HomeMy WebLinkAboutPermit Signage 1996-8-2
SIGN PERMIT APPlICATIO,_
225 Fifth Street
Springfield, OR 97477
JO._M~ER
Inspection Line: 726-3769
Office: 726-3759
qkO(oL(
SITE ADDRESS:
ASSESSORS MAP:
7:>,
TAX LOT:
C~~lr )
...
OWNER:
()I L La . TAlL. Ki-'\.\) milES / ,f.,1, t,;",r'HONE:
it/)!) - c;,~17-24(.,q
ADDRESS: 217~ f-h,JY /lJl
CITY: yLo(l-e,v(€'" STATE:
BUSINESS NAME, FIRM fie,: 1E-1)(Rre.D -S~J11A(2.r
/
of( ZIP: CJ'7LIS'7
RUMO,b;S T{2ft(/(. TL\:.N'\J IhuJ.
. l /
DESCRIPTION OF PROPOSED SIGN IS): lplease check and complete all appropriate information)
Wall
~ Freestanding
~ Double Face
qq$
_ Projecting
Roof
Marquee
~
f~\
Single Face
Billboard
Other
Square Footage:
Total Height above Grade:
;), ()I
Vertical Dimension of sign or enclosure:
:2C~ It
'"7^'1
Horizontal Width of sign or enclosure: 'u
Dimension from Grade
to bottom of Sign Enclosure:
2.1
Electrical Installation: ~ Yes _ No
(If yes additional electrical permit is required)
VALUE
OF SIGN:
3SC'50~
Material Sign is constructed of: -:5fEfL Au/ "",,,,'-"""'- J'L"'-:'T1~
/
List ALL existing signage and attach a photograph of aach sign:
(al Type
Sq, Ftg.
(b) Type
Sq. Ftg,
lcl Type
Sq. Ftg.
ld) Type
Sq. Ftg.
CONTRACTOR/INSTALLER: /n~fl "'-- f5t...,.,"-, s.~ IAu<-
ADDRESS: 2oL( LTe&&'er.;6,",- .>'1,
SLL~
CONSTRUCTION CONTRACTORS REGISTRATM NUMBER: (:., L/ c:, 18
CITYBUSINESSUCENSENUMBER: '1 ~RI
/
PHONE: 3Y2-/?b9
CITY:
STATE:
OfL ZIP: q,L/O'Z..
EXPIRES: 3-9-9?
EXPIRES~-"'3 - 97
OFFICE USE
Sign DistriCt:~(l i (l CJ
Zoning: (l (\. ~ ~--
Sign Permit Fee: - '] U . OU
I,.and Use: "~~.) Quad.lr~ ...2f.j,<J..{I )
Code Section: J ~ - f} -.!4u) _
Approved By: -uM .!iJDPF1e1VDATE: !J.!JIo.({~;;_
REOUIRED INSPECTIONS:
Site ~ting ~chment ~cal ~
to be made prior prior to placement after fasteners are ' prior to energizing completion of sign
to sign placement of concrete, ^ n" 1),. insta~led/prior1Jover electric~stallation. inst~latio.:n
M~':&;"b\-rro~uSt~~_tJ~~~\ },~Jum
,
roc
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
is true and correct, and r further certify that any and all work performed shall be done in accordance with the Ordinances of the City of
Springfieid, and the Laws 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 701,055 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 car~s ted at t~. t of the property, and the approved set of plans will remain on the site at all times during the installation
of the slgnls), '
Signature ' _ '1..... :'~- - Date 7-:23-1'.6
{'/' -
Receipt Number:
565,00
;(:27<f~
Date Paid:
Received By:
9; ~ ;(-'1 ~
~/
Validation:
Amount Received:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign cont(actor/installer~.or if you are
hiring a contractor, you need to make sure that both the City of Springfield Bysiness 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 photograph(s) of each existing sign needs to be attached to 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 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 Is) 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:
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. 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 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 sign installation 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 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.
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 APPLlCATIOr.
JO.MBER
, .
Inspection Line: 726-3769A\\
Office: 726-3759 ~
Q\dJlo1J
225 Fifth Strpet
Springfield, OR 97477
SITE ADDRESS: l/OCJ5 /'Y/41IU
ASSESSORS MAP: '''lTr.~'~\
OWNER: /11/LF<" nJL Co, J..I'C
~-;r:
TAX LOT:.J ~- X" )
,.
ADDRESS: :2./75 ~hJY' / D 1
'-I"~ ~
t-"'LA)IL!::'./\JCt-_
B<A'j)~>1ILl:. s. ,-?,.,f?, 9;, ",/,"PHONE:
i='C<,") - ~LI7- '/u(, '1
CITY:
,STATE:
oR..
ZIP: q 7 </?, q
BUSINESS NAME, FIRM EOC,: "TEOLACO. 5m-rz..fI')I~/iT [5LII'>'IlJ/~_.$ 7Jl4<..1L TZ"-<.'Y\ (JrZ'lC<...
/
DESCRIPTION OF PROPOSED SIGN IS): lplease check and complete all appropriate informationl
Wall Freestanding _ Projecting Roof ~ Marquee
~ Single Face Double Face Billboard Other fl
;2.Q,7::;- _/
Square Footage: Total Height above Grade: b
Vertical Dimension of sign or enclosure:
"5'-(/
Horizontal Width of sign or enclosure:
/ . /1
R..fc
Dimension from Grade 'I' Electrical Installation: ,.y.... Yes No VALUE 2100t:&
to bottom of Sign Enclosure: )) - b (If yes additional electrical permit i~iredl OF SIGN:
'-... fLJ II
Material Sign is constructed of: lkl/'Vl PIlL ALJ-t~, PIdN4FLEi-
list ALL existing signage and attach a photograph of each sign:
lal Type
Sq. Ftg.
