HomeMy WebLinkAboutPermit Signage 1998-7-6
~)GN, ::RMIT APPLICATION.
225 Pifth Street
Springfield, OR 97477~ .
SITE ADDRESS: '. ~ ~\ ~.....
ASSESSORS MAP: '~ty) h...\Pc-\
(UM Kn.uL \
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OWNER: <A oj ~lV"Jo,,)
ADDRESS: ~~ / mltJ h- ,
CITY: SpI"~.Q.-e1d }O/\
BUSINESS NAME, FIRM E.C.: ~., <,..
JOB IBER C\ W~~
Inspection Line: 726.3769
Office: 726.3759
TAX LOT:
(VJAnf"Y 1
PHONE: 1-"ln~&-1. -~~{)
STATE:
A.->
ZIP:
7.l<1-
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DESCRIPTION OF PROPOSEIJ SIGN(SI: (please check and complete all appropriate informationl
-L Wall
~ Single Face
Square Footage: 1-.1/
Double Face
Freestanding
Other
Vertical Dimension of sign or enclosure:
Dimensio~ from Grade \1\ (11 ~
to bottom of Sign Enclosure: IU;)
_ Projecting
Roof
Marquee
Billboard
~/-o
\rv ~. .........
Total Height above Grade: \.... ~
Horizontal Width of sign or enclosure: R (,0 /
Electrical Installation: Yes No
IIf yes additional electrical permit is required)
Material Sign is constructed of: 5~4 ~I --h ~/.p,,(J ) CS-lse:e/
List ALL existing signage and attach a photograph of each Sign:~
. Sq. Ftg. ,~\ tr Ib) Type
Icl Type
CONTRACTOR/INSTALLER:
hA-,1..l/J
/Z( i/'I/''-in V"','.4.- (
f(I
ADDRESS: '/Ji.-~ I.
CITY: J _ fJ/'iAt