HomeMy WebLinkAboutPermit Signage 1999-11-10
'.'SIGN PERMIT APPLlCAT.
225 Fifth Street
Springfielq, OR 97477
SPRINGFIE'LD
NUMBER
99 /63 (0
Inspection Line: 726-3769
Office: 726-3759
SITE ADDRESS:
ASSESSORS MAP:
!J.e; "9:"07)
OWNER: U \I\.Cvt L. ~ DV1 V)~ V"\
ADDRESS: ~~~ V\ c=.,t':;,.1
CITY: ~{. \~ STATE: ~
BUSINESS NAME, FIRM ETC.: <:S~)t. 4-- ~~\.::-., ~
PHONE: (4(",- tSq ~
ZIP: cr\.4~.~
'Gh~'C~~
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
~ Wall
V Single Face
Freestanding
Projecting
Roof
Marquee
Double Face
Billboard
Other
Square Footage:, 4- '/.... ~ ,3::l~ r Total Height above Grade:
Vertical Dimension.of sign or enclosure: t, k ' Horizontal Width of sign or enclosure:
, 0-
Dimension from Grade Electrical Installation: Yes l.Ao )ALUE
to bottom of Sign Enclosure: C1!11 ~ (If yes additional electrical permit is required) SIGN:
" i~Tr~ENTIOI\):ureCli," i ;;:llV)',";'I.'u1:,,-", .:
Matenal SI!!l~)~S l1..onstr.ucteo 'of:. ,:r ;a:,13 In 'eLv" ,
IV:', v. ftl:::;t.iuopreoUYfi"",\jreQfWUi'i'(\;
Nnhfl("~h{\" f"I"'on'.,'.." -(",__... .
, - - '0,' '\)0 ,,' .-., -, . ,-, Y' ,-_.'.... . ~ ,. ~ .
. in OAR 952-00'I-001'HhrJ'''j''I~:'':'':'';;':;:< <~':. ~,:. .
list ALbcr.2flstlrg, ~lgl).~ge i'~n.q' a~ach"a pllotograph.:of! each sign:
v ,.u, ou dldJ' Ol.lli:tll1 '.,;Op!€S Of thi-' ,"(liAS h,
(a) TC~Jling ~he centeL (:\lote: Sq:'F.tg~ph~;1F! . .,',
nYJ, I li.Jtlr fUr me uregon UtiHty Notification
(c) Type ' Cenler is 'i ."u'''''L'1~-SCl:.'Etg:
.
1~4- I u0
1:r
~r1Q),
---
(b) Type,
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMEN~D'Of4IG ADANDONCO rOR
ANY 180 DA~.RfijiIOD.
(d) Type
CONTRACTOR/INST ALLER: o'{2)-r:"t~" vv\, S\) \ /Q
ADDRESS: 7, D . ~ I =i"S (,
I
CITY: C;'...u.~~ '
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:'
PHONE: .~ J~- ;), J../:3 (P
STATE: Ve- ZIP: Dr (l./ '--/ h
() 9 () ttp 4> EXPIRES: 5".:..;;. 1-, '1 <j'
CITY BUSINESS LICENSE NUMBER:
Cf7013 ~
EXPIRES:
OFFICE USE
Sign Permit Fee:
$~D. --
:5 30()
Code Section: ~ .~4i
-K~,
Quad Area:
t ('1jA. I tJ
Sign District:~ 1:: (11U.~and Use:
(J
Zoning:LL
Approved By:
(t I
/ .
G-.J ~
.) ,
DATE:
11-9-'1"1
REQUIRED INSPECTIONS:
Sit'e
to be made prior
to sign placement
Footing
prior to placement
of concrete
/ ./ Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~Final
completion of sign
installation
Additional Comments an~/or Conditions:
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 701.0S5'will be used on this pr6rect~
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).
Signature ~A V\ ~ ---,A C) (~~ Date '.\. ~ -?8 -9~
II l
Receipt Number:
-"\1> L{O ,~
O . l\..f~
?:>IP
Date Paid: tl- \ () - '1 C)
Received By: ~vj
Validation:
Amount Received:
~
..
SIGN PERMIT APPLICATION
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 both the City of Springfield Business License Number an.d the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with.the expiration
date of eac~.' " .
If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed a~d 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
electricaf'application.' '
If there are existing wall and/or freestanding signs, a photograph(s) of each 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 need 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 9r 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
beil")g per,formed for the installation of the sign. This inspection is required if there is a question on the
" location o~ the prop'osed sign.
. ., -., .
"
Footing:" '. To b'e 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 this 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 the application during the plan review
process. 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 the 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 7:00 a.m. will be made the same
working day, all inspections phoned in after 7:00 a.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
/.. ,
,:'
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
; NUMBER
% !.
. .. __.1.-. ...
