1Z~ Zip Sq. Ftg. (b) Type Sq. Ftg. (c) Type Sq. Ftg. (d) Type Sq. Ftg. Contractor/Installer: F:~ -l- A ~/(d.,J Al-Nl:> ~ "-1.11<.1 t- c..u Address sqq, <:; ye..p... 4 E' jU). City I-:::\tb~ Construction Contractors Registration Number: l '" ~<.f"7 0 Phone: 51ft. 4B5.t;"5'-f(." ~') ~) ,. State: 'fiL Zip: C(1<fC) Z. Expires: "3>1 (b ("2..Cll OFFICE USE Sign District: :r:S- Zoning: Co""""",,- e,L 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. r 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 durin~/Jinstalla1Jlo~ of the sign(s). Slgnature~P~ Date ~~9/"-CJ(o S10N @ Shared Drive(T:)/Building Forms/Sign Pennil Applicationl-02.doc c: 225 FIFTH STREET. SPRlNGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 tr) ~ I]~! Site Address: ~} Assessors Map ~{ ~~i Owner: el,l ~ Add '# ress:. ;./i Il~~ City fr---I, Business Name, Firm, etc. ~/ Description ofproposed Sign(s): (Please check and complete all appropriate information) ~. , " - Wall / Freestanding Projecting Roof (\ ~ ': - Single Face Douhle Face Billboard Other <r;!.,I,,'., \ Square Footage: Total Hei::.t ,obove Grade: ? I q I II ~ Vertical Dimension of Sign or Enclosure: :2 Horizontal Width of Sign or Enclosure: ( 0 Dimension from Grade to Bottom of Sign Enclosure rp:) Electrical Installation:JL:'Yes _No (If yes additional electrical permit required) ~l Material Sign is Constructed of: A\-UMINUM WI pie,<' lae.r..A.. " Value of Sign: lZ.rl4:-~ _I,~~ v'IN"iI..--, (i.,vO~N\ UbHTI~b- J ~~': 1'1,1,', " .,. ",;'" ~"'1" i 1 , , "-, , , ~_i" :"'1 ~',;\ r I,!,' ;1 ~. " ; ';~i rrJ!J.~ , t ,,i':,' it! . / ~ City Job Number Sp'a.. 'Z.Ol/ - c> () '3.1'1 '?J52B G.~~ ~ J70 3/5"3. 3 ertTit:tJ/t1 Jlti-s PI rM.-I1-,/ LL '-- Phone Z S / 0 J! f'1N'e-..s ,w,,h / STt?" Z c:> Z sP(H:.AtII~- 1/A-Ue-y State W A ~~N'b~ INN Tax Lot: 01 ::'-0 0 Zip ?et;zof:. Marquee List ALL existing signage and attach a photograph of each sign: Sq. Fig. Sq. Ftg. (a) Type (c) Type (b) Type (d) Type Sq. Ftg. Sq. Ftg. Contractor/Installer: F:,~ A ~1ld<J, AN'!:) /In.v''-lINt- C.<) Address sqq/ S; 'YlWln i-t e fU). City: ~~.b~ Construction Contractors Registration Number: l ~ ';4-10 Phone: 9Ft, <I?36-c;;S4(". State: 'Ii2- Zip '(l'-fCJ z. Expires: '3>ll b ( '2.D I I OFFICE USE Sign District: ]::5 cc Co .......""" 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 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 and employees who are in compliance with ORS 701.055 will be used on this project r 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 durin711~stallation of the _sign(~ Signaturl ~ft;...//i/JL( - Date (r;iR9/~Of() SI0N@ Shared Drive(T:)lBuilding Forms/Sign Permit Application I-02.doc c; 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 0) City Job Number sP(LZ-Olf - OOS/t../ .' Il~( Site Address: 4J,1 Assessors Map ~{ ~~} ~ City li!~! \ , ~\ ~l Descriptiou ofproposed Sign(s): (Please check and complete all appropriate information) ~' ; ~ Wall Freestanding Projectiug Roof d'\ /' :' V " - SlUgle Face Double Face Other r- , ~; Square Footage '-f.'f I Total Height above Grade: :.1 '\1 ,. " 1 VertIcal DImenSIOn of SIgn or Enclosure "'" I , I ()-' I ~ DImensIOn from Grade to Bottom of SIgn Enclosure ~l ~II~~ filL ~j ~ l ~,i r'] , , J ~r\ """,' ~ , n \ { f; b . } I;,~I ~, TflJ.' . ! {l J if j :'528 G.