HomeMy WebLinkAboutPermit Signage 2011-4-1
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CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00482
IVR Number: 811129516508
www.cLspringfietd.or.us
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3753
Inspeclion Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
04/01/2011
03/24/2011
Issued
04/01/2011
EXPIRES:
VALUE:
09/28/2011
$0.00
SITE ADDRESS: 2728 PHEASANT BLVD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703220002603
SCOPE: Si9n
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign Permit
Phone Number:
OWNER:
ADDRESS:
TAJ ENTERPRISES INC
19110 E POCO RIO DR
RIO VERDE AZ 85263
Contractor Type
Electrical Contractor
Sign Contractor
Contractor Name
DENNIS ROY HYDE
DENNIS ROY HYDE
CONTRACTOR INFORMATION I
Lie Type
CCB
CCB
BUILDING INFORMATION I
# 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! Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code E~ition:
Lic No
92628
92628
Lic Exp
09/21/2011
09/21/2011
Phone
541~942~1059
541~942.1059
Lot Size:
Sq Fl1 st Floor:
Sq Fl2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
I
En9ine~red Fill:
Fill Volume:
Flood Hazard Area:
Land Hazar~_
R la" W I I ENnON: Oregon law requires you to
S e_1 I~ng a' lIow WIGS adopted by the Oregon Utility
01 S epo O"~aYion Center. Those rules are set forth
In OAR 952-D01-o01 0 through OAR 952-001.
OOSO. You may obtain copies of the rules by
calling the centsr. (Note: the telephone
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
4f1/2011 2:10:49PM
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00482
IVR Number: 811129516508
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
04/01/2011
ISSUED:
APPLIED:
04/01/2011
03/24/2011
EXPIRES:
VALUE:
09/28/2011
$0.00
SITE ADDRESS: 2728 PHEASANT BLVD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703220002603
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign Penmit
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION I
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
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
I
Description
Sign Plan Review
~tate of Oregon Surcharge (12% of applicable fees)
Sign or outline lighting
Technology fee (5% of permit total)
Admin fee (10% of applicable fees)
Signs: 0 - 35 Square Feet
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$42.00
$7.56
$63.00
$4.00
$8.00
$80.00
$3.15
$207.71
Date Paid
03/24/2011
04/01/2011
04/01/2011
04/01/2011
04/01/2011
04/01/2011
04/01/2011
Recipt #
2011000542
2011000601
2011000601
2011000601
2011000601
2011000601
2011000601
Springfield Building Permit
4/1/2011 2:10:49PM
Page 2 of 3
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00482
IVR Number: 811129516508
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
04/01/2011
ISSUED:
APPLIED:
04/01/2011
03/24/2011
EXPIRES:
VALUE:
09/28/2011
$0,00
SITE ADDRESS: 2728 PHEASANT BLVD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703220002603
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Sign Permit
,
Plan Review
~
Department
Application Acceptance
Received Due Date
03/24/2011 03/24/2011
Comaleted
03/31/2011
Result
Application Accepted
Reviewer
David Bowlsby
Permit Issuance
INSPECTIONS REQUIRED ~
Inspections
6940 Sign Attachment
6999 Final Sign
Sign FJnal: After all required inspections are conducted and approved and the sign
installation is completed.
Sign Electrical: After connection is made but prior to energizing
6950 Electrical - Sign
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
c:onstruction.
~ ~
. ~/t' <">
~ ~
Owner or Contractor Signature
?i-r~/(
Date
Springfield Building Permit
4/1f2011 2:10:49PM
Page 3 of 3
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 nfth Strect + Springfield, OR 97477. PH(541)726-3753+ FAX(541)726-3689
DEPARTMENT USE ONLY
Permit no.: s/(- DC> i.{ g 2
Date:
This permit is issued Ullder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days ofissuance or if w~)fk is suspended for 180 days.
lOCAL GOVERNMENT APPROVAL
Zoning approval verified? 0 Yes 0 No
CATEGORY OF CONSTRUCTION
o Residential D Government liT Commercial
JOB SITE INFORMATION AND lOCATION
k
Name:
Address:
City:
Phone:
E-mail:
This installation is being-made on residential or farm property
owned by me or a member afmy immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
CONTRACTOR INSTAllATION
Business name:
Address:
Signature of signing supervisor:
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).
