HomeMy WebLinkAboutPermit Signage 1995-2-24
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~.> SIGN PERMIT APPLICATION.
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SPRINCFIELD
JOB .8ER q C(j)2if)
Inspection Line: 726-3769
Office: 726-3759
225 Fil1h Street
Springfield. OR 97477
:J.--zLIO
PHONE:
\
~~~n
~,
STATE:
/JR
ZIP: 91~
DESCRIPTION OF PROPOSED SIGNISI: (please check and complete all appropriate information)
Wall X Freestanding _ Projecting Roof
...
.....J...:'17
~,
Marquee
25.... Other /y~/a~:~d?-'-t.e.
Total Hei ht ab~ve Grt: ..51 / ~YJ \f;\
" '- --t'"\Y;-"
Vertical Dimension of sign or enclosure: ./ {) '4 ~1ln!aIWidth f sign or enclosure: J
Dimension from Grade " Electricallnstall(ti~n: X Yes No VALUE -4
to bottom of Sign Enclosure: //J . .11f yes addition,~{electrical ~ s required), OF S~GN: ~.. :)"0,1. tJ7'J
Material Sion is constructed of: /JZL-IaL /d~d~)1J0 //h;f I'!- -VCl..t'./A
\ / C/
Single Face
Double Face
Billboard
Square Footaoe:
S/d/
List ALL existing signage and attach a photograph of each sign:
(~I Type
Sq. Ftg.
Ibl Type
Sq. Ftg,
(cl Type
Sq. Ftg.
Id) Type
Sq, Ftg.
CONTRACTOR/INSTALLER: /J')U.7in g..C';?~.d' t 9~ ~.
.v
ADDRESS: .,,204, h---?/.-V.-~ r/-/--
. ~~. /
CITY: ~.('.t1R.h..L
CONSTRU~ON CONTRACTORS REGISTRATION NUMBER: ~/,,$>
PHONE: <J'.,e.;?- /7'? 9'
STATE:
o~
ZIP: <J?-ftJ2
'-Y~
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign Disi;ict:..0C' 1\::0 .,,/~~ Land Use: ~ ?:f)() Ouad Area: ~0 I\ "Xl -I
Zoning: . (\ rx ./ Code Section, . ~.. f7-- 4 (2.")
Sign Permit Fee: P<,~pOAPproved By: UJ....V\ i _~~ DATE: rO tIlfl.. .C{";
REOUIRED INSPECTIONS:
. Site
to be made prior
to .si.gnl placement
Footing
prior to placement
of concrete
~ttachment
after fasteners are
installedlprior to cover
~Iectrical
prior to energizing
electrical installation
~inal
completion of sion
installation
Additional Comments andlor Conditions:
By.signature, I state and agree. that I have carefully examined the completed application and do hereb~ certify that all information herein
is llue '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 fulther agree to ensure that all required inspections are requested at the proper time, that project address is readable' from the street, that
the p.ermit card is I ated at the front of the property, and the approved set of plans will remain on the site at all times during the installation
::':':~"'.~M:;!:I ~ to." 01,,7,7~)
\\9::..7U
Receipt Number:
/~ Y //
Received By:
:;;?- 2, 0/' ,~-;;-
-----? ~ -
EP~
Validatido:
Amount Received:
Date Paid:
. ',"
.
~tMl~o!> ~ ,:. I
." f i.' ,,~
',....'...fr..
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. II 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 arc 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 waN .and/or freestanding signs, a photograph Is) 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 t~e
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 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 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 01. 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 sa'Tle'
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
I Building Safety Division
225 Fifth Street
Springfield, OR 97477
".
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SIGN 'PERMIT APPLlCATIOe
SPRINGFIELD
JOWMBER
Inspection Line: 726-3769
Office: 726-3759
q~20V
'.
225 Fifth Street ~
Springfield. OR 97477 .-.... ~
SITE ADDRESS: 44.Q 17Jd.//7 t51.r..eL'..:f~-r;,J"//?t?A4;//f!"
ASSESSORS MAP:/1~-~ .Oc2 .~~..:?;9 ZisPc.~7 -, J diAX.l()T: r{l~;:r.::;
OWNER: 00...1 d ~ /~ //2./Y7/ ~(3~ . '~HONE:
ADDRESS: /rp9.r //././~./ Oaf'.
CITY: . !'l-:/,t'YU.
BUSINESS NAME, FIRM EOC.:
STATE:
LJ.-€
ZIP:
9;Z?0~
\.~~~~
DESCRIPTION OF PROPOSED SIGN IS): Iplease check and complete all appropriate information)
.Kwall
Freestanding
_ Projecting
Roof
Marquee
Vertical Dimension of sign or enclosure:
\...';> If /1
~ I'nd. .