Sq. Ftg.
(b) Type
(dl Type
Sq. Ftg.
Sq. Ftg.
Icl Type
CONTRACTOR/INSTALLER:
ADDRESS: 2D '-I
J1J4i1-T"fIV fJl2DS
:J e .&:(el'SDA.,.. '5f.
S/('f1\JS, TrUe..
PHONE: '31./2 -/7(,.Q
CITY: . r:::.L<je~,-,-
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
.STATE: ot,-
C;t!Cd~
ZIP: Cj 7ct' 0 '2..
EXPIRES: -<,-0-17
EXPIRES: 6-3'-17
CITY BUSINESS LICENSE NUMBER:
Cjr:.036(
Sign District: ~rn ioJ1
Zoning: . 0 ~ --/
Sign Permit Fee: 4D .W
OFFICE USE
. Land Use:
5?{)() Quad/;r~: 3(' A'C.J
Code Section: _ _ Q- fl -J4 Lf)
Approved By: 1100 I 0b\WV DATE:!J)JoCf.h
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
/
Attachment
after fasteners are
in tailed/prior to over
VI'
E ectncal
prior to energizing
electcical . stallatlon
L./Final
completion of sign
"lnstallatio
A:itional ~omment~/o~ Cooitions:
By signature. I state and agree. that I have carafully examined the completed application and do hereby certify that all information herein
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
Springfield, and the Laws 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 701.055 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 the property, and the approved set of plans will remain on the site at all times during the installation
of the Sig~4
Signature Il() ~ -Z:v, P .J /h H7f hly(,./ Date rr ~ .< - 1/_
(/
Validation:
Amount Received:
5~ S. 0lJ
:<:(7'1S
Date Paid:
<6 - .2 ~'1 {..,
~
Receipt Number:
. Received By:
SIGN PERMIT APPLICATION
,.
The epplication on the reverse side needs to be completed entirely. If you are the sign contractor/lnsteller, or If you are
hiring a contruatar, you nood to mako sure thet both tho City 01 Sprlnglleld BUllness Llcenso Number ond tho !!Ioglstrotlon
NUffih~r nom th~ State of Oregon Construetlon Cont/aelors Iioerd are listed on the applieatlon along wllh 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 andlor freestanding signs, a photographls, of aach 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 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 or architect, After the
plan review process is completed, and, if your signlsl 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:
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. 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 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 sign installation 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 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,
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.
JO.MBE~ '~\.rl1ot
I;spection Line: 726-376r[l.\
Office: 726-3759 l:9J
u.\- ()
_ '::'U!
~,
225 Fifth Str~et
Springfield, OR 97477
SITE ADDRESS: J!0q~ /114j~1
ASSESSORS MAP: n\JL~\~.
OWNER: Iri'LEs niL Cc, TilL.
ADDRESS: 2/75 ~IL~IY' / () I
"!-;r:
TAX LOT:
RiAj)~>1ILf:. -s.. ISD~ ~j, "'I;?PHONE:
~Oc.") - (,..LI7- ?U{, '1
CITY:
r, ,,_ ~
t-'L.()ILt',I'-) Cr-_
STATE:
DR.
. ZIP: -51..7 <,I_~ CJ
BUSINESS NAME, FIRM HC,: lEI)(.ACO. 5m-,'l../Y)~T 15LII'l-1IJ/~_~ 7}Z4<../L n\..<..'n (J/zzc....
/
DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate information)
Wall
Freestanding
_ Projecting
Roof
~ Marquee
~ Single Face
Double Face
Vertical Dimension of sign or enclosure:
I f II
3-'0
Billboard Other II
/~.. I
Total Height above Grade: :;-)
lJ(J /I
Horizontal Width of sign or enclosure: {J 10
Square Footage:
<'}Q,7tJ
Dimension from Grade / II, /' II Electrical Installation: ..::t::.. Yes _ No
to bottom of Sign Enclosure: Ia (If yes additional electrical permit is required)
,\ (7 II II J ,. v1l () '.
Material Sign is constructed of: DLlWlP/f. - f'tL.lA " v'AtJ.<l-fLEt'-
VALUE
OF SIGN:
.:2/ m ~
list ALL existing signage and ettech 8 photograph of each sign:
(a) Type
Sq. Ftg.
(bl Type
Sq. Ftg.
Icl Type
Sq. Ftg.
(dJ Type
Sq. Ftg.
CONTRACTOR/INSTALLER: JJJ4f<!-ruv tJf2DS
:Je",e~ ~.
SIMtJS True
PHONE: '31./2 -17(,.Q
ADDRESS:
2DL/
CITY:
r:: LLj e.. I..<-
STATE: 0"2-
GI./~I ~
ZIP: CJ 7'Z' 0 z.
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER:
q~03'8(
-"--
. EXPIRES:
EXPIRES:
<,..CJ-'17
6-39J17
OFFICE USE
Sign District: ~OO-~Land Use: ~")(1 QuadJ:r~ ~~-'~
Zoning: ~t;...-v-l Code SectiOn\ Q - '1 - /4 tI J
Sign Permit Fee: 4{)~ Approved By: )J1\ . \ _<H(W~V DATE: .!1)J, ({h
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
...............
