HomeMy WebLinkAboutPermit Signage 1999-7-14
SIGN PERMIT APPLICATION
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SPRINGFIELD
J.~MBER . Q q (? q 4-<\~
Inspection Line: 726-3769
Office: 726-3759
: 225 Fifth Street
'Springfield. OR 97477
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SITE ADDRESS: 7- 'L'6Q "\\{\\Z.~\.A 'v-i:rNY."'1
: ASSESSORS MAP: \'1- O~ - L<=i ~ i~ ., 1
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OWNER:C::'\X\ \'""{'3'f' \0 \ ~vvl i h I ~ I"rr\-\ c.~
ADDRESS: 1.'2S<D MnV', ()\~ ~(')r\
CITY: <c"'0V+ \C\
I3USINESS NAME, FIRM EiC,: S"n V1~~\{:> \,,1
5t-~A-
. TAX ~OT:
1"7\ RCY-Yi..\::
PHONE:
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I L/ 1- ~5jG
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STATE:
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~1fYI (1\ \ ':'Pr-c. ( -t-l e'l . "~"~
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ZIP:
Q'1L-j/T7
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DESCRIPTION OF PROPOSED SIGN IS): Iplease check and c~mplete all appr~'priate information)
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){....Wall
~ Single Face
Freestanding
- ,
_ Projecting
Roof
Marquee
Double Face
Billboard
Other
Square Footage:
lCo
Total Heightabove Grade:
. <1".,
Dimension from Grade ,- ,
,to bottom oi Sign Enclosure: ' R
II, . Horizontal Width oi sign or enclosure:
~tricallnst~lIation: =-- Yes.:i- No VALUE
~es additional electrical permit is required) OF SIGN:.
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I Vertical Dimension of sign or enclosure:
\ L\:> ~ Lj ('lfl
Material Sign is constructed of: RLLlmIIl\UrY\, OI\\NT; PSV C'll\=\(
.I TTI=NTI(J;,hlleaon law reQuires you to" ',' '.- . I ,! . ." '._ ',;\"i.;".'>.:L,
follow rUles adopted by the Oregon Utility , , N NU I H .~:. ~ W':':" ". .
LiFMtlcan~~'l9~\lI}~.gPtAAIMUIlf9~Il~P~ of each sign: O\\tC:THItf,t~T ~)lL LE IRM THE WORK
6'o~~.~~2'~~~J1~~~~~.t~~0~~:~A~9fu~:.: (b) Type _dIITHnRiZED UNISijRF1 .IS PERMIT IS NOT
AA''itV~dhe center. (Note: the t~e.pPto~e '(d) Type COMMENCED O~S. ~~:'NDONED FOR
number!Orme.u~";_u~I~:~'~,.:~~!flcli\lv,, ANY 180 DAY PERIOD. 'oi,' ;.,
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CONTRACTOR/lNSTALLER: E~ i.A Sl~n..:l, A.v.:;n'lY'\o
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ADDRESS: \1...10 Oo.L(X';:t-\.:'\ri ~nd
CITY: j::::' l A"f' 1I\'t"
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.'CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
PHo'NE: \-\x->")'~Pj'i:;Lu n
STATE:
O'~
ZIP: 9'1 Y(');L
EXPIRES;':'. cii. --a 7... -CJ \
EXPIRES:,::':'(":'\~O- 2>0 -q q
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CITY BUSINESS LICENSE NUMBER:
I a..\..'00 \ c., 1;
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OFFICE USE
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Code Sectiol'
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Approved By:
53cm
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Ckll1t l,uJ.Q..,. ~,
Quad Area:
,?,c-AJL
I iSign District:1:o.IILnu.uo..;L~ ('..llM.m.."c""Uand U~e:
r I 'Zoning: c.<!.-'
r . i' Sign Permit Fee: Jt5J./. 6. -
./ V" ',."~":"
DAtE: . '7 - I '3 - 9 4
. REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
l~chment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~nal
completion of sign
" irlstallati6"n'"
Additional Comments and/or Conditions:
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~;~.) By signature, I state and agree, that I have carefully examined the compl~ted application. and do hereDv:ce'rtify,~tti'ai:afl.information_hereir
\ : is true ,and correct. and I further certify that any and all work 'performed shall be done in 'accordance 'with.'th'e,O'idininces of the City 0
:\ I Springfield. and the Laws of the State of Oregon pertaining to the work described herein. I further..certif;i~that;o'rly contractors an'
: 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, the
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 installatio,
I of the signls).
I Signature C' N \.. Q 0 ",..., 'l2" Q ..~
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Date
Ull1- a.. \ "\ C\
Validation:
Amount Receive'd:
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(}~t.ff3(P
Date Paid:
~
Receipt Nu'mber:
Received By:
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The application on the reverse side needs to be completlid'entirely. if you are the sign'contractorlinstaller; or if ,you.are.
hiring a contractor, you need to make sure that both the City of Springfield Business License Numbilr:and:the:Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
SIG,N PERMIT APPLICATION
,I
If the sign you are proposing to install is illuminated, an electrical permit application also ~e~ds 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 install;ltion yourself, you. may sign the
electrical application. ' .' ,
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If there are existing wall and/or freestanding ,signs, . a ,photograph(s) o! each exl~tlng !Ign n~ed!l~1~~8,!!t~ached: to the
application. The size of each existing sign also needs to be listed on the ~pplication.