, --1'-1 -- . J--r
f7{()~
,.-
_ ,SIGN PERMIT APPLlCA~'~
Inspection Line: 726-3769
Office: 726.3759
'ALLX~
TAX LOT: os-R7rtJ
PHONE: '14t.. -- \ S~ &
ASSESSORS MAP:
OWNER: ~ VI. D\..-\ L.:S-OV\ VlS'-Y\
ADDRESS: ~q e, V\ S l -::,.
CITY: ~~\~
STATE:
C)~cc
ZIP: Crl41.?5
BUSINESS NAME, FIRM ETC.: .oS TU I f + r.A. V1 ~''-'\ 'So. ~~ \~C.Y\.Qt_~
" l
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
X Wall
K Single Face
Freestanding
Projecting
)( Roof
Marquee
Double Face
Billboard
Other
4- X ~ '-~~V-
Vertical Dimension of sign or enclosure: ~ S:r _ _ ~rizont~h of sign or enclosure:
Dimension from Grade ( '1~lectrical Installation: Yes \ /~ALUE
to bottom of Sign Enclosure: ~ 10 :w ~ yes additional electrical permit is required) -' SIGN:
Material Sign is con~tructed of: P IA~kL.. ".11 ;~~ ". '. -
;;-r i t..:'~': ".~\:.'_'~:~"'~~~~" ~l'~~-~~~(;vr-:~:'..;;. :.~: '.t~
1U\lU1.fV , l..,i_...--:~- -. . ''- . _._ >... '"'"~ ';~).'J.'
list ALL existiffg\~ignage ~n*,'8ti~ch 8 photOg~8ph of 'escli sign:
'In Q,I.\\-; t)~J:"-' Il "f' '.. \, . 'C.'" !J\'
. J,. . . __. ."..... _ '""': t. .... . j
(a) TypenOOO Vt:: -. ~. Sq.,",ftg:,..""1~'
. .-. .,~, ' '-. I ,.' .' J .
CG'.I:';;~: "," , ,~',., '. \\lotl''<;l''aticr,
" - ,.....~rS... 'F "I;. ,v
(c) Type ",.~mhPrf:lr ll'k, J:t';:- "g. "W: ',;,,;',
r;f"\:....I!.....!_.. .
Square Footage:
Total Height above Grade:
Jdtt ~~
fl-+
$A0,
\
...---
(b) Type
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AIITHORIlm.llliDER THIS PERMIT IS NOT
COMM~~~~ OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
(d) Type
CONTRACTOR/lNST ALLER:
c..-, ~~ _ VY\. LD \ A
PHONE: 3 "" ~ · ~~ 3 (,
ADDRESS: -p V ,~ \ 3Slo
!
CITY:
~~~~
o
STATE:
Of2-..
ZIP:
qlU L{. 0
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:' OCJ tJ9lo fA
EXPIRES:
5- ;)/- D .3
CITY BUSINESS LICENSE NUMBER:
Cj'7 b 13 (,
EXPIRES: /t......c,_ ,,'- --<+'7
Sign Permit Fee:
$40< -"
OFFICE USE
Land Use: '5' ~ Quad Area:
Code Section: ~ ;ll.d l \
, Approved By: ~i_ /AJ ~
o
\ Q~D~
Sign District: f~M..t'YI'LfI\'jJO C.J:no'L
Zoning: (I . (l.-
DATE: iI-q -11 Cj
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
\ L Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~Final
completion of sign
installation
Additional Comments and/or Conditions:
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).
Signature ~ ^-AIl~~ ~ c:J (S1tvv\'C~ Date l ~ / :d~ -~ ~
(\ I
Validation:
Amount Received: .::\r, 0.0 . -
Receipt Number: O~ t/ f y1,
Date Paid: 11- j b - ~ ~
Received By: ~J\ A )
.,.
. '.
~.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you ar.e the sign cpntr~S:Jor/inst~ller, or if you are
hiring a contractor, you need to make sure that both the City of Springfield BLisiness License Number and the Registration
Number from the State of Oregon Construction Contractors Board 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 v.iho also owns the
building in which you are occupying, and you will be performing the electrical installation yourself, you may sign' the
electrical' application. '
If there are existing wall and/or freestanding signs, a photograph(s) of each existing slgn"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 dim~nsions, 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 regist~red'ergi!'leer 9r 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 need to be at the site when an inspection is requested for the in~p.ectors 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 cjf the proposed sign.
, ..
Footing: '
~ . ., , ~
.If ,.
t~ b~ '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 I>riopo .re.questing this inspection.
Attachment: To be requested when all fasteners are installed but prior to cover.
, .
.. ." 'I.' J. '..,,; t~
. . Electrical': I"
. < '
To be requested after the electrical connection to the sign is made, bl!t'prior to ehergizing.
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 the application' during the plan review
process. Failure to request ANY of the required inspections could. result in sign r~mov<!1 in qrder to inspect the sign at the
required intervals of work. .
1,"
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 the 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 7:00 a.m. will be made the same
working day, all inspections phoned in after 7:00 a.m. will be made the followin? 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
.'