HomeMy WebLinkAboutPermit Signage 1997-5-20 (2)
OWNER:
J_U~BER
Inspection line: 726.3769
Aflq{J A~:'~n9t
:~.:,L~T~ f)~1cn - \
C\lOll()
')ILJIIJ I-'tHIVlIT APPLICATION n SPR'NOFOELD
2,25 Fittb Street ,.-):" ~
Springfield, OR 97477 Iv ~~
LOCATION OF PROPOSED WORK:('> 0;l(b-<J(}C1 IU pt(
\llX~'a~ _ ~
~~ 6(2'o<..u(-(?t
ADDRESS: ~ 0Afb0A'1 ~C.A/P
CITY: 0f~ ~ld.--O
BUSINESS NAME, FIRM ETC.: -SaUTtf UI-1 p~V f->
ASSESSORS MAP:
....,
, PHONE:
,STATE:
()vL-
13/l N(L-
ZIP: q'1{-r/
\
DESCRIPTION OF PROPOSED SIGNIS): (please check and complete all appropriate information)
-L Wall
~ Single Face
Freestanding
Projecting
11001
_ Marquee
Double Face
Billboard
Olher
"
Square Footage:
'?2-,v:?
re'
Total Height above Grade: -/
Vertical Dimension of sign or enclosure:
7...'8"
(0' 10"
Horizontal Widlh 01 sign or enclosure:
Dimension from Grade
to bottom of Sign:
(v'
Electrical Installation: / Yes
Ilf yes additional permit is required I
No
VALUE:
't1qo.~
Material Sign is constructed of: Stfa?r- Mett--t....--; /J6t::J 1--'1
List ALL existing signage and attach a photograph of each sign: ALL- tJSWJ) IV 0 J; ')( I S Ti N b
lal Type
SQ. Ftg.
(b) Tvpe
SQ. FIg.
lei Type
SQ. Ftg.
Id) Type
SQ. Ftg,
~ ~=';; ~
CONTRACTOR/INSTALLEK: =-= 1 f,:;,
ADDRESS: / p.( 0 D'-~Afc..rf ?P
ClTY: eu G::>f'::i-l e-
PHONE: ~ .L:3?4.G
CONSTRUCTION CONTRACTORS REGISTRA TION NUMBER:
STATE:
I! I -zgc.o
Qv2-- ZIP: t:1/40 Z-
EXPIRES: z-!?/~__..
EXPIRES: Go {q-r
CITY BUSINESS LICENSE NUMBER:
?(CjO ?q]
Sign District:
( ~ ~)'M.'f'~.Qr (\ i n U
(\G '
<1,;\') .CO
, OFFICE USE
~ La~ Use: 'bY:jJ Ouod Area \ ~ I\11Ll._.____
, Code Section; 4J\ - \ 4- a') .. .
Approved BV: ~J \~~~/i ) _DATE: _Q11].~
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS:
. Site
to be made prior
to sign placement
Footing
prior to placer')"ent
of concrete
V Attachment J Electricat
after fasteners are prior to energizing
installed/prier to cover
VFillr11
completion of sinn
installation
~ Additional Comments and lor Conditions:
I
i
By signature, I state and agree, lhat I have carefully examined 'the completed applicrl!ion and do hereby certify that all inlorrn(1tion herein
s true and correct, and I further' certify that any and all work perf~rmed shall be done In accordance with the q..rdinanccs 01 the City of
Springfield, and the Laws of the State of Oregon pertaining to the work described herein, I further Certify thol only Contractors and
,mn1oyees who are in compliance with ORS 701,055 will be used on this project.
further agree to ensure that all required inspections are requested at the proper time, that project address is readrlble from \111: street, that
I-he permit-card is located at the front of the property, and the approved set of plans will remain on the site at all times durinfl tll(: Installation
')1 the signlsl.
~~
liignature
Date
tf~/1-q7
~
lalidation:
Amount Received:
P/A!Y )
~~~
Date Paid:
Receipt Number:
Received By:
V). tL/J, \
~ \'\1)---"
~
.
