HomeMy WebLinkAboutPermit Signage 1998-9-4
SIGN PERMIT APPLlCATle
SPRINCFIELD "
~INUMBER
Inspection Line: 726-3769
Office: 726-3759
Q11ooro
225 Fifth Street
Spriogfield, OR 97477
~-
':", .t..;:: j~!I,~,1, .,' l,. ' .).
t-\ARL-OW RD. ,-(,PR.,rJCF(~LO oP-E..
I "l().~ 77 <.. '"l. TA~LOT:
U07 nr )
SITE ADDRESS:
ASSESSORS MAP:
IVII
OWNER:
f"AC'~1 f!.
': .'~,~ "u.9 Ii: .::,;,~l'~l.? jrl ",,,..., ',(1; ',..E "'.rl~ "'I; .," I' .
CONTINEN.TAL' P.A'NK PHONE: (,"41'\ (,Rh- 'i?I,QS
ADDRESS: I ,\ W. '1 TH A VF'..
CITY:
E""";;"Er-JE
" ."r,',.;~:i. ;'d..l'l ::, .,'; ',:!71 j:;: ,t. .' 1,"7';, ....;,..
,.....
. STI!-JE:,.. . - nr-t.1= .' . ..
ZIP:,
BUSINESS NAME, FIRM ETC.:
'''~Ili h);~i1;'~~!::'\ ~~d_j f]nii:.1fl'tI~lq tIel :!lw liDy jIlt"; .j ':1~':'. '
PAC-IFl C. CONTlf-.JEr-trAL- BANK
,,! ,\
..... , ,,~: .:.: !hj,~. i,j -{nl:l'j,,;'~n01Ctlq ~j .::.:'l~l:- '.Jlll_rr';,j,:" "n -r
DESCRIPTION OF PROPOSED SIGN(S): (please'~heck'and complete' all. appropriate information) WE.l1 r cLEVA T10N
X Wall
Freestanding
_ Projecting
Roof
Marquee
X Single Face Double,Face,pr.;v,,~"Billboard,;"''': :;;..:....:..:.....,.Other,
, .,.'":";' '~!II:'!H(;~t:i 'l!n Ilr.\, 11 .t:.Hll""J: '~(: l=il/J r.l';:! h'::h''', . "1' ., l'
Square Footage: 81 /i!f. .... ,..." f. 'Iii L0<;0161" bm !),Totahl;leight'above Grade:
,::.'; ;';'~~.;(l }\',~:"?. onD ,:i.-":f,"l:fl':r, r.: \<::)r;i,!t 1U0V~' ."fd; .t' '~.Jl ,'~:;. "
Ver_tical Dimension of sign or enclosure: -3 -,0 .,' '. ,.......... , Horizontal.Width of.sign,or,enclosure:
'2~ '-0"
Dimension from Grade
to bottom of Sign Enclosure:
42'
Electrical Installation:;':.::.2L Yes _ No
(If yes additionai electrical permit is required)
VALUE
OF SIGN:
4/. Boo. 00
Material Sigo' is constructed of:
.': :)rt,.l.toilc-1 ..Hi~ :0 \lti 10 :1f,O 1::::;ih",1 (I, btliih;:,1 ';J..: V,.lfl :,., ' , t
SI--l~Fr MF"rAL Pl~){ r/CL.A..9 ~F:ON ruBIf'JC
..' ", );:'i\ d<..rl~ 'J".,.i)q',~I; ;'hll r.,l1:;).,',,,r /'~;; ';1'1; ."., "I j'l.,}I,..;, '." " ,'J, .. '.1'
List ALL existing signage and attach a photograph of each 'sign:"'::" :'1" I., ,,"", ,',,: ';,i ..'
(a) Type
Sq. Ftg.
Sq. Ftg.
(b) Type
.1,;.1:', 1"":jl~{li:,,..;:q.Il'd;;t1t;'(~. : . 'fl. '.'
Sq.IFtg:i"J !\:,. ~\; 'l: n': li.~IGj(d)?ryp~;.;,.I'" ~ "l" :11 :1" ,Sq: Ftg. .