~~ ~ 1703/~J.3 Owner C- -4- T /:tJAy tkrs Pi "1-;4-,,,1 '7 L L C. Phone Address Z 5'/0 AI A.AlFs R ~ s re' Z 0 z.. Sr'Ol'-ANl:: UAL.tl:--7' State tJ..4- Business Name, Firm, etc, UJ ~N b~ INN Tax Lot: 01 S-O 0 Zip ?,?zo(;,. Marquee Billboard , " 13 I '\ 'I" Horizontal Width of Sign or Euclosure: !!!!::. _ Electrical lustallation:~Yes _No (If yes additional electrical permit required) Material Sign is Constructed of: ppAJ UI"-lUU Wi 11-)t:pr...1. ~ Value of Sign: J '2.1'03- V I ~ l./ L.. ~ P'1 I u,,"P t l.-t.-L.J).1..... A-i'-I>....J List ALL existing signage and attach a photograph of each sign: N 01.{ E; (a) Type (c) Type Sq. Ftg. Sq. Ftg, (b) Type (d) Type Sq, Ftg, Sq, Ftg, Contractor/lustaller: t:=:<;,-&- A <7(1d>J, AN'!:> /In.v''-lI,.,J(.. c..u Address: sqql S' ?2-Pn'L{ If jU). City: !:':ILb~ Construction Contractors Registration Number: 1(.,'304-10 Phone: 51ft. cfB6.I;'54(." ~' '1 ; i,"'K , I~ ,,,,,,\ . State: rjL . Zip: C(,<-(o z.. 3!l b ( '2e> II Expires: OFFICE USE Sign District: ::rs- (D"""""~ 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 hereiu, I further certify that only contractors and employees who are in compliance with ORS 70 I ,055 will be used on this project I further agree to ensure that all required inspections ~re requested at the proper time, that project address is readable from the street, tbat 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 durinW'Z71Stallati~~ of the sign(s), Signature ~ fJ~ Date ~/z..q I '},of 0 S l(oN @ 1.-0&0 Shared Drive(T:)lBuilding F6r';usfSign Pcnnit Applicationl-01.doc d: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 0; CityJobNumbcr 5Pfl..20I/- 00 "SILl Il~i: Site Address: ~: ~ Assessors Map ~~; Owner: p( \) Address ~ I,~i City , 1 Business Name, Firm, etc. ~j ~\ De/tion of Proposed Sign(s): (Please check and complete all appropriate information) ~~ ~ Wall' Freestanding Projecting Roof , 'i - Single Face Double Face Other 1~' ~.I Square Footage: qO.1- ~ 91 Total Height above Grade: ," r.: '10" ..." ~ I Vertical Dimension of Sign or Enclosure: -.I . I ~ j ~' 1 Dimension from Grade to Bottom of Sign Enclosure i ~.: contractOr/~qtalqle~:~~~~:~ ~~I~t- UJ ~J Address: V' IE" ~, City I-Jlb~ If ? 11.-'0 ~ Construction Contractors Registration Number: 'fl=l'::;'..,.. I ,-) ~ IJ......I, -fF11 i , ~i r" ~ :",. ~ ~'.'\\ "1' \ ~ i " }" I,,,,,,,ji ~rr\ 00, " ....~! \.' I J i ,", i 1 ' -:''528 G.~...., 17D3/5".33 ~ C>/so 0 Tax Lot: 6-A- -r-1:i.J A 1 jf() 5 " f r.4 L {'J- '?'" AI P'/IIe-.s Rd 1/ A-lL~ 'T H1!-rDN b~ INN 2S/u sPo "AN/::- Ll. '- Sf€, 70? State t:.J A- Phone: , '120 (. Zip Marquee Billboard ,;,' fl.?':;" 2?:JIO" Horizontal Width of Sign or Enclosure: Electrical Installation: VYes _No (If yes additional electrical permit required) Material Sign is Constructed of: tlvUMI/VIIM wI ~LA t... ~ Value of Sign: 4~1 IIINl(L- /!o(''1, \.A:;I) 1l..t.-Vl'1'N ~,.J List ALL existing sign age and attach a photograph of each sign: tJOt-lb' (a) Type (c) Type Sq, Ftg, Sq, Ftg, (b) Type (d) Type Sq, Ftg, Sq, Ftg, Phone: 5lf1 .4B5-t;S4(", State:~ Zip: '(1'-fC) z.. "3>11 b ( '2f) I ( Expires: OFFICE USE Sign ~istrict: .::r.:;; Cc::.""",- CL Zoning: By signature, I state and agree, that I have carefully examined the completed application and do hereby certifY that all infom1ation 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 701.055 will be used on this project. r 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 