HomeMy WebLinkAboutPermit Signage 1994-10-19
SPRONG".Ln JOB NUMBER C1=4 \ r:A-91
~ enspection Line: 726.3769
Office: 726-3759
jV/~ (Sf;, s;#i1Jf/~ll
TAX LOT:
LOCATION OF PIIOPOSEO WORK:
ASSf:SSORS MAP:
OWNf:R: S{!()jf ~ bb;Yt S
o 7~,~ J:-~"''''d)d
CITY: fJ(4eH.p_
BUSINESS NAM'{ FIRM ETC.: f"Jower
.
PHONE:
t, 17- 'FIt, ?
ADDnESS:
Rf.
STATE: /JJ(.
MAY'kef @ 5j9:z &'n 51:
ZIP:
# 7-fB
A
~~
~
Df:SCFlIPTlON OF PROPOSED SIGN(SI: Iplease ctJeck and complete all appropriate information)
_ Projecting Roof Marquee
Billboard ~ Other 4 tV }(Jxca
o '
Total Height above Grade: 10
rJ'",d
-Hofizontol Width of sign or enclosure: :::J, ~
, ~
Dimensiun from Ur.ldc 1,1 Electrical Installati n: L y s _ No . 00
to IlOIIOII\ of Sign: 7 / (If yes additiona ermit is quired) VALUE: BfJO ~
Malerial Sign is constructed of: .,4JtfJt'Ol1U}t( H4H1e ,. VIHf'/ f!llbY I~ 4- ,yJk~ it~~
WolI
Freestanding
Single Face Double Face
Square Footag": _MI'1Y -~~~_Er 32.I1'MO)(.
~11f
Vertical Dimension 01 sion or enclosure:
List ALL existing siunage and attach a photograph of each sign:
lal Type
Sq. Ftg.
Ib) Type
Sq. Ftg.
Ic) Type
Sq. Ftg.
(dJ Type
Sq. Ftg.
CONTRACTOR/INSTALLER: JIletw; lJeR1e~yt SiJ"- ~ ALlHi;y
ADDnESS: II/fO Ot!.edH d
CITY: E Ude/te.. _ {)j( STATE:
t7
CONSTr~uC"nON CONTRACTOI1S I1EGISTf\A TION NUMBER: #" 775" G"" :iP-
CITY BUSINESS LICENSE NUMBER: t7io -flY'-'/'
J;'n1 PHONE:J'1I'.3 - ..:!I 30 I
1))( ZIP: 97-YOP-
EXPIRES: Ot!.-/' // s: / 99~
EXPIRES: f/50b..30
OFFICE USE
Sign District:.('} ~\.rL
Zonino: (-, rj)D
4D.CV
Land Use:
5&-1") Quad Area: 4('j\)(J
Code Section: q - '1- I '2. (J )
Approved By: \...J::fl) l~r'\f\ 0 ,e..-
~\~-
DATE:
In .llo.q4-
Sigll Permit Fee:
/
Rf:OUIRf:D INSPECTIONS:
Site
to be tn:1c1e prior
to sign placement
Footing
prior to placement
of concrete
Attachment
alter fasteners are
installed/prior to cover
JElectrical
prior to energizing
0Final
completion of sign
installa'tion
Ad(JiliOllal Comments and/or Conditions:
By signa lUre, I state and agree. th;Jt I have carefully examined the completed application and do hereby certify that all information herein
IS lfue <HId correct, and J further ccrtily that allY and all work performed shall be done in accordance with the Ordinances of the City 01
Springfield, and thu Laws of the 5tme of Oregon pertaining to the work described herein. I further certify that only contractors and
clIlploYI:es who ,Ire in compliance with ORS 701.055 will be used on this project.
I furtlwr ngree to ensure ttlat all required inspections are requested at the proper time, that project address is readable from the street, that
the permit card is locmed [It the front of the property, and the approved set of plans will remain on the site at all times during the installation
01 the sign!s). d,;/ .
Siunature r'-- Date //'}-It7-e?-Y
Receipt Number:
l41.U~
ItQLb<f
Date Paid: . t (j .cJ.-!'J I...f't-
Received BY~ ~
Valida lion:
Amount Received:
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are ttie sign contractor/installer, or if you [Ire
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 is illuminated, an electrical permit application also needs to be compfeted 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 photogrnph{sl of each existing sign noads to 110 attachod 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 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(sl 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
,. 0. 1:"'"
Depending ~n y"our ~Sig~{~I, you may be required to request one or all. of the following inspcction~ 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 thero 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 arc 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 sp.ecific 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 thc.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 sallle
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 feef free to phone the Building
Safety Division at 726-3759.
City of Springlield
Building Safety Division
225 Fifth Street
Springlicld, OR 97477
ASSESSORS MAP:
JO~MBER q41.~
Inspection Une: 726.3769
Office: 726-3759
~4NfJheJl
TAXLOT:
es ~
LOCAIION OF PI10POSED WOI1K: 5;]92 I'1d;J1 sf
225 Filtll Street
Sprin(Jfield, OR 9747
OWNER 'St!t"J/I gj;b;J?~~
: ~ 7.~.L,- EH4e raId l"5'f~
CITY E1/4eKe. CJJf' STATE: 01(
C>' .
BUSINESS NAME. FIRM ETc.:~r &l::-f(flJ .~"lq1^ /11m sf 1'17+ 8
PHONE:
~<g7-'llb?