, .' '1' i '
PLANS
To submit for a Sig'n permit, you need to prepare two complete sets of drawings showing all diJensions, total height, and
a plot plan indicating where the propose~ sign will be located. .If you are installing a freestandi~g.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.
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INSPECTIONS
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Depending on your sign(s), you may be required to request one or all of the following inspections during the installation
of your sign: " :
.d
. ~
','
'I
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' oi 'the 'sign. This inspection is'requlred if'there"is"a'question 'on the
;Iocation orthe p~oposed sign. ' .
" ',''-1;, "."1_ 'J, " .
Footing:' To be requested after excavation and the forms are installed, but prior to 'pouring concr.ete. If there will be
. 'electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
. "," " .' ."' (.
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Attachment: To be requested, when all fasteners .are installed but prior to cover. . .
- . ':-, . '1" ........,. . ;,~ ~: _" .,' ... ~< ',,':. "",' ;,n,
To be requested after the electrical\onnection to the sign is m~de. but prior to energizing" '
. .~'.. .. .".., , . , . :.
After all required inspections are condub;ed ~nd approved and the sign installation is compiete.
'. -I . .
The inspectiqns that are required for 'your sign installation will be indicated on the applicatior during the plan review
process, Failure to request ANy'of the required inspectloris'could result in sign removal in order! to inspect the sign at the
. reQui~ed intervals of work. '. , : _,. "
. ",'"
Electrical:
Final:
To request an inspection, phone 726-3769. This is a 24 hour recording. On the recording you wiH.need.to.leave your City
Designated Job Number, location' of where thnignis Deing installed;the type, of inspection you '..iiiYe'qJli~tiiig, 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.
I .
If you have any questions regard'ing the application, required plans or inspections, ple~se feel free to phone the Building
Safety Division at 726-3759. ' .
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Cily of Springfield I ,. ..
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li Building Safety Division
225 Fifth Street '"., , "
Springfield, OR 97477 ..,- j ~ ;'
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SIGN PERMIT APPLlCATli
: 225 Fifth Street ...... .~.'
;Springfield. OR 97477 ~
,
ISITE ADDRESS: 7.-1-80 \-i AK~DLA ~AfJ '
:;r.,SSESSORSMAP: \<[-0;',-'2.'7-'- /.", ':
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OWNER: ~V'in-fle'c\ ~nMI\'~ Vv-~,,"hr/=.'
ADDRESS: '11-9;:.(.J \--1"GY"'(' (.'!\('A._ \2-.r::o.c\
CITY: Spn ~~€' \c\
BUSINESS N~ME. FIRM EtC.: S (i'(\n':)\-If' \-'1
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.UMBER . qqO~4S-
Inspection Line: 726.3769
Office: 726-3759
TAX LOT:
, p,(")()
'51 f3
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PHONE:
iY7-?J57lo
I
STATE:' ." ~
~,~i\\\ 1\--r.ci+lC..e .
,
ZIP!
. Q'7L-/ '7'7
-.'''' --,/-
DESCRIPTION OF PROPOSEO SIGN(S): (please check and complete all appropriate information)
Wall L Freestanding _ Projecting Roof
Single Face L- Double Face Billboard Other
I
Marquee
.!
,i,V-
", .j....
;Vertical Dimension of sign or enclosure:
-I\. II
':) ()
I' :'i ......,
. Horizontal Width of sign or enclosure;"" .. '(0'
Total Height above Grade:
Square Footage:
~3
Dimension from Grade \ Electrical Installation: i< Yes _ N~ VALUE
"lD', ~ r=<',I.1 00
,to bottom of Sign Enclosure: If yes' additional electrical,permit is required) OF SIGN:, '~:.J ^ ...
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; Material Sign is constructed of: .AI '0\'\"11\\\.\1'1 . I'.<:"Q't1 Ie- ,\l-k\:"\~\~. . ~\j c.a~~P,\.\\lT . . .
.' .' , I.,. ,...." ...,./ ." I . . ." ,,;.. . '. ,~,. '..,.;~ , ;.....;.,'-...
"
la) Type
Sq~ Ftg.
,
NONc- N6\t-J Y;,U\l..:~11\\1
(b) Type Sq. Ftg'.
List ALL existing signage and attach a photograph of each sign:
(c) Type
Sq. Ftg.
(d) Type
Sq. Ftg.
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CONTRACTORnNSTALLER: c_Q..,.:t 'A. SiT ~ ~",-w.....i'0~
'ADDRESS: \ 2.\ (') C'\n.\c..O...rrr \r-, \J..,~
CITY: ~'-'r\e yv,STATE:
.J
, CONSTRUCTION CONTRACTORS REGiSTRATION NUMBER: \ \ \ L5~1. c~
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fIP:, ' 3IJY(l2..
,wr" : ~".'f :..
