HomeMy WebLinkAboutPermit Signage 1999-5-26
SIGrQ PERMIT APPLICATION
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225 Fifth Street
Springfield, OR 97477
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SITE ADDRESS: 3738 Main Street B & C Springfield OR 97478
ASSESSORS MAP: 1/ lJZ j1 4Z lJZ4UO TAX LOT:
JOB NUMBER qq 0 '7 II
.' ;~spection Line: 726-3769
Office: 726-3759
A-
Tax 1t .L4/00L~
PHONE: (541) 746-1402
OWNER: John Serbu % Keystone Real Estate
ADDRESS:'" 325 N "A" Street
CITY: Sori.ngfie1d
BUSINESS NAME, FIRM ETC.: Ancient Rites
STATE: OR
ZIP:
97477
X Wall
_ Freestanding
_ Projecting
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
Roof
Marquee
*'
_ Single Face
Double Face
Billboard
Total Haight above Grade:
]....!!r'-' 10
Square Footage: 20 So feet
Other
Verlical Dimension of Sign or enclosure: 30" Horizontal Width 01 sign or enclosura: 8'
Dimension from Grade _ Electrlcalln.t.ilation: _ Va. L No_VALUE $190.00
1,s- ~"'S,
to bottom of Sign Enclosure: (If yes additional electrical permit is required I OFS\GN:
Material Sign is constructe.d:ptE.",.p.l~__.._,_. - ~
_... _._~--.. '...... .......t'....,Q'~ yvu lU
f~, rlll~c:: ~rlr'\ptorl h~dh..... "'''_7:-- 1_1~:~:!.1
List ALL existing Signag~~U~~~ ~~\l~!<gTB.\1lf,sgf\l~\\lir~ett8f!@
mUAr; -Ud'l:()'(1T' mrougli OAi1952-001-
lal Type 0090:You "SlY. \lllf~in copies of the rulf&l: llvpe
"""" l;rthe center. (Note: me telephone
number fofS(\tEPtlf.eqon Utilitv NotificaOOrfype
Center is 1-800-332-2344).
Ic) Type
CONTRACTORIINSTALLER: J, Ben Fisher
ADDRESS: ..173R M<lj"LStt.pP.t"
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
1',V I nO~~Lmlmucn ini;; FH;r.lIT IS NOT
f'IilW@.QCEW.I'\Q Ie: Af:lANnnNFn FOR
,\J f' ~a: ::.\':,:~:J[)..
PHONE: 736-9840
ZIP: 97478
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
N/A
STATE: OR
EXPIRES:
OFFICE USE
Land Use: S ~OO Quad Area:
Code Section: 1:.. .1.*~ (I)
Approved By: q(L<...C- Lu ~
"
CITY:
Springfield
CITY BUSINESS LICENSE NUM8ER:
Sign District: &I"IIJ\rI......na.- c"M__W"L.
I
Zoning:
CJ! _
Sign Permit Fee: .:li>'~().-
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
1/ Attachment
after fasteners are
installedlprior to cover
Additional Comments and/or Conditions:
EXPIRES:
1.itC'....f\J1f
DATE: 5-~~~ c,
Electrical
prior to energizing
electrical installation
~al
completion of sign
installation
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
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Validation:
Amount Received: .$ H-O, -
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34-J-O ~
Receipt Number:
Date Paid:
C::;-~-Cj<:;
%J)
Received By:
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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 th'-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, lirriited sign electrical contractor, or if you are t.h.e .bu~ine~s oY'ner 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 photographlsl of aach axisting 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 whe(e. 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 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 "'(here 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 wh~n all i~steners are installed but prior to cover..
Electrical: To be requested after the electrical connection to the sign is made, but prior to ~nergizing:-.
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 inspection~ 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
I
S!,G'N PERMIT APPLlCATION~
225 Fifth Street .
Springfield, OR 97477
S. 'RINQPIELO
JOiUMBER a q 0 '1 (f
1\ .