Electrical
prior to energizing completion of sign
~'l"~
U Final
~nSynt~o:~lWho'l'
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
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
Springfield, and the Laws 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 701.055 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 the property, and the approved set of plans will remain on the site at all times during the installation
of the sign(5).
Signature' vJ1.rJ
(~LlkA/ / ~~./
3(05.00
~27'1~
Date
x-- :;J~9/_
-=
Receipt Number:
Received By:
?~~~q(/J
/IJ!-.
Validation:
Amount Received:
Date Paid:
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 Il)aka sure that both the City of Springfield Business License Number and the Registration
Number from tha Stata 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 andlo, freestanding signs, a photograph(s) of aach axlstlng sign naads to ba attached to tha
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 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 sign(sl. you may ba required 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 ba raquastad aftar axcavatlon and tha forms ara installed, but prior to pouring concrete. If there will be
electrical conduit placed in the footing, it Ijlust also be in place prior to requesting this inspection,
. ,
Attachment: To be requested when aU.fasteners are installed but prior to cover.
Electrical:
To ba requested after the electrical connection to the sign is made, but prior to energizing.
Final:
Aftar all required inspections are conducted and approved and the sign instailation is complete,
The inspections that are required for your sign instailation 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 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 wiil be ready for the inspection. Ail inspections called in to the recorder prior to 7:00 a.m, wiil be made the same
working day, ail 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.
o
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
L_
.
.
SIGN PERMIT APPlIC~TIOI\!.
225 Fifth Str~et
Springfield, OR 97477
JOB.~ER
Inspection line: 726.3769 ,If,
Office: 726.3759 ~
TAX LOT: ( )'-\~ )()
Q\oO(n1J
SITE ADDRESS: l/D95 )114/A) 5/,
ASSESSORS MAP: .1.' If )L,~ \
OWNER: MILE.S, niL. Co, ~11(,
,.
ADDRESS: .2/75 !-/-We,.> /0/
CITY r::LorZ.-it0 c..f
i3LADrnIL'=.S. {sag, d1; "'fPHONE:
AOD .. Cc,Lf'l- ?U{, <t
STATE:
oR..
ZIP: Q7<1:';;Q
BUSINESS NAME, FIRM ElC.: '/EDLACO, 57Xl1Z..M~T l5i../I"Vl/Jlf?_> 7!24<...1L TllWY\ ()/'ZZe.....
" "-"
DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate informationl
X Wall
~ Singl'e Face
_ Freestanding
_ Projecting
Roof
X. Marquee
Double Face
Billboard
Other
Square Footage:
27.5
Total Height above Grade:
/'11
Vertical Dimension of sign or enclosure: ~'3D" Horizontal Width of sign or enclosure:, , / / I
"
Dimension from Grade h...'r Cell Electrical Installation: ...'2(. Yes _ No VALUE '1' co
to bottom of Sign Enclosure: I V (If yes additional electrical permit is required) OF SIGN: -,,-:JUU-
ALIA' I~'I"""- '1,,^^ r>l"_ \' ~_~(LVV'M\"
Material Sign is constructed of: r' \ . \'ID\A'~ - ....w 'V\. ~ '\...v-. '1 \ '
List ALL existing signage and attach a photograph of each sign:
(aJ Type
Sq. Ftg.
(bl Type
Sq. Ftg.
Icl Type
Sq, Ftg,
(d) Type
Sq. Ftg,
CONTRACTOR/INSTALLER:
ADDRESS: 2D <-/
CITY: . ~L<je~\.t-
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
/114rZ..i/N fJ(lDS
J e {,{e,rsoY'- -:sf.
S/Cq7US, TJlVL-.
PHONE: '5</2-/7(,1
STATE: 0(2..
Gl/&/ P,
ZIP: Cj 7'i'O'Z...
EXPIRES:
?,-Q-CJ7
f,- w-e; 7
CITY BUSINESS LICENSE NUMBER:
Qh03f}(
EXPIRES:
Sign District:~N\C rNa Q
Zoning: ~
Sign Permit Fee: ~ ~
OFFICE USE
Land Use: Q'9-..f'{) Quadt.rea: ~rS(J
Code Section: \ . ..... y- fl.-14( I)
Approved By: J.All\. ,c\\~~~ DATE: f).p..1a..9 fn
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~
Attachment
after fasteners are
in alled/prjor to i~r
VElectrical V Final
prior to energizing completion of sign
electrical in~talla~t;;;"Am
~) I
Add~ionlSA1Df an4non~i~oO r
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
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
Springfield, and the Laws 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 701.055 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 locat~d the front of the property, and the approved set of plans will remain on the site at all times during the installatIon
of the S,grflSfJ'\
Signature ~,^ / I -'\ Jl/V> ---t'A<-- Date 7- 23- 96
C--/';j-~.
Receipt Number:
5{o5, (]Q
~:( 7?fS
Date Paid:
Received By:
~-;) -t(h
I4L
Validation:
Amount Received:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractor/jnst811er~ ~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
~Iectrical application.
If there are existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to be attached to 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 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 signlsl 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:
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. 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 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 sign installation 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.
Tb 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.
If you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety ~ivision at 726-3759,
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477'
I.
;.
SIGN PERMIT APPlICATIO,
225 Fifth Str~et
Springfield, OR 97477
J.M~ER
Inspection Line: 726-3769
Office: 726-3759
SITE ADDRESS: J/DCJ5 jI14/1\..\
ASSESSORS MAP: n()Li""4'
OWNER: /11ILES ()IL Cc, THe..
