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HomeMy WebLinkAboutPermit Signage 1999-5-26 SIGrQ PERMIT APPLICATION - .' / , 225 Fifth Street Springfield, OR 97477 ..- 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 ~::~:~;:'.; ~~;;:;;;i;;;;R~:::W;"'~:;ii;;'m...",;~ ,"';..""";,, Validation: Amount Received: .$ H-O, - ," i' 34-J-O ~ Receipt Number: Date Paid: C::;-~-Cj<:; %J) Received By: ", /. . , r ~ - , . "... . . 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