HomeMy WebLinkAboutPermit Signage 1998-1-23
SIGN 'PER~IT APPLlCATIO.
SPRINGFIELD
JOB .SER %~lA6Cy-
, .
Inspection Line: 726.3769
OffiC~~ f1llXlii6Yl
f)....,~()\ . ,-
225 Fifth Street
Springfield. OR 97477
SITE ADDRESS: 530, 5" m r'! ~ n '5,+
ASSESSORS MAP: r1.i2..f\ -1.;,~ ~
OWNER: _J.6uJ " n fJJ.J11iM J A )S
ADDRESS: .5'.3 q.-S- fYI oJ f\ 5+
CITY: .5/),,; nJf/'ej rI
V '
BUSINESS NAME, FIRM I:OC.: F/Or1 rrJ...:J
J
.....tiP
TAX LOT:
PHONE:
STATE: oIL
ZIP:
q 7L/7~
A
~
,
DESCRIPTION OF PROPOSED SIGN IS): (please check and complete all appropriate information)
V Wall _ Freestanding _ Projecting Roof
'7Single Face _ Double Face Billboard Other
Square Footage: ~ q /:i;
;Va!+!.... Jw~f-;()IJ
_ Marquee
/1)/::
Electrical Installation: Ye
(If yes additional electrical perm;
Vertical Dimension of sign or enclosure:
(}/
Dimension from Grade (/ 1+
to bottom of Sign Enclosure: 0-
VALUEd:} I I (l7"
OF SIGN: '-t1 )
Material Sign is constructed of: \/1 (\ I J I
l ~~""/),..
"1(/ t.,() -<-~
List ALL existing signage and attach a PhotOgra~f~~:' f\ (;) N-..-
-1",- ~~ ~d V/'Q)
SQ. Ftg. ! ~6 (,('1) U l\Jyzype
000 ~O ~~~'-
'1/.. O^I YI>>
. N~^ '{s> ~,'1'~ .
"Gl t, J,() 1,1:.
~ 'f1e>'")~, 'S-~ I
. -1(c-o~ -" {s> .~~""
-<:;1> Ab~ '/
ST ATE: OfZ.
4-,..
lal Type
SQ, Ftg.
Icl Type
SQ. Ftg.
SQ. Ftg.
CONTRACTOR/INSTALLER: ~iA' T)"\.c~.
ADDRESS: I J. \ D ()CLt Oa..+r -^ l2-d-,
CITY: r:; ( J ~O ILL-
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER: qsn~ <11
PHONE: IY1:s-55L/-~
I \ I JU",
EXPIRES:
ZIP: q rlJDd.-
J- - I -G) ~
fa - 5()-'i~
EXPIRES:
Sign Permit Fee:
OFFICE USE
\'~ Land Use: r;r.\?{'(j Quad Area: :l ~~(l./
(\ ~ Code Section'~ - A .~~ (\ ') -
<. ~ ~,Q) . Approved BY; ~l) ~ ~ ~"f\~DATE: ~
. T\ ,
Sign District:
Zoning:
Site
to be made prior
to sign placement
Footing
prior to placement
Of concrete
//
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~
completion of sign
installation
REQUIRED INSPECTIONS:
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 information hereil
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 0
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only 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, th;
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
of the sign~ L. . 11
Signature LiJO'l tj j.N. 'X trl, d iLA.--- Date / r 5 r 98
,
Amount Received: ).lC\<t; S ~ Date Paid: ~ '~,.:).~ ,
Receipt Number:A<6::,c=) \ Received By. +~
Validation:
.
.
SIG,N PERMIT APPLICATION
The application on the reverse side needs to be completed entirely, If 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.
If the sign you are proposing to install is illuminated, an electrical permit application aiso 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 attachad to the
application. The size of each existing sign also needs to be listed on the application.
. I '
PLANS
To submit for a Sig'n permit, you need to prepare two complete sets of drawings showing all di~ensions, 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 totai height, the footing detail needs to be prepared and stamped by a registered engineer or architect. Alter 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 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 installation
of your sign:
Footing:
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 alter 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, p;i~r to requesting this inspection.
...:-....
Site:
',".
Attachment: To be requested when all fasteners are ipstaUed but prio!.tci cover,
To be requested alter the electrical\onnei:;i~n'to the':'s~n is made, but prior to energizing.
Alter all required inspection~ ai;~~on;Gbted ~nd ap'proved and the sign installation is complete.
-~;>~ .:. " ~
The inspections that are required for your sign installation will be indicated on the applicatioh during the plan review
process. Failure to request ANY of the required in'spections could result in sign removal in order! to inspect the sign at the
required intervals of work. . .