~~
TAX LOT: _u-l~c:)
..-
ADDRESS: .2./75 ~ft...1T' / () 1
r[ '1~ ~
r .OILr:'./\JCt'_
&lj)~'l/L~S_ I~r'f!. 4i",,/?PHONE:
P,cx"') - (;,..LI7- ?U{, '1
CITV:
STATE:
oR..
ZIP: q 7'/'<, q
BUSINESS NAME, FIRM HC,: lEf>l-ACO, 57)~hZ.IV)4,tT [5LII......:7/('_.$ 71l4<../L Tl'LL'y\ (JI2Za....
/ ~. /
DESCRIPTION OF PROPOSED SIGNIS): Iplease check and complete all appropriate information)
~Wall
-.1'
--L.::. Single Face
_ Freestanding
_ Projectipg
Roof
Marquee
Double Face
Billboard
Other
II
Square Footage:
;(r)
Vertical Dimension of sign or enclosure:
t/
Total Height above Grade:
/8/
?/
Horizontal Width of sign or enclosure:
Dimension from Grade N1 I Electrical Installation: $ Ves _ No
to bottom of Sign Enclosure: rr IIf yes additional electrical permit is required)
f\' II
Material Sign is constructed of: -"STAR. - /lJ-L\.\tV'--- ~ j?L~:>l.
VALUE
OF SIGN:
;2.ccxJ~-
List ALL existing signage and attach a photograph of each sign:
lal Type
Sq. Ftg.
(b) Type
Sq, Ftg.
Icl Type
Sq. Ftg.
(d) Type
Sq, Ftg.
CONTRACTOR/lNSTALLER: jJJ4/~T/tv C/;(ZDS
J e .&:(eY5i;J",- ?to
S/(q-AlS, T)VL
PHONE: '3tf 2 -/7(,.'1
ADDRESS:
2D'-I
CITV: . r::.L'je~\.L..
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE: 0(2.
Gl/C:,I ~
ZIP: CJ 7~ 0 z.
EXPIRES:
<,..CJ-<]7
G-3f-1?
1c:'036(
EXPIRES:
CITVBUSINESS LICENSE NUMBER:
Sign District:
i\fVv\~
~ .
40~
OFFICE USE
Land Use: ....Pf3.[)(':J Quad Area: 8~")(! ~
. Code Section: .\ l/ - - 17 - /4 (J ) ,
Approved By: 1 V DATE: f). 2b q fa
Zoning:
Sign Permit Fee:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~chment
after fasteners are
installed(prior to c ver
~Electrical
prior to energizing
electric~1 i tallation
~nal
completion 01 sign
instal/ation
nal Comments and/or Conditions:
I \ :2J_oJ.nfl1IJ1'b
.. .., L ~ _ . " _ ___
By sigtture, I state and agree. that I have carefully examined the completed application and do hereby certify that all information herein
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
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
empl~yees 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 Irom the street, that
the permit c~r ' ocated at the front of the property. and the approved set of plans will remain on the site at all times during the installation
of the signl . /'?
Signature' VI.- \! ~- v- - .Date 7--2-3-?G
L/ -
I Validation:
Amount Received:
5fo 6. 00
227'15
. Date Paid:
Receipt Number:
. Received By:
~- 2- q&7
/JL.
.
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 Il)ake 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, a photograph(s) of each existing sign needs to be attached to the
eppllcatlon. 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 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 site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign!sl, you may be required 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, If there will be
electrical conduit placed i~ the footing, it "'lust 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 energizing,
Final:
After all required inspections are conducted and approved and the sign installation is complete,
The inspections that ara raquired for your sign installation 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 the recording you will need to leave your City
Designated Job Number, location of whera 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 free to phone the Building
Safety Division at 726.3759.
o
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
I-
.
.
"
SIGN PERMIT APPLlCATloe
JeeuMBER C{\oNoll...,
Inspection Line: 726.3769 lJI'\
Office: 726-3759 I.[!..J
225 Fifth Str~et
Springfield, OR 97477
SITE ADDRESS: JjDq5 /114/1}-...1
ASSESSORS MAP: --1.107-....' 1:,
OWNER: /11ILFS niL CC,Tll(,
ADDRESS: :2./75 J-fLJIr' / () /
CITY: ~CDIZ.EI\Jcf
~-;r:
TAX LOT:
J)J~:::fJ ()
...
RL,..'j)tIJILtS. ISO/?. ~i''''I~HQNE:
~OC) - "-<17- 'Jut:. e{
.STATE:
012.-
ZIP: -3....'7 t,I.~ q
7}liU/L Tl'L-<.'Y\ Prz:zo....
BUSINESS NAME, FIRM ElC,: 1Ep(. AC. 0 , 5m-IU~4/~T f5i..II'VlLl/~_~
/
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
~ Wall Freestanding _ Projecting Roof Marquee
:i:::: Single Face Double Face Billboard Other @
Square Footage:
/1,..,
..Vertical Dimension of sign or enclosure:
(
("
Total Height above Grade:
lA'
~I
Horizontal Width of sign or enclosure:
Dimension from Grade 1 Electrical Installation: ~ Yes _ No
to b'ottom of Sign Enclosure: I J-- (If yes additional electrical permit is required)
" /I ^ I .' ,."
