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HomeMy WebLinkAboutPermit Signage 1998-3-27 SIGN;PERMIT APPLlCATI. 225 Fifth Street Springfield, OR 97477 -.~ ...... ~ ~1~~E~~g=~S~~p: ~ \ <:>8, ' ~~\~ (? ~~,-l-,_",_,,,_. TAX LOT: OWNER: \IR&-:" t. \2<J\!.\\" ~I\..U:R ADDRESS: R410 '*OR.1\.{ 'i AI c;lR...I::.:E..T CITY: . S~""C,t\t.L.\) JWUMBER Inspection Line: 726-3769 Office: 726-3759 I ) r )\ ~'t Jl:\tL /, f Jt~l T'2 "... 8<0'21'\ C\1\ln51cJ -, PHONE: STATE: OR ZIP: ~'('l,.\'11 BUSINESS NAME, FIRM E'fC.: (~C.O 'tJ)EU _ / 'i3cLL.- Ct1 ~Wall _ Freestanding _ Projecting Roof Marquee . \~ 4~ DESCRIPTION OF PROPOSED SIGNIS): (please check and complete all appropriate information) _ Single Face Double Face Billboard Other Square Footage: lfo.... vi{ Total Height above Grade: I '-I '- 7':' 10 ' 4' ~HoriZ~ idth of sign or enclosure: Electricallnstallati n: X Ye No VALUE (If yes additional ele trical perm' is reqUIred) OF SIGN: 6.rR\.fu c J A I....\J \0--. ,,-,V h., \(J , Vertical Dimension of sign or enclosure: Dimension from Grade to bottom of Sign Enclosure: 'ijI,\,OCx') Material Sign is constructed of: , , List ALL existing signage and attach a photograph of aacp, 1'~ , 1;-<5' "'~ Sq. Ftg, ,,() 12v,. ,o..('A lbl'Type , ~ 7yQ "'Y~ Sq, Ftg, -U' ~4,A ~.>" Ftf'lffype r '''U....O _-..~ .1''<>.. V". III ~< "'O-? 'va u~ ....-1;(; SIC""'" CG. r,o. ~1'...~)\. ?9('. ..~ -1<2 '/<5' <<',Ij Do ~4-n .0<<,-,\ ~"'_ --a ''11; .~ CITY: ~L~~"-\'-t , ' ~l~~ CONSTRUCTION CONTRACTORS REGISTRATION NUMBfR: _ ~ OeaL\. 9~ ?- CITY BUSINESS LICENSE NUMBER: , f\ u-) la) Type ~c;rIll"~\.IC"\ Sq, Ftg, lc) Type Sq, Ftg, ADDRESS: 30255' ~~c,<, \l.W"f PHONE: 54\ 192P,--c;tSk CONTRACTOR/lNST ALLER: 3~ ZIP: CJ1:~'Z..~ 'Z.. /2. 'Z. /00 EXPIRES: EXPIRES: OFFICE USE Sign District: ~,~ r 0 \(l ~ Zoning: ~\ / _ (31(') .(X) Land Use: 6WO QUjd Are"h ~ r r 1(Ij n .[itff;(/ ') /' <i\(){}f)O f? ~A;E:~ I(~~ f..{y l..j'''' r r-'-"- u, ~ Code Section: Sign Permit Fee: Approved By: Site to be made prior to sign placement Footing prior to placement of concrete / Attachment after fasteners are installed/prior to cover ~triCal prior to energizing electrical installation ........- Final 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 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 Citv of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that 'only contr:lclors <In<l employees who are in compliance with DRS 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(s). Signature ~~,:" ~A'" ~Olv>. ~~, c.., l SS~O I AC\A t;V \ ! Date 3/IBf9~ Receipt Number: Received By: ,~&V\ q~ ~'J)~ Validation: Amount Received: Date Paid: SIGN.PERMIT APPLlCATI~ 225 Fifth Street Springfield, OR 97477 SPRINGFIELD JDWMBER ~l \ \~~\[J Inspection Line: 726-3769 on:l~J:/S{'O-rn"\ TAX LOT: () \''l9t '), I - / "\"2. to - 8(02A " SITE ADDRESS: ASSESSORS MAP: ~t@ 4\<1B \"I\A.\~ c;.~T ,., IY}' -\ '..1".LU. OWNER: v,m"-, t. ~~I\\\ \tA\\.\..ER ADDRESS: 840 \{ORn{,i AI SIR..s::..cT CITY: . S\YR.I}.lC-<~\tl.,\) BUSINESS NAME, FIRM I:OC.: 'C'bcn 'i?:>EU_ PHONE: OR / \3E\..L..- Ct-J STATE: ZIP: 1:11.1.\"1, DESCRIPTION OF PROPOSEO SIGN(S): (please check and complete all appropriate information) LWall _ Freestanding _ Projecting Roof Marquee _ Single Face Double Face Billboard Other Square Footage: 40"[2{ Total Height above Grade: 14' -'2.," Material Sign is constructed of: -ll..rRYu { ~ 4- ' ~' or'~, Width of sign or enclosure: Electricallnstallati : X Yes No VALUE (If yes additional ele trical p rmit is required) OF SIGN: . /L\LUM\lrIJ.~]",,^" , 10" Vertical Dimension of sign or enclosure: Dimension from Grade \0' to bottom of Sign Enclosure: cij; \ ,P,CO List ALL existing signage and attach a photograph of each sign: la) Type ~Sl''I.1.\l.\)I\'\c-,. '''0' r-I. Sq, Ftg, '" W Ib) Type Sq, Ftg, Ic) Type Sq, Ftg, Sq, Ftg, 1(1 (d) Type ~, .1"0- o '110' (f. CONTRACTOR/INSTAllER: ~~<,<, J\C~ &,.< ;06"Ll' . GJ ;'0 "'1/1' 30255 \.\W'-f 3l.\ .4104t~~ ~<;('!' O',y.4. rl. ""C's -(/~ '~(~ CITY: Al.b~\..\'-f _, ~J') '(),..., l:?6"-9 *'s'l.liATE: (')\2.. ,/).- 7r~ '~~':6"~ CONSTRUCTION CONTRACTORS REGISTRATION NUMBfRf~ ~.d')~"" 12.1;,~. \ '~'.J "'t'iva .. ~ - ~O CITY BUSINESS LICENSE NUMBER: t\ ll........ 'lt6"^_ ?' I.s', ~k OFFICE USE'" '~'vl" PHONE: 51\\ 192R-Sf'-SR ADDRESS: ZIP: '1l3'2...\ EXPIRES: -z.../2'Z. /00 EXPIRES: Sign Permit Fee: (\ftM'Mlj 01W rC'~ 55~ Land Use: p:)~) a.uad Area; - 0= '] -,,)1 r ~:::.::'::"' \1 M ~.I ~rJ\X~/ _, .~4H ( I ) DATE: ~.%3.4X Sign District: Zoning: REQUIRED INSPECTION~: Site to be made prior to sign placement Footing prior to placement of concrete V::chment after fasteners are installed/prior to cover ~ctrical prior to energizing electrical installation ~al 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 thai 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 01 the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, I further certify that ''cmly contractors and employees who are in compliance with DRS 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(s), ' Signature~\CLf'> '90- - ~O"^ s..., -,,: c.... Date 3/18('J7'.J Amount ;!Pe~~_ . vi) M\.~'''' . Receipt Number: . f\ Validation: Date Paid: ~~. t f\ . C\ S\ Received By: \l \ ~ ~. J . . .. , , SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely, If you are the signcontractor/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 buiiding 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 '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 '5ign removal in order to inspect the sign at the required intervals of work. . .. \ ( .' I t To request an inspection, phone 726,3169. This is a 24'hourlret~rding. On the recording you will need to leave your City Designated Job Number, location of where:ttie''s,ign is being installed, the type of inspection you are requesting, and when you will be ready for the inspection, AII'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 or Springfield Building Sarety Division 225 Firth Street Springfield, OR 97477 ~ '. TAX LOT: JeUMBER Inspection Line: 726.3769 Office: ,726-r~A\Lh'f,ST ") , ('11 sn ~ "'('2 <0 - f)r" 7J\ C\ lllnc:{;] " ~IGN"PERMit APPLlCATI. SPRINQFIELD l~ ,~Iit SITE ADDRESS: ,.,4\<15., ~A.\~Sua:.ET ASSESSD~s.M~,e:",.""_,,i.q.I')'rl'~~'''''''''' ,", f,;.;;":'" OWNER: -Rm'- t. i2<l~\N \.\\\..U::R ADDRESS: 840' \\Oii.'n-t :::' AI S1lU:..cT , ' 'CITY: '(~:;~l-\.C,'F\a~ BUSINESS NAME, FIRM EOC,: ~(R) hEU", / 'i?>Eu... Ct-, ; . .'~' l 225 Fifth Street Springfield, OR 97477 PHONE: STATE: OR ZIP: ~ 1.1..\11 " "'I" ....11.......'1 .,.r . DESCRIPTION OF PROPOSED SIG;'J(SI: (please check and complete all appropriate information) 'i. Wall _ Fre~~tendlng ,_ ProJecting Roof Single Face Biiuble Face ' , ,Billboaid Other ',- Marquee Square Footage: Lj()' pc , Total Height above Grade: 14' -2" Dimension from Grade to bottom oi Sign Enclosure: " 0' ~ I " HoriZO;r,idth of sign or enclosure: ElectricallnstalJ~ ..:i.. Y s No VALUE (If yes additional el trlcal p it i;iredl OF SIGN: \ ~CflJ...\L\C_ i ALu~I''''\~\l",", 10' Vertical Dimension of sign or enclosure: ~IM{) Material Sign Is constructed of: At. 1; c~ List ALL existing sign age and attach a Photo.lq,a6l\so,b. e~.slgn: - (;l&nn'f-9... . lal Type t12ltE.gt\\l.b\.\C~' Sq, F~~ ~l'$. I Ibl Type 4...'~(:; ~O ~(, Sq. l'(tI:,e. ~('I('o U4l2 (~AType 'OO"~J o-:,;,,,~-9~..:< Z9,t.;", r C' ~.I'> ""'A. \S'A h. CONTRACTDRnNSTALLER: ~...)~<,<, ~\(-.,t.l. \1/'/'\.; 'l41~ ~~,1J '~:t-. 30255 \\W'i 3'-\ '*~O?t.s'A/~-9-t 'u-9 '/' CITY: ALi?:,~~'i STATE: CONSTRUCTION CONTRACTORS REGISTRATION NUMBE~: Iii' 0<04 ~:rz. \ CITY BUSINESS LICENSE NUMBER: 1\ r f'J-..-J ....11 ,.\""';.,.....,""',.,.. ';il....tr-l.!t I Sq, Ftg, lc) Type Sq, Ftg, PHONE: 5111 /9 '2f," S1'158, ADDRESS: ("'\\2.. ZIP: C}Z:~ 2..l '2./27../00 EXPIRES: EXPIRES: Slg~ Dlstrict:~rYlDV"('l(ll. Zonong: 0.0 / - r:::' t:< aJ, Sign Permit Fee: 0 U OFFICE USE , Land U~e:' h?{)() Quad Area: 2>r (IJ(I ) cOdeSection:Q -7 -14-(1 ') 8 .&4A (l I Approved By: llt()) [01~ / ~ATE: $,t3 .qQ Site to be made prior to sign placement Footing prior to placement of concrete / Attachment after fasteners are installed/prior to cover ~ctrical prior to energizing electrical installation ~al completion 01 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 herein Is true and correct, and I further certify that any end 811 work performed shall be done In accordence with the Ordinances of the City 01 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 signls), ' SignatureG(" ~ a.-... _ ~ L6''' c.~ Date 3!,f') (91'-, Validation: Amount Received: \~~ ~()) Date Paid: ,~'d...\'~ '6 Receipt Numb~r:' '~C\.~~ '\ . Rec,eived By: ~~ ..J