HomeMy WebLinkAboutPermit Signage 1997-5-19 (2)
";.SIGN PERMIT AP~L1~AT.
I' 225 Fifth Street I
Springfield, OR 97477,
s~
5\0 f) ~~ (\
. NUMBER 97D750
LOCATION OF PROPOSED WORK:
~L, ASSESSORS MAP: ' t1)I6-~ \
r-1:g~OWNER: e.i rcl t [I TlJ:S(7)
Itid3:IiESS:. (,.r) I l)f\ :,nf\ "5+,
"; tr: ::..:~~./t~ ~'.. ....J J j
..;1;.;2j:i~~7.k:.~tl.o...m,1" ~
~{ . '.~.. I
('\i"BUSINESS NAME, FIRM ETC.:/;P ,L)1;;"O l/)aJ/l 5-/-;
:~:,< " . ..' , . " I
!~,D'ESCRIPTION OF PROPOSED SIGN(SI:- (please check and complete all appropriDtr. inlormalion}
,.~t:' . ~ WDII _ Freestanding Projecting nool
,;>, ' ~ Single Face _ Double Face Billboard Other
.., Square Footage: .5: 7 d Total Height Dbov. Grade: 81 <i? II
....
I'CIII' ~, 3'1111
~, 0 /Yr ~ Hoorrij: ontal Width of sign or enclosure: -r
Electrical Instal,ton: '; Yes No Jt.' -.---...-..
(If yes addit{o~~~ermit s required} VALUE: if( 0{)D. 0[)
Inspection Line: 726.3769
1JrlQ flfice: 726.3759 ,
TA:LOT: O\On\
...
PHONE ~. LflJ.j - 73;)..1
STATE:
1 Jjft
ZIP: OJxttJ
\
i\-
I~
_ Marquee
Vertical Dimension of sign or enclosure:
1
Dimension from Grade..., I,
to bottom of Sign: I I
Material Sign is constructed of:
- , ,
~~iit'~'~L.'exi~tin~ signage a~'d attach a photograph of each sign: ~\\~\\ /(\0 JJ)j~-D1\(7\ W\Gi\ML
~j.",,:. . I ..l / '1'( (\./1 \~ Q,v\,tU)P' '---\
~~; ~: .<(a!'Type'" (: ( Sq, Ftg. 9:() WIT pe Sq FIg
~:;,i " " ;~. ',' ,
,if. ':(CI Type Sq. Ftg. (dl Type Sq. Ftg,
;Kt;"l
..:::':
'\I~" '-~A J /1
jl,;'CONTRACTOR/INSTALLER:' ,-...Y'J-Tl T/l (! .
'~"!'l" '.~:,.' -. -'.
~r~6bRESS: /d/D (J()..kfJ/A-!-u, Rd,'
:..... . . I
, CITY: f:.UI7.1' /Ii _
J
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
,CITY BUSINESS LICENSE NUMBER: q 5031 7
PHONE 'L/R:"f' SS t./.(,.
_.~ --.
.---..
ZIP 97tfOj.,_.
EXPIRES: ,,)-,)~L
EXPIRES: ~- 30-9)
STATE:-De
II/d.~?'
L
1,'
I
: ~'\n
Sign District: , rol0 V
,: Zoning: ../
~~j~190..p.ermit Fee: 4D.c;:O
tr.:i-..l=:-.,.',.. !
:fJ.~' -.' \1
I,., %{~~;m~'~~I'~~S~EC~IONS:
V,l.....,l .,'
.~';... ,....,
~:;",I.:r . . ~Site
r,...
~~:~.O~.~(rT):ade prior
"'~(.to Sigli .placement
.~:.::., ,
~~(~d~iti.onal Comments and/or Conditions:
~~~::c;:.: "
'~~:.J.:" ," . ,
-fj~~'~"s'ign~ture, I state and agree, ;hat I have carefully examined the completed applicrl!ion and do hereby certify that all information herein
V'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
'::)lSprir1gfield, and the Laws of the State of Oregon pertaining to the work described herein, I further certify that only con;ractors and
~n~mpIOyeeS who are in compliance with ORS 701,055 will be used on this project.
;','i'!)urtlier agree '0 ensure thaJ all required inspections are requested at the proper t"nc, thot project address is readable Irorn ill<' street, that
'f,:,thepermit card is located at the front of the property, and the approved set of plans will remain on the site at all times (Juring Ill!: Installation
1-,'.-- ,
. .-: 61 the sigrrls). I
'<Signature (1.Ao A jJAi.,( Y1 1:1 i/oI./LJ'\ ./
, OFFICE USE
La~ Use: 1(\?[[) Ouad Area: 7f ,J\X1 J
Code Section: _ C\- fl- \ -4 (() -
Approved BY:\.ui) > ~cHD\'\,~ATE llR_1 }
F60ting
prior to placer'flent
of concrete
/'
Attachment
after fasteners are
installed/prior to cover
J EleCtrical
prior to energizing
L.--?.
FII1;)1
completion of sinn
installation
!. ;..~- .
i;;.r.:,......
~v.alidatio,n:,
;~t~.f..:.:_...
~ir':.:..