Material Sign is constructed of: .<mR - rtLV\VV'-- t .LEo'-
VALUE
OF SIGN:
.20r0~
List ALL existing signage and attach a photograph of aach Sign:
(aJ Type
Sq. Ftg.
(b) Type
Sq, Ftg.
Icl Type
Sq, Ftg,
(dl Type
Sq, Ftg,
CONTRACTOR/lNSTALLER: J174~1I;v &D'S
:J e ..&:(e>'5DY'-' ~,
S/('<f1\)S U'\)(_
PHONE: '31./2 -/7t;,.Q
ADDRESS:
2D'-I
CITY: . ~L'je"L<-
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
.STATE: OR-
Gl/c'/~
q~036(
--1.... _.
, ~...,
ZIP: Cj 7~ 0 Z.
EXPIRES: S -C} -C) 7
EXPIRES: b~ 36-17
CITY BUSINESS LICENSE NUMBER:
OFFICE USE
Sign District: {\ tlm.rotW~ Land Use: c53UO Quad "e~ c Q,~G
Zoning: t4uo OU . Code section:1, fl. '7- L4 (/~)
Sign Permit Fee: . Approved By: Ak..J\J......J
t).;Jo 4k
REQUIRED INSPECTIONS:
Site Footing ~tachment
to be made prior prior to placement after fasteners are
to sign placement of concrete . A () .ins.talle~/Prior to over
~~l~~t~ c~ndQio~s~Of'tn .
/
Electrical
prior to energizing
electrieal in tallation
....-' Final
completion of sign
insrnllPLfl
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
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
Springfield, and the Laws 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 701,055 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 the property, and the approved set of plans will remain on the site at all times during the installation
of the signlsl.
Signature' ~L/10
Validation:
Amount Received:
(J;))(lJ}.a J Jp/
Oh S, 00
227'i~
Date
~-;(-q0
Receipt Number:
Received By:
'6'-2- c;~
Ii;'
Date Paid:
SIGN PERMIT APPLICATION
The application on the reverse 'side needs to be completed entirely. If you are the sign contractor/insteller~ 'or if you are
hiring a contractor, you need to rT)ake 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. a photographl.' of aach axlstlng sign needs to be atteched to 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 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 sign Is), you may be required 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. 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 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 Ihe 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 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 the recording you will need to leave your City
Designated Job Number, location of where the sign is being installed, the typa 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.
a
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
.
.
SITE ADDRESS:
ASSESSORS MAP:
l/r)CJ5 /114/^-1
111"11""\4 ,
J.MBE-;" C\\cfiot(
Inspection Line: 726-3769 16\
Office: 726-3759 \9.J
SIGN PERMIT APPUCATIOe
225 Fifth Str~et
Springfield, OR 97477
~-;r:
OWNER: 1111LF~ niL (!c, Tlte
ADDRESS: .2/75 J-.fLJy-' / 0 /
CITY: r:::COIZ-f-,\...\Cf
RL,.,i:>Y>1/L,"-., _ ,sD€? 9i, '''r?PHONE:
(- z:\~ 1t )
. ,j-
.--.
., '-
TAX LOT:
Rcx") - Cc-LI7- ':Jut:. '1
,STATE:
OK.
ZIP: q?</'<,q
BUSINESS NAME, FIRM EtC.: "TEoLACO, 51'f.}(l..Il'}1Q,7~T f5LII'WJ/~_~ Tll4<.1L Tl'L<..'Y\ Prrza...
,
DESCRIPTION OF PROPOSED SIGNISI: Iplease check and complete all appropriate information)
$ Wall
i Single Face
_ Freestanding
_ Projecting
Roof
Marquee
Double Face
Billboard
Other
fl
Square Footage:
:2.1,3
Vertical Dimension of sign or enclosure:
1 , /1/
"'=) -,
Total Height above Grade:
(71
1(1
Horizontal Width of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
\\
Material Sign is constructed of:
/ I Electrical Installation: ---f2{ Yes _ No
/ (If yes additional electrical permit is required)
f2 II ..(,.
'T Ac..jc /{)wr\.... AUtItV'- -c-... rt'Lf.<<-..
VALUE ""
OF SIGN: -2,CbO-
List ALL existing signage and attach a photograph of each sign:
(a) Type
Sq, Ftg_
(bl Type
Sq, Ftg,
Icl Type
Sq. Ftg.
(dl Type
Sq, Ftg,
CONTRACTOR/INSTALLER: jJJ4~T"fIV (};(2DS SI(q1l)s' U'\JL-
ADDRESS: 20'-1 ,Je{.(eYSDY'--~,
PHONE: '31./2 -/7(,.Q
CITY: . r::.LLje~\..L
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE: Oi'2-
Gl/~/~
ZIP: Cj 7S" 0 'Z..
EXPIRES: ?'-.c}-"i7
EXPIRES: G- YJ-17
1c:'03t3(
CITY BUSINESS LICENSE NUMBER:
OFFICE USE
Sign District: \'rmmu~ ~Land Use: f:SeIJ..! Qu~ ~a: ;~
Zoning: ~ Code Section: II '7 ~'4ll )
Sign Permit Fee: 4D ~ Approved By: l.!f{\ r ililf~ ,)~DATE:(' 7J O.q h
REOUIREO INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
'/Electrica, '-..,./ Final
prior to energizing completion of sign
...
electri~ta':Ao ~a~
By ~gnature, I state and agree, that I have carefully examined ;~e completed application and do hereby certify that all information herein
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
Springfield, and the Laws 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 701,055 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 the property, and the approved set of plans will remain on the site at all times during the installation
of the SignlSl9 r<.