~.~\PJ
*
~
440.2584.J (9!08/COM)
FEE SCHEDULE
Number of inspections per item ( ) Qty. Cost Total
ea. cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500' sq. ft. or portion $ 25.00 $
thereof
Limited energy (2)" $ 32.00 $
Each manufactured home or modular, $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 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 (2) $ 63.00 $
Temporary services or feeders: installation. alteration. relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
.401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: neM; altcration, extension per panel
a. Fee for ~ranch circuits with purchase of a service or feeder fee:
Each branch circuit $ 6.00 $
,b. Fee for branch circuits withoutpurchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: sel1'ice or feeder no! included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) I $ 63.00 $ ~: ~
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection:.(I) . $58.00 $
APPLICANT USE
(A) ,Entet~~otal of above fees . .,:" ~~'~rl1<b -:>
. "" III . 0]...,
(Mi!l~~um'Pl!r~.it Fe~ $~~.~O lnlnr lC TUt
(B)~~ry~r ,rA~~k'f}l,lar~~ L ',o.l;-rl '\I "II- . h~'T7Sb
t:f,[li.])IIC
e')' Ill, rn,I.'$r",srfl\l rt:]\^~~'~lnmlm f OR $ 3/r"
(C ,,1;,~hn?,!9~~, ,0 5liiR
nYt;\L 'f~~~~rd-~\5~arg.,I.(A through C): $...,-;> "1 (
II .11" ., v ,,\ ...."" . I
...., ........ ...... -. 1-"
~: 225 f.IFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
~ City Job Number ,;>{>IL WI{. 00 Lf 82.
'I~,.j,
Site Address:
~j Assessors Map
I Owner:
Plan Review Fee of $42 per sign is due with application.
~1 Address:
."
'I~\ City
Tr---H Business Name, Firm, etc.
~~ Description ofProposedSign(:): (Please check and complete.all appropriate information)
p, 'I! + ::~Ie Face )< ::~:;:n:~:: ::~::::~:g ~:::,
It)' (."
~f;' Square Footage: ,I y { Total Height ~~v5e ~~ade: - 3V ('
r , Vertical Dimension of Sign or Enclosure: Q{ Horizontal. Width of Sign or Enclosure:
. i ~ Dimension from Grade to Bottom of Sign Enclosure "'8' I Electricallnstallation:$Ves _No
(If yes additional electrical permit required)
Value of Sign: 1J 6{,' 6C;;-O
<2-r::1.5
7177
Tax Lot:
Phone:
:-e
L if" UK;ovTs
State
CJf<-
Zip
?7t(t7~
Marquee
Material Sign is Constructed of:
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List ALL existing signage and attach a photograph of each sign:
(a) Type R-eet;(fUliiV;;- Sq. Ftg. '" t(' (b) Type
(c) Type Sq. Ftg. (d) Type
Sq. Ftg.
Sq. Ftg.
Contractor/Installer:
Fa h&CJ
P. ~? Jb~
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~rl('S
f-Jyo&>
Phone:5f I. 2/~5'"- C(O>9'
Address:
City:
State: .
f)~
""l74.D,;;J..,
Zip: :/7 +' '17
Construction Contractors Registration Number:
0; ;) (:, C). crr-
Expires:
OFFICE USE.
Sign District:
GC-
Zoning:
CL
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By signature, 1 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 thatany and all work performed shall be done in accordance with
the Ordinances of the City of Springfield, and the Laws ofthe 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.
1 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 installationofthe sign(s)./,
Signature ~/1 /..---<- '" Date 3-;2L!,-/1
om.. -# :5'{/- S$'i '7C;'~
."h:m~rl Drive:(T'I!Rllililim, Fnrm~/Sip'n Pe:rmit Ann1il'.iltinn 1-11'. nor.
SIGN PERMIT APPLICATION
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The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are hiring a
contractor, you need to make sure that their Registration Number from the State of Oregon Construction Contractors Boards
are listed on the application al~n~,wjtR,the:expiration date of each. ~ "') 0 \ .~ .?' (; '\- \.
