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Home My WebLink AboutOccupancy Signage 2011-2-25 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00295 IVR Number: 811123394913 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/25/2011 ISSUED: APPLIED: 02/25/2011 02/24/2011 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 EXPIRES: VALUE: 08/24/2011 $45,765.00 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002400 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Taco Bell Re-Image Phone Number: OWNER: ADDRESS: WEBER PROPERTIES LIMITED PRTSHP PO BOX 23408 EUGENE OR 97402 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor E S & A SIGN CORP CCB 163470 03/16/2013 541-485-5546 Sign Contractor E S & A SIGN CORP CCB 163470 03/16/2013 541-485-5546 Electrical Contractor ES & A SIGN & AWNING ELECTRICAL 20-543ClS 07/01/2011 541-485-5546 BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: ATTENTION: Ore~:lOn 18W reRahge;lype:to foi1ow :;;I"lC ad('O~:;:J by Ihe Haima!:1 Ut:lity Notiiir.Ption COllter. T'l.;sn ,'~Ih::.s C.lC SGt forth in OAR 9thiOl-00 10 ;;-,rcug:1 O,'.r. 952-001- 0090. You r"ay obit.in c'Jp'~, of t;,= :ules by . . ca!ling 'the center. FJu.e: t.~E~~~!rI.~:~I'.s~e~Clalty Code Edition: number for Ih9 Ore2,)11 L'U:rSpririgfield.Fi,;;Code Edition: Center is 1-80J.332'NI~gff~nical Specialty Code Edition: # of Bedrooms: Municipal I Development Code: Sprinkled Building: Plumbing Specialty Code Edition: Fire Alarms: Residential Specialty Code Edition: Energy Path: Structural Specialty Code Edition: # of Units: o Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 2/25/2011 2:44:05PM Page 1 of3 ..JS~.~I\.N.....~F~EL~ ~'h~'_ ,,~ .\.~ ";,if,, OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.U5 Building I Commercial Permit PERMIT NO: 811-SPR2011-00295 IVR Number: 811123394913 permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 02/25/2011 02/24/2011 EXPIRES: VALUE: 08/24/2011 $45,765.00 02/25/2011 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002400 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Taco Bell Re-Image 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 ~ OescriDtion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Total Amount Paid Amount Paid $283.38 $480.00 $48.00 $504.00 $112.80 $71.00 $435.97 --- $252.00 $2,187.15 Date Paid 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 _.___"__. __.__.__.__~h..__ 02/25/2011 - -~-_._.- 02/25/2011 ReciDt # 2011000356 2011000356 2011000356 2011000356 2011000356 2011000356 _._--- -- 2011000356 ---- 2011000356 / DescriDtion Structural Plan Review Fee Commercial Signs: 0 - 35 Square Feet _ Admin fee (10% of applicable fees) Sign or outline lighting State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Building Permit Fee Sign Plan Review Springfield Building Permit 212Sf2011 2:44:0SPM Page 2 of 3 " "SP~I,NGFIE L~ ~'\1""" ". ~ '''''l,,~'l ~,...,... ......, ,.:,-,..',., -OREGO.... CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00295 IVR Number: 811123394913 www.cLspringfield.or.us 225 Fifth 51 Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726-3676 pe rm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/25/2011 ISSUED: APPLIED: 02/25/2011 02/24/2011 EXPIRES: VALUE: 08/24/2011 $45,765.00 SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002400 SCOPE: Si9" WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Taco Bell Re-Image Plan Review ~ Deoartment Structural Review Received Due Date Comoleted Result 02124/2011 02/24/2011 02/24/2011 Approved Reviewer David Bowlsby millraTReVieW,-..:~~ .. -,II, ',,' tj-;" ~:,~:"~{;~':':;'::.'