HomeMy WebLinkAboutPermit Signage 1995-8-8
~N P~RMIT APPLICATION:.
SPRINCFIELD
JOIl .BER
Inspection Line: 726-3769
Office: 726-3759
qS\~~
225 Fil th Slreel
Springfield, OR 97477
. SITE ADQRESS: :J
ASSESSORS MAP:
") S-.!,~ (>"7th IJ
n OL,~'N-\7 -
PobOlZt JWv!-Xl./~(/
._,
"DDRESS: ~- '2 :1 ~ '3 C;.J.-..!r ~/
; ,
'CITY: ej7 /J, "")" !:(-r ({j
BUSINESS NAME, FIIIM nc.: (J() /1';:
OWNER:
PHONE:
'iFS-
cJ/Z
6/Z 9 "/_y 78"
t '\\n'Tn J
726~ t:J>/Y'
CY
STATE:
ZIP:
C(717V
lI,u du A N
I'clR ~ iv,('
Wall
Freestanding
_ Projecting
Roof
Marquee
*
DESCRIPTION OF PROPOSED SIGNIS): Iplease check and complete all appropriate information)
-2 Single Face
,
Double Face
-X-
Billboard
Other
S~uare Footage:
\9> r
Total Height above Grade:
\ '6"
lo'
VALUE~? d
OF SIGN: ()
Vertical Dimension of sign or enclosure:
?f
Horizontal Width of sign or enclosure:
DimenSiOn'" from Grade
to bottom of Sign Enclosure:
Electrical Installation: _ Yes ~ No
(If yes additional electrical permit is requiredl
Material Sign is constructed of:
.P19;U
':Jo ARn!
-List ALL existing signage and attach a photograph of each sign:
RiJL~
I~I Type
Sq. Ftg.
Ibl Type
Sq. Ftg.
Ie) Type
Sq. Ftg.
Idl Type
Sq. Ftg.
CONTRACTORilNST ;:OLLER:
.<; (J I-..J;-
PHONE:
ADDRESS:
. CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE:
ZIP:
EXPIRES:
~'~'~~~,~C'a~ ~~::;~:{:r ~:,,:~:
EXPIRES:
OFFICE USE
Sign Dist'rict: \'1f{\(\{JL1\i\-\t.Land Use: . 5~ Quad Are~: (1)Cl)C ~
Zoning ~U G Code Section: q- '7 - (1 {11 ~
Sign Perrnit Fee: m.m Approved By: ~~J (~~ Q f ~ATE: A~B-~
REOUIRED INSPECTiONS:
~
Sile Footing Attachment Electrical Final
to be made prior prior to placement after fasteners are prior to energizing completion of sign
to .sign, placement of concrete \\ f'\. ". ~n~tal~d/PrjOr to cover ele'c..trical installation installation..'
~ddl'~ional Com~ents and/or Condi~ions~ \f'9-.l'Y\- ,~J). ~Cl~ J \ ~ I
ID-~~ \~l\ f'1f\ I (!\HOt^-~. \,~() ~toJ\n ()QJ
Bysignat ,I staJ!~e carefully exa:ined the completed application and do herebx certify that all~ormation ~:e:
is Vue .an correct, and I 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 ,that only contractors ane
employees who are in compliance with ORS 701.055 will be use~ on this project.
I fuilher agree to ensure that all required inspections are requested at the proper time. that project address is readable from the street, tha'
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
01 thesignlsl.
Signflture
/h/? ~
Date
y - ,F - , .\-
Received By:
f') .h~qs
~k)(}u
Receipt Number:
4\ l.~ )
\~\(
Date Paid:
Validation:
Amount Received:
.
.
~
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractoriinstaller, 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 waN .and/or freestanding signs. a photographls) of each oxisting sign noeds
application, The size of each existing sign also needs to be listed on the application.
,
to bo attached 10 t!lO
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 .prGposed 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 t~e
plan review process is completed, and, if your sign{s) is approved, one set of plans will be returned to you. The Clpproved
set of drawings need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your slgn!sl, you may be required to request one or all of the following inspections during the installation
of your sign:
Site:
To be requested aller indicating on the lot where the proposed sign will.be iocated 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. II 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:
"
T.o 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 arc 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 arc 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 BuilcJing
Safety Division at 726-3759.
'-
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
!