If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed by
either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building
in which you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical
application. .
Ifthere are existing wall and/or freestanding signs, a photograph(s) of existing sign needs to be attached to the application.
The size of each existing sign also needs to be listed on the application.
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and a plot
plan indicating where the proposed sign will be located. If you are installing a freestanding sign whic~ exceeds 20 feet in total
height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan review process
is completed, and, if your sign(s) is approved, one set of plans will be returned to you. The approved set of drawings needs to
be at the site when an inspection is requested for the inspectors' reference.
INSPECTIONS
Depending on your sign(s), you may be required to request one or all of the following inspections during the installation of
your sign.
Site:
To be requested after indicating on the lot where the proposed sign will be located but prior to any work.
being performed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign.
Footing:
To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting inspection.
Attachment:
To be requested when all fasteners are installed but prior to cover.
Electrical:
To be requested after the electrical connection to the sign is made, but prior to energizing.
Final:
After all required inspections are conducted and approved and the sign installation is complete.
The inspections that are required for your sign installation will be indicated on your permit. Failure to request ANY of the
required inspections could result in sign removal in order to inspect the sign at the required intervals of'work.
To request an inspection, phone 726-3769. This is a 24 hour recording. On the recording you will need to leave your City
Designated Job Number, location of where sign is being installed, the type of inspection you are requesting, and when you will
be ready for the inspection. All inspections called in to the recorder prior to 7:00a.m. will be-made)the same working day, all
inspections phoned in after 7:00a.m. will be made the following work day. . ) -.
If you have any questions regarding the application, required plans or inspections, please feel free to phone the Building Safety
Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
'f~~\- l'<::~ -\1'<'.. ':'\- 51~,~
S=4:;.G__F.IEL~
Ii-~
~OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00482
2728 PHEASANT BLVD
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011000601
lDESCRIe.tI6N~'XS';; '2;~~E?,+'';;~ .;;
Admin fee (10% of applicable fees)
Sign or outline lighting
Signs: 0 - 35 Square Feet
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-00482
;T" ,':;!l:J%:;;"-kh~' ;=~.ii:cCo.ljNtlc;obE ,~.:,~_:_:;
224-00000-426605
224-00000-426102
224-00000-425602
821-00000-215004
100-00000-425605
TOTAL DUE:
DATE: 04/01/2011
-5:'Y';:J.siAM6uNt~buEL~::-'.i
8.00
6300
80.00
7.56
7.15
165.71
-".-, -.AMOU.N:(Pe..ID":::;:".": '-.,:.1
165.71
liJ!~YMENj..:iX_~f:~~~:' ~~ ~~Y:9Ji~,"~4;~,CASwHTfRTDB6wtlSBY,;"',~;:,i,:;:+~:'*:;b"Q~~~N[$~~;:*;~?:'f
Check sri graphics inc
6628
TOTAL PAID:
165.71
Sf~~NG~EL~.
.K~'
,"~'- OREGON
www.ci.springfield.or.u$
TRANSACTION RECEIPT
811.SPR2011-00482
2728 PHEASANT BLVD
CITY OF SPRINGFIELD
225 Fifth $1
Springfield,OR 97477
541-726.3753
permitcenler@ci.springfie\d.or.us
RECEIPT NO: 2011000542
tDES.CRIP..TION'" "tL:'::"':: '.,; .' 'o'
Sign Plan Review
RECORD NO: 811-SPR2011-00482 DATE: 03/24/2011
c...Z'?'1'.'.;....;, M:'~" ~ACCOUNT'.i::obE\';;?;.;;~..i.;_ ;:"AMOUNLDUL:::L "..1
224-00000-425602 42.00
TOTAL DUE: 42.00
;cj51~I..f~~TSC'lC. ., _ _ ~;..- df~MOUNtPAID-' ". >. 'j
42.00
LPA YI\'!EHf -r(~~;~ .\--- PAYOR ':.eM'"'E". 'KREEoER1;;cy.~.i :.,
Check ERI GRAPHICS, INC
6622
TOTAL PAID:
42.00