~~~'.~:.':;,':.''';'~' ::~'~~:~~~ ' -.--- .--<- .0,2l~4!2.0}!, .~!f!2.~(~011~T,2;2i.2~/2.0J;: ;' AP~,~~ed,;;~::':;;::. ". -,~--~~...~-~-,:-~~' '.-"'~,., Application Acceptance 02/24/2011 02/24/2011 02/24/2011 Application Accepted .~ Pe!mit Issuance, . 02/24/2011 '02/24/201,.:;02125/201, lssu"'ed -.ii'.' -.',., ~. . '-----'-'--"' INSPECTIONS REQUIRED ~ Inspections 1110 Footing 1260 Framing Footing: After trenches are excavated. . David BowlsbY .-:' :'};' , ~ '. '"~-, ~~5~ "1~.:~!~~' .',~ _-k_ David Bowlsby ....~ '. " .J j'f" -r 'Chris"Carpenier-;-~-:C"--;-",:"-' ". , Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. 1999 Final Building 6940 Sign Attachment 6950 Electrical - Sign 6999 Final Sign 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, 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--t' front of the property, and the approved set of plans will remain on the site at all times during cons uction. .2.;;l.S:. /1 Date Springfield Building Permit 2/25/2011 2:44:05PM Page 3 of 3 . SPR1N...G. FIE.L~D . ~A", ..,-... "rtJi " ~" OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00295 3220 GATEWAY ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011000356 lDESCRI~TION;." ',~. Admin fee (10% of applicable fees) _Building Permit Fee Sign Plan Review Sign or outline lightin~ Signs: 0 . 35 Square Feet State of Oregon Surcharge (12% of applicable fees) Structural Plan Review Fee Commercial Technology fee (5% of permit total) RECORD NO: 811-SPR2011-00295 DATE: 02/25/2011 ':':,,~::~ .. , ,,'ACCOUN:tCODE' ,. ". AMOUNT_DUE 224-00000.426605 48.00 224-00000.425602 435.97 224.00000-425602 252.00 224.00000.426102 504.00 -----~...... 224.00000-425602 480.00 821.00000-215004 112.80 224.00000-425602 283.38 100-00000-425605 71.00. TOTAL DUE: 2,187.15 '::~:'. .:., cA... .AMOUNTPAID,ir.....:., V'PAYM~NTtyflE i.,;;;', Check 54265 PAydR~' CASH'IER~:6cARPENTE'R';'.;.:!'" COMMEtilT~::.t.,., ES & a SIGN & AWNING "f 2,187.15 TOTAL PAID: 2,187.15 Structural Permit Application . , "fii, ~. ~-- "'-Ai '" ;~;,r; ~~'f' - ".1" ~ ~ . "tJ; ~ wJl '" if ~. ,. :' :CJI'IW'OF~SRRINGRfEl1D,,'(3ltEG('ijN::' .' ',-' - - . . """ . '- -~ - >. ..P~OA..tNO".IIU'D.." .....~. ~.. "'''. .. *'. .'. ..~.. . . 0".' , DEPARTMENT USE ONLY 5>1'tt.Z,O II-CO z. 9 s Perinit no.: 225 Fifth S~eel . Springfield. OR 97477. PH(54 I ji26-3753 . FAX(54 1)726-3689 Date: /- -1/ This permit is'issued under OAR 918-460-0030. Permits expire if work is not started;within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has fmallnnd-use approval. Signature: Date: This project has DEQ approval. Signature: . Date: Zoning approval verified: DYes [ilNo Property is within fiood plain: 0 Yes DNa CATEGORY OF CONSTRUCTION Name: Address: City: E~~e;::. Phone: o Residential Job site.address: City: 9.PYu Subdivision: Reference: o Government ommercial