HomeMy WebLinkAboutPermit Signage 2011-4-15
~: 225 FIFTH STREET. SPRINGFIELD, OR 97477 .
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',) City Job Number
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Site Address:
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Plan Review Fee of ~ per sign is due with application.
Tax Lot:
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~: Description of Proposed Sign(s):
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~ ::~Ie Face
Square Footage: :!2..
Owner: _R IJ VI 6.. \ A V\I\ "\J 0 r-.
Address: C} I:) 7 S-I ~ ~/.J //'1 " r>:
City~e/ d/
Business Name, Firm, etc. '" 5e. /,r
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Phone:
S&r/ -6 Y{ 9 -'7? d 'b
State &~/'
Zip
t:/'7 '1'0 2-
(Please check and complete all appropriate information)
Freestanding
Projecting
Roof
Marquee
Double Face
Billboard
7ft"
Other
Total Height ahove Grade:
-?<"~ r
.q<r
Horizontal Width of Sign or Enclosure:
'('t
Vertical Dimension of Sign or Enclosure:
Dimension from Grade to Bottom of Sign Enclosure
Electrical Installation:_Yes ~o
(If yes additional electrical permit~uired)
;07 (A)(')t') cl _ Value of Sign: '5""0
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Material Sign is Constructed of:
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List ALL existing signage and attach a photograph of each sign:
(a) Type
(c) Type
Sq. FIg.
Sq. Ftg.
(b) Type
(d) Type
Sq. Ftg.
Sq. Ftg.
ContractorlInstaller: /JJac/" r- 7>~~ .~
Address rf? tJ ;/ y,l ~ /',C, r Y, ;-' e ,j2 <:!
Cil).R.< y PA/lI
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Construction Contractors Registration Number:
Phone:S?9-.h 0-97tJo
State:
cfY.,/T
Zip:
9' ;/.>1J 2..
Expires:
OFFICE USE
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Sign District:
L--t1/I, (
Zoning:
By signature, ] 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 penaining 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 pe "I ted at the front the property, and the approved set of plans will remain on the site at all
times durin e ins a' n oft e 5i n(v.
Date ~?':;///
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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 along with the expiration date of each.
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
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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 which 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 ifthereis 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 leav~ 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. wjll ~e tnade. 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
.-
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
04/15/2011
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00613
IVR Number: 811158903941
ISSUED:
APPLIED:
04/15/2011
04/15/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726c3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
EXPIRES:
VALUE:
10/12/2011
$0.00
SITE ADDRESS: 351 SHELLEY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271009100
PROJECT DESCRIPTION:
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Portable Sign 4/15/2011 thru 5/15/2011
Phone Number:
OWNER:
ADDRESS:
DEFOE RONALD MAJOR
90751 PRAIRIE RD
EUGENE OR 97402
Contractor Type
Sign Contractor
# of Units:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
CONTRACTOR INFORMA TION ~
Lie Type
OWN ER
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Contractor Name
OWNER
o
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 Edition:
lie No
0000000
Lie Exp
08/12/2025
Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq FI Other:
Occupancy Load:
o
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
Site Information
4/15/2011 3:27:59PM
~
Page 1 of 3
.....
S!'AltIG..:E.~.D
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~ORfGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00613
IVR Number: 811158903941
225 Fifth SI
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
04/15/2011
ISSUED:
APPLIED:
04/15/2011
04/15/2011
EXPIRES:
VALUE:
10/12/2011
$0.00
SITE ADDRESS: 351 SHEllEY.ST, Springfield, OR 974(7
ASSESOR'S PARCEL NO: 1703271009100
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Portable Sign 4/15/2011 thru 5115/2011
DEVELOPMENT INFORMATION I
Ov:erlay 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
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
DescriDtion
Amount Paid
Adm~ fee (1~&~of applicable !ees)~_~_.___
Tech".ology ree i.5'/~_of permit tot~IL
Banner, Portable
Banner, P~rtable Deposit
$20.00
$5.00
$100.00
$100.00
$225.00
Date Paid ReciDt #
04/15/2011 2011000729
--04l15/2011--------2Qi1000729
-,--,-.,,--.--.--.,,--- - - - ~,~ _. - -
04/15/2011 2011000729
04/15/2011 2011000729
Total Amount Paid
Springfield Building Permit
4/15/2011 3:27:59PM
Page 2of3
SPRI.NGFIE~~. .
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<if OREGON
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00613
IVR Number: 811158903941
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/15/2011
ISSUED:
APPLIED:
04/15/2011
04/15/2011
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:
10/12/2011
$0,00
SITE ADDRESS: 351 SHELLEY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271009100
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Portable Sign 4/15/2011 thru 5/15/2011
Plan Review
~
DeDartment
Application Acceptance
Received
04/15/2011
Due Date
04/15/2011
Comoleted
04/15/2011
Result
Over the Counter
Sign Review
04/15/2011
04/15/2011
04/15/2011
Approved
Reviewer
Usa Hopper
Lisa Hopper
INSPECTIONS REQUIRED ~
Inspections
6972 Banner Removal
Banner Removal: To be requested the day following the expiration of the permit. If
inspection is not requested, the applicant may forfiet the deposit.
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 proR , and the approved set of plans will remain on the site at all times during
construction.
~!JJI;I
Date /
Springfield Building Permit
4/15/2011 3:27:59PM
Page 3 of 3
SP.RIN. GFIEL~.D
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, '00.,' 'OREGON
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00613
351 SHELLEY ST
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541~726-3753
permitce nter@ci.springfield.or.us
RECEIPT NO: 2011000729 RECORD NO: 811-5PR2011-00613 DATE: 04/15/2011
(DESCRIPTION".: ",.~..::~~,~~.<_~!.; ','" ~;f,,"~::':',,:;.'i'ACCOtJN]j;6i:JE ;;', 'r-,.,;; AMOUNT,D,tJEL~""':.---.I
.. . _A~r:'!n.f...eJ10.:!: ~!aJ'elicable fees) ,___ ___ _2?4.00000:.42660~,. _______ .__. .?OcOO_.
Banner, Portable ..,___?24-00000.425602 __100~_.u
Banner, Portable Deposit 821-00000.215500 100,00
Technology fee (5% of permit total) 100-00000.425605 5,00
TOTAL DUE: 225.00
'. - .,.-,j<AMOU~...'"
225.00
P~y~g~~ cAsHiER':LHO~PPErn;?tt%;~;~i'~;,'i>GJ2M~5~i$1i)~J:~~:~
oregon horse center
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L~p.,YMENI~T:xfiE!"-;"
Check
6670
TOTAL PAID:
225.00