Billboard -K Other ,--11 MI?n/7a
Total Height above Grade: US /) ../
~ 9...1/1
r enclosure: c:J-'-
VALUE #; /
OF SIGN: ~vrt? (}O
Single Face
Square Footage: ~ ') /
Double Face
Dimension from Grade /-1 I Electrical Installation: Y
to bottom oi Sign Enclosure: I ~ IIf yes additional electrical permi
Material Sign is constructed of: /~/7 ,~fier~
List ALL existing signage and attach a photograph of aach sign:
la) Type
Sq. Ftg.
~
Ibl Type
Sq. Ftg.
lc) Type
Sq. Ftg.
Idl Type
Sq. Ftg.
CONTRACTOR/INSTALLER: /7ld~ t/?p/4//".5 ,J"?J/Uf ,0(1'.
/ v' /
ADDRESS: .,,-~/J4 tJJ_//~ .cd,L.
r/' /~ /
CITY: h./ 1'7//1-/_
CONSTR~ION CONTRACTORS REGISTRATION NUMBER:
PHONE. .f4n?- )'7-69
STATE: /),€
44ft?
ZIP: cJP~.:l
EXPIRES: 0AJ
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Sign District:~l'\{i){'{\O~ \nO
Zoning: ~
Sign Permit Fee: ~ ,OJ
OFFICE USE
Land Use: ~~ ') Quad Area: ~(' t\)Q)
Code Section: \ y~ 'I - \ 1 (\ ') . . .
Approved By: lM..J c:t\~~ DATE: ,.Q ,;JfJ.C{:i-
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installedlprior to cover
~Iectrical
prior to energizing
electrical installation
~al
completion of sign
installation
Additional Comments andlor 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 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 c~rd is lac ted 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 . .)
Signature - ,...t-.// ~4 Date ~~/ hs-
~ J ' /
Validation:
Amount Received:
Date Paid:
Receipt Number:
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 andlor freestanding signs, a photograph(s) of aach axisting sign naads to ba attach ad to tha
application. Tha size of each existing sign also needs to ba listed on tha 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 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 thera 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 tooting, 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 tha
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 ara requesting, and whan
you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same
wOrking day, all inspections phoned in after 7:00 a.m. will be made the tollowing work day.
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 APPLlCATIOe
SPRINGFIELD
JO.MBER
Inspection Line: 726-3769
Office: 726-3759
C\~
..
225 Fifth Street
Springfield. OR 97477
~t@
~r2J:R /lJa<<J J~ S/f;o/r~-i4/
ASSESSORS MAP: /? m.nOl!., .02.. ~..-i'2 6ig~.";? :;.t,'AXLOT: 220t:'
OWN", ~~;, dhd ~ k!,,,!J' '"0"', ,.
ADDRESS: (j t2n.dd Lb.te.
. .1, /J'p/1JiII~
CITY: ,.....~__
SITE ADDRESS:
BUSINESS NAME, FIRM EOC.:
~~\(>
STATE:
I?k'.
ZIP:
t:j7-itJ~
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate informationl
-X- Wall _ Freestanding _ Projecting Roof
Marquee
*
y~
_ Single Face
Double Face
Billboard JL Other dh ".,,/g-lkrlntJ
1;,/) J
Total Height above GradeC/
Horizontal Wid ~ 'sig r enclosure: J?4/1
Square Footage:
ct)J
Vertical Dimension of sign or enclosure: ,-{,f,"
Dimension from Grade
JJI
VALUE .A
OF SIGN: fl't, {JO, 00
-
List ALL existing signage and attach a photograph of each sign:
(al Type
Sq. Ftg.
(b) Type
(d) Type
Sq. Ftg.
(c) Type
Sq. Ftg.
Sq. FIg.
CONTRACTOR/INSTALLER:.!/l(l/"zi;; .#~/65 ':!J~,k,
ADDRESS: Q{)-{... !)#'/lAt?7JU. otIr-..
CITY:h.1'/./;j' STATE:J?R
CONSTRtltTION CONTRACTORS REGISTRATION NUMBER: /dh6/Y
PHONE,,- ~~ - /9'~9
ZIP: 9??02
'fAj
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Zoning:
Sign District:-=l.m ~~i.cJL
~ J~_/
Sign Permit Fee: ~ ~U
OFFICE USE
Land Use: a '300 Quad Area: ~ C J0C!-J
Code Section: \ q - '7 - (-4 (11
Approved By: ~ ~(\ . ~ DATE: ~.&Q.. .q\
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~achment
after fasteners are
installedlprior to cover
Electrical
prior to energizing
electrical installation
~
Final
completion of sign
installation
Additional Comments andlor 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 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 loc ted at the;zront of he property. and the approved set of plans will remain on the site at all times during the installation
of the sign(sl. '/
Signature ./;~A~ ,/...1'4 Date .;7A/ /9-C:;-
/9" ' "
(/ v
Validation:
Amount Received:
Date Paid:
Receipt Number:
Received By:
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractorlinstaller, 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 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. Alter the
plan review process is completed, and, if your sign(sl 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
Oepending 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 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 installed but prior to cover.
Electrical:
To be requested alter the electrical connection to the sign is made, but prior to energizing.
Final:
Alter 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
'.