JOB SITE INFORMATION AND LOCATION 10 ZIP: c:n'-l-/l C>2.4CC ZI. Stat Fax: E-mail: This installation-is being made on residential or farm. property owne:~ by me or a member cfmy immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: tJ I A--- Address: City: Phone: E-mail: CCBlicense no.: Print name: Signature: Nnme Electrical Plumbing Mechanical ..SUB~CONtRAc:rORINF.ORMATlON ,.. cell License Number 'Phone Number FEE SCHEDULE 1. Valuation:information (ol Job description: ~e 1_.It6-fr "'''''''''',.sl.~ _ Occupancy 1t2 ' ~. Construction, tYpe: \ItS Square feet: Cost'per square foot: Other in formation: Type of Hent: - Energy Pnlh: ~ u:::rnew o alteration D-uddition (b) Fo~ndation.onjy permit? DYes .B1'lo Total valuation: I $4S1/PS 2. Building fees (a) Permit fee (use val_uation ta!?le): sLn.,"! i-=- (b) Tnves~iga~ivefee (~qua1. to [2a]): $ (e) Remspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c)): $ (e) Subtotal of fees above (2a,through 2d): S 3. Plan review fees ... .. (a) Plan review(65% x'permit fee [2a)): $z.~,;,- (b) Fire and life safety (40%, permil fee [20]): $ (e) Subtotal of fetls abov.e {3a and3b}: $ 4. Miscellaneous fees (a) Seismic fee, 1% (.01.x permit fee[2a]): $ TOTAL fees nnd'surcbarges (2e+3c+4a): $ 225 Fifth Street. Springfield, OR 97477. PH(541 )726-3753. FAX(541)726-3689 .,}-r. ,. ,,,::'~,,,,,.r,"' ~ DEPARTMENT USE'ONCcy Spa.ozoll - 0 Pennit no.: Electrical Permit Application CITY @F, SPRINGFIELD, 0REGOlS : ", . ::" ""~" . - ,~' Date: 7-11 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. .c, LOCAL GOVERNMENT API'!ROVAt :' : I,. ,"'-<,", . , FEE SCHEDULE -" , , Zoning approval verified? DYes DNo ~'Num~:~Fof in's~1c'tio;nsige;~'. iterri:,~'~ . I Qty., , ,Cost ,'Total <" OF' CONSTRUCTION, ea. ~ cost .CATEGORY ., Residential, per unit, service included: o Residential I 0 Government I~Commercial 1,000 sq. ft. or less (4) $134.00 $ ," ",' JOB"SITE,INFORMATION',AND,LOCATION, .,>: ' Job site address: 32--2-0 /" . ,,~. ST'. Each additional 500 sq. ft. or portion $ 25.00 $ thereof City:~II:'..c. ...., I State: ci- T ZIP: q'1.pn Limited energy (2) $ 32.00 $ Reference: i?()3 'Z'Z...'Z....O T Taxlot.: 0 z,,-\OU Each manufactured home or modular $ 63.00 $ " ""t, '5',' 'DES.CRIPTION .OF WORK." Y , dwelling service or feeder (2) 1t-!~"Otn.L- 51 (pqJ / MI..JM,JI.- ~ Services or feeders: installation, alteration, relocation l..t~u?oo,A-(l..l) p~ 200 amps or less (2) $ 81.00 $ ,.:;::; ',. "",:;';'.#RROI'!E8TYJj,WlIIERJ:: "'J '~:"i:v,':,,;, ,{', 20 I to 400 amps (2) $ 95.00 $ ~:'0hJ Name: W~1:::tt- WJrz-sl"ln- t<., 1 ~. LP 401 to 600 amps (2) $158.00 $ Address: ~4D (If)N=.~'~ 60 I to 1,000 amps (2) $205.00 $ City: 1"'11 ( - I StateOjt, 'I ZIP:q'l'kl'2. Over 1,000 amps or volts (2) $469.00 $ Phone: ~1.!.>(1,'1~~IJ,(" I Fax: - - Reconnect only (2) $ 63.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479.560(\). 40 I to 600 amps (2) $126.00 $ SignalUre: Over 600 amps or 1,000 volts, see services or feeders section above :ofr" ';'CONTRACTOR INSTALLATION ::". . ,,\, , Branch circuits: new, a!teration, extension per panel Business name: ""'''-''' ., .::.lInt A..r., k.ll""t-Jb a. Fee for branch circuits with purchase ofa service or feeder fee: Address : IC' ,,~ :::ID Each branch circuit I I $ 6.00 I $ City: /,:>" 1&",-.,0- I Stateol2. I ZIP: Gj'7lj.