Electrical:
Finai:
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
wo,king day. ail inspections phoned in alter 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 free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
"
SIGN 'PERMIT APPLlCATIO.
225 Fifth Street
Springfield. OR 97477
SITE ADDRESS: 5~q5 rY)Q) 0 5+.
ASSESSORS MAP: I 1o.,l. 2.A. ~
OWNER: kr'_vi (\ YY'vu. ttM 105
ADDRESS: S~qs 1Yln. ~ (\ 'S-+.
. CITY: ~f(1A'\~-C; (J \.0:- I
BUSINESS NAME, FIRM El'C,: I-- 13Cl r (l-"S
JOe:BER ,CN&'6'fiflr
Inspection Line: 726.3769
Office: 726'ijQQS-\Ard~ro
TAX LOT: <. '<. U I I
PHONE:
STATE: (')Je ZIP: ~ 14~/
DESCRIPTION OF PROPOSED SIGNIS): Iplease check and complete all appropriate information)
Wall 1- Freestanding _ Projecting Roof
Single Face r1 r1 ~;;::/,Double Face Billboard Other
Square Footage: " I Lf-J Total Height above Grade:
_ Marquee
Iq'
7'{ /I
Vertical Dimension of sign or enclosure:" ' Hor' ootafwidth of sign or enclosure:
Dimension from Grade I /1 Electrical Installation LYe _ No VALUE
to bottom of Sign Enclosure: \ '-r- (If yes additional elect' al per lt is required) OF SIGN:
Material Sign is constructed of: <=:;b+ M1 +n \
Id'
q()('i)OO
\.J', r lJJ~()~ ULj \ i c..
'?z.~h
List ALL existing signage and attach a photograph of each ~.?: ~
C'Q ?-O ~
(a) Type SQ. Ftg. 4~). q,~ 1~~e":,\
l'. 11t(l <::>/_'~
O'O!\ rdb1:yp'l{", (":t.
-,,/L Q ~~. '..,..,<>.
,... '\ ~, '9 ~ r~
<-~ 'O~& '?/'.s> '<-~
V^ 14. ' ,0" /)
.'. .,'0 '.y~ ~~
~~ ~~ V~
STATE: Cf~ 1-0/, 'I
\ \ \,.)'X(~
CONTRACTOR/INSTALLER: ~ SCi-A :I: 1\(;,
ADDRESS: I),. \ (\ (lJoJeO(l i-ch t2.d.
CITY: ~l JOt 0 JV.-.
()
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER: -.9 5Q 3 q 1
Ic) Type
SQ. Ftg.
SQ. Ftg,
SQ. Ftg.
PHONE: U,f]5-5St.f1o
Zlp:L1,YO;;,
;)-) -'1g
(/1' :<.O-G) 8
EXPIRES:
EXPIRES:
OFFICE USE
Sign District: \ ,~~ ~\ct~
~~ /
, - n f\ DU
Sign Permit Fee: \ \. J ,
Land Use: f\?{Yl Quad Area: n~~1 ~
Code Section: ~. 'L L\-~) 11. ')
Approved BY; ~ ) \ ~~~ ~
Zoning:
RE~iNSPECTIONS:
. Site
to be made prior
to sign placement
~ Footing
prior to placement
Of concrete
Additional Comments and/or Conditions:
DATE:
1-' I-CrK
Attachment
after fasteners are
installed/prior to cover
~cal
prior to energizing
electrical installation
~
Final
completion of sign
installation
. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereil
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 0
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only 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, thi
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
of the S;9n1Sr 1
Signature /)(1J ///11 yfrHU7~ Date J - 5:- 9 ~
I
flY' .;;-
Amount Received: tS!.~ b 7J>
Receipt Number: '~'6'J~ \
Validation:
Date Paid:
,JI \-'l/:J-L\g
l1\\N:v
Received By:
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If 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.
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, 8 photographls) of each existing sign needs to ba attached to the
application. The size of each existing sign also needs to be listed on the application.
'! '
PLANS
To submit for a Sig'n permit. you need to prepare two complete sets of drawings showing all di~ensions, 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. 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.
INSPECTIONS
Depending on your signls!. you may be required to request one or all of the following inspections during the installation
of your sign:
Site:
To be requested alter 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. If 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 instil lied but prior to cover.
Electricai:
To be requested after the electrical\onnection to the sign is made, but prior to energizing.
'.
