HomeMy WebLinkAboutPermit Signage 1992-9-29
SIGN PERMIT APPLlCATIOIII "PFIINGFIELD ...... "'I.; JOB NUMBEll ,q/llD~
225 Fiflh Street . ~ . .nspeClion Line: 726.3769 '
Sprinolield. OR 97477 . IlL: ~ Office: 72'6.3759
SITE ADDRESS: 66\D\'{)~__ ) .' .
l\SSESSORS MAP: -1.\lL)Cl.d05.t'='~____~_..~_____ TAX LOT:. U:-.l..:""-.C:::L)___
- OWNER: _ \\fJ\\ ~~ ______ PI lONE: _~ln-:-\~ ~C1
l\DDRESS V(\.LX'\fJftb~&QQ,t___ ' . ,
CITY: \"~0\ i ~ \l 0 dl STATE: JgJ\ 0 rV:W\ . ZIP: qi4l1
BUSINESS NrME. FIRM QU M~~ 0 I ~\'C\ flt{)~ \l:\~""_ 0~l\ \l Ylffi~
'.
DESCRIPTION OF PROPOSED SIGNIS): (pleose check and complete oil a~propriate information)
~Wall .
~ Single Face
Freestanding
~ Projecting'
Roof
Marq~ee
Vertical Dimension of siun or t~nclosure: ._
Horizontal Width of sign or enclosure:
Electricollostallation: A- Y"s __ No VALUE ~ nf"...'"
(If yes additional, electrical permit is required) OF SIGN: , ) -. 1\.;( )
jM~l-N\'\.{\ \t N'\ (bl' - I ~ '\
\' .. I ~ J
,~~----
.\ t 0/
}ir
~
Double Face
,
Billboard
Other
Square Footage: _
~IT_.__
Total Heiuht above Grade:
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is ConSlnJcted 01:\
List ALL existing sionaoe aocl attach e photogfaph of aach sign: \\ \()..J
(0) Type
Sq. FlO. ____._
(il) TypOl ._._
"
Sq. FIg.
"
Ie) Type
Sq. Flg. _.____.__._ (tI) TypOl
Sq. Fig.
CONTRACTOR~STALLE~ l\ t1 J\ ~~ ()')..,.
l\DDRESS\ )! D, &J'L c4 t'J... 6=\ .
CITY: Cf t'X.\ffiQ.... .________ STATE:
CONSTRUC~ON CON~ACTORS REGISTHATION r~UMBEIl:_~tD \
CITYBlJSINESSLlCENSENUMBEn:_ ~C)::\l\~o _
. PHONE:'
~0A~ - \f\\<P!
l\')\\Q ~nf\ ZIP: C\~
___E}PIRES: ~. l () .q,~
EXPIRES: \:..0. 2t)~q~
OFFICE USE
Sinn District:~~{'\\\~t 8 ~Land Use: _~~m-=_",- Ol/ad Are~: - 40 ~)f .J
Zoning: ~ --.:... ~,__ Code Section: C\ '\ - \~ (. \ J
Sion Permit Fec:. ~ '\'fJ~ __ Approved By: l.~JJ~\t ) ~~Q) DATE:,~ ~c9.I()'9il- '
nEOlJlRED INSPECTIONS:
Sile Footing AltaCllmel/l.:;!_ ~Ie~trical _~ Final
to be made prior prior to placement after fasteners are prior to cncrUlZIng completianaf sign
to sign placement of concrete installed/prior to cover electrical installation installation
'""~:';::~7~~~o~\6) {~ 1: ~O~ ~'~JO lIi2~QO o~'~~
By signature, I state and agree. tha~ have-carefully examined the completed application and do hereby certify that all information herein'
is true and correct, and I further certil)' that any and all work performed shall be done in accordance with thl) qrdinanccs of the City of
Springfield. and the LilWS 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 .O~)5 will he used on this project. "
I further anree to ensure that all req~ircd in:;pection.s are requested ':It the proper time, thi:Lt pmject address is readable from the street, that
the permit card is locawd at the front o! the plopnrty. and th(~ approved set of pl:lns will remain on the site at all times during the installation
of ttle siOIlIr\ '
Sionalure '1 J 00 \J~r_..-D Dale 0'1 a.qq ~
VCllillatioll:
. . Ml' FY'}
Amount Received: ., l ).