()2- b. Fee for branch circuits without purchase of a service or feeder fee: Phonet:;Lf.1 .~bP, .'2-:~:, I Fax: '9f1. tfej;-5fs13 First branch circuit (2) $ 55,00 $ E-mail: (I.Pl.- .J.. I. n, ... ""'nr,,~,OIt"l~./Plf't Each additional branch circuit $ 6.00 $ CCB license no.: IloS'f'lO '[ BCD license no.'20~3t.lJ Miscellaneous fees: service or feeder not included Signing supervisor's license no.: ~I Y.S~ Each pump or irrigation circle (2) I, $ 63.00 $ Print name of signing supervisor: / . - ~ ~t2.0 Each sign or outline lighting (2) 'P, $ 63.00 ~- SignalUre of signing supervisor"" ~ 71: ~ /.,(1 , -- Signal circuit or a limited-energy panel, $ 63.00 $ 7 alteration, or extension (2) Each additional inspection: (I) $58.00 $ ~~.\\ 'c'i,l<'j'" ~~::, ';'APPLlCANT'USE ',.:." ' , " . ;;: (A) Enter subtotal of above fees (Minimum Permit Fee S58.00) $ ~ ~~ (8) Enter 12% surcharge (,12 x [A)) , $ id'l.u9. (C) Technology Fee (5% of [A)) $ ?.-S.2n TOTAL fees and surcharges (A through C): $~.ld \j\ 440.2584,) (9/08/COM) =., , ; 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 r' . '(1\ . L" j)/L"O I (- 0 0 Z~(tS' 'V,JJ CIty Job Numb.. ~ r '-- . li~j r. Site Address: JUI ~ Assessors Map ~j ~ II~I ~j ~I Description of Proposed Sign(s): (Please check and complete all appropriate information) Q _ Wall Freestanding Projecting Roof Marquee. ~ j /' Smgle Face Double Face Billboard V OtberSt;'A/ ON ,fwiJl/Jb , . , (p ..'> I c..(.1l ~l Square Footage: Total Height above Grade: ''''" ;> f' Vertical Dimension of Sign or Enclosure: q '/g ~ Horizontal Width of Sign or Enclosure: '112." j Dimension from Grade to Bottom of Sign Enclosure [I' (., II Electrical Installation: ....y;s _No , (!fyes additional electrical permit required) JL.j) Material Sign is Constructed of: _~""/IJiJ1.f W,{ tw..LI-I i4c...- lG~o Value of Sign: .1?'Z~- ~ . ~ ~ II~\ - rj rl rl I , ~! ",,;;.*~ --'"\l.; <;,,~..t"'1~H!I,f>..t)... ~==.~ ",x'.:j.";of' ,''''''.ffi~~:' M..... " ..~--' _ _ :{,.' ,1#. $' 7(~; ~:~&TI~Yr:OE"SPRINGRmLI,) OREGGN ...~ ","' ....0: ~1jr,~ILifiv~~ ~.l;~L':t~~i t~'f,<li..l *~:~UI~~, ~ ":-r",~ .~" h '" "'1.1..'" '<J>' '~'1" ~~ ;/-?: ' t:'i;il4~~~f.;lll:;",~:'; ~r'"~ :"~,y :n:' .;.<', I ~~ . . .... ?2-W 6~liJ*'1 ~-r 170) Z'2"Z.D Tax Lot: O'Z.t(OC Owner: (j)et;laL U;~~ DI:::\..L.6 I L-? Address: ~ tDtJht&a(. S'N.B!r City B/ .bla>J~ Business Name, Firm, etc.3.*1..,,) 6L::1 .-l..-- Phone: State DR... Zip 4 "1 cf 0 "2.- List ALL existing signage and attach a photograph of each sigu: (a) Type ~ Sq. FIg. (b) Type (c) Type Sq. Ftg. (d) Type Sq. Ftg Sq. Ftg. Contractor/Installer: t==<> of- k ~/ Ia\.I AJ,Jt>!r..t Jt\JIIJ.!,. l.,). Address: _!2~:'ft:t1 t:; (72-A1 ~E p'>. City: ~e: Phone:~ .~~-2.oi"~ State: of!- Zip:~ Expires: ~ ,(..(2cfl Construction Contractors Registration Number: Il?