, Signature II\. V~I t - Date 7-23-'1("
/ L/
Validation:
Amount Received:
565. 0-0
227'17)
Date Paid:
Receipt Number:
Received By:
~-:< ~rzt,
W-
SIGN PERMIT APPLICATION
The application on the reverse side needs to be compleled 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 andlor freestanding signs, a photographls) of each axlstlng sign neads to ba attach ad to tha
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 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 ba at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your signls), you may ba required to raquest 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 tha forms ara 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 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 sign installation 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 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 mada the same
working day, all Inspections phoned in after 7:00 a.m. will ba 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.
o
)
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
.
.
vm'~'~ir~c~~~0If1ig~f~M~~TIO.
225 Fifth Str~et
Springfield, OR 97477
SITE ADDRESS: i!DCJ5 /114/1\..) ~'iI:
ASSESSORS MAP: h {)L~'-4-,
OWNER: 1111u::.s nIL Co, T;,(.
" ., ~~.~B.~E~q\d10'Lt.u
In:pection Line: 726'3769/f;:"
Office: 726.3759 l.0)
TAX LOT:. (}'\."""nt)
__01-.__..., .~
.,.
ADDRESS: .2../75 ~ILJY' / () I
CITY: '::COI2.t}.,\...,cf.
R/Aut'"Lt:. s. /?Df!.. ~J.i""lc7PHONE:
Po<") - "-<17- 'U.. ef
STATE:
oR.
ZIP: ~r '/'.-<: q
71l4<.1L 7<'-<.'Y\ PI2Za....
BUSINESS NAME, FIRM E'IC,: 1E000Ac.O. 5m-"UI11~,tT [5LII""lJI<P_~
, "
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
:;;b.. Wa II
.x. Single Face
Freestanding
_ Projecting
Roof
Marquee
Double Face
Billboard
Other
II
Square Footage:
21,'3
Total Height above Grade:
17{
tit
Vertical Dimension of sign or enclosure:
_1,(11
6 -1
Horizontal Width of sign or enclosure:
Dimension from Grade J Electrical Installation: -Ii.. Yes _ No
to bottom of Sign Enclosure: f ( (If yes additional electrical permit is requiredl
Material Sign is constructed of~' 'T/2.A(Jc TDt.,..JA..{ 'ALul/V'- tIi. REol
VALUE
OF SIGN:
Ja:o~
List ALL existing signage and attach a photograph of each sign:
(al Type
Vefl.~ c'l :.."..,!......"...
Sq. Ftg.
(b) ,Type
Sq. Ftg,
Icl Type
Sq. Ftg.
(d) Type
Sq. Ftg,
CONTRACTOR/lNSTALLER: J1JAf<!.lIN tJlZDS
:J e ~evSor\"" sf.
S/(q1I)s' p"Vc..
PHONE: '51./2 -/7(,.Q
!\DDRESS:
2/)</
:ITY: . r:.L<jell.L-
:ONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE: 0(2-
C;I.I~/ ~
ZIP: '1 7S" 0 2..
EXPIRES:
?,..C}-Q7
G- 3f-17
.ITY BUSINESS LICENSE NUMBER:
10036(
_EXPIRES:
.. '-
I
\;gn District: ~'ThN\QXl\jQ (J... .. Land Use: ~ QU~Ar~: 3~
~:":'m"'.~ -' il).cxJ - ~:.::::'~ ;:J1~~x ~DA~:J1h'%
I
roUIRED INSPECTIONS:
L Site Footing ~hment ~trical .Af-inaf
Ibe made prior prior to placement after fasteners are prior to energizing completion of sign
sign placement of concrete . in_~d,(p~r ~ cRver electrieel i~lIation insi~lati~
~itional Commi~ and/or Conditions:\ oj D lJ J\A ^ -1U, JtVYY\AT J\J.1) W JU.lJL
J\Jfw''tO' .._~ ·
~gnature, I state and agree, that I have carefully examined the cO~Pleted application and do hereby certify that all information herein
rue and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of
Ingfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
\Ioyees who are in compliance with ORS 701.055 will be used on this project.
OFFICE USE
ther agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
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 installation
Ie SignISI.) 0
lature ~~ ~/YV1.-'.9'- /
I .~
~ation: Amount Received: 505. cJO
:Z:J7 '1'J
-
.Date
7- ~3-'?'
Date Paid:
~~:<-t:t~
lib
Receipt Number:
. Received By:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractor/installe;~ 'or if you are
hiring a contractor, you need to l1)ake 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 andlo, freestanding signs, a photographls, of aach axlstlng sign naads to ba attached to tha
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 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 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 after indicating on the lot where tha 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 Il\ust 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 energizing,
Final:
After all required 'inspections are 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 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 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.
If you have any questions regarding the application, required plans or inspections. please feel free to phone the Building
Safety Division at 726-3759.
o
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
.
.
~-
SIGN PERMIT APPLlCATIO.
JOB.BER
Qldio'L-\
225 Fifth Str~et
Springfield, OR 97477
.
Inspection line: 726-fJJf')
Office: 726-3759 ~
TAX LOT: _ ., i\~ I)
.,-
SITE ADDRESS: /!()Cj5 /114j1U ~->t:'
ASSESSORS MAP: . "'.}l.....I't \
OWNER: II'/ILFS, niL Co, THe
Ru()~>1ILl:. S _ IS,.,f?, 9i, ",/;?PHONE:
~cx.") .. C,.L/7- 'JUt:,.,
ADDRESS: .2/75 H-LJY' / D I
CITY: t::COllE,\Jcf
STATE:
oR.
ZIP: q?<I~q
BUSINESS NAME, FIRM E'iC,: /E.iX-AC.O, 5m,z..IYJI~r<T f5i..1l'VI/JI"_~ Tll4<.1L. 7<lLL'y\ (Jrzza....
/ ""
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
~ Wall Freestanding _ Projecting Roof
Marquee
:;j..... Single Face
Square Footage:
Double Face
~EV
....
50"
Billboard Other fl
Total Height ~bove Grade: 17 I
Vertical Dimension of sign or enclosure:
Horizontal Width of sign or enclosure:
'2!:/'Z;~1 "I~
t J .> - ,~
p
Dimension from Grade / II( / I' Electrical Installation: ..::t::.... Yes _ No
to bottom of Sign Enclosure: 7 10 (If yes additional electrical permit is required)
Material Sign is constructed of: "/S;I.A;W l' "fJO" A-LLUv--. ~ PLb/-'
VALUE
OF SIGN:
a..o-
2. 3cO'<9.
list ALL existing signage and attach a photograph of each sign:
lal Type
Sq, Ftg,
(b) Type
Sq. Ftg,
(cl Type
Sq, Ftg,
(d) Type
Sq. Ftg,
CONTRACTOR/lNSTALLER: J1J4(<!.T/IV (!y,'2DS S((<dJS T/"JL.
ADDRESS: 2D L/ Je.&:(e.ySo)',-" s-t.
PHONE: '5l./ 2 -17(,.1
CITY: ..:..ELLj.eI'-'-
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
.STATE: 0(2-
C;t/(d p.,
CITY BUSINESS LICENSE NUMBER:
C(c"03'8(
-1.... _.
, -,
ZIP: q 7~O'2..
EXPIRES: <,uq-<)7
EXPIRES: G- 39-q 7
Sign District:
OFFICE USE
in. 0 Land Use: ein Quad Are"" ~I J"'~..l!.__
. Code Section: 9- fl- ~ (\ L
Approved By: llffi ).'~~ DATE: Cl.71o.Qb
Zoning:
Sign Permit Fee:
REQUIRED INSPECTIONS:
~ttachment ~ctrical ' / Final
after fasteners are prior to energizing completion of sign
ins~I;;r~ tvov~.ectrica! in ta~a:oh 0 n{";;;;(lAl j
-llrm .- \
By sj~ture. I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
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
Springfield, and the Laws 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 701.055 will be used on this project.
Site Footing
to be made prior prior to placement
to sign placement of concrete
Additional Comments and/or C nditions: ~
,
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 the property, and the approved set of plans will remain on the site at all times during the installation
of the signlsl.
Signature~ MAHl/Ji;;"././ t?lAJa('.&,lh .)
-(r~~~' .
Amount Received: 5(0 5. 00
:(27'10
Date
rt- 2~'lc.
c
Receipt Number:
Received By:
1(-;(- 9~
14L-.
Validation:
Date Paid:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractorronstaller~ 'or if you are
hiring a contractor, you need to Il)ake sure that both the City of Springfield Business License Number and the Registration
Number from the Stata 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, a photograph(s) of aach axlstlng 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 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 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 sign(s). you may be required 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 tha 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,
. '1
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 energizing.
Final:
After all required inspections are 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 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 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.
If you have any questions regarding the application, required plans or inspections, please feel frea to phone the Building
Safety Division at 726-3759,
~
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
.
.
SIGN PERMIT APPLlCATIO"a
225 Fifth Street
Springfield, OR
JOY~ER
Inspection Line: 726-3769 (b)
Office: 726-3759 ,~
n{'\
TAX lOT: f rt:JVV
C\lcOl o1/~
97477
x,rJ~~~
OWNER: Ih,'Ie..c.- OIL (l> ,Jf,~, B~,f) !>i,k
SITE ADDRESS:
ASSESSORS MAP:
lEA 1J,)~
.,-
PHONE: ~(JV -lc(/7- 21./(,1.
ADDRESS: 217'0 /fz.vtl 101
CITY ":'L61Z-{IUc.L
BUSINESS NAME, FIRM EiC,: 1f:e,L~
STATE:
0,1-
ZIP: q 7ti"31
DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate information)
-1 Wall
Freestanding
_ Projecting
Roof
Marquee
Y- Single Face
Double Face
Billboard
Other
Square Footage:
~,2:7 \'2...5
Total Height above Grade:
171
Vertical Dimension of sign or enclosure:
r? h
JD
Horizontal Width of sign or enclosure:
1.Ol!..'.., . ' .
r;;-I;....~ -- /l.f,:..J
5U
2'YJC)~
Dimension from Grade 1'/ /. {II Electrical Installation: -.:i:: Yes _ No VALUE
to bottom of Sign Enclosure: .., b (If yes additional electrical permit is required) OF SIGN:
. ~ 1
Material Sign is constructed of: /E..<.i\LD 1 L~ /I AU u,,-, <( fL€~
List ALL existing signage and attach a photograph of aach sign:
la) Type
Sq, Ftg.
(b) Type
Sq, Ftg,
lcl Type
Sq, Ftg,
(dl Type
Sq. Ftg.
CONTRACTOR/INSTALLER: J1?M..-fln.-...
ADDRESS: 2D'-I JeJ.Ce....~
t=:..L~
'/
~~~~<:.
{-/'
PHONE: 5(/2 -f(br
CITY:
,STATE: (:liC-
e, (j fcl g
ZIP: q ("102..
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER: 1b b3S1
EXPIRES:
"2..9.'17
6-3-'1P
EXPIRES:
Sign Permit Fee:
9{)~
OFFICE USE
land Use: ~ 9uad Area:
Code Sectio,\ . ~ - f\ - \ 4d")
Approved By: u.t\O....; \_<tllW~DATE: l.l1o .C{0
~~S0
Sign District: ~{,{\~CL\L.,
('(\ '/
Zoning:
REOUIRED INSPECTIONS:
Site Footing ( ~tachment
to be made prior prior to placement after fasteners are
to sign placement of concrete _ ~I~ed/prio,:, to tfver
Additional Comments ~nd/or Conditions: 0 ~ U'll l1' lllJ I
~fuit1( \T,) \ oGtlr-~ -. () \ '.
---../
Final
By sign ture, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
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
Springfield, and the laws 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 701.055 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 the "property," and the approved set of plans will remain on the site at all times during the installation
of the signlsl.
Signature cfln
~~j;;fL.Ct.l~-/
Amount Received: 5 h 5 I ()O
Receipt Number: 2:2 7 tfc::;-
Date
~-l~qc.
Received By:
g:2-tt~
[,p.-/
Validation:
Date Paid:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractor/inst811er~ 'or jf 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 photograph(s) of each existing sign needs to be attached to 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 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 sign[s), you may be required 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. 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 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 sign installation 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 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.
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
JO.M~ER C\ t oalo l \
Inspection Line: 726-3769 ~
Office: 726-3759 \!}J
97477
SITE ADDRESS: L/[f!~ /YJAlA)
ASSESSORS MAP: t1CfI rJ.l4\
OWNER: h1IL~.S DILe.", TiVL (SIA}) ty>ik-
TAX LOT:
'F:l>/S d,\" f PHONE:
_I f\';"'C XJ
Roo U..{7- 2'-1(,<(
.,.
ADDRESS:
2175 H1-..J V Inl
(-1.C'fZ-tnJcL
STATE:
~V7
(_ 1'--
ZIP:
"'I 7Li31
CITY:
BUSINESS NAME, FIRM EiC.: 1"v:Il<'A-L.o
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
L
''j-
Wall
Freestanding
_ Projecting
Roof
Marquee
Single Face
_ Double Face
~ \?.:f:)ff
3 II
D
Billboard
Other
Square Footage:
Total Height above Grade:
01
Material Sign is constructed of:
, / II Electrical Installation: y:... Yes No
1<-1 . Ie (If yes additional electrical permit is required)
~\ II
1ht-tk:D t-/!av - ALL.HL----.. *- PLE-rI-....
'r
VALUE
OF SIGN:
" ~
.':: I ~..~ ::.. /7,u
50'
co
L<J50~
Vertical Dimension of sign or enclosure:
Horizontal Width of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
list All existing signage and attach a photograph of each sign:
(al Type
Sq, Ftg,
Ib) Type
Sq. Ftg.
(c) Type
Sq. Ftg.
(d) Type
Sq, Ftg.
CONTRACTOR/INSTALLER: ~vhk ~ ~
, v
ADDRESS: 20lj ,T.ef-Ce"-5'r-.-:')'1.
CITY: FL<-y.....--.J..l._
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
7.."VL
PHONE: .5''/2 -176"
STATE:
Ore
?-, 4 bl 9,
EXPIRES:
ZIP: 97-/0<-
3-1-97
"'--S-'t7
CITY BUSINESS LICENSE NUMBER:
Q(.o38(
EXPIRES:
OFFICE USE
Sign District:~l\i~
Zoning: (\ (' ./
f?O cO
land Use:
~ '2{"f'J Quad ~a:
Code Section: q:. 1) ~ \4; C\ )
Approved By: \l N). ,. ~~pilL---
~~
Sign Permit Fee:
DATE: -j .716Q h
REOUIRED INSPECTIONS:
Site Footing ~ Attachment /. Electrical J Final
to be made prior prior to placement after fasteners are prior to energizing completion of sign
to sign placement of concrete installed/prior to cover electrica! Installation inS~Il~ti~
Additional ~omme,,\~ and/or Conditions: \. 0 ~ 0 rol I'~ 0 ~ f\(). X}f\1 + 1 \. ~ u.A.Q..,l}'
" ~af '-\'h l\ ~()t'tl \ N\ ~ \ (\['\,tr\~~K +1('}"h ~
By si~ature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
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
Springfield, and the laws of the State of Oregon pertaining to the work described herein, I further certify that only contractors and
emplovees 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, that
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 installation
of the sign Is),
Signature ILn
~/11zu fl./ qpadd!d R /
V Amount Received: 5<'05.00
Receipt Number: J.27t.fC:;-
Date
8'-;(- 'Zf_
~
Received By:
c:t~2-qh
IA/ ./
Validation:
Date Paid:
. .
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely, If you are the sign contractor/installe;~ .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 appiication 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, a photograph(s) of 8ach existing sign needs to be attached to the
application, The size of each existing sign aiso 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 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 sign!s), 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 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
eiectrical 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 energizing.
Final:
After all required inspections are 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 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 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.
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 '
.
.
.'