'. I
Final: After all required inspections are conducted and approved and the sign installation is complete,
.' .~,... .,,".;
The inspections that are required;for.l\~our 'sig1n installation will be indicated on the applicatioh during the plan review
process. Failure to request ANY of.'the r~Quired 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.
11 you have any Questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division' at 726-3759,
City of S'pringfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
"
SIGNPER~IT APPLlCATIO.
SPRINGFIELD
JOeMBER_ Ci\~\~ti 0 r
Inspection Line: 726-3769
Office: 726-3759 tr [hvat\ ;
TAX LOT: l ) oJ J,n I \.~ 0Y\
225 Fifth Street
Springfield, OR 97477
PHONE:
STATE:
CJrL
I
ZIP: Cj 1 Ll-l5(
Freestanding
_ Projecting
Roof
_ Marquee
Square Footage:
Double Face
3 c; r/J
Billboard Other
Vertical Dimension of sign or enclosure:
,9'
J()'_f
Total Height above Grade:
In.', I II
or enclosure: -I to
Dimension from Grade D I +
to bottom of Sign Enclosure: G ~
Electrical Installation: Yes
(If yes additional electrical permit i e
VALUE if) , 1,---/'/1)
OF SIGN: +r '-H Y T ,.:::.--
Material Sign is constructed of: \ I \ (\ ( j \
I
,h
List ALL existing signage and attach a photograph of e~ ~ (\J:)Y\.JL-
-srv~..o ~
(al Type SQ. Ftg. Q-~,~,{') ,~~) Type
'1'1-, -~~ v~ '~;.
SQ. Ftg. "'.~.~. '!lM Type
OO~ .t~A "'4: ~...
'Y -a '(,..I. '<-.'
CONTRACTOR/INST ALLER: F"') {-A I. 1\ c.- :;'..0", ~/n ~... ~^
ADDRESS: J~ 1 Q ()(\'\~D(]CI-cJ" reel. -1?o<?~-?~/~..o~~*'~
I ....a '?,.{.._' ~ /)
CITY: r:: l J~ Q 1\ CL ~I'~Y%E~".,()K.
~ \ M. ~~
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: 'I J () ~ 0.....
CITY BUSINESS LICENSE NUMBER:....9 5 () 3 c, 1
SQ. Ftg,
(c) Type
SQ. Ftg.
PHONE: g~:") - S 5L]~
EXPIRES:
ZIP: o,-,t.40d-
d -I - C)'6
~-3o-qR
EXPIRES:
Sign Permit Fee:
~~~~ill~
-('~ ...
~~pU
OFFICE USE
Land Use: 5~~Q.) Quad Area: ~~S1_ 7
Code Section: B . t4: ~ (\1 f )
Approved BY:' \~Ji\-;\_~t'~ DATE: Jfl~M
Sign District:
Zoning:
REOUIRED INSPECTIONS:
rooting
prior to placement
of concrete
~ Attachrne~t
after fasteners are
installediprior to cover
,..,/'
Site
to be made prior
to sign placement
E!ectrical
prior to energizing
electrical installation
___ Final
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 information hereil
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 0
Springfield. and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors an
employees who are in compliance with CRS 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, th;
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
of the sign(s).
Signature (' JJ{1A J l/Jt J _l,ff rfH..ud j~
I
Receipt Number:
Date J.-::.'T-q2
, 1. () ("I
.rlL\~ .) L-- Date Pait \. 'f( J . \ ~
~'65S~ Received By: (~ )
Validation:
Amount Received:,
.
.
SIG,N PERMIT APPLICATION
The'application on the reverse side needs to be completed entirely. ,If 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.
I
"
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 photographls) of each existing sign naeds to be attached to the
"application. The size of each existing sign also needs to be listed on the application.
'I '
PLANS
To submit for a Sig'n permit, you need to prepare two complete sets of drawings showing all di~ensions, 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. Alter 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 site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your signls), you may be reQuired to reQuest one or all of the following inspections during the installation
of your sign:
Site:
To be reQuested alter 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 alter excavation and the forms are installed, but prior to pouring concrete, If there will be
electrical conduit placed in the footing~ it must also ~e in, place prior to requesting this inspection.
Attachment: To be reQuested when all fasteners are installed but prior to cove".
Electrical:
To be reQuested after the electrical\onnection to the sign,is made, but prior to energizing.
After all reQuired inspections are condubted and approved and the sign installation is complete.
Final:
"
The inspections that are reQuired for your sign'in~tallation will be indicated on the applicatioh during the plan review
process. Failure to request ANY of the required inspections could result in sign removal in orderlto inspect the sign at the
required intervals of work. ..'
, r,
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 ins1alled, 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 free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
"