~ lfio OFFICE USE =1 Sign District: :r: ~ Co -- - Zoning: C C ~: I ~ . By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all r 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 II~l 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 atthe front of the property, and the approved set of plans will remain on the site at all times dur~ inst~~~th~ sign~ Slgnatur~ r~ Date '1/(ltJI/ 310"-1 @]) Shared Drive{T:)lBuilding Forms/Sign Pcnnit Applic8tionl-Q2.doc =1225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 ,. FAX: (541)726-3689 0) City Job Numb<< Il~l Site Address: JUI ~ Assessors Map IJ ~ II~~ ~j Ql Description of Proposed Sign(s): (Please check and complete all appropriate information) ~ _ Wall Freestanding Projecting Roof Marquee ~ j /' Single Face Double Face Billboard Other GIIKJ illll /lkJA; I'JI,- ,,1 (P /",,',/11 ~l Square Footage: Total Heqig~/t a~~ve Grade: v '1 ' Zl' " ' Vertical Dimension of Sign or Enclosure: i' Horizontal Width of Sign or Enclosure: ,1,-.1 /' j Dimension from Grade to Bottom of Sign Enclosure ~ I U' Electrical Installation:...JLY es _No (If yes additional electrical permit required) ~ Material Sign is Constructed of: At..uL.u~:IA wI }t1~~ ~~alue of Sign: ~'2.- ~ II~l ~ j List ALL existing signage and attach a photograph of each sigo: r I (a) Type y~ Sq, Ftg, (b) Type r ~ (c) Type Sq. Ftg. (d) Type I ~ ~ ~" City: ~1 Construction Contractors Registration Number: ~:/'-:;':',f~~..A;~-''''{' ~ ~'~~,~. -<I;"'" ..' '#, ,-..,~r-",...._:'~-_: - - ,,,,,." - , 'Y~- '" .t. -.c-Y;ii'fi ~~:.f~~1i~'~~!j,'lj~.0J.'~.?P;~l';!~E,l~ED,.:~~EgO~; >. :jj: ~::";L , , SPIL ZOlt - 00 2.,~r '31--W 6~...LlJ~ 110'3'2'2 '2.0 ~-r 02.l(C~ Tax Lot: Owner UJ~,gL t.c~'f'IIn-, D~ I L.? Address: ~ ~--DtJ~(a(. ~~ City iaA .bt:a..1I;~ BusinessName,Firm,etc.TA7....) t3~ ~ Phone: State DR.. Zip <=J ., cf 0 '2.- Sq. Ftg Sq. Ftg, Contractor/Installer: ~ +- A ~lldI..l AJ,J 1) Ir..i J'" I A.I. b UJ. Address: ~C"'7C;- '"f12-A"\ fZ.,(~ ~. ~E Phone:~ .I$h~-z.oi"~ oL Zip:~ Expires: ~,(.:.f2.c11 State: I~"? tf'10 OFFICE USE =: Sign District: :c:<;; Cc::...........""'-. Zoning: C. c..... ~i~ ,By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all r ' 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 II~~ 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 duri')lQlj! installation of the sign(sy) I SlgnamrefdY&. ~~ ~ Date ~/l~tI S/(PtJ @) Shared Drive(T;)lBuilding Forms/Sign Permit Applic8tionl-02.doc =: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 ~ FAX: (541)726-3689 o City Job Numb., SPit. 'US l ( - C <) 'Z <<7 ~- '1"1 r. Site Address: JUI ~ Assessors Map IJ ij 'l~l "1 Ql Des~ion of Proposed Sign(s): (Please check and complete all appropriate infonnation) ~\~ ~Wall Freestanding Projecting Roof ( / j .,-- Single Face Double Face Billboard Other ~~ Sqnare Footage: ----IL- Total Height above Grade: 1,//,' (p<;Jf'I f Vertical Dimension of Sign or Enclosure: t.f' iPS/r" / Horizontal Width of Sign or Enclosure: ~' It) '1/If",1 ~ Dimension from Grade to Bottom of Sign Enclosure _I p:, Electrical Installation: v"Yes _No (If yes additional electrical pennit required) ~ MateriaISigniSconstructedof:~1\JVM Wi ~LAe..- 6J~() valueofSign:-.li-fo- '1~1 rl 1 (a) Type frl \ (c) Type ~1 ~ fA" City: . ~j Construction Contractors Registration Number: ~l ~l ~) 'j~1 ~ ",:l:~f>-V#1;i:;'f "'",~~iq~i'f~4f~'l'"},; ""'",,'MJ1I:1'lt: .\fl~!t'",'i\b~: ~,f1~t':,"':1l''''"'Ii''''''h::'iAt?l "", "" $~"i. -1,-;tJ:I't.' J '.:. ''':;'-.-~'::J~JTY}:Dli-SPJU1\~(JIJ::IEUI?, ORE6QN '~".~ :~':~' ='.:";I!.-"'.- _ . oS, _ll. . ~"^ '"' '", ftO . .