HomeMy WebLinkAboutPermit Signage 1996-05-16SIGN PERMIT APPLICATIOIU
225 Fifth Street
Springf ield, OR 97 477
SPRINGFIELE,JOP 'JMBER
tn'spection Line: 726-3769h,Office: 7 26-759
SITE ADDRESS: /5ft1 '5t
ASSESSORS MAP: /7-o3--qz
OWNER ft./.o/.u ,2
TAX LOT:o
PHONE: leg3-4V33
ADDRESS
CITY:
5A
STATE: OL ztp: ?7qo*
BUSINESS NAIME, FIRIITI ETC.:
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate informationl
VA Wall _ Freestanding _ projecting Roof
_ Single Face Double Face _ Billboard Other
_ Marquee
^kJ' Square Footage:
\vJ Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
t\4aterial Sign is constructed of :
Total Height above Grade:
Horizontal Width of sign or enclosure
Electrical lnstallation: _ Yes _ No VALUE
(lf yes additional electrical permit is required) OF SIGN t3L5
List ALL existing signage and attach a photograph of each sign:
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
(b) Type
(dl Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/I N STALLER:
ADDBESS; 9O I ,I OO € 3i.
pHoNE: bo_ss
CITY: ,A.rr n 0"-o STATE o,ZIP:SA- L
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:*o(3u EXPIRES: q /s O
CITYBUSINESS LICENSE NUMBER: EXPIRES:
-
OFFICE USE
Sign District:
Zoning
Land Use:
Code Section
Approved By:
Ouad Area:
\
Electrical
prior to energizing
55 DATE:Sign Permit Fee:
REOUIRED INSPECTIONS
_ Site
to be made prior
to sign placement
Footing
prior to placement
V Attachment
after fasteners are
r./t/ Final
66mptetion of sign
electrical installati
By si gnature, I state and agree, that I h carefully examined the completed application and do by 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 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 f ront of the property, and the approved set of plans will remain on the site at all times during the installation
of the sign(s)
Signature Date /-aa-?a
of concrete -
/or Conditions:
. installed/p.rior to
Amount Received:Date Paid:L (,\LI'
Validation:
Receipt Number Received By
+
q
Additional Comments
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf 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.
lf 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.
lf 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. lf you are installing a f reestanding 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 ol 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 inslallation
oi 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.
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.
To be requested when all fasteners are installed but prior to cover.
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.
The inspebtioris that are required for your sign installation will be indicated on the application during the plan reviewprocess. 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 a24hour recording. On the recording you will need to leave your CityDesignated Job Number, location of where the sign is being installed, the type of inspection you are requesting. and whenyou will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the sameworking day, all inspections phoned in after 7:00 a.m. will be made the following work day.
lf you have any questions regarding the application, required plans or inspections. please feel free to phone the Building
Saf ety Division at 7 26-37 59 .
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
Footing:
Attachment:
Electrical:
Final:
I
SPRINGFIELD JOB MBER Qtou -*SIGN PERMIT APPLICATION
225 Filth Street
Springf ield, OR 97 477 h,lnspection Line: 726-3769
Office:726-3759
SITE ADDRESS: /
ASSESSORS MAP:/'?- o3 -24-/7 TAX LOTI
owNER: 'Tnci0u {'(rol"u^,pHoNE: Lorqqll
ADDRESS t ,Jo,lL
STATE: OK-ztP: ?lVo z'CITY
BUSINESS NANTE, FIRTVI ETC
DESCRIpTtON OF PROPOSED SIGN(S): (please check and complete all appropriate information)
A. watt Freestanding
-
Projecting
-
Roof
-
Marquee
_ Single Face _ Double Face Billboard _ Other
U Total Height above Grade:Square Footage
Vertical Dimension of sign or enclosure: Horizontal Width of sign or enclosure
Dimension {rom Grade
to bottom of Sign Enclosure:
Material Si is constructed @\
List ALL existing nage and attach a photograph of each sign:
Electrical lnstallation:
-
Yes
-
No VALUE
(lf yes additional electrical permit is required) OF SIGN:
(a) Type
(c) Type
Sq. Ftg.
Sq. Ftg.