1
,
i
") s- J,,~ rvhh /J
\10'1-6\ <-\ /
Pobo!Z/ Y!/1l1fxC...d(/
'-l
....DDRESS: ~-:2.2 t;f./ '3 C;j..Y-
;. ,
'CITY: Cj7 /J, A)- j:("7" (g
BUSINESS NAME, FIRM ElC.: (]O fJ.;:
SIGN' PERMIT APPLICATION.
225 Filii) Slreel
Springfield, DR 97477
"'SITE ADQRESS: :]
ASSESSdRS MAP:
OWNER:
spnINCFI'ELD
C\~\~~
JOIl .BER
Inspection Line: 726-3769
Office: 726-3759
~
5'/
PHONE:
-#:r-
C)/(
D~ .9 7'i.7e'
()I rA.( X J
72{~ tj>J~
STATE:
ZIP:
.C( 7 17 y
IIlfeJr../ A /U'
.('dR f'7 iv,("
Wall
Freestanding
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
_ Projecting
Roof
Marquee
-2 Single Face
..
Double Face
~ ,1, t.
Square Footage:
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
VI.....
Material Sign is constructed of:
.f1/'J/J
-X-
Billboard
Other
\4."
Horizontal Width of sign or enclosure: \ LP
VALUE~? d
OF SIGN: (j
Total Height above Grade:
'1-
Electrical Installation: _ Yes ~ No
IIf yes additional electrical permit is required)
iJo A/2 nf
List ALL exisling signage and attach a photograph of each sign: j,I C/ J/ e
lal Type
Sq. Ftg.
Icl Type
Sq. Ftg.
CDNTRACTDR/INST ALLER:
. ') (J i..J:;-
ADDRESS:
(b) Type
Sq. Ftg.
(d) Type
Sq. Ftg.
PHONE:
STATE:
ZIP:
. CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NU'MBER:
'6"':\/':"_''3''''r:~~ ':...t';C:S:~ ~'J~r6fA:
EXPIRES:
EXPIRES:
OFFICE USE
Sign Dislrict:~N\\ l\t-\--\ lrLand Use: S::\rD Quad Area: '3~~~;;
Zoning: / O~-.., (\ Code Section: q- '1 ~14(\J ~
Sign Perlnit Fee: <\0 ~ Approved By: 1.1 J:{\ \ ~~ Q ti DATE: R .8 . C{S.
REOUIRED INSPECTIONS:
Site
to be made prior
to .sign, placement
Footing
prior to placement
of conCrete
Additional Comments and/or Conditions:
Attachment
after fasteners are
installed/prior to cover
L-<::
completion of sign
installation
Electrical
prior to cnergiztng
electrical installation
, I
By .signature, I state and agree, that I have carefully examined the completed application and do hereb'l certify that all information herein
is vue 'and correct, and I 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.that only contractors and
employees who arc 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, tha'
the permit card is located at the front of the property, and the approved set of plans will remain on the site at aU times during the installation
of thesignlsl.
Signoture
4/ -;7 //J~/
,
Validation:
Amount Received:
Receipt Number:
Date F -.F - 7 S--
~.w
\~ '"hCh
Date Paid: p,.CO C{<)
Received By: . 'rJ\ ~~
.
.
SIGN PERMIT APPLICATION
\\.
The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or il 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 wa~ .and/or freestanding signs, a photographlsl of each oxisting sign noeds 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 heighJ, a~d
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 architecl. Aller the
plan review process is completed, and, If your signfsl 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 relerence.
INSPECTIONS
Depending on your sign Is)' you may be required to request one or all of the following inspections during the installati'on
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 afte'r 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.
Allaehment: To be requested when all fasteners arc installed but prior to cover.
Electrical:
T.o be requested after the electrical connection to the sign is made, but prior to energizing.
Final:
After. all required inspections arc conducted and approved and the sign in~tallation is complete.
The inspections that arc 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 arc 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 feci free to phone the Building
Safety Division at 726-3759.
..
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
!
c,
.
,
.
,.
/'
(] ") ~s- fl1#/iJ
\"'I)~ -:,>\"\,,,J
Pob"lZl YJ/Jvfxc"/~(/
ADDRESS: ~- '2 :2 tV :1 q):..!r
,
CITY: .{1j7 /7 I ,y,{ J: (.,. (61
BUSINESS NAME, FIRM HC.: 8() Il.i
SIGN PERMIT APPLlCATI04
225 Filth Street
Springfield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
OWNER:
SPRINCFIELD
Q~\~t\S
JOB.BER
Inspection Line: 726-3769
Office: 726-3759
~
5"T
PHONE:
~S
cJ/(
6~ 9 71.f 78"
()lD ~r-v- "
72(- t:7/~
STATE:
ZIP:
C{717f?'