~. _ "" . - - -. >:- ~;'" '1.'.:.-.,1;"', ?2-W 6A-n;w~ ~,... I 7 0 3 '2 '2. c... G Tax Lot: 02..qQ~ Owner: r1JePJl8L U;~'Tfn-- C>~ Address: ~40 tDt-1~&a(. $~ City iaA .bfal,.l~ Business Name, Firm, etc.3 A"1.J\ 13.&;1 ...c...-. L.? Phone: ()R... Zip ""f'" <<fo '2- State Marquee List ALL existing signage and attach a photograph of each sign: 110<6 Sq. FIg.. (b) Type (d) Type Sq. Ftg Sq. Ftg. Sq. Ftg. Contractor/Installer: c:c; i- A ~ 1ld...1 A1.J'D Av IN I k1 b (.,). Address: .i21q,c;- ~ IZ-tE ~. 2l~p: Phone:~ .~cg-z.oi'~ 0'2.. Zip:~ Expires: ~ ,c.,.{2Dtl State: I~~ tf7D OFFICE USE Sign District: :r~ c:.c (0-- Zoning: By signature, I 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 ofthe 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 duri?f'71nstallation of the sign(sh Slgnature~q~ ~ Date 1)I7/~J1 SlbN (fD Shared Drive(T:)/Building Forms/Sign Pcnnit Application 1'{)2.doc ,,~j r 1 Site Address: ~ Assessors Map Ii Owner: o "~~ ,~~ ~j Des",ion of Proposed Sign(s): (Please check and complete all appropriate information) ~ 7wall Freestanding Projecting Roof ~~l - Single Face Double Face Other ~. ., Square Footage: ~ q Total Heig7t ab~e ~ade: Vertical Dimension of Sign or Enclosure: I..f & k J 1&1 ~ Dimension from Grade to Bottom of Sign Enclosure _ 0 .11..J ~J ,,~j r , 1 r, r~ 1 rl ~ ~1 'j ~1 =1 ~) "~ 7r~) 'fJl ~, ~1225 FIFTH STREET" SPRINGFIELD, OR 97477 ", PH:(541)726-3753 "FAX: (541)726-3689 o CityJobNumber SflL-z...oll-O'oz9.f" ?z..w 6.A-11=.1LJ~ ~-r I 7 0 J Z '2 "2. 0 Tax Lot: O'2...LlC'~ iiJ~18L- U;~T'Ih-- C>~ I L-? Address ~ tAtJ~la(.$~ City laAb~12 Business Name, Firm, etc. TIrtJ) f3~ -L.- Phone: State DR... Zip ., 7<.(-0 '2- .- Marquee Billboard 1,.1--' (p~8'f <1" 10" fl(;il Horizontal Width of Sign or Enclosure: T Electrical Installation: v"'Yes _No (If yes additional electrical permit required) fV alue of Sign: -.it Pi) Material Sign is Constructed of: List ALL existing signage and attach a photograph of each sign: (a) Type ~SIW Sq. Ftg. (b) Type (cl) Type Sq. Ftg. Sq, Ftg. (c) Type Sq. FIg. Contractorllnstaller: JEC> +- A ~/ld\1 At.Il'> Au I~ I kl b t.;}. Address: ~Cr7C;- ~ 1Z-tE' iU). ~E: Phone~ 'Sh~-Z.oi"~ oR..... Zip:~ Expires: ~J Ic...{2ctl City: State: Construction Contractors Registration Number: Il?~ l./,o OFFICE USE Sign District: IS;- (~-- c.c Zoning: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein is trueand,coITect, 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 atthe 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 remam on the Site at all times duri1Y'e:~al~o.l~e, sign(s/)' I Slgnatur~~ Date 1/7!2(}/1 SIW@ Shared Drive(T:)IBuilding Forms/Sign Permit Applicationl-02.doc " Cl225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 o City Job Number srfL 'ZA11-Ou z. 9 r . . II~ Site Address: 3J....w 6~AY ~-r JUI 170" "'Z'ZC j ~ Assessors Map J '- Tax Lot: Ij Owner f))ePJl.aiL- tc~T'In..-"ClelA-6 L-? t)) Address: Mo tDtJ~~-;~ " City ~b~~ Il~ --l Business Name, Finn, etc. .J )r11') -r3J;t .