'1"_ 1fo -2..
.'..,..'..... .JI ..'11'.; ..'cJ.~..~n'.".-v.'~._~. ~~, ..., ..-. ,.
::::::::TO:/~N::AL~:: L;: y:: :~!~,~;;:,;~;~!~t~~~",., ,.. ,.... ..~~ONE: (5o~) & 20 -Q '2=
",I, ., .1 .Hi,.; :HIJ Oil'; P'.." '~~l' ~i1' ~<:::r .~!J.;~'i,' .:ll~;iJ . "p.;'" ' . .
CITY: n "': A R D, .:. .' C,I, n" :':.""'"':''' .,., 1l1'.:~~3;.U's'f~1~~"y~~.\:.:;:,.,. ZIP:
CONSTRUCTION CONTRACTORS'REGISTRATION'NUMBER:\,I""'j QQ't,~o;6t~,;~'~ or;, , . EXPIRES:' 1- c~o -.'39
" '''h --0 ""
el& -2.
v. . '" .",... EXPIRES:
<;:,. ~/' ~
"-<> -<P q.,
n A.. ~~
,#?:- .v~
Quad Area:
','
(c) Type
'17' '2'2. 'I
;
CITY BUSINESS liCENSE NUMBER:
'V- 'b2l).~,
( :, n~;/. :O~,: "',~O
Sign District: '::I, 0 ~!~~ . . ~h. La~d Use: .r.'
G~qi:o;~ ~~<il~rO;::Oe~~ Se~ti~n:'1' ',"")~" ..
~~'Q 'h 6;- IJ-. ~
Sign Permit Fee: ~!i:q~~;;;;'06~70~~0~t1.!.~~J.!y:\0aurt ~
&. ''J. 'r& ''J "0 r;'O" 6>. (
""'~ &') ,. .,., r,,~. &" ~I.
#/, -'& t#~ ~:~"I t..o e~ -~
iS'1. ;9, 01..& Q ....1'& ~ '0
REQUIRED INSPECTIONS: (9.~0'J ~ 6>,.11;, is' 0" ~'9.9. oS'&1 ~~1-
~~.,&1. ~& (S'.?, 'b
Site F ~~&~.~/" "O()~aChment
to be made prior prior to Place~?~~ "~feY<1is'eners are
to sign placement of concrete . C'q~~talred/prior to cover
"
OFFice' USE'
~r ,nkJ
" .
Zoning:
DATE:
tt.+.C[('
Electrical
prior to energizing
electrical installation
Final
completion of sign
installation
Additional Comments and/or Conditions:
By sigoature, I state and agree, that I have carefully examined the completed application and do hereby certify' that aU information herein
is true and correct, aod I further certify that any and all work performed shall be dooe io accordaoce 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 00 this project.
I further agree to ensure that all required iospections 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 installatioo
of the sign(sl.
. 1.---L6
Signature
Date
S\-II-~R:
Validation:
Amount Received:
IltJ 9U
.A16~{)
Date Paid: L.J '1...L5!'/<;
Received By: ~ Lt::...b...
./
'Receipt Number:
:
SIGN PERMIT APPLlCATI.
SPRINGFIELD
J.MBER ~ t') IDO(p
Inspectoo Line: 726-3769
Office: 726.3759
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS: lOll HAl'<...",VV 8.C>.
ASSESSORS MAP: I 'In.''' ??':l. ':l
&PR.I""CF"(~L.D oP-E..
TAX LOT: I\tJ7lYI
OWNER:
f'ACIF"IC CONTINENTAL RANK
PHONE: (,"4''1 f..Rh- <z1,QS
ADDRESS: \ '\ vJ. 7 rH A VI=. .
CITY:
ELLt;;'Er-JE:.
STATE:
nRF_.