(b) Type
(d) Type
Sq. Ftg
Sq. Ftg
CONTRACTOR/INSTALLER
ADDRESS 9ot a)| 'F' l*
CITY ,4""rr1,u
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:-qa9t3 z
STATE: oR-7lP:?zszc
EXPIRES:
EXPIRES:
z,/e c
CITY BUSINESS LICENSE NUMBER
OFFICE USE
Ouad Area:fi)Sign Distiict:
Zoning:
Land Use:
Code Secti
Approved ,TE:
REOUIR;D INSPECTIONS:
Site
to be made prior
to sign, placement
Footing
prior to placement
Attachment
JiiEilistenets ate
Final
completion of sign
of concrete installed to cover llation
Add nal Com nd/o Conditions
By signature,and agree, that I have carefully examined the completed appli on and hereby certify that all information herein
is t{ue 'and correct,and I {urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of
Springfield, ,and th e Laws of the State of oregon pertaining to the work described he rein. I further certify'that only contractors and
employees who are in compliance with ORS 701.055 will be used on this prolect'
I luither agree to ensure that all required inspections are requested at the proper time, that proiect address is readable {rom 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 sig
Signature Date y'-z >-r4
Amount Received:Date PaidValidaticio:
Receipt Number:Received By:
I PHONE: Oa-( rt '8a sr
Sign Permit Fee:
Electrical
prior to energizing
.electrical installation
I
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you are
hiring a contractor, you need to make sure that uotn ine City of Springf ield 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.
lf the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed
Uy eitnei 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.
lf 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 lor a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot plan indicating where ihe proposed sign will be located. lf you are installing a freestanding sign which exceeds 20. .
Ieet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. A{ter 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 relerence.
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 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 atter excavation and the forms are installed, but prior to pouring concrete' l1 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 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.
lf you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division al 7 26-37 59.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
SIGN PERMIT APPLICATION-
225 Fif th Street
Springf ield, OR 97 477
SPRINGFIELO JOB 'IMBER
2fr,
tn'spection Line: 726-3769
Office: 726-3759
SITE ADDRESS
ASSESSORS MAP
5r/ 5*
-d -2
OWNER:Ge,4i,/ca.x
TAX LOT
PHONE: G EZ- *VSS
ADDRESS: 5A
CrrY: En
BUSINESS NAME, FIRIVI ETC
STATE zt?: Tzqoz
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
X watt
-
Freestanding
-
projecting
-
Roof _ Marquee
_ Single Face Double Face Billboard Other
Square Footage Y]r\
Vertical Dimension of sign or enclosure
Total Height above Grade:
Horizontal Width of sign or enclosure
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed of:
w'b,
List ALL existing signage and attach a photograph of each sign
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
(b) Type
(d) Type
Sq. Fts
Sq. Ftg
CONTRACTOR/I N STALLER:PHONE: fu-CSz-8r!->-
ADDBESS:9ar Ja € sr
11r,,^to Po*o
CONSTRUCTION CONTBACTORS REGISTRATION NUMBER: 4O {3 Z
STATE oR-ztP: 9"52L
EXPIRES: Z /E C
CITY BUSINESS LICENSE NUMBER
USE
Sign Di
Zoning:
Sign Permit Fee
REOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Land Use
Code Sectio
Approved By
Attachment
-after
fasteners are
Electrical
prior to energizing
L/ , n",
cornptetlon of sign
DATE
tv
ed/prior to cover lation la
Add ,tional Comments Conditions:)
By signature, I state and a
is true and correct, and I f
, that I have carefully examined the completed application and do hereby certify that all information herein
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 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 sig
Signature
"'"'',0*2,44^/
oate y'-J>- ? (
Amount Received
Receipt Number:
Date Paid
Received By
4/
Electrical lnstallation: _ Yes _ No VALUE
(lf yes additional electrical permit is required) OF SIGN:\AL5
CITY:
Validation:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf 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.
lf 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 theelectrical application.
lf there are existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to be attached to theapplication. 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. lf you are installing a freestanding sign which exceeds 20Ieet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After theplan review process is completed, and, if your sign(sl is approved, one set of plans will be returned to you. The approvedset 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 installationof your sign:
Site: To be requested after indicating on the lot where the proposed sign will be located but prior to any workbeing performed for the installation of the sign. This inspection is required if there is a question on thelocation of the proposed sign.
Footing: To be requested after excavation and the forms are installed, but prior to pouring concrete. lf there will beelectrical 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 application during the plan reviewprocess. Failure to request ANY of the required inspections could result in sign removal in order to insp;ct the sign at therequired intervals of work.
Torequestaninspection,phoneT26-3769. Thisisa24hourrecording. Ontherecordingyouwill needtoleaveyourcityDesignated Job Number, location of where the sign is being installed, the type of inspect[n you are requesting, and whenyou will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m, will be made the sameworking day, all inspections phoned in after 7:OO a.m. will be made the following work day.
lf you have any questions regarding the application, required plans or inspections, please feel free to phone the BuildingSaf ety Division at 7 26-37 59
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
b