Receipt t"U1nb",: h~q
Dote P~,d: -,~p~ .GJ2-
Received BY:~ <<l .J.
.
.
,[
'I
I
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you me the sign contractor/installer, or if you arc
hiring a contractor, you need to make sure that both the City of Springfield l3usincss License Number and the Registration
Number from the State of Oregon Construction Contractors Board are listed on the opplication 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, liniited 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 inslallCltion yourself, you may sign the
electrical application.
If there arc existing wall and/or freestanding silins, a photograph(s) of each existing sign needs to be all ached to the
applicetion. 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 showinll 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 n~eds to be prepared and stamped by a registered engineer or architect. After the
plan review process is completed, and, if your signls} is approved, one set of plans will be returned to you. The approved
set of drawings need to be at the si,te' when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign Is)' you may be required to request one or all of the following inspections durinu the installation
of your sign:
Site:
To be requested after indicating on the iot 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 'ili\d the forms are installed, but prior to pourinn concrete. If there will be
electrical conduit placed in the footing, it must also he in place prior to requesting this inspection.
Footing:
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical:
To be requested after the electricnl connection to the sign is made, but prior to energizinu.
Final:
Alter all required inspections arc conducted and approved alld tile sign installation is complete.
The inspections that are required for your sign installation will be indicated on the application during the plan review
process. Faiiure to tequest 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 24ilour recording. On the recording you will need to leave your City
,f 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.
~'.... .
. '
If you have any questions regarding the application, required plans or inspections, please feel tree to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Spl'inglield, OR 97477
SIGN PERMIT APPLICATION s~ JOB NUMBER C\ 'A \rM
225 Fifth Street . ~ &spection Line: 726-376H
Springlield, OR 97477 Office: 726-3759
LOCATION 01' PHOPOSED WORK: <..P)f)\C) ~l fu ~\\Q~
ASSESSORS MAP: \ 1\ ()~P.P-A \ TAXLOT: fi::l~rf)
OWNER: ~ \~ \ _ \~C\. ~ PHONE: f) Q \ 0 - ~~f\? y
ADDnESt :?-) \ \ \.1\~'c\ \..d\ t)\~Q9,:t~
CITY ~'J\\)\IJ\l\.~<~ Qc\b, [TATE: l\.)}\of\f1f\. ZIP' C\1V\f\r') ,
BUSINESSN~E'FII1MET~_~\0rH\m ~)~\D. C\t\~~ ~r\~ l\l1\\. ~~
DESCfUPTION 01' PROPOSED SIGN(SI: (please check and complete all appropriate information)
Wall ~ Freestanding Projecting Roof
Single Face ~Double Face Billboard Other
~~
Marquee
Square Footage:
Total Height above Grade:
4;/
'21' \ ~J~ II
V(~rti<:al Dimension uf siUIl or enclosure:
\
HOfizontal Width of sign or enclosure:
Dimension frorn Grade ~ I
to bottolTl of Sign: c....::>
Material Sign is constructed o\... ~ II
Electrical Installation: X--,. Yes _ No
, (If yes additional permit is required)
V~UE: ll~~
( \. ~I ru1 , Q. \
- - Q' -
ffi \ 1\ \ Lf\\
list ALL existing si(Jnage and attach a photograph of each sign:\....X\ 'C\.J
(al Type
Sq. Ftg.
(01 Type
Sq. Ftg.
(el Type
Sq. Ftg.
(dl Type
Sq. Ftg.