-'
SIGN PERMIT APPLICATION
TI)(,; applicJtion on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or it you are
I"ring a COlltractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number from the State 01 Oregon Construclion Contractors Board are listed on the application along with the expiration
rJ:Jl0 of each. I
i
II tile sign you are proposing is illuminated. an electrical permit application also needs to be completed and signed by either
a superviSing electrician, limited sign electrical contractor, or if vou are the business owner who also owns the building in
Wllicl1 you are occuPVing, and you will be performing the electrical installation vourself, VOU may sign the electrical
application. ~
\1 UIl:rG cHe existing wall and/or freCSt1,}IHjing signs, a photograph(s) of each existing sign needs to be attached to the
upplicDtioll. The size ~f each existing sign also needs to be listed on the application.
PLANS
T ,I SU\)llll! lor J sign permit. you need 10 prl:p~HC two complete sets of drawings showing all dimensions. total height, and
:l plOl IJlall illuicating where the proposl:u sign will be located. II you are installing a freestanding sign which exceeds 20
k:i.:t ill towll1eight, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
prucess is completed, and, if your sign(s) is Jpproved, one set will be returned to you, The approved set of drawings need
\U be at the silte when an inspection is requested for the inspectors reference,
INSPECTIONS
[)\:Il(:IldinU on your signlsl. you fllJy IJL.: required to request one or all of the following inspections during the installation
ul yuur SiUI1:
Site:
To be requested alter indicating on the lot where the proposed sign will be located but prior to any work
being performed for the installation 01 the sign. This inspection is required if there is a Question on the
location of tl1e proposed sign.
FUOllng:
To be requested alter excaviltion and the forms are installed, but prior to pouring concrete. If there will be
electrical conduit placed in the looting, it must also be in place prior to requesting this inspection,
JdtJt:tlll\elll: To be requested when all fJsteners are installed but prior to cover.
\.
E!ec\rical: To be requested after the electrical connection to the sign is made, but prior to energizing,
FH1ul: After all required inspections are conducted and approved and the sign installation is complete.
TIle inspectia.ns that are required for your specific sign will be indicated on the application during ~he plan review process.
F(illurc to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required
illlerv;)ls of work.
Tu request on inspection, phone 726.3769, This is a 24 hour recording, On the recording you will need to leave your City
Desigl13\ed Job Number, location 01 where the sign is being installed, the tvpe of insp.ection vou are requesting, and when
yuu will be readv 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 alter 7:00 a,m. will be made the following work dav.
II you have any Questions regarding the 3pplication, required plans or inspections, please feel free to phone the Building
S;J!ety DiVision at 726.3759.
.
.
Cit)' ul' Springfield
Building Safety Division
22S Finh Sfreet
Spri1\gfield, OR 97477
:
.-
~
:
LOCATION OF PROPOSED WORK:\ '0,ll'fe-v.Jtn1 H t I I
ASSESSORS MAP:--.L] D'?J~~{f)
h0J~ft/2.1..-- 6~w-r!-t
ADDRESS: ~ Gt.:\-rEVJ~1 &.vi)
csrl2-1 iJ~h...o
BUSINESS NAME, FIRM ETC.: 'Srx rn+ UHR:i>tlA
SIG~ PERMIT APPLlCATI~\@ ~s~ ~U~BER qln(~l,n
225 Fifth Street , k. ~ Inspection line: 726.3769
Springfield, OR 97477 - Office: 726.3759
~~? T)~'
.....
OWNER:
, PHONE:
CITY:
STATE:
(()vL-
gLl~~
ZIP:
01'177
,
DESCRIPTION OF PROPOSED SIGN(S): Iplease check and complete all appropriate information)
V Wall
Freestanding
Proiecting
-.
noof
Marquee
V Single Face
Double Face
Billboard
Other
"
Square Footage:
141.'7-0
Vertical Dimension of sign or enclOsure:
~'.?\'t
l,c' r I_rl
Total Height above'Grade: -/ lQ
['2..\
Horizontal Widlh 01 sign or enclOsure: -/
31f"
Dimension from Grade
10 bottom of Sign:
,
\1/
Electrical Installation: ~ Yes _ No
Ilf ves additional permit is required I
?fleer MBfJlv ( Ne:v~
VALUE:
4-7qo
Material Sign is constructed of:
list ALL existing signage and attach a photograph of each sign: ALL. vE:. W I l\J 0 I:- X \ S TIN r..
