HomeMy WebLinkAboutPermit Signage 1992-11-24
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LOCATION OF PROPOSED WORK: ?If.J1J fk,jjnIA
ASSESSORS MAP:,\ I 'l 0.'0 ::).. f:J (11)
OWNER: fV\tql/l 1~fJt1/I[ ~
ADDRESS: . ~-fJ. tf~k' f<tt {(~
#{rlla.J
I
SIGN PERMIT APPLICATION
. .
JOB NUMIJEH
.
qc9. l/J~~
225 Fifth Street
Springfield, OR
97477
Inspection Line: 726-3769
Ollice: 726-3759
winl
TAXLO~:
PHONE:
("f'f1 / I
A//A
I
BUSINESS NAME, FIRM ETC.:
STATE:
Jt'fJipW/Lv
l
t91'
..,...,
J,hl-.
ZIP: C171...n_
CITY:
DESCRIPTION OF PROPOSED SIGNISI: Iplease check and co'C::~te all apPro?riat~jnformlJon)
_ Wall' ~ Freestanding"" (JrtJe Pr~:t:ting ()jh.~~~ ' .
..k Other fIA/9YlIAfv.../nr Clie
t Ct II
Marquee
_ Single Face
Double Face
Billboard
Square Footage:
5Z
Total Height above Grade:
Vertical Dimension of sign or enclosure:
'-if
f/<'I
Dimension from Grade A.
to bottom of Sign: --f'1'"""
. '"
Horizontal Width of sign or enclosure:
Electrical Installation: X Yes _ No
(If yes additional permit is required I
VALUE:
~. ~O~ gP
Gtv..P, ,v:Jtf4- H,jpJ
Material Sign is constructed of:
,~~el w.ek.l eal,l~1-
t~1 uHJe
,rl1n
List ALL existing signage and attach a photograph of each sign:
lal Type
Sq. Fig.
V\
{/
Ibl Type
Sq. Ftg.
(c) Type
Sq. Ftg.
(dl Type
Sq. Ftg.
Iharf;v-
ADDRESS: 20"1 :TP/!.{I,A ^ h
WIPhP
l <
CONSTRUCTION CONTRACTORS REGISTRA TION NUMBER: (0 Lf G l r
q~m'\\ 0
&oj.
fl.,
S"'1v-.f(
/t...{-
PHONE: ]'t~W
CONTRACTOR/INST ALLER:
CITY:
STATE:
tJlt
ZIP: q 1'1.~Z.
EXPIRES:___2L~.LtzL_ .
EXPII,ES: JQ._:..3,~93-.-~
CITY BUSINESS LICENSE NUMBER:
Zoning:
Sign District..:]:. - ~ l' ~
~0 /. _ ~
4l)CU
OFFICE USE
Land Use: ~ ':J.fY') Quad Area: \ ~ 11 )
Code Sectier: . -g - q - \ h 11\0 ~ .
Approved ByUJ ~ ~ )~,<~_DATE: UJ() .q!j/
Sign Permit Fce:
REOUIRED INSPECTIONS:
Site X- Footing Altachmenl \[ Eleclrical 'i..._ Final
to be made prior prior to placement after fasteners are ~ energizing completion 01 sign "-
\ :"::'::'::f6?~)"~~:~~ ~ ~lf~~ oifh~ ~~\UA-Qc\J
BY~ure, 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 accordclncc with the Ordinances or the City 01
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 QAS 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 rcadable from tho 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}.
Signature
a~
Validation:
Amount Received:
~_/
(/' -
\ lbnDv
Date
II \'l"l\C1').
Receipt Number:
In<.?<.?O
"J \
Date Paid: -, ~l "'l';).
Received By: QB
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. It you are the sign contractor/installer, or if you arc
hiring a cOlllractor, 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 01 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 arc 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
appliea tion.
If there are existing wall and/or freestanding signs, a photographlsl of aach existing sign needs to ba attached to the
application. The size 01 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
J plot plan indicating wllere 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. After the plan review
process is completed, and, if your signlsl is approved, one set will be returned to you. The approved set of drawings need
to be at HlC site when no 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
localion 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 beio place prior to requesting this inspection.
Attachment: To be requesled when all fasteners afC installed but prior to cover.
Electrical:
To be requested after tile electrical connection to the sign is made, but prior to energizing.
Fillol:
Alter 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 ,equired
intervals of worlc
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.
II you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726.3759.
Cily of Springl'icld
Building Safely Division
225 Fiflh Slrecl
Sprin/(lield, OR 97477
"
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I
SIGN PERMIT APPlICATli
225 Fifth Street
Springfield, OR 974 7ib
LOCATION OF PROPOSED WORK: 'JJli ~ 0
ASSESSORS MAP: \'l()S::AAc9()
Vl/\f.t(1/l /lUi t('1
vf'r /I, /.fAX
r
W'Brf{tt.wJ.
