HomeMy WebLinkAboutPermit Signage 2000-2-2 (2)
SIGN PERMIT APPLlCATIO.
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS: f/2 7cJ ~~ sf-
ASSESSORS MAP: /7 02.. ~? 3,_.
OWNER: J)nm)c; ;. 7j,ha ..~ d,,,.p>h
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ADDRESS: G 51 $ A'A 14~ ~ '"f..f. .
CITY: S PI?; 'V C;.,!J}
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BUSINESS NAME, FIRM ETC,:
SPRINCFIELD
J.MBER DO - n() I~~-O{
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Inspection Line: 726.3769
Office: 726.3759
o '7 L(J l
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TAX LOT:
PHONE: /'.<7'6 - #&jC
STATE:
1'J..e .
ZIP: 9 7q'7 15'
Sv h 1A lCll1
_ Single Face
tP'
Square Footage: ~~
Double Face
Billboard
Roof Marquee
X Other .k.~/~'; - AI"
/
01' ~
Total Height above Grade: /<{/ - 0
// "
Horizontal Width of sign or enclosure: //
'",
,~'
~
~
DESCRIPTION OF PROPOSED SIGN(S): (please check and' complete all appropriate informalionl
Wall
_ Freestanding
_ Projecting
Vertical Dimension of sign or enclosure: 'I
Dimension from Grade ,.
to bottom of Sign Enclosure: /0
Electrical Installation: --15... Yes _ No VALUE
(If yes additional electrical permit is requiredl OF SIGN: / ZOD
tX:)
Material Sign is constructed of: Alp/#, ''''/.;-A;
9- /6 O~ 1//",.. /
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List ALL existing signage and attach a photograph of each sign:
(a) Type b Y I L
Sq, Ftg,
(bl Type
Sq, Ftg,
Sq, Ftg,
Icl Type
Sq, Ftg,
(dl Type
<;...IZU ~ ,.....
PHONE: '7<;/~ - 7//7
CITY: /5t'f-''''~
,CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
,0;//"7
STATE:
CJR.
ZiP: 97<V~5
EXPIRES: '7//6/0./
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X--09'z z:...
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign Dislrict:
, Land Use:
Quad Area:
Zoning:
Code Section:
Sign Permit Fee:
.:2~, I 0
Approved By:
DATE:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Elec;rical
prior to energizing
electrical installation
Final
'completion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I haye carefully exemlned t;,e completed application aod do hereby certify that all Information herein
is true and correct, and I further certify that any and ali work performed shall be done in accordance with the Ordinances of the City of
Springfield. and the Laws of the State of Oregon pertaioing to the work described herein, I further certify that oniy contractors and
employees who are in compliance with ORS 701,055 will be used on this project,
I furlher agree to ensure that all required inspections are requested at the proper time, that project address is readable from the slreet, that
the pern.;it card is located al the front of lhe property. and the approved set of plans will remain on the sile al all limes during the instaliation
I 01 Ihe~Sign(SI' ~
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prOll $ l:a83M lW\i ,
V"ooWI'm 83.:l:3HJa Amount Received:
9\>\>0000-10: #SN\iMl Receipt Number:
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Date Paid:
Received By:
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SIGN PERMIT APPLICATION '
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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 Busi<1ess License Num,ber and. the Regislration
Number from the State,of Oregon Construction Contractors 'Board are listeo on"t~e applicalion along with 'lh'if expiration
date of each, ",'. ,:,1,\..': ~:',:'::
If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completeq'and signed
by either a ,supervising electriciao, limited sign electrical contractor, or if you are the b,usiness owner who 'also owns lhe
building in wh'ich' you are occupying, and you will be performing the electrical installatipn ,yourself, you may sign the
electrical application, ' , ,
If there are existing wall and/or freestanding signs, a pholograph(s) of each existing sign needs to be anached 10 the
application, The size of each existing sign also needs to be listed on the application,
PLANS
To submil for a sign permit; you nee,d to prepare two complete sets of drawings showing' all dimensions, total height, aod
a plot plan indicating where' the proposed sigo will be located, if yOU are inslalling a freestanding,sign which exceeds 20
feel 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 requesled 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 installalion
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 queslion on the
location of the proposed sign,
Footing:
To be requested after excavalion and the forms are installed, but prior to pouring concrele, If there will be
electrical conduit placed in the footing, it must also be io place prior to requesting this inspeclion,
AW,chmenl: 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, b.ut prior to ener~izing.