~ :-.~~:!." 1_,:,' ;
~ i
..oimount Received;
'I
Receipt Number:
?n.W
~c:.{f~ \
~
Date YY)O fI (p.' /097
d, ~\C\,C{\
Received By: m\1:)~
Date PaieJ:
..
.
.
:,,;..
,
"
~l ~~..
~1J;'/\t.:.f
~l.~.~'l:<I-' .... :"
~~~: :,;~,.:;.~.
~
~(~ ~.
r:
r
t.-'
SIG N PERMIT APPLICATION
. .
Ttle:~ppliCJtjon on the reverse side' Ileeds 10 be completed entirely. If you are the sign contractor/installer, or if you are
hi,ing " co',,'actor, you nee~ to make sure that both the City of Springfield Business License Number and the Registration
"Number from the State of Oregon Construction ContraCtors Board (Ire listed on the aoplie,alion along with the expiration
U;Jle 01 CJctl. . -.'
II tl1~ sign you are proposing is illumin;'lCd. an electri~al permit application also needs to be completed and signed by either
a supervising electrici~m,'limited sign electrical'contractor, or if you are the business owner who also owns the building in
whicl) you are occupying. and you will be pe,fo,ming the electrical installation yourself, you may sign the electrical
application, ~
II nH;tC lHl~ existing wall and/or frecswnding signs. a photograph(s} of 6ach existing sign needs to be attached to the
npplication. Thel size of each existino sign also needs to be listed on the application.
, PLANS
'[ I, ' I d ' h' il d" 'd
\1 sut)lllll tor J sign perml!. you Ilced 10 ~)(l:lJ~lfC two complete sets 0 rawlngs S OWIng a tmenSlons. total height, an
:.J plOl picHI indicating where the proposcu sign will be located. If you are installing a freestanding sign which exceeds 20
ll~(:t in totul tleight. the fOOling detail needs to be prepared and stamped by aJegistered engineer. After the plan review
p,oGess is completed, and, il your signlsl is upproved, one set will be returned to you. The approved set of drawings need
to be at the site when an inspection is reqtJ'ested for the inspectors reference.
;\-"-
~, ;~~;~fi:'-:
"5i"'ii",1 ", '"
~~1Y~~T:C;' '-.:.,D~~n'(~,.'l(Jj.;,U Ol~ 'V'OUf sign(sll
''-~'!''I:~'')' '. "I_ '. . . 0.- ..- -
~,J{;'::"':"''.!: ':0 'yo.~.WSlorl:"
",.'" ..
~"f..i-.: .
INSPECTIONS
.you, may IlC rcquir~d, io .requ'est one or all of the foliowing inspections during the instailation
Site:
-To be requeSted after indicclting on the lOt where the proposed sign will be located but prior to any work
being performed for the il'1st(lllation of the sign. This inspection is required if there is a Question on the
location of the proposed sign.
Footlng: To be requested alter excavution and t~e, 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,
,.\:t.:l(;lllllUlll: To be requested when (111 fasteners are installed but prior to cover.
E!eClfical: To be requested after the electrical connection to the sign is made, but prior to energizing,
,
F:nul: A(ter all required inspections are conducted and approved and the sign installation is complete.
,
I
TIle inspectio..ns that are required for your specific sign will be indicated on the application during :he plan review process,
F,illure (0 request! ANY of the required inspections could result in sign removal in order to inspect the sign at the required
illlt)rv;;:J!s 01 work:
To ,eQuest an inspection, phone 726.3769. This is a 24 hour recording. On the recording you will need to leave you, City
Designated Job Number; location.of where the sign,is being installed, the type of insp.ection you are requesting, and when
"'''t;:'f~.,_'''' ._.;,~_."..... ~ .~""'r'-"--'~ -.'.
_~..::_.'''': . yqu will:bc rcady, f'o(the inspection, All inspections cal/e'd in to the recorder prior to 7:00 a.m. will be made the same
l:'~~~",,:: . '~orki.ng:day... ~U i,risp.e~tions phoned in ~Ite' 7:00 .~~n,;.:: wiU'be made the following work day.
~j*~~f2~~t.~.i;4:.~~:~~:..t:~~,,~~-:?;'-"r~~:?-"-"1"-""....,.~- ~...-, .' '''.,' ,.' ,.~.
~~:~~:::," :.rlrY~~'ha~ea~y q~'e~iions (eg~rding'tl)e applicati00, required plans or inspections, please feel free to phone the. Building
f",~.f,"" SolelY D,vlslon at 726.3759.
""',.., "
1:'''
. .
,.
,
I
Cil)' or Sp,;ii1~n~ld
Buildillg Safely Divjsioll
225 Fifth Sfreet;
Sprillgfield; OR: 97477
:
:s~"""~' . .. . ,
~{9'~~.~;.t:~\~ ~ ,: ';,.~ . -:. :.~: ' ; :~~_;:'. - ~
~ti~~11pl'il-i'<',:'j":':" '... !.;,. -.',"", ,-,\!..- ;....- ~.'.
~~~~1.(~/'~:::,:'.~.~~~: .-. :.'~ .r~:..:. :'.-. ,.
~(;:q:\Fi1.'-, .
~C:;~>:' ,.
"
" .
':.~I~..:..,
: