HomeMy WebLinkAboutPermit Signage 1999-3-22
SIGN PERMIT APPLlCATI'e
SPRINGFIELD
JOWMBER q q D 3 .{!..-i:
Inspection Line: 726-3769
Office: 726,3759
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS: q C. q f( t2 /I ,,,\" '" uJ A .,
ASSESSORS MAP: '\ '1 o?., ,:}.d-.d- 0(')0"1 0'1
~ <(lit . 'v'l '6.dd
I TAX LOT:
012...:...
S;;' A
~
OWNER: TA / t'1" Li c D8 /-) (;;M{Q.f1.r~i&Jk~ PHONE:
ADDRESS: ~ 40."> St! Iely U,,;,.; Lt4A1t'
CITY: Sf" JJV9 ./",.. /(1' STATE:.oJ! '
BUSINESS NAME, FIRM ITC.:~1l fA <:_.l L ,.. dl, 1::1 C 0 ~ ,f'",ttl-
.lJ if I. 7 '-II-, - 'it L./'P';
ZIP: 5L.~'f 7 "7
S' I!J h_ f
*
.Jt.... Single Face
Double Face
(please check and complete all appropriate information)
AT.JENTION:Oregon law requires you to
- Projecting --ro1l~W~ules adeptee 81,a[IH:I~regon Utility
. No\iti-~tion Center. Those rules are set forth
Billboard ""her". -'1 ,. 9^R962 g'''-
---mOAR::ro'::::~UUI-VVIV\ IlV~-J" t\ --
Total HeightlIil86vElfm'a'ill.:y obtain copies of the rules by
-t7".:iIl <;- caHing the center. tl~o{e: lilt:: 1t::U:;ltiIlUIIQ
.{~/ -:.t.' :':' ontal Widthl0f1SignbrTl!~'CI0S\!ifl\1~ilfty Notification
Center is 1-800-332-2;J44).
s No VALUE $/
ermit is required} OF SIGN: :J'1 00. 6d
DESCRIPTION OF PROPOSEO SIGN(S}:
..L Wall
_ Freestanding
Square Footage: 7 d.. ~ /;r
.J.I.'
Vertical Dimension of sign or enclosure:
Material Sign is constructed of:
.:P3-,
IJ I u n., J:Lwc1 ,
P/~x
FAr-,
II ILl M
f! tile ~ 1../14-'"
r
Dimension from Grade
to bottom of Sign Enclosure:
List ALL existing signage and attach a photograph of each sign:
lal Type
Sq. Ftg,
(b) Type
~1"'T!Cj::
'Sq. Ftg,
",.,MIT SHALL EXPIRE IFTHE WORK
''1,Sq.,F,te'l''r- -...- ,
, " J'" ','C . nJi:l n:nlVlI I IS NOT
,I\NUUNED FOR
L L C. ~"n,. ':::r~tJpNE: 5'fJ 3 . 'tQ.V - f?<:: ~
Ie) Type
Sq. Ftg.
(d) Type
ADORESS:
I/.e 1'1 -f it '- (' t9 ',;ullH/u
, , ,
J 1 t'J / .~ jJ ~ IY1 AIt.c <;r ~
CONTRACTOR/lNSTALLER:
CITY: f) /J i? -I- I A ., '"
,
STATE: ()t1".
ZIP: iJ '7 2.. 2 ~
EXPIRES: j.)., 9. OcJ
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: /27 1<70
CITY BUSINESS LICENSE NUMBER:
EXPI RES:
OFFICE USE
Sign District: 7-:L:. (I".-.......nI.
Land Use: 5 300
Quad Area:
ICNvJ
Zoning:
(l~ C-
Code Section: <;<, 'J... S 10 ( -:t )
Approved By: --1(....4 - l' I~
o
DATE:
j-I'?-c,\
Sign 'Permit Fee: $70,-
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placamant
Footing
prior to placement
of concrete
../ Attachment
after fasteners are
installed/prior to covar
/Electrical
prior to energizing
electrical installation
/Final
completion of sign
installation
Additional Comments and/or Conditions: f'.Iulv-:.-......Q r~ tto/":)~ ~ "" \.(\'5"'c.M....h""'" .