EXPIRES:' '02 -.02" 01
EXPIRES::'.'O\.D.. 0CJ-Q "r
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:,CITYBUSINESS UCENSENI,IMBER: I
'S\o()\Ct2.
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OFFICE USE
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;. Sign Permil Fee:
,
dr>i-Lo.
-
DATE: '7 - 1~-4"'i
. REQUI~INSPECTIONS: /
./ Site ../ Footing 'Attachment ~rical ~inal
: ~ tobemade prior prior to placement a1 ter fasteners 'are prioi'" to energizing . completion .of sign
. ~ to sign placement of c"oncrete installed/prior to cove,--' "'electrical installation ..' Installaliol'"' ' -.-.,
, Additional Comments and/or condi~ions: -.!l. f1~ -b'. ~ ; 1-: ~ tth~ L,~ ~~
'""1"ruw.J f\4..nJ- ~/l<t..'. .. > ~~ . '.)u ~ .
:"".1 By signature. I state and agree. that I h~ve carefully examined the completed 'apPlical(;on~anil do nereb~;~~;;~ii~i~I::i;';o;maiion'herJii
f ' ' , ',' .'-1.,.,' ,'<.,...:.,'...u. .""._._' ".' . . .'.-"-,
\ is true and correct. and I further certify that any and all work performed shall be done in accordance with.the';Ordin'a'nces'ot the City 0
1 . Springfield. and the Laws of the State of Oregon pertaining to the work described herein, I further c'e'rti~y)hat'oi1ly contractors an,
, empioyees 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, the
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 insiallatio'
of the sign(s),
G,,9, 9. Q Q/V"o ~"~ iA ~
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Validation:
Amount Received:.
Cfo r;.)
o 3Vf-1C,
Date \ 0\ L q \ '\ 0..
Date Paid: 7/. i1/17 /)
Received By: .1J /,J""-/ .
I Signature
Receipt Number:
-'''''-.':1
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SIG,N PERMIT APPLICATION
. ..
The a~~lication on the reverse side needs to be com~leted' entirely. If you ar~ the sig~ contractor{onstaller, or if ~ou.are ,,\
hiring a contractor, you need to make sure that both' the City of S~ringfield Business Ucense Number..and:the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the ex~iration
date of each." '
If the sign you are pro~osing to install is illuminated, an electrical permit a~~lication 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 perfoiming :the electrical instaliation yourself,. you. may sign the
electrical a~plication. ", I ',\.'" " I
..;......~~ .-.. :. ~ .-..:......:. -! ::/~...:.~.. ~_, ,:._. ./..!~~.~:;:t ,':'" ,......f::~~::- };.lij. -'
If there are existing wall and/or !reestanding signs, a photographls) o.f eachex!~~ng~lgn ne.~di!!!:~~,!wach~dlto the
application. The size of each existing sign also needs to be listed on the ~pplication. I'" . .
I " '1' . ,
: . . ~
PLANS I'
I, I .
To submit for a Sig'n ~ermit. you need to pre~are two complete sets of drawings ShOwi~'9 all di~e~siO'ns, 'total height: and,"
a plot plan indicating where the proposed sign will'be located:' If you are installing a freestandi~g..sjg'n which'..'exceeds 20
feet in total height, the footing detail needs to be prepared arid stamped by a registered engineer' or architect. After the
plan review process is com~leted. and. if your'slgn(s) is approved, one set of plans will be returned .to. you. The'a~proved
set of drawings need to be at the site when an inspection is requested for the inspectors referenc.e.
, t ". I
;1,
INSPECTIONS
!
Depending on your signls). you may be' required to request one or all of the following .inspections during the installation
of your sign: .
I
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 theslg,;'. This inspection is required if there'is a"'question 'on the
location of the proposed sign. ..- "., ':, '
'I
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.
i' .
.,
I:
Attachment: To be requested when all fasteners .are installed but. prior"to cover:. II
. .". ! -':- .Il~'''''''''::'_''''''.''''''~'''''':''':''~''''''''_':''''-''A'-_''~' t' . ~ -, '''':'';':':''~'''I.:..
To be requested aiter the electrical"onnec~ion .to the sign is made. but'iprior to ..-rieigiz!<\9.:
" .. '. '. 1- ,", ,.,' I'
After all required inspections are condubted ~nd approved' and th~ si~n 'installatio~ 'is complete,
i . j"
. .
The inspections that are required for your sign. installation will be indicated on the applicatio 1 during the plan review
process. Failure to request ANy'of the required inspectio~could 'result in sign' removal rn'order to inspect.the sign at the
required intervals of work. '
: 1;
. I '
\fo request an inspection, phone 726.3769. This is a 24 hour recording. On the recording youwill.ne'ed;io:leave your City
. Designated Job Number. locatio": of where thnign isbeiiigin'stalled,'the ty'pe'of Inspection you 'a:;~Jequii~iing, arid 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 b'e' made the following 'work day.
, .
,.
Electrical:
Final:
. ~r"~ ,\.-.;:.~~
If you have any questions regarding the' application, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759. : ,I
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City of Springfield
Building Safety Division
22S Fifth Street
~pringlield, OR 97477
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