HomeMy WebLinkAboutPermit Signage 1993-5-26
LOCATION OF PROPOSED WORK:
J~t.o
S,O'UNGFIELD
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/..ClJulA ~,T
JWUMBEI1
Inspection Line: 726.3769
Ollice: 726-3759
q,?D~{ 0
SI(3N PEHMIT APPLlCATIQiIl.
/ .
2:!G 1:i1th Street
Sprlllulicld, 011 9'14 n
ASSESSORS MAP: '
/7tJ3 ~1 /0
TAX LOT:
c; ~?, no
S03-b'i?3-~<;?3g
ADDIIE~S:
m -k:.___. ~. ~. <0 /ltJ;:' _/ Ad PHONE:
/OiJO Oiu~ .JZ.,....r
OWNER:
STATE: O~
3m --r;,., J-;-:.....~pl, Aotvv.r~~
1'P~~.ft d./_~, <U' _". A- a....d ~ .sf-.
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DESCRIPTION OF pI10pOSED SIGN IS): Iplease clleck and complele all appropriate information}
ZIP: -.!L7';o I
r;, r.-.L-
BUSINESS NAME, FIRM ETC,:
CITY:
'Wall
V Freestanding
_ Projecting
V Billboard
Roof
Marquee
Sillole Filce
V Double Face
Other
. Squille Foo,aye: 5'7/' ~,,~~~.... _ ) Total Height above Grade: 'SI\) /
VI""<:.ll Dlllle"SIl)l1 01 $IUn or e"c10Su'f~ ~2... ( HoriwnWI Widlh of sign or enclosure:
( ------
Electricul Installation: .."..... Yes
IIf yes additional permit is required)
L/~
Oil1ll:nsioll 110m Grildt: /
tu UOIIOITl of Sign: :l.~
No
VALUE:
i 7. 01,.0
Materi~,l Sign is constructed of:
. / . ~
.<:.L.1-' '-~"a~ALI"-/ ~""-'ifA--' $(~-/J79-URL;.,.
List ALL existing signage and attach a photograph of each sign:
'1;t1Type.~-
Sq. Fig.
Ib) Type
Sq. Fig.
1<:) Type
Sq. Ftg,
Id} Type
Sq. Ftg.
CONTRACTOfllINSTALLER: ,;;;,"^"_~. > (:;>J...;, - . ~M I J'X'* 1.,~pHONE: 3<1.1 -2<13 t.
ADDnESS:
'11<;""7) 4.), /36(.
CITY: _~.4A
CO,"STFlUCTlON CONTnACTORS REGISTRATION NUMBER:
STATE:
l()~~M-
()^'--"_ ZIP: 17<102-
f EXpIRES:Jj 2fl!CL~
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Sign Distr~~QJ)')1JLCL-
loning:
Sign Permit Fee: _J~.W
OFFICE USE
Land Use: ~ofr) Quad Area: fr Jl }("L)
Code SectiO,\ I ~ 17., /~n ('21C3Y~ ) '"
Approved By: W ~ ~ ' Q,f ') DATE: ~ LV) .Yo
REOUII1ED INSPECTIONS: ~
Site Footing Attachment lU Electrical 0 Final
to be made prior pn r to placement alter fasteners are pril\.Lto cnergizi~g c~l1lpletion 01 sign--
to sign pJ3cement of concrete ,installed/prior to cor'f/ . installation J)
Aclllilional Cornlllenl" and/or Conditions: fA QAS[J) l' ('If).. !) ~~ J\f\'\, ct I ~ I Ll J] 0 fS!
. . \(){_::tn J Q ~ 0 f\tn LCnJLLf\ CJ:A'n 00 n -f\ n,,-- -.J \
By 51 n:llUft!, I Slate and 3uree, that I have carefully examined the completed application and do hereby certify that \:III information herein
.is tru and correct, and Ilurther ccrtily 1113t any and all work performed shall be done in accordance with the Ordinances of the City 01
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contrnctors amJ
employees who are in cornpliance with ORS 701.055 will be used on this project.
llurlher agree to ensure ttlat all required inspections are requested at the proper time, that project address is readable from the street, thaI
tt1C permit ctlrd is loented at tile Iront of tIle property, nnd the approved set of plans will remain on the site at all times during the installation
01 tile signls).
Si{Jlwture
~.L_-'_ -::l f7~tP": )....
Date
3/t7 /q~
l1eceived By:
~8\. .}-L'o .~
Lf\ [} ")
- -~ -
fleccipt Number:
\9)CV
. F)(;;43
~ .
Date Paid:
V,,1illatioll:
Amount Received:
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SIGN PERMIT APPLICATION
"
The application on the reverse side needs to be completed entirely. If you arc the sign contractor/installer, or if you arc
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and th~ Registration
Number from the State of Oregon Construction Contractors Board arc listed on the application along with the expiration
date of each.
If the 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 you are the business owner who also owns tho building in
which you are occupying,' and you will be performing the electrical installation yourself, you may sign the electrical
application,
If there arc existing wall and/or freestanding signs. 8 photographls) of oach oxisting sign needs to ho aunched to tho
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 whicl1 exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, if your sign(sl is approved. one set will be returned to you. The approved set of drawings need
to be at the site when an i~spection is requested for the inspectors reference.
INSPECTIONS
Depending on your signlsl. 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 this inspection.
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical:
To be requested aft~r the electric~.l.'conn~tioh 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 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 roQuirnd
intcrvals~of work. .
To request an inspection, phone 726.3769. This is a 24 hour recording. On the recording you will need to leave your Cit'y
Designated Job Number, location of where the sign is being installed, the type of inspection you arc rCQuostinO. 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 feef free to phone the Building'
Safety Division at 726-375~.
Cily of Sprinlllicld
Ilnildinll Safety Division
225 I'iflll Slreet
Sprinlllicld, OR 97477
....
.
.
SPRINCiiFIELD
/'
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726.3753
FAX (503) 726.3689
This is an agreement between the City' of Springfield Building Safety Division
and Bernard Conklin, 3M National Advertising, thjah t,he .per~' t lN~~d}9f th,
construction of a billboard to be located at ---1rJ{ O( ) (-LL4LI1)l~
can be erec ted once the Ci ty ha~ re<;ei ved A a corr;uOf hEl-.~'ta1:'e erml t of approval
and, the billboard located at, 'A11'fh '{\ "'t- ,~. has been
removed. Mr. Conklin agrees to contact the BUl lng'Safety Division within ten
(10) days to request an inspection once the billboard has been removed.
A.__.~(?---J1 .
i~r;;;ae:o~1in
S.h-~ /93
Date