ZIP:
BUSINESS NAME, FIRM ETC.:
PACIFI C. CONTINENT"A'- BANK
DESCRIPTION OF PROPOSED SIGNIS): Iplease check and complete all appropriate information) ~A.sT' E...E: vA"""ON
X Wall
_ Freestanding
_ Projectiog
Roof
_ Marquee
X Single Face
Double Face
Billboard
Other
Square Footage:
81 j;!{
Total Height above Grade:
Vertical Dimension of sign or enclosure:
3'_0"
Horizontal Width of sign or enclosure:
'L~r_o"
Electrical Installation: ~ Yes No
IIf yes additional electrical,!1l:l,(11it is required)
'V)}
8....1":"'''' /vI"..-...... PI "'''J~..y~~~II=.ON ruB/NC
- 1'"'1 'Uh..._ (",<>:....'
V~ v-9, "/1'
List ALL existing sigoage aod attach a photograph of each sign11-)- ~~/. ~~O O'~
{;.>. 'V~ U~ '<(
(b) l'vpe <> ()1- e:><S'^ ~-I-4. Sq. Ftg.
')-..<:>.(' <5' I ~ ;,y~
(d) Type ,~/~ -1,,? _ IS' ') ~Jftg.
~O "/jI; <.~^ ''Y""
. f)...... 'rA.. ,"/",
e.,U .'/' .U..Q,L
~.('_ <5'''/..J>f'fONE:
"'-9 ~/'
Dimension from Grade
to bottom of Sign Enclosure:
IS'
VALUE
OF SIGN:
.# aoo. 00
Material Sigo' is constructed of:
(a) Type
Sq. Ftg.
(c) Type
Sq. Ftg.
CONTRACTOR/INSTALLER:
Mr=.Yt=R. SICN co. ~ oP..E-~
,'''c.
(SO?,) 102o-!2'2.ao
ADDRESS: '~4o .<:w LANDMARK L.N.
CITY:
rl/; A F>.D
STATE:
ni:ll=.
ZIP:
,G\7''l'1. :j
i
A"t:
fo/,^,. <::/V'T/OAf....
CONSTRUCTION CONTRACTORS R~TRA~ NUMBEfiI;r 00"-4- 0 14-
in a/cation adOPt;d' ''11\1 te .
CITY BUSINESS LICENSE NUMBER: ar.- 'AA 9."", _Cente'.J;' by th.. ,...q/Jltes II,:".
ca/ii~o/J rnay';~~10 th~;' t/J/!!s if~ Utility
n(,_.. 9 the _ a/n _ 1fflH'._ elf__,.
( OS[ '~"'rfo -"let -"'es . ''''''< '"
Sign District: l~l\af(lQ D c,>~~'lf!.~~CrvOte:th:'!therl1/e~~;'QUad Area:
r () et/s 1-80-" Utility '''''ephone
~ D 0 Code sec'flM3~ia.:.~~:':"'tiv" ~
1. 0 Approved By~ 01..
u \
EXPIRES:
1- ,".\0 -.'19
EXPIRES:
t{\ l\)U )
Zoning:
Sigo Permit Fee:
DATE:~'~'Cl~
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
L.--Attachmeot
after fasteners are
installed/prior to cover
e------
Electncal
prior to energizing
electrical installation
L...../
Fioal
completion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all ioformation herein
is true aod correct, and I further certify that aoy aod 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 compliaoce with ORS 701.055 will be used 00 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 sign Is).
Signature
J_.,JL~
Date
K-,,-"l~
Validatioo:
Amount Received: v'Yfj OU
'Receipt Number: tj/3if)
Date Paid: ~'K
Received By: ~ ~
..
.-
,.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sigo 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 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. Atter 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 signlsl. you may be required to request one or all of the following inspections during the installatioo
of your sign:
Site:
To be requested after indicating on the lot where the proposed sign will be located but prior to aoy 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.
Footiog:
To be requested after excavation aod 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 iospection.
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.
After all required inspections are conducted and approved and the sign installation is complete.
Final:
The inspections that are required for your 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.