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 en this project.
I further agree to ensure that all required inspections are requested at the proper time. that project address is readable frorn 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 signlsl. /' ~ /' /J A
jSignature ~ !../11/.h1/~ KDate 2,. 22- qq
o / I ' v
Validation:
Amount Received: 11 '70 , ~
Date Paid:
Receipt Number:
~"l'J..~6
Received By:
'3 -d-d -'1'9
ku.J
J
.
.
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 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 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. ' ' .
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 plen indicating where the proposed sign will be located. If you are installing 8 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(sl 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 or all of the following inspections during the installation
of your sign: ...
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 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
ele,ctrical 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 ap~roved and the sign in~tallatio;; is complete.
, . .
The inspections that are required for you; 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
SIGN PERMIT AP~L1CATIW
225 Fifth Street
Springfield, OR 97477
" JIUMBER' Or q c:> 3#
, 'Inspectlon LIDe: 726.3769
Ollice: 726-3759
SITE ADDRESS: q r; 9 'I(/? \I ~ e W A 14
ASSESSORS MAP: '\1 (\":l, d..d..d.. () 0 () OJ f) '7
O~NER: Ttl /t).s LLe /).BA.' CD.... fOIl,{
3 L/Q5 ({tllJ" v,t'w L~N(-
CITY:. 5 P--LJ 1./'1, CL,J.I
BUSINESS NAME. FIRM rrc.:----In 11'7 s L L (
"5'..,-ti$
PHONE:
.1)'1/.
SYir A-
"711~' 34flfl/-
ADDRESS:
STATE:
~Ile
C tl ,:.,. ..(oltl
ZIP: Q 7 '1-77
5 u ,j-"u- ,
OfHJ
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all apprOPriaterinformationbregon law requires you 10
A 1t:I\IIIUN. . "'1
J II .. ,. ,'s ado pled by. Ihe Oregon UIII Y
_ Wall ~ Freestanding _ Projecting ~ ~Roor eC 1-= lJl\I1~guee, are sel i.orth
. . . Notlhcallon en ",. ..1 " ,U'Co" 01
~ Single Face .x.. Double Face Billboard inC0'tii'e?52-001-00'0IhrO~ghC:AR_9~~:~ h\~
-0090. You may 001"111 "UI"O" v. l~,,, ,~-- ,
Square Footage: tl-1. ~ Total Height aP9~el~iil'decenld:l ~Ie: Ihe lelep'hon,e ,
, numberforthe Oregon UlIIlIY ,"UlIlI"GH'U"
Vertical Dimension of sign or enclosure: 7 ' ~ ~ Horizontal Width of Si9(!;Q(1WCIQSlJrllOO.~1-~~.
Dimension from Grade lec.v~ation: 1~ ~ No VALUE #
to bottom of Sign Enclosure: I:J' , (If yes'additional electrical P;~iS required) OF SIGN: ':l "0('] n)j
Material Sign!s constructed of: A /1./ WI r r.l 6,....;....J 1J1I1Vt4 .(/t!'y EAC.ps
List ALL existing signage and attach'; photograph of each sign:
la) Type
. Sq. Ftg.
Sq. Ftg.
Ib) Type
Id) Type'
~'!')TJCE:
. . . ~ ~s.(jWfttpsg^Ll:: :?irn If' THE WORK.
. ''ll''~'' '!ND
Sq. Ftg.- En THI~ PffiMITlS NOT
Ie) Type
", ~ \. .
,
f'lt.,fl"'\"'II.:r-":" '-,.,po"
CONTRACTOR/lNST ALLER:
('''WI fl- A '.hf
5'1-'
LL (mJ'(1800AY ppfNffre:5o;.:;~'i.its/6
t/el!1-1~ ,~
. ADDRESS:' I () '2../ 3M r= fYlA ,,') J/
{)"Lf lJ4wd
CITY:
STATE:
tJR,-
ZIP: q 77- z..o
/. '2Q- ()O
CONSTRUCTION CONTRAcToRS REGISTRATION NUMBER:
/27'170
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District:
I~~")
CJ1
(I..LJ ~<LfLand Use: 5300 '
Q'-.2.51", (31
Approved By: cK~ Lv ~
Quad Area:
JflVltJ
Zo~ing:
Code Section:
Sign Permit Fee: ,,;it 5'5.