durinn)1nsta~~n o:the sign(s), Signature~~ Date ~~9/p..oro SlbN@) Shared Drive(T:)/Building Forms/Sign Pt.:rrnit Applicationl-02.doc c: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54l)726-3753 . FAX: (541)726-3689 f',~,!,. S I' iL2D II - 00 51'1 ~ City Job Number 'd~l Site Address: .wI ~,,',;'} Assessors Map ~:~~ Owner: ijl Address: 'd~t City ff=~~ Business Name, Firm, etc. ~~j Des,/tion of Proposed Sign(s): (Please check and complete all appropriate information) ~' - Wall Freestanding Projecting Roof n ./ ' , J - Single Face Double Face Other ~~' 'i Square Footage: (Qe.lD v b ~ Total Height above Grade: ,,1 411 C;" ~ i Vertical Dimension of Sign or Enclosure: . ') ~ ' j Dimension from Grade to Bottom of Sign Enclosure . 1.0 .wI -'l~j- ~l At\, ~i ~' f! 1 - \ C','''',. J ~:';\,l I jj ~ + 'J ".",.j! ~, 00,' , fl\ 1 "' .s' J :'528 G,~~ I/o::' IS" 33 ~ Tax Lot: 6/ so a ('rA i/:-LoI h 1 f/-o 5 P t ,AL I ~ r L-L-L Z $/ 0 /t./a,Vl:-~ iLcL StfF ZD? sPor..Me- \/l'kLe-'7' f ~t..roN b~ INN Phone: State~ZiP ?'7Z0b Marquee Billboard 5t:/7.<;" Material Sign is Constructed of: ,,-jlq.i"7~" . Horizontal Width of Sign or Enclosure, "' Electrical Installation: VYes _No (If yes additional electrical permit required) f.h.ur..!II\JVM. ILJ/ ~l""c..- ~ Value of Sign: ~1't1- \J II-./.<-( L. u,p If I !-eO II..-t.-VIW IIV 1>1 c> No List ALL existing signage and attach a photograph of each sign: tJOMG' (a) Type (e) Type Sq. Ftg. Sq. Ftg. (b) Type' (d) Type Sq. Ftg. Sq. Ftg. Contractor/Installer: FS. '<l- A ~/(d.j ANt> fin,., "-1 IN t- c..u Address Bqq( ~ ?~ i.{ If fU). City: 8Lb~ Construction Contractors Registration Number: I (." 'Sl../- I 0 Phone: 5111. <If35- 6"54(." State: 'fiL Zip: '('<..(-02- :.!t '" ('U>l ( Expires: OFFICE USE -,.. -' Sign District: .-J' S CO""""............ Zoning: C/ 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 conect, 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 70] .055 will be used on this project. r further agree to ensure that all required inspections are requested at the proper time, that project address is readable ITOl)1 the street, that the pern1it card is located at the front of the property, and the approved set of plans will remain on the site at all times during e stallation of the Sign~ Signature IJ.. Date b /;'" 9 / p, O( 0 Sl~~ L-O'O Shared Drivc(T:)!Bllilding FormsfSign Permit Applicationl-02.doc TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfiefd,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00314 3528 GATEWAY ST permitcenter@ci.spri~gfield.or.us RECEIPT NO: 2011000385 RECORD NO: 811-SPR2D11-DD314 DATE: 03/02/2011 [OESCRIP..TIONf:,.:.,..c.',:,' ., '.:'~~~~:;:.,,:;:'i>.~:;"\.""'i~:gC'C0UN:f:C0r5E;;:v;:.:.. 'ht"...,h;.:AMOUNj'JDUE.!.... '.: . '''J Admin fee (10% of applicable fees) 224-00000-426605 72.00 Sign Plan Review 224-00000:425602 252.00 Sign or outline lighting 224-00000-426102 '378.00 Signs: 0 - 35 Square Feet 224-00000-425602 160.00 Signs: 61 - 100 Square Feet 224-00000-425602 560.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 45.36 Technology fee (5% of permit total) 100-00000-425605 54.90 TOTAL DUE: 1,522.26 EP.AYM(N:tty~E.i:"'zz:;1.J~~Y.QR'!:fA~!i@cc.i.RP@ER~:.;E.c.:C.9N1MENI~{:'";: ~o;.' .~;..;.?:.t.;.0~:1.1VI0U.NT:PAID;.: ki.'''-:.._''l Credit Card E S & A SIGN CORP 1,522.26 002471 TOTAL PAID: 1,522.26