CONTRACTOn/lNSTAL~ER\ X\"{\ili \\ \. \.~}'.J)<s. .
ADDRESS\ ~ CJ '\. ~tsL AN. oq - -
CITY Y 1 "Op,J\. Q ~
CONSTHUCTION CONT~ACTORS REGISTRATION NUMBER: lo4 '\\ 0\
C\f).,,\')~n
PHONE: ~4~ - \1\\ r9\
STATE:
t\lS\ \) N:JD. ZIP:. C\f1\{)~
. ~P;R~S: l ~ ' I 0 ,q'-.~
EXPIRES: \ 0 . ~()q::\
CITY BUSINESS LICENSE NUMBER:
OFFICE USE
Si(Jn District: ~\jlU[\\tl~ ~Ml'{\and Use:
Zoning: C ~ ./ Code Section:
4,\) po
Approved By:
~t:\'?{'f) Quad Area:
C\-'\-\L\ C?-'J
\ ~ \:'t\. ) \ ~~\\~ATE:
\ \ .
4-~\L)f .J
:'
Sinn Permit Fee:
q.AtQ-Yjl
REOUIRED INSPECTIONS:
Site Footing Attachment L Electrical \ f} Final
to be made prior prior to placement after fasteners are prior to energizing ~ion of sign
to sign placement of concrete installed/prior to cover . installation .
A,ldi,iollal Comments and/O! Conditions: P \ 0 ~~ i f\ nO\. 0, Q ,!<1'(\.-:I:- ,1\ " !"\\).~ ~ 0 rI:1" > {n _ ",
~o . ebihLf\oN..J \ ~)\\~ ~.J~(\f\-t , ,\ \ "i l~
By signnturc, I state and agree, that I have caref~IY examined the completed application and do hereby certify that all information herein
is true and correct, and I lurther certify that any and all work performed shall be done in accordance wit~ the Ordinances of the City of
Sprin(Jlield, and the Laws of the State of Oregon pertaining to the work described herein. I fUfthef certify that only contractors and
ell1ploy(~es who are in compliance with ORS 7.01.055 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 tile property, and the approved set of plans will remain on the site at all times during the installation
of the sign!sr\
Si(JIl:lture ., ~ J -----a 0 0. R-_() Date n q ;) q 9 ;:J
I;
Receipt Numbe~:
4l }C()
\j)?x.~~
".~;. ~o,qL
Received By: \, Lf't". _ )
!'
"
~, .
Valida lion:
Amount Received:
"
i;'.
,.
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign conlractOf/installer, or if you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Numbef 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 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 photographls) of oach existing sign neods to bo attached to tho
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 dtawings 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(s) 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 fOf the inspectors reference.
INSPECTIONS
Depending on your sign(sl. you may be fCquired 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 excavation and the forms are installed, but prior to pouring concrete. II there will be
e,lectrical 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 cncroizing.
Final:
~fter 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 ill order to inspect the sign at the required
intervals of work.
To request [In inspection, phone 726-3769. This is a 24 hour recording. On the recording you will nel;d to leave your City
Designated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and WhlHl
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 Iree to phone the Building
Safety Oivision at 726-3759.
City of SprinAficld
nllildinA Sal"cly Division
225 Fifth Slreet
SprillAlicld, OR 97477
\
,
SIGN PERMIT APPLICATION. ~.~~
220 Fillh,Slreet
Springlie"I,O/1 9747l ' , ~,'
SITE ADDRESS: 5R 10_ \. I\'YDJ. (\ '- Q ~)
A.SSESSO/1S MAP: _I_,/LJ~ ' -1 '. TAX lOT: I ):J:-'\I r)
OWNER: Dffi- vl~rl. .
A.DD/1ESS:, 11A4 w....f1(tb ~~ rl .
CITy:~~j.d_' __STATE: (()Ji[)ml, ZIP: 6ll4ll
BUSINESS NAME, FIRr&JJJ \..\Q.YJ...a.:i'LO "J;~\() J::\l\:i- fu t\f\ 0y\'1\ \. l;cl f\t\.
JOB NUMBE/1 qal D~
~nspection line: , 726.3769
Ollice: 726.3759
PIIONE:
121()-5l1.. L{
DESCRIPTION OF PROPOSED SIGNIS): (please check and complete all appropriate informalion)
X Wall Freestandil\g Projecting Roof
_.~ Single Facf: Double Fac:e Billhoard Other
M~rquec
Sq. Ftg.
'f
Ic) Type
Sq. FIg.
(dl Type
SQ. Ftg.
CONTRACTOR/lNSTALLE~ h ~ \.. ~n>.-~
/lDOFlESS: \ D () \.. ~.~ rO'()~ oq .
CITY: C( A.')aSf\~L- STATE: l~M~lR ZIP: ~'\~O~
CONSTRUCTION CO~rnACmRS REGISTflATION I~UMBEIl:_L.o_4.cLLa. L____EXPIRES: _~-~-JJ2.~(1~ . ___
CITYBUSINESSLlCENSENUMBEIl:__~C)?At 0 ___.---.:. _EXPIRES: ~Q . :i)-~
PHONE:
&i~- (~Irf1
OFFICE USE
Sill II District~U.n \t16 ~~'lIlCf Use: __ ~ 2:J:'i.? -=.._' Ollad Area:
ZOlling: 0 C ./ Code Section: q '1 \ ~ L\ ')
flC\ CI..) __ Approved By: ~.) W{\O P ) DATE: q .:1~....:......~
. \'~
~J\JU
Sion Permit Fcc:
I further agree to ensure that all required inspections are requ'ested at the prllpef time, thnt project address is readable t(Om the street, that
th(~ permit card is located at tile front of the property, and the approved set of plans will remain on the site at all times during the installation
of ~he sign(sl. C\ /)
Siunaturc U nO '\)~~ Date OCJri'19.:)
Vnlidntion:
Amount Receiverl: ~~ .00
Receipt Nucnber: \ Q.:\. ~C\
DJtePaid: LI. .Qq .Cl2-
- Received By WI' r'lf"\ )
~A^
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractor/installcr, or if you are
hiring a contractor, you need to make sure that both the City of Spfingfield (Jusiness License Number and the Registration
Number from the State of Oregon Construction Contfactors 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 al50 needs to be completed and signed
by either a supervising electrician, limited sign electrical contractor, or if you are the business ownef 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 si{Jns, a photographls) of each existing sign needs to be attached te 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 propesed.,sign will be located. If you are installing a freestanding sign which exceeds 20
feet in total height, the footing detail n~eds to be prepared and stamped by a registered engineef Of architect. After the
plan review process is completed. and, if your silln(sl is approved, onc set of plans will be returned to you. The approved
set of drawings need to be at the si.te' when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign Is)' you may be required to request onc or all of the following inspections durinu 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:
. '. u'
To be requested after excavation ill1d the forms are installed, but pfior to pourin{J concrete. If there will be
electrical conduit placed in the fonting, it must also be in place prior to requesting this inspection.
Attachment: To be requested when all fasteners arc installed but prior to cover.
Electrical:
To be requested after the electrical connection to the sign is made, but prior to enf!rgizinu.
Final:
Alter all required inspections arc 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 tho 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 fCcordino you will need to leave your City
,/, Designated Job Number, location of where the sign is being installed, the type of inspection you arc fequcsting, and when
you will be ready lor the inspection. All inspections called in to the recorder pfior 10 7:00 a.m. will be made the same
working day, all inspections phoned in alter 7:00 a.m. will be JTlade the following wOfk day.
"
If you have any questions regarding the application, required plans or inspections, please feel Iree 1CI phone the Building
Safety Division at 726.3759.
"
Cily or Springfield
Iluilding Safety Division
225 Fifth Street
Spl"inglicld, OR 97477
.1