OWNER:
ADDRESS:
CITY:
BUSINESS NAME, FIRM ETC.:
..
.
~
q~ Ic9f")3
JOB NUMllER
.
Inspection Line: 726.3769
Office: 726.3759
HIft., /In",
/;vall
~AXLOT:
Onq l \
/1/jA.
PHONE:
f<2/ K(,
rt h dtb lAlA,J
- " 1.., {
f9/1
2'""",
q '7 Zgz
STATE:
ZIP:
DESCRIPTION OF PROPOSED~N(SI: (Pleas~h;S6t{t b;PleCo~~aj('nformatiOn)
_ Wall n FreestandlJ1g _ prbjectll1g _ Roof
_ Single Face Double Face Billboard ~ Other
Square Footage:
32
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign:
n
Marquee
4'
V1I10l'l//1 Y'nJ,/"'f ( fv( p
(p (, ,{f Li
. I
q
\rfDC:O
J
I"'Pi.- G?!fh(. I ff,e;r fiAtlJ
Total Height above Grade:
Horizontal Width of sign or enclosure:
Electrical Installation: ~ Yes _ No
(If yes additional permit is requiredl
VALUE:
q "-eel' ~I
Material Sign is constructed of:
((I h}~1- 1-.1 tJ!~/e
List ALL existing signage and attach a photograph of e~ Si9/
lal Type Sq. Ftg. )' Y (b) Type
lei Type Sq. Ftg. /0 (dl Type
CONTRACTOR/INST ALLER: lli.twf,~
ADDRESS: 1.tJ'-/ .T~.-< II"
CITY: r:1^~ el..~
Sq. Ftg.
Sq. Ftg.
/!/J)(.
~f.
~/~W(. tw'.
f
PHONE: 11..{ 2.- 1.14!1
STATE:
fJf
ZIP: q? L( '/)1
EXPIRES: ?i9L C,7
EXPIRES: 10 ,--~T) . q3--
CITY BUSINESS LICENSE NUMBER:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
crD~~4{
&~'(~
()
Sign District: !--~ ('11nJI)
ZOlllng: ~ __
Sign Permit Fee: 4-f).U--J
OFFICE USE
Land Use: 52:J.Y) Quad Area:
Code Secti~: ~\"n q i Q;: L~ -
Approved BYI\illL~ \.) ~..o V
\ \
\~ 1\)11)
DATE: l.L1.LLq~
REQUIRED INSPECTIONS:
Site V Footing Attachment -L Electric,,1 :i:.._ FII1i11
to be made prior p~ 10 placement after fasteners arc pnor to encrglll/lg completion 01 sign ~
;":~~~~~ri~7::~~~~~~W~6 t ~~1>Qf\)
. .
13y Sig~aturc. I state and ,agree, that I have carefully examined the completed application and do hereby certify that alllnform;:]tion 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 01
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 tho 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 insl{lllation
of the signlsl.
~~ /l~ V
/ /-f7~
I/"'{)W
i:J 9>1U
Signature
Validation:
Amount Received:
Receipt Number:
Date
I cp~fj2
Date }'aid:
"bu lc,-:l..
fJB
Received By:
\.
,
IT "."
.
.
SIGN I'EI1MIT APPLICATION
The application 011 the reverSt.: si(h~ needs to be completed entirely. If you are the sign contractor/installer, or if you are
hi/illtl ,. COlllrilGtur. yuu lleed hllllakc sure llwt bOLh tile City of Springfield Business License Number and the Registration
Number from tile State of Oregon Conslructioll Contractors Board are listed on the application along with the expiration
date 01 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 the building in
wt,ich you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical
applicatioll.
If there are existing wall and/or freestanding signs, a photographls) of eech 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. After the plan review
process is completed, and, if your sign Is} is approved, one set 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
Dependinu on your signlsl. you lTlay be required to request onc or all of the following inspections during the installation
of y()ur 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
loc<ltion 01 the proposed sign.
FOOlinU:
To be requesled alter excav~llion anu the forms are installed, but prior to pouring concrete. II there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attacllmcnt: Tu LJe requested when dlllasteners 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 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.
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 wllere 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 or Springl'icld
Building Sal'ely Divisio"
225 Firth Street
Springlield, OR 97477
,
'-'"
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.,
c,>,) . ;
.. .
. "
"
..,.~ ?~~
SIGN PERMIT APPLICATION
.
~
Hv\:ffn/r...
JOB NUMllEl1
.
Ct8.' tL~
225 Fifth Street
Springfield, OR 97477
Inspection Line: 726.3769
Olfice: 726-3759
LOCATION OF PROPOSED WORK: 3l.ftO
ASSESSORS MAP:J.Cl() ~~ 9. r;}{)
fkJ141A {J(;IlitIV)y{IA'"
vi-f). J5f!Y Z/ ((If
III f}r11{t1~
BUSINESS NAME, FIRM ETC.:
W/t.J
ITA X LOT:
OWNER:
If
PHONE:
txJC{ ( I
/VIA-
t
.'