.' ,'r..:: ,
To request an inspection, phone 726-3769. Thfs is a 24 hour recording. On the recording you will need to leave your City
Designated,Job Number. location of where the'signjs being'installed, the type of inspection you are requesting. and when
you will be ready for the inspection. All inspectioris'called in to the recorder prior to 7:00 a.m. will be made the same
working day. all inspections phoned in altei 7:00a:m~ will be made the following work day.
. ,..... .'
~I ,\... ,- .
If you have any questions regarding the applic~ti;n; ,,;q~i;~d pla~s or inspections, please feel free to phooe the Building'
Safety Division at 726-3759. " ,;,' ". .
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
\'
)
,
,
\
,
\
SIGN PERMIT APPLlCATle
SPRINGFIELD
J.UMBER q f) / DO ( ~
Inspectioo Lioe: 726-3769
Office: 726-3759
SITE ADDRESS:
ASSESSORS MAP:
IQll HARLO"" RD,
I, ():::l "7 .., -Z "2...
~t@
, ':1 ~;?\~:5ni:I;{.Aj ,~',.;.i, :" ~)r.'
'.,-~PRINCF(~L.D oF'-E..
TN< LOT:. r'fT2f"Y"
225 Fifth Street
Spriogfieid, OR 97477
OWNER:
Pt\Clll=' C
~ ..".:....,...\i.,Jl/.1n,t:wq2;0 '1;::'1 .)rl~ i;i~"! 'f.:-1t "'1;;' ':);1':11.) ;/" 7';-:":. ,
CONTINENTAL' P.A'/H<. '. PHONE: (,';41'\ (,R/?- 'Z/,QS
ADDRESS:
,\, W, yn< AvE=..
CITY:
E'l-tCl":r-JE
.,::', r:'.:li6:1ilqqG :Ilnne-jf11.::)hiJ~}lfJ Ill' ,h~'ljr.:;jrf';:ljl ~';:I\..."
....." . - ',~.Tf.-J.E:,^' ...'n"...=. ,'. ".... ,
':1
, .
ZIP:;,
BUSiNESS NAME, FIR~A ETC.:
.. : i'..~.:ni :1.i.Ji1j:J~)!:.I !3d1 onir!~lOb~)Q ad iiiw t.ioy rms .tt!;y',;.., . , :.i'. ' ','{ ;l~~ ,i....' '. 1-,.
PAC-1Ft C CONTI.-..JENrAI- BANK
',';' ~ ,';";'i:."':o r;:>rw j,') (.?.If!,~'-;'rn<l!"C'diq ':\ ,,;~,-::.~\::!' ~ff1I",;'Y;ir7~i.~.'t 'r i~;1~, 1,'.' ' ,',' I;:" ..
I'"
DESCRIPTION OF PROPOSED SIGN(S): (please.~heck'and complete. all appropriate information) NO"'''''' ekE vA ,t<"N
X Wall
Freestandiog
_ Projecting
Roof
Marquee
,Dou_ble'.F.acec9niw~LBillboard.n:(I~': o"....~'l~Otherf. O('Hl \1.'011 d ~ "',;1. r," .
,::;"'; '". "~n1 fi or:'il!&tar.l 916 ucy iI ,b~IG;''''O! ~d Ilivl r.Oi:! b::~O:::Oll':i ;il1! tl !'); 'h,: [Irl~' f.:'.t" t
Square Footage: 81 p( 'r "'''''''''''''1 B yd beqmar'l bns h,Tot~hl;teight'above, Grade:f '''', ""d ".,
r:. ",' 1';."1 ;~rl",lJ tc' l:.:>? ono ,bi}Vrnoqr. li (a)iiti'la. 'GOY t; ,hnn .l,;;~h';:';i1:r.. J t:' ...,.
