HomeMy WebLinkAboutPermit Signage 1999-11-15
rl SIGN PERMIT ~PPlICATIO_
SPRINGFIEliO
JO.~ER L\9 llo S"2-
Inspection Line: 726-3769
Office: 726-3759
225 Fifth Street ~ -
Springfield, OR 97477 -.... ~
IS\ ~V\,s\-,
',h2. "''''' ":l, 2-
OWNER: G,~ ~
ADDRESS: ~D3b 'S\.A.>({'~ \..Nv
CITY ~~l (~ STATE: ~
~ '(I" - I
BUSINESS NAME, FIRM EOC,: l..lO~ ~ CD, '
TAX LOT:
.~ f-l
Mo\ - L\~~
os q tJ-d
SITE ADDRESS:
ASSESSORS MAP:
, PHONE:
ZIP:
q/~
DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate informatian)
~ Wall Freestanding _ Projecting Roof
~ Single Face Double Face Billboard Other
Marquee
Square Footage:
sO
Total Height above Grade:
\ 'a I
5\ \D'
. Vertical Dimension of sign or enclosure: Horizontal Width of sign or enclosure:
Dimension from Grade \ (Electricallns~~lIation: 'y;,- Yes - N~ VALUE 5 000
to bottom of Sign Enclosure: I.Q ~f yes additional electrical permit is required!) OF SIGN: I
Material Sign is constructed of: c:::\o. (\ n+ fu Q *n (j ~I f\ Q I)!)he-- ) \ ri o.u':ll\
(al Type
Sq, Ftg,
(b) Type
SQ. Ftg.
'*
List ALL existing signage and attech a photograph of each sign:
(c) Type
SQ, Ftg.
(d) Type
Sq. Ftg,
CONTRACTORIINSTALLER: ~ \.K,..-O.....~ ~~ D\
ADDRESS: \ D \ 1\, ~C-o....J Vdl '
CITY: ~\ l~1
- '-J
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
~\{\G
PHONE:
Lo~/a;oo
STATE: (~
()()11L~qn
ZIP:q(40~
2-IOl)n\
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District: f{JIlU\\A.lA..;:r~_ &JrU..M.VI..
Zoning: (' l' _
Sign Permit Fee: J;5"S,-------
Land Use: ? 9 aLl
Quad Area:
/('s 01)
Code Section:
'X ,.:i~Q' (I \
K<l.i(-- IJ)/~
DATE: ,II' k_41~.....L5._ci'7
Approved By:
REOUIRED INSPECTIONS: /
Site Footing /Attachment ,/ Electrical ~nal
to be made prior prior to placement after fasteners are prior to energizing campletion of sign
to sign placement of concrete installed/prior to caver electrical installation installation
Additional Comments and/or CcinditionS~.A.. b.J,...,:t; 1Lt. ~d 9-K..- ~ ~ ~.r-
- U ~
By signature, I statc and agree, that I have carefully'examined [he 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 dane in accordance with the Ordinances of the City of
Springfield, and the Laws af the State of Oregon pertaining to the work described herein. I further certify that only contractors and
employees wha 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~f the proper~ ' and the approved set of plans will remain on the site at all times during the installation
of the sign(s). /' / # . A
Signature d Cl/t(M ./~ Date / / _/5.J ,; 9/
V (/
Validation:
Amount Received:
Date Paid:
Receipt Number:
Received By:
.
-
1
SIGN PERMIT APPLICATION
The application on the reverse side:needs to be completed entirely. If yau are the sign con-tr'actor/installer, or if you are
hiring a contractor, you need to make sure that bath the City of Springfield Business License Number and the Registration
Number fram 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 ta be completed and signed
by either a supervising electrician, limited sign electrical contractor, ar if you are the business owner wha also owns the
building in which'yau are occupying, and yau will be performing the electrical installation yourself, you may sign the
electrical application. . .
If there are existing wall and/or freestanding signs, e phatagraph(s) of each existing sign needs ta be attached ta the
application. The size af each existing sign also needs to be listed on the application, .
PLAN S
To submit for a sign permit, you need to prepare two complete sels of drawings shawing all dimensians, total height, and
a plot plan indicating -r'here the proposed sign will be located. If you are installing a freestanding sign which exceeds 20
feet in total height,ltne 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 Is) 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
J
Depending on your signls)' 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 excavatian and the forms are installed, but prior to pauring 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 applicatian during the plan review
process. Failure to request ANY of the required inspections could result in sign removal in arder to inspect the sign at the
required intervals af 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, locatian of where the sign is being installed, the type of inspection you are requesting. and when
you will be ready for the inspectian. All inspections called in to the recarder 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. .
.' .1'
.. )
If you have any questions regarding the application, required plans or inspectians. please feel free to phone the Building
Safety Division at 726-3759, .