(al Type
Sq. Ftg.
(b) Tvpe
Sq, Ftg.
Icl Type
Sq. Ftg.
Idl Type
Sq. Ftg,
CONTRACTOR/INSTALLER: ~0t /l
ADDRESS 12.-1 D OUfA-Cc-rt ~A-.L>
I
CITY: e:v0~
PHONE:
:4~ -sPA&,
STATE:
Orf-
ZIP: Qt40v
EXPIRES: zfq 8
EXPIRES: G/q ,
CONSTRUCTION CONTRACTORS REGISTRA TION NUMBER: I (I z..'OG
CITY BUSINESS LICENSE NUMBER:
'?'('70?>11, __
- -- ~~
OFFICE USE
Zoning:
Sign District:lmffio.'(~~~
~(\ J
~~pJ
/
rw-n Guad Area \. ~ 1!\)Lu
-Q:'l-\4 (\\
Uffi ) I~QifJ\\~ATE: ~ '20.Bl
--...
Land Use:
Code Section:
Sign Permit Fee:
Approved By:
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placer"flent
of concrete
~hment
after fasteners are
installed/prier to cover
1~lectrical .
prior to energizing
.........----
Finnl
completion 01 sinn
installation
Additional Comments and/or Conditions:
By signature. I state and agree, lhat I have careful IV 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 flerein. I further certifv that only contractors and
employees who are in compliance with GRS 701.055 will be used on this project.
Ilurther agree to ensure that all required inspections are requested at the proper time, thelt project address is readrlblc from tlll) 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 111" installation
of the sign-Is).
Signature
cHtl,\ JWV\
Date
c:j /1 '1 ~'1
Receipt Number:
l\~.r)J )
~~\j~
Date Paid \ ~ '~~.l\-:\
Received By:~D(),./
Validation:
Amount Received:
~
.
SIGN PERMIT APPLICATION
Till': applic[l{lon on the reverse side needs to be completed entirely. If you are the sign contra'ctof/installer, Or if you are
11i,ing a COlltractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number from the State 01 Oregon Construction ContractorS Board are listed on the application along with the expiration
U:J Le 01 each. .
,
,
II tile sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by either
a supervising electrician, limited sign electrical contractor, or if vou are the business owner who also owns the building in
Wllich you are occupying, and you will be performing the electrical installation yourself, VOU mav sign the electrical
application. ~
II tllere are existing wall "nd/or freestanding signs, a photographlsl of each existing sign naeds to ba attached to the
upplicntioll. The size <?f each existing sign also needs to be listed on the application.
PLANS
TII sulJlllil IOf J sign permit, you Ilced lO prl:parc two complete sets of drawings showing all dimensions, total height, and
;J plOl IJI(Jrl ilHJicating where the proposud sign will be located. If you are installing a freestanding sign which exceeds 20
Icct in totollleight, the footing detail needs to be prepared and stamped bv a registered engineer. After the plan review
prucess is completed, and, if your signlsl is approved, one set will be returned to vou. The approved set of drawings need
to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
D"IH",diIlU on your signls). you may be required to request one or all of the following inspections during the installation
ol yuur SiUll:
Site: To be requested alter indicating on the lot where the proposed sign will be located but prior to any work
being performed for the installation 01 the sign. This inspection is required if there is a question on the
location of the proposeu sign.
FUOllng: To be requested after excavution 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.
l'dtJCI\ll1t:lll: To be requested when all fJsteners are installed but prior to cover.
E!i2Clrical: To be requested after the electrical connection to the sign is made, but prior to energizing.
Final: Alter all required inspeclions are conducted and approved and the sign installation is complete.
Tile inS!)CClia.,ns that are required for your specific sign 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.
Tu reQues, an inspection, phone 726.3769, This is a 24 hour recording. On the recording vou will need to leave your City
Designated Job Number, location 01 where the sign is being installed, the tvpe of insp,ection you are requesting, and when
you will be rcady 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 alter 7:00 a,m. will be made the following work dav,
II you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
S"lety Division at 726.3759.
,-
,
:
Lit \' of Sllrilt"ficlct
. "
Building Sar~ty Div~sioll
225 Fil'th Sfreet
Sprillgfield, OR 97477
.
.
,-
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