-
DATE: ,:?-I'1: -"i."
I' REQUIRED INSPECTIONS:
Site
to be made prior
tq sign place~ent
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
J//~Iectrical
prior to energizing
electr!cal installation
/Fin~1
completion ot'sign
. installation
Ad~.itional Commentsand/or Conditions: 9krr.u~ ~"'~ tu..0,~J U""".j,., ~...~.Nh""-'.
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 Ifufther 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 us~d 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 prope'rty. and the approved set of plans will remain on the site, at all times during the installation I
of the sign Is). ~' ;;::? . -
1,signature rfIA"r""'" ~..-L.. _ . ;><bate 3. 22- 99 ;
/~. 'rY~"; ,
Validation:
Amount Received: jr, '5 C; .
Receipt Number: '3 'J 2-?-5
, Date Paid:
,Received By:
3-d~'''i1
-W'.
J .'
;,.
.
.;.,
'- SIGN PERMIT ApPLICATION
The application on'the reverse side needs to be'completed entirely, if you are the sign contractor/instalier, or if you are'
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number from the State of Oregon Construction Contractors Board are listed 'on the appiication along with the expiration
date of each. ' .,
I '
If the'sign you are proposing' to instaUis iliuminated, an electrical permit application also needs to be completed and signed
by either a supervising electrician, liniited sign electrical contractor, or if'you are the business owner who also owns the
building in which you are occupying, and you wili be performing the electrical instaliation yourself, .you may sign the
. electrical application. " , , ,
If there, are' existing wali and/or freestanding signs, a photograph!s) of each existing sign needs to beallached to the
application, The size of each existing sign also needs to be listed on the ~pplication.' ,
,
PL:ANS
To submit for a sign permit, you need to prepare two complete sets or'drawings showing ali 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. Alter the
plan review process is completed, and, if your sign(s) is approved, one set of plans wili be returned to you. The approved
set of drawings need 'to be at the site when an irispection is requested for the inspectors (eference.
. .". ,
INSPECTIONS
'Depending on your'sign(s), you may be required to request one or ali or' the foliowing inspections during'the instaliation
of your sign: "
Site:
To be requested alter indicating on the lot where'the proposed sign wili be located but prior to any work
being performed for the instaliation of the sign. This inspection is required if there is 'a question on the
location of the proposed sign. '
To be requested after excavation and the forms are, instalied, but prior to pouring concrete. If there wili be'
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection,
Attachment: . To be r~quested when ali fasteners are instalied but' prior to cover.
Footing:
Electrical:
, .
To be request~d after' ~he ~Iectrical conn~ction t~ the sign is made, ,but prior-to energizing.
.,
Alter ali required inspections are, conducted and approved. and the sign instaliation is complete,
Final:
. ' .
The inspections that are required for yo'ur signinstaliation wili 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
(equired intervals of work. . . ' "
, .
ro request an inspection, phone 726-3769. This isa 24 hour recording: .On the recording you will need to leave your City .
Designated:Job Number, location ,of where the sign is being instalied, the type 9finspection you are requesting, and when
you wili'be ready for the inspection. AIi inspections calied in to the recorder prior to 7:00 a.m. wili be made the same
working day, ali inspections phoned in afte~ 7:00 a:m. wili be made the folio~,ing work day.
. '. , - . " .
If you have any, questions regarding the application,required plans or inspections, please feel free to ,phone the Building
Safety Division at 726-375~. ' \
City of Springfield
Building Safety Division
225 Fifth Street ,I
, Springfield, OR, 97477
I
"
SIGN PERMIT APPLlCATIOe
SPRINGFIELD
JOWMBER q q () 3'-1-( 1
Inspection Line: 726-3769
Office: 726,3759
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
Cf(, if fro lIS"- WII'-I
1"1 03 ,:2.=;).Q.. 000 Q'rf7
SPIl';'''(,,,/,/ CJIl...
TAX LOT:
$) ~ c....