ADDnESS:
ZIP:
97.yttJ-
DEScrlll'TION OF PFlOPOSED SIGN(S): (please checl< and cOll1plelll all appropriate information)
W"lI
FrcestDr1(jinO
Projecting
Roof
Marquee
*
Sino Ie F3ce
Double Face
Billboard
-3211'" ~)C
--,..( Other ~;J(t1
Total Height above Grade: cI //J '
-YO'
Square FDolaue: ~Y. ,,:3 50./'/
I
"> ,/"
V(:rtic.:l1 Dimension of siUll or enclosure: ... 77 Horizorlwl Width of sign or enclosure:
Dimension from Grillle , , ,1 Electrical InstallaliOn~s _ No #
10 bpll",n of Si(Jn: ~ 7/ (If yes additional pi' required) VALUE: _ eo.O'.,
Malerial Sign is constructed of: A/H""/;'U~ ~e... VJHY/ fab,.;c.., or ,die ~.s'S
List ALL cxistinu sinnage and attach a photograph of each sign:
(,,)Type
Sq. Ftg.
(b) Type
Sq. Ftg.
Ic) Type
Sq. Ftg.
W) Type
Sq. Ftg.
CONTRACTOR/INSTALLER: )1e1I'O We~krn ;5'iJ't I AWHj1(J
ADDfiESS ,//'Y'IJ {kedH 8/;
CITY: __~€:-Kf".
CONSTlIlJCTlUN CONTHACTOHS HEGISTRA TION NUMBEH: 775"" 1;:;2..
PHONE: ~-1.3 -.3 ....oJ
STATE:
/}Jf
ZIP: 97-VeJ::z.....
EXPIRES: /JeI: ;;15", /99'-Y'
EXPIRES: Q,5'O'3o
CITY8USINESS LICENSE NUMBER:
9?'o"ifJ,y
OFFICE USE
Sign Permit Fce:
Code Section:
Approved By: l
~w OuadArea:
G- 0- l~ ("
1 rf\ )'(_~Dro
4tJ\)U
Sign District: h () 1\ r 9..J
Zoninu: c:--;[') >>
4(')CD
Land Use:
DATE: \n -2)[14:1-
I1EOlJlRED INSPECTIONS:
Site
to be made prior
to Stgn placement
Footing
prior to pin cement
of concrete
Attactlment
aflor fasteners are
illsu.dleLl/prior to cuver
\ J Electrical
prio( to energizing
\/J Final
co,-!:;;etion of sign
inst31lation
Additional COllllnentS 311Ulor Conditions:
l3y SiUIHllurc, I stflW and agree. that Illave carefully examined the completed application and do hereby certify that ill! information herein
IS truu anLl correct, illld I further certify tt)<)( any iJnd <.III work performed shall be done in accordance willi the Ordinances uf the City of
$prinulicld, and tl18 Laws of the State 01 Oregoll pertaining to the work described herein. I further certify that only conlractors ;tnd
ernploynes who ,Ire in compliiJllce with ORS 701.055 will be used on this project.
I further agree to trlsure that all required inspections me requested at tIle proper time, that project address is readable from the street, OWl
the permll card IS located at the front 01 the property, and the approved set of plans will remalll on the site at all times during the Illstallatlon
01 tl", Slgn~s) /
Slg""ture W- ~~ Dale /O-/~-?~
. #
Receipt Number:
\~1 (of
Date Paid: y, '!? -d ') . C( 1
Received BY:c...L)J..L.J~
VJlid:ltiol,\:
Amount Received:
.
.
.
"
City 01" Spl'inglicld
Building Sal"ety Division
225 Finh St,'cet
Sp,'inglicld, OR 97477
,
...... \....
.. I.
If you have any Questions regarding the application. required plans or inspections, please feel free to phone the Building
'Safety Division at 726-3759.
To request .;In inspection, phone 726-3769. This is a 24 hour recording. On the recording you willnced to leave your City
Desiunated 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 tollowing work day.
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
intorvnls of work.
To be requested after the electrical connection to the sign is made, put prior to cnergizing.~
After all required inspections me conducted and approved and the sign installation is complete.
Filwl:
Electrical:
AltachrnerH: To be requcSlC(j when all fastellers are installed but prior to cover.
To be requested aller ex caval ion and lhe forms are installed. but prior to pouring concrete. If thero willlJc
elcctricJI conduit pl<lcecJ in thl: fUOlinO, it must also be in place prior to requesting this inspection.
Footing:
To be requested after indicatinu on the lot where the proposed sign will be located but prior to any work
being performed for the installation of ttlC sign. This inspection is required if there is a question on the
location of the proposed sign.
SiW
Depending on your sign(s), you may be required to request one or all of the following inspections' during the installation
of your sign:
INSPECTIONS
To subrnit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot vIall indicating where the propused siun 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(sl is approved, one set will be returned to you. The approved set of drawings need
to be at thc site when an inspection is requested for the inspectors reference.
PLAN 5
It there art: 8xistino wall and/or frecstandino signs, 0 phatagraph(s) of each existing sign needs to bo DttDched to the
application, Tile SilC of ench existing sign also /leeds to be listed on the application.
II the sign you arc proposing is illuminated. an clectrical pcrmit application also needs to be completed and signed by either
a supervising electrician, limited sign electrical contracwr, or if you are the business owner who also owns the building in
'which you <lm occupying, and you will be performing the electrical installation yourself, you may sign the electrical
applicaliorl.
TIle ilpvficmion on the reverse sjde r'!eeds to be completed entirelyt'U 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 tt1C State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
SIGN PERMIT APPLICATION