-L- ~1 Q; Description of Proposed Sign(s): (please check and complete all appropriate information) . ff'l\. ~.wall . Freestanding Projecting Roof ~l - Single Face Double Face Billboard . Other <l Square F'ootage: ----1L- Total Height above Grade: '2-2-' (." S/ ft'1 .1 ",,,,, " /1' '1J " :;;. Vertical DimeusionofSign or Enclosure: 'f (P-,& / Horizontal Width of Sign orEnclosure: :r'O '''=' l Dimension from Grade to Bottom of Sign Enclosure ~ Electrical Installation: vYes _No (If yes additional electrical permit required) JL\~ Material Sign is Constructed of:.1rI LLM 1l\,111M. wi ~ (..1.4- ';lMl<'O Value of Sign: --1( PJD I~~ .' fro..6 . lli"'\~ ~\ , ~ =: ~) Il~ W () z.. 4.00 Phone: State DR... Zip .".., "1-0 '2- Marquee List ALL existing signage and attach a photograph of each sign: (a) Type p~ ?t~ Sq. Ftg. (b) Type_ (c) Type Sq. Ftg. (d) Type Sq.Ftg Sq. Ftg. Phone:~ .~~-z.oi'~ Contractor/Installer: ~f.A- ~//d..., AJ.Jt> AvIt.Jlklb t.). Address: J2g'f"7C;- ~ rz..t~ iU). City: ~E State: oR... Zip:~ Expires: -':::IIC." (2.0/1 Construction Contractors Registration Number: l~'? tf7D OFFICE USE Sign District: .:r:~ co........--.. Zoning: cc By signature, I state and agree, that I have carefully examined the completed application and do hereby certity that all . 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 further certity 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 duri~~ns~1.~t~e sign)9. Slgnatur~ r~ Date 1/1'{ 11OtO Sl~ Shared Drivc(T:)/Building FormsJ~ign Pcnnit Applicationl-02.doc ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 ~ FAX: (541)726-3689 o CltyJobNum.b.. SPIL~1 (-ccZ 9:::- . 1#""*1 Site Address: ~ Assessors Map IJ ~ 'I~ ~ ~ DescriptIOn of Proposed Sign(s): (please check and complete all appropriate information) "'\ ~Wall Freestanding Projecting Roof ~~ - Smgle Face Double Face Billboard Other <' j Square Footage: (p, Total Height above Grade: ....:../'1,) till . . Ill, 1Y 1/ Vertical Dimension of Sign or Enclosure: '1 {~ Horizontal Width of Sign orE nclosure: ...:. 2- . . 'I I L'f . .-<" Dimension from Grade to Bottom of Sign Enclosure _ . lJ/ Electrical Installation:...!:::.y es ~No . . (If yes additional electrical permit required) JLJ\ Material Sign i; Constructed of: Avv M t~iJ ~ uJ/ A'U/J.A.AI~I ~ ko .l.iut:LValue of Sign: .~ ~ ~. - 'i~l ~ ~l , , =1 ~,fil\ IJJ}JJ 'i~ ~ ~--""_.""'&~...~.~. '-"~ -..... '..~ ........ ..,. 'iii~ :MifJo-'''';:?:_'~''W''''''~'''-fl''<;;c',1,_~..",,*,~ ,I;<'i",~ "''''.w''--4''~ -,.~. r" '~. .~, '!$~ ,~11~YL~,~~~}?l!it!t~I?{\~~?9qN: '::"'."-, ~~...:.. ..' " '32--1-0 6krBv~ J 70"3 "Z. c. "'Z C> ~-r Tax Lot: OZYOa Owner: f~l8L U>Jr':?T'Pn- D~ I L....? Address: Mo tAI\.1b>t&at. ~'N.a:!r City laAb~~ Business Name, Firm, etc...:r 1r7......) 13.&.::1 ~ Phone: DIl... Zip ~ 1'10 '2.- State Marquee .~sJ- List ALL existing signage and attach a photograph of each sign: (a) Type J'~' Sq. Ftg. (b) Type (c) Type Sq. Ftg. (d) Type Sq. Ftg Sq. Ftg. ContractorlInstaller: ~ +- A- ~l ld...l At.J n Au It..jl A1 ~ UJ. Address:~Cnc;- 1'lLA-1 ~e;; ~. t::U.~..,..U2; Phone:~ .~'jcj;-z.oi"~ State: oIL Zip:~ Expires: ~'(P(2Dtl City: Construction Contractors Registration Number: Ifl7~ 'liD OFFICE USE -c~ Sign District: _ ~ CC- c.o."",,, '^"'- 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 dUri~}'jnstall~afon of the signet\) /1/".,1... ~II stgnature{ ;;ria _~ rlUJ.JlJ--f. - Date L JL',w I SlIPk! (g) Shared Drive{T:)IBuilding Forms/Sign Permit Applicationl..Q2.doc