OWNER: fA I/J<( LLC () f?(J C7tM(;df',,;r,-S PHONE: $'</1. 7'1{'" /flf'lJl
ADDRESS: .3 40 < 8 Jt) le/t.( fl. t'LJ L A,J.,.
CITY: <;''';/0/9 Cu.I,.} STATE: (Jilt" ZIP: Q7'-t77
BUSINESS NAME, FIRM ETC,: T", /"'s LLe DBA. {'o m ..(0(:-1 S '-fIfeS
DESCRIPTION OF PROPOSED SIGN(S): (~leaSe check and complete all appropriate i.ffbrtli'd't\b"lfyN:Oregon lawh roO quires YOUUt'I~Oty
follow rules adopted by t e regon I ,
.L Wall Freestanding Projecting NBti6tation Center, ili~Iq'lfeeules are set forth
- - -in OAR 952-001-0010 through OAR 952-001-
-X- Single Face Double Face Billboard _ Ottum YOIJ mav obtain copies of the rules by
calling the center. (Note: the telepnone
Square Footage: / to 3 ..11 iT Total Height aboKlilHfAAllf')r thp O">gon Ulllilv Notification
U '" /( Center is 1-80Q-3:).~-Z3f-4),
Vertical Dimension of sign or enclosure: 7 t, Horizontal Width of sign or enclosure: '!2./ j"
Dimension from Grade .::!:If 1/ ~llnstallation: ~< _ No VALUE .t
to bottom of Sign Enclosure: ~ '---uL~~s additional electricafp~ is required) OF SIGN: :7.."100
Material Sign is constructed of: II I u m A A/ d P {... ",' ~.-
(al Type
Sq. Ftg.
Ib) Type
A 11.4m.. tl A Cf'u/IO'{
mrrTCE:
T' :,,, "':RMIT SHALL EXPIRE IFTHE WORK
)RI~!=!) UNDEP THIS PERMIT IS NOT
Sq. Ftg. .
',l ,,' .;Ai~UUNED FOR
Ai\I'( ltSq~if,tg.JEBJ(\"
List ALL existing signage and attach a photograph of each sign:
lei Type
Sq. Ftg.
Id) Type
CONTRACTOR/lNSTALLER: tk JtJI V (' t'J .....:M i.J 't J. L C
ADDRESS: I? 6/~ Ai F= 1VIt1J?v. <-f
CITY: DI'J1211AtoIrf STATE:...oI7P
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: / '2-78'70
PHONE: 5rH. 40[5, :Y'sm
ZIP: t7 '7 2 2 ('j
EXPIRES: 1- 29. dO
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign,District: 7-:'1 C1"."ur'!,;....,e Land Use: 5 3() 0
Quad Area:
Ic..Nll)
Zoning: c.c:...
Sign hrmit Fee: ..-t I()() . -
Code Section:
<;;. ~5Co (2.1
cK~lL /;,,;~
b
DATE:
-?-/<6 -'1 "'I
Approved By:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~ttachment
after fasteners are
installed/prior to cover
v""Electrical
prior to energizing
electrical installation
v'Final
completion of sign
installation
Additional Comments and/or Conditions: 9Ju>k (l. ~ Iv. ryl.LUJJ-
WtlB'- -Iv Uol ",-k...u oJ-, '<>--"--
U
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tl,at 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
emplovees 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 signls). /~ ~ / . /J
{signaturk~-~ 1ate 3, 22- r??
Validation:
Amount Received: c-/1; I trh, ,-
Date Paid:
Receipt Number:
~":>')..')..~
Received By:
3-.;).:;).. -"i"
~
..
.
.
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 g gontragtor, you neod to make sure that both the City of Springfield Busin088 ~igenso Number and the Registration
Number.,lromthe State of Oregon Construction Contractors Soard 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 application. . \
if there are existing wall and/or freestanding signs, a photograph Is I 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!sL 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
",I " \' being, performed tor the installation of the sign. This inspection is required if there is a question on the
1,Iocation 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: \~o be requested after the electrical connection to the sign is made, but prio; to energizing.
Final: After all required inspections are conducted and approved and the sign installation is complete.
The in'spection;that are required for )our '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