1I,u d,u A /21'
.('c/R~lv..r
Wall
..b Single Face
Freestanding
DESCRIPTION OF PROPOSED SIGNISI: (please check and complete all appropriate informationl
Marquee
Double Face
Square Footage:
\9-/'
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
\1.-
Material Sign is constructed of:
.P I <J,u
_ Projecting
Roof
-X-
Billboard
Other
\~'
Total Height above Grade:
~ r Horizontal W~'d ~'or enclosure: lP '
Electrical Installation: Y No VALUE 4f?"
(If yes additional electrical permit is r ~ OF SIGN: ? 0 d
tJd ARnl
List ALL existing signage and attach a photograph of each sign: /II' ('J A/ e
lal Type
Sq. Frg.
lei Type
Sq. Ftg.
CONTRACTOR/INST ALLER:
. ') p t..J:-
ADDRESS:
(bl Type
Sq. Ftg.
Idl Type
Sq. Ftg.
PHONE:
. CITY:
CONSTRUCTION CONTRACTORS REGISTRATION Nul...1BER:
31"':'"'{ a :,:S:~ :~CS ~~r;c~~~:-: :'j~ .rB'fR:
Sign Dis;rict: ~~~\ )(\~\.-\ 'r
Zoning: r.0 / ( )
L\DCD
Sign Perlnit Fee:
REQUIRED INSPECTIONS:
Site
to De made prior
to .sign, placement
Footing
prior to placement
of concrete
Addlti~nal Comments and/or Conditions:
STATE:
ZIP:
EXPIRES:
EXPIRES:
OFFICE USE
~ ~cn Quad Area: ~LS~
q-'1-\~ C)):-
Approved By: \\ ~ ' ~~ ) DATE:
Land Use:
Code Section:
B.gC(S
Attachment
after fasteners are
installed/prior to cover
~al
completion of sign
installation
Electrieal
.prior to energiz!ng
electrical installation
,
By signature, I state and agree, that I have carefully examined the completed application and do herebx certify that all information herein
is Vue .and correct, and I further certify that any and all work performed shall be done in aeeordanee with the Ordinances of the City 01
Springfield, .and the Laws of the State of Oregon pertaining to the work described herein. I further eertify.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, thai
the p.ermit 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 thesignlsl.
/2//--(' ;; ~
Signature
Validation:
'j"
Amount Received:
Receipt Number:
Date
8-- y- 'J5'-
L\-\) ,W
I\<;<\n~'b
,
Date Paid: 'f),. ~. q<;
Received By: 'fJ\l C'f').J
.
e
SIGN PERMIT APPLICATION
, .
The application on the reverse side needs to be completed entirely. If you are the sign contractor/instailer, or if you are
hiring a contractor, you need to make sura 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 expiratien
date of each. . .
If the sign you are proposing to instail 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 whfch you are occupying, and you wiil be performing the electrical instailation yourself, 'you may sign the
electrical applicati.on. .
If there are existing waN .and/or freestanding signs, a photograph(sl of aach existing sign needs to be attached to the
appileatlon, 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 ail dimensions, total height, and
a plot plan indicating where the 'proposed sign wiil 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 signls) is approved, one set of plans wiil be returned to you. The approved
set of drawing's ~eed to be at the site when an inspection is requested for ttie inspectors reference.
INSPECTIONS
Depending on your signls), you may be required to request one or ail of the following inspections during the installat;'on
of your sign:
Site:
To be requested after indicating on the lot where the proposed sign wiilbe located but prior to any work
being performed for the instailation of the sign. This inspection is required if there is a question on the
location of the proposed sign.
To be requested after excavation and the forms are instailed, but prior to pouring concrete. If there wiil be
electrical conduit placed in the footing, it must also be in place prior to requesting this i~spection.
Attachment: To be requested when ail fasteners are instailed but prior to cover.
Footing:
Electrical:
to be requested after the electrical connection to the sign is made, but prior to energizing.
Final:
After ail required inspections are conducted and approved and the sign in~tailation is complete.
The inspections that are required for your sign instailation 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 re'cording you wiil need to leave your City
Designated Job Number, location of where the sign is being instailed, the type of inspection you are requesting, and when
you wiil be readYI,for the inspection. Ail inspections cailed in to the recorder prior to 7:00 a.m. will be made the same'
working day, ail ihspections phoned in after 7:00 a.m. will be made the foilowing 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 Sufety Division
225 Fifth Street
Springfield, OR 97477