ADDRESS:
CITY:
STATE:
J? fJrAPlMAv/
l
:IhJ,..
&w;J~.
ZIP:
(ij 7 2 lrZ
DESCRIPTION OF PROPOSED SIGNISI: Iplease check and complete all appropriate information)
~Wall
X Single Face
Square Footage:
Freestanding
Projecting
Roof
Marquee
Double Face
Billboard
Olher
Verlical Dimension of sign or enclosure:
,I
Total Height above Grade:
;l.Y I
21 I
/47
Dimension from Grade
to bOllom of Sign:
~
.
Horizontal Width of sign or enclosure:
Electrical Installation: LYes _ No
(If yes additional permit is requiredl
VALUE:
L O()() ,~
V'~t { fr.-.{ (JJ
Material Sign is constructed of:
~-tI- ~./ CfJJ.~f( {)~e ,~... MWf. -l-
List ALL existing signage and attach a photograph of each sign:
lal Type
Sq. Ftg.
Sq. FIg.
Icl Type
Sq. Ftg.
Sq. Fig.
CONTRACTOR/INSTALLER: hA,"" ~. 5dvJ.-J I n{.
ADDRESS: '2..011 T(J/H.r{ "In fl-.
CITY: f: IAlAIN STATE:
, -
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: I;; '-i 10.1 [(
CITY BUSINESS LICENSE NUMBER: C1.;;Ln, ~,1.Lo ._
PHONE:
;If'l..-1760
(!Jj(. ZIP: ~I:IL{L-
EXPIHES: 3(~1 C'tl
_..,EXPIRES: ,.lo_~3.D__~~,_.
OFFICE USE
Sign District:~.. ~ \'lJ('(Ui\. .
(\(\ j
Land Use:
~3m Quad Area:
Code Section: q - '1 -IS C l ')
Approved By: '\ tI\() .) ~~JLJ0 DATE: \\ -L\--q:J.
\ 0 l)ltJ
Zoning:
Sign Permit Fee:
ff) .c:o-
REQUIRED INSPECTIONS:
Site FOOling X' Allachment -'t- -Electrical ..x.- Fino'
to be nwdc prior prior to placement after fasteners are prior to energizing completion 01 sign
to sign placement of concrete installed/prior to cover "instl1l1atlon....
Additional commen~\~~d/or Conditions: f),..R1Yf_)) ~ r'Q (') ~f:N\ct-~ l 1\0 t'\ \ 11 ao..&-
~)\~D{ \\) ,Q~Qffi\I'Q\ ) U\DN) ~Q (\ ~ - \ ._______'_
By s~nature, I stale and agree. that I have carefully cXClrnincd the completed application and do hereby certify that ;111 informlltiull hcrei':
is true and corroct, and " further certify that any and all work performed shall be done in iJccord:lIlce with the Ordinances 01 lht: City 01
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only conlractors :md
employees who arc in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections arc requested at the proper time. that project address is rc;}dJble from the street, thai
the permit card is located at the front of the property, al~d the approved set of plans will remain on the site at all times during the inSlnllation
of the sign Is).
Si{Jnature
~./~
~)
/"/V
Date
Validation:
Amount Received:
J LonDO
L. 'X')?()
lIb'
Date Paid: _ _y"~ ~
Receipt Number:
Received By:
(de
.
.
SIGN PERMIT APPLICATION
The applicatioll on the reversu side needs tu be completed entirely. If you are the sign contractor/installer, or if you are
hiring a C(Jlllfilctur, you need to make sure ltwt both the City of Springfield Business License Number and the Registration
Number flOlll Ille State of Drugan Constructiun Contractors Board are listed on the application along with the expiration
date of each.
II thc sign you are proposing is illuminated, an electrical pcrmit 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 orc occupying, and you will be performing the electrical installation yourself, you may sign the electrical
allplicatio'l.
II there arc existing wall and/or freestanding signs, a photographls) 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. After the plan review
process is completed, and, if your signlsl is approved, one set 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 bc requested alter indicating on the lot where the proposed sign will be located but prior to any work
being perlormed tor the installation of the sign. This inspection is required if there is a question on the
lucation of the proposed sign.
Footing:
To be requested af ter 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.
Alt3Cllmelll: Tu be requested wIlen 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:
Alter 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 01 the required inspections could result in sign removal in order to inspect the sign at the required
intervals of work.
To rcquest 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 inspcction. 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. wiil 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.
Cit). uf Springlicld
Building Safely Divisiun
225 Fifth Slrcet
Srringlicld, OR 97477
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