.,' ;.
,I
~...,.
/I,
.,
City of Springlield
Building Safety Division
225 Fifth Street
SpringlieJd, OR 97477
'.
SIGN PERMIT APPLlCATIO_
"
TAX LOT:
JO.~ER g q I (p S -z.,
InspeCW,'RI' ~~E20M~ll;7.f6l PM/$ 55.00
Offic~n'12j;Atm: 100-00000-425602
RCPTff:01-0000~~eY.~ITE
D<;qlT7l .JO~-Q1
-ili..l- 3e>oS 4Inl-4-Io~
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
OWNER: (.,r-e~ C'.:De.i\
ADDRESS: \ ~D Su...,'6 Lv>
CITY: 8 \rAR)J\2 STATE: r:::u2
~ I;'),
BUSINESS NAME, FIRM E.C,: ((i)-e.("\ '("{\n\ov- to.
PHONE:
ZIP:
Ct ILI-D~
DESCRIPTION OF PROPOSED SIGN(S): (please check and complele all appropriate informationl
'fJ- Wall Freestanding _ Projecting Roof
~ Single Face Double Face Biiiboard Other
Marquee
Square Footage:
5fJ
Total Height above Grade:
\'3> I
101
Vertical Dimension of sign or enclosure:
5)
Horizontal Width of sign or enclosure:
Electrical Installation: .E- Yes No ALUE
(If yes additional electrical permit is required) 0 SIGN:
S6(j{) .
Dimension from Grade
to bottom of Sign Enclosure:
\~
<;,~~
~
(j
Material Sign is constructed of:
List ALL existing signage and attach a photogreph of each sign:
(al Type
Sq. Ftg.
(b) Type
Sq. Ftg.
(c) Type
Sq, Ftg,
(d) Type
Sq, Ftg,
CONTRACTOR/INSTALLER: ~(\ ul - U -l de..., $,-~ \ ~G
ADDRESS: \()\ A) ,~fl-,~
PHONE:
(Q?:"'?:, - 2JdJb
CITY: l-:-~
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
ornS;~~ ~
ZIP: qllU)~
..2/15 t/ 01
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District: ('.()~"'''u../ 't.~ ~
Zoning: (l> c..
Sign Permit Fee: ~S. -
Land Use: S ?, Cl'7)
Code Section: ~ ' .1...1<;(
. Approved By: 4-
Quad Area:
I~ _51.0 D
(I}
Lu~
~
DATE: ID- llrl.Uh'I<1'i "t
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
/ Attachment
after fasteners are
installed/prior to cover
~ectrical
prior to energizing
electrical installation
~al
completion of sign
installation
. Additional Comments and/or Conditions:
By signature, i state and agree. that I have carefully examined the compieted 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 wha 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 fram the street, that
the permit card is located at the front of the property, and the approved set of plans wiii remain on the site at all times during the installation
of the Sign(sl'd /7/ ~d .4
Signature (.If /:Uff /~~ Date / / -15 >/9
c.
Validation:
Amount Received:
JJ. 65.
~7'i
-
Receipt Number:
Received By:
!- 1<6-~
q(,u)
Date Paid:
~ - ,I
"
.
~
~O.3C &\Mg d~:I\OOOS 81 ~AL
~Oc)cS~-OOOOO-OOI:IlT:J:JA
3TIJ 0 YAH\~~SOOOO-10:#T9aH
l:O-SCdl(T\-h~:l!RI,Or,. h " :d d bid 'I If h' ' /. II "f
e app Icatlcn on t e reverse SI e nee 5 to e camp ete entire y. you are t e SI9n contractor Insta er, or I you are
hiring a contractar, yau need ta 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.
SIGN PERMIT APPLICATION
If the sign yau are proposing to install is illuminated. an electrical permit application also needs to be completed and signed
by either a supervising elecfrician, 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 perfarming the electrical installation yourself, you may sign the
electrical application,
If there are existing wall and/or freestanding signs, a photograph!sl af 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 pracess 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 far the inspectars reference,
:
INSPECTIONS
Depending on your sign!s), you may be required to request one or all of the fallowing 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 farms are installed, but priar ta pouring concrete. If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attachment: Ta be requested when all fasteners are installed but prior to cover.
Electrical:
To be requested after the electrical connection ta the sign is made, but prior to energizing.
Final: After all required inspections are conducted and approved and the sign installation is complete.
.I
The inspections that are required for your sign installatian 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 af 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 in~pections phoned in after 7:00 a.m. will be.made the following work day, \
...'
If you have any questions regarding the applicatian, required .plans or inspections, please feel free'to phone the Building
Safety Division at 726-3759. ' . . ,
,
. ,
i
City of Springfi~ld
Building Safety Division
225 Fifth Street
Springfield, OR 97477
~
"
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