.. Inspection Line: 726-3769
Office: 726-3759
1.8
_-
SITE ADDRESS: 3738 Main Street, Springfield OR 97478
ASSESSORS MAP: 11 Ul J1 4l Ul4Ub
B&C
TAXlOT:Tax fF 14/bbl'l
OWNER: John Serbu % Kevstone Real Estate
ADDRESS:% 325 N "A" Street
PHONE:{54l) 74~-1402
CITY: Snriru!:field
BUSINESS NAME, FIRM ETC.: Ancient Rites
STATE:
OR
ZIP:
Q747P.
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
-X....... Wall
_ Freestanding
_ Projecting
Roof
Marquee
Single Face
Double Face
8i11board
Other
Square Footage: 20 SQ feet
Total Height above Grade:
:rS' jD'
3D" 'Iori.ontal.,yvidth of sign or enclosure: 8'
, X -....,
Dimension from Grade 1, S/' Electrical Installation: Yes No Vg.lUE
to bottom of Sign Enclosure: (If yes additional electrical permit is r~OF SIGN:
Material Sign is co~~Mft~g~i~N.P.Iywoo@W r"'4uires yo
follow rules tlouf.ileo oy me uregon utility
f~...::f:..__l:...... :.....~....,. TI,....~... ,,,,;Q.;JQ,O ,",OL ;VllIl
Vertical Dimension of sign or enclosure:
$190.00
Ic) Type
,._.....~,..l
.{"'..c;,.......
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTH~~If:~ UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDUNt:D FOR
Sq. Ftg, .......co'">
AN' 18u DAY r",;;n'v""
List All existingi'Si6M~9a1lb-~1nlWs lpilote!jtl/jl.v8PeIl6tUllj\1:- none
0090. You may obtain copies of the rules by
callinc the centESq(Nf<<lle;.JhA IAIAnhonA (bl Type
number for the Oregon Utility Notification
ronto.;q .pQ{JlitQ;J2,.23AA) (dl Type
tal Type
CONTRACTOR/INSTAllER: J Ben Fisher
PHONE:736-9840
ADDRESS: 3738 Main Street B & C
Springfield
STATE: OR
ZIP: 97478
CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
N/A
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Code Section:
6 ~O'"'O
<6..14 sU, \
~Lu~
u
Quad Area:
4 c.JJ ,;-
Sign District: ~ ~
I
Zoning: (! _ (' "
Sign Permit Fee: c1tU().----
land Use:
Approved By:
DATE:
'5 ~ ,}..(p- c, "1
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~ttachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
V;;:,
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 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
{::a:::~~:r.d is ated a~f ~ p~o:~~a:h(f;;;f;;; Will~;:O; i ;t;t all times during the installation
.~~ "lV' ~jjl/ I.
/":" ""
Receipt Number:
~I{O.-
3lfd-(} k-
Date Paid:
Received 8y:
fi -d)..(,- C; 9
~
Amount Received:
Validation:
" ,
'\'
.
.
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 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 freestaryding 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:
Y:i
J 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 sig~. This inspection is required if there is a question on the
location of the propos~d sign.
'.i' ~, l
Footing: .
To be ;~quest~d 'afte,'excavation and the forms are installed, but prior to pouring concrete. If there will be
electrica,l condl!itplaced,,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'_r ' '. ~.
Electrical:
To be requested after the electrical connection to the sign is made, but prior to energizing.
..,. - . :~. .-~ '
After, all required inspections. are conducted and approved and the sign installation is complete. ,
\ .. . .' , . " -
Final:
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 t~e inspection. All inspections called in to the !ecorder prior to 7:00 a.m. will. be made t~e same
working day, all inspections :phoned in after 7:00 a.m. will be made the following workday, c,'
If you have any questions regarding the application, required plans or inspections, please feel free to phone .nie' Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477