Ver.tical Dimension of sign or enclosure: .:3 '~, 0 "" j. "........" :; HorizontaLW~t~1.?'~ o'r,enclosure: 'l.;'t - 0 ..
o 06~. o~ 'It/;
, Electricallnstallation:;""X ~e~~C'~ .f't9/. 'b VALUE
+b, :)":""0l1~~f (:~: :~1d~::i~;~:r.~:~~,~:~~~I;;b~,~.~~~~~,.~GN~ . ~ eoo. 00
S"'IOFr ....=-rAL. PI 1=>< 1/-L.~4';n.;[(l>;~~~~
-i!>,. '- '';<\> ~ "b' /; 61- i:;>~
<;.~(hr'''''. L
" '. l :'.1,' .liJI,~ :J'~~',,)lJ'.I'l :Jld :,Iln,,'.J 1'." ,\;,,) '~@':; ~hC:ol~"vl; . vit,.~, VJ. I ~ .:'
List All existiog signage and attach a photograph ot.aach sign: '" '" ,. ,,' '...,"1&; .<\>b ~-i- cl'0 C! ~1J<.. <\>~: 0", ~",;.<\>
, ~ r(s>' "'&. ~ 9o.~.; <\>\l' ~~h U',k
la) Type Sq. Ftg. ?'. V~-: (b) Typ.e "'c9I?-'>. O/~<\>of'lJP~'cl',.",- ~"t~/=
'P.". I I.IIIl) ,t.'~; ,::'r.gt,HlIwA':ffl1fJl ~\;!j l"ll~ '. ..::.....!L..."\?;,,~6. ~t9 ~~ ')"6). 1,)6>1 '~~ '"
(e) Type . Sq.l Ftg.'i1\! .fi1U.>-, 11!;..o~.n!Uit ~ (d) IType~nll\/l ,1 :.II:~ :.\ :J~l'{:)";~~.'&"': ~ _.-0....
<-12. . /0.0 "'f/l' ,'!~ Oll'~"" "'-& vO.''}
/I.. :,,''' () ~. "/'t ....1..... .~ '
"f/flJ-v"''1~;j;''~(j" .'Y'4("'... ..". '''.,''.'""' .... ..-.... %~Il:'<\>~ '. ,
CONTRACTOR/INSTAllER: M r= ;1=", ~11.:f':'5~:/,":CO~/~C, .' "",. ~NE: f.'7C/?,) Iv:1o -.Q 'Z<=o
(,<.T ADDRESS: 'H40 .~w LANDMAPK L-N.~J:),,~I.~. ~/^~~/'"
, . "..' " "~Q 'YYAf. "vlO~ J, I-s.:'" . ,
CITY: T,--; A RD., . c,,, ,," . ',,".v." .,"~" ":'~'lv~'~l!tt:.~j":,.,::,, .' Z!P:
CONSTRUCTION CONTRACTORS REGISTRATION' NUMBER:" j", ,', 00':4-'0 f4} ,4'0;'" .,,:; " 'EXPIRES:: I - ,~o -.'3':1
CITY BUSINESS LICENSE NUMBER: EXPIRES:
x
Single Face'
. -,:
ii'
Dimension fro';' Grade
to bottom of Sigo Enclosure:
Matenai Sign is constructed of:
C17''2'L~
i
",'., .,: 'OFFICE'USE '
.~.,1\r. ' ,
,~
Sign District:
(:anuM t1lrt.~
GO Q)
~() .CfJ
land Use:
. ~ . .
'Ouad Area:
/ U1J aJ
Zoning:
.,.1.' ....., ", .'.]',..~ lHn;';~I~.l .'1'
.. Code Section:'
....:,. ~, ' , .
Sign Permit Fee:
Approved B~)d~~12Jl."
DATE: .9 -4C{g
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
/ '
Attachmeot
after fasteners are
installed/prior to cover
.....-/ Electrical
prior to energizing
electrical installation
~nal
completion of sign
installation
Additional Comments and/or Conditions:
By sigoature, I state and agree, that I have carefully examined the completed application and do hereby certify'that all information herein
is true and correcl, 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 io compiiance with ORS 701.055 will be used on this project.
I further agree to eosure 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)'
Signature
JA.J~ .-
Date
~-Il-"'I'"
Validation:
Amouot Received: ') () .oJ
'Receipt Number: <..~/38'/7
Date Paid: $J..i.B >5
Received B~ t.M. )