Final:
, After all required inspections are conducted and approved and the sign installation is complete,
The inspections, that are required for your sign inslallatioo will be indicated on lhe application during the plan review
process, Failure to request ANY of lhe required inspections could resull in sign removal in order to inspect the sign at the
required inlervals 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 inspeclion, All inspections called in to the recorder prior to 7 :00 a,rn, 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 applicalion, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759,
City of Spl'ingficld
Building Safety Division
225 Fifth Street
Spring/ield, OR 97477
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SIGN PERMIT APPLlCATIO.
225 Fifth Slreet
Springfield, OR 97477
SITE ADDRESS: _'Ie. 70 .Mr~~ ~+
ASSESSORS MAP: 1-; 6'~ ~ I _ __.' ,
"~
OWNER: _11.... J1 '^'1 +. Ll..M ~^ t' ~ J g~l
ADDRESS:' '~51 c:. M4\A -"A S1-
"-,." "
CITY.:'\AP~....C. r~~ \i
, ('"'
BUSINESS NAME, FIRM ETC.: -S I ,h
SPRINGFIELD
JO.~BER lJ() - (){) 13~ - 0 I
Inspection Line: 726.3769
Office: 726.3759
TAX lOT:
0.2.. L 0 /
'..
PHONE: 741. - / /.5; C.
STATE:
f)R.
ZIP: 97Q79,
IA JD.11
DESCRIPTION OF PROPOSED SIGNISI: (please check and' complete all appropriate informatioo) Z- - SJ-s,
X Wall Freeslanding _ Projecting Roof Marquee
4 Single Face Double Face
-z;b ,I -~
Square Footage: .y HO ~ b.. if
o ~ ,r;
Vertical Dimension of sign or enclosure: 2,~ h /"
Billboard
Other
/~ '_ e; ~
Total Height above Grade: " /
/c /_ t::: //
Horizontal Width of sign or enclosure: -, ,~
,
Dimension from Grade '/r /Electricallnstallation:...x Yes _ No ~ VALUE 1J
to bOltom of Sign Enclosure: // - 5_ ---,...,~ .y~ddit~'e~trical p,ermit is reqUire~ OF SIGN: c; 3 ()n
Malerial Sign is conslructed of: S hel'l- M-e ~a I j P~'f-. (' J t.:t./I-V JlIhf {.p T'Y?C''''
c!:Q...
List All ex is ling signage and altech a photograph of each sign:
lal Type Po/p Sq, Ftg, ~h;;#
(bl Type
Sq, Ftg,
Icl Type
Sq, Ftg,
(dl Type
Sq, Ftg,
CONTRACTOR/INSTAllER: :SUIl1-1"'~ c:::,''r''
ADDRESS: Q.s5 1'1 1)',11'1 L'7.
CITY: O/,c... ,. .,.
7" ..
,CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
<.... .ell""~ T", Co
PHONE:.2z!/., .. '7/./ 7
STATE:, C/.e.
~ r') C/-Z '2-
ZIP: 97<;EC)5
EXPIRES:~~ /0/
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
OFFICE USE
, Sign Districl: t2..C--
Zoning: (lOfl/..i'rI'~ ~()Ml\W..l1iaJ.
Sign Permit Fee: .$SS.-
Code Section:
'5 .,., en)
lie a ..{S? (
d/.......,.. lu~
, D
Quad Area:
i-If f\( C
land Use:
Approved By:
DATE:
1-2.7-CIb
REQUIRED INSPECTIONS:
Site
10 be made prior
to sign placement
Footing
prior to placement
of concrete
~ttachment
after fasleners are
installed/prior to cover
V Elec;rical
prior to energizing
electrical installation
,/ Final
completion of sign
installation
Additional Commeots and/or Conditions:
By signature. I state and agree. that I haye carefully examined t;,e completed application and do hereby certify thaI all information herein
is lrue and correct, and 1 further certify that any and all work performed shall be done in accordance 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 lhat 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 inspectioos are requested at the proper time, that project address is readable from the streel, that
the permit card is located at the front of the property. and the approved set of plans will remain on the sile at all times during the inslallation
of lhe signlsl,
St'lRf!'8'jr ~4-=-
I '3~tl'jl~
~~a~~W~3~:31~a
91>1>0000-'[0: #SN~lU Receipt Number:
~....~
/'
Datel-? -- a:J
Received By:
I
''2- /)-/lY) \
~(tnWL..
Amount Received:
(L~<...., DO
t..f Lf (;
Date Paid:
.
.
SIGN PERMIT APPLICATION
, '
\'
..'\,;. _:, ./.", ,.",
~::~..
, \,
~, ., ~
, . '
The application on the reverse side needs to be completed entirely, If you are the sign contractor/inslaller, or if ,you are
hiring a contractor, yo~ n,e,ed to ma.ke sure that both the, Cily.of ,Springfi~la,Busines~ ~'i~e~se Number ,and :the 'Registration
Number from the State:o(o'regon Construction Contractors B'oard allnisted on'the application along with the expiration
date of each. . . \ ~.... ,_.. }..: ': _ :.:..... -'; ...~,~.\
, '
. ".., . . ~ ,L" ~
If the sign you are proposing to install is illuminated, an electrical permit application also needs to lie Coinpleted'and signed
by either,1J'sup'ervising electrician, limited sign elec'irical contractor, or if you are the b,usiness, owoer who also owns the
building in wh'ich you are occupying, and you will be performing th,e elect;;cal inst?lIation yourself, you may sign lhe
electrical application,
If there are existing wall and/or freestanding signs, a photographls) of each existing sign needs to be attached to the
application" ,tiie' size of each existing sign aiso needs to be listed on the application, '
PLANS
To submit for a sign permit, you need to prepare tw6'complete sets of drawings showing all dimensions, total height, and
a plOl plan indicating where the proposed sign will be located, If you are ins.lillling a f\eestaoding sig~ which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After lhe
plan review process is completed, and, if your sign(s) is approved, one set of plans will be relurned to you, The approved
sel of'drawings need to be at the site when an inspection is requesled for the inspectors reference,
iNSPECTIONS
Depending on your sign!sl, you may be required to request ore 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,
AW,chment: To be requested when all fasteners are installed byt prior ,to Cover,
I ~ " .
Electrical: To be requested after the el'ectrical connection 10 the sign'is made, but prior la' energizing,
, ,'. .
Final: After all required inspections are conducted and approved and the sign installation is complete,
The inspe'ctions ihat are required for' yo~r sign installation will be indica led on the application during the plan review
process, Failure to request ANY of the required inspectio!'s could result in sign removal 10 order to inspecl 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 Cily
Designated Job Number, location of where the sign is being installed, the type of inspeclion you are requesting, and when
you will be ready for the inspection, All inspections called io 10 lhe recorder prior 10 7:00 a,m, will be made lhe same
working day, all inspections phoned in after 7:00 a,m, will be made the following work day,
If you have any questioos regardiog the application, 'reqUired pians or inspections, please feel free to phone the Building
Safety Divisioo at 726.3759,
City of Springfield
Building Sufety Division
225 Fifth Street
Springfield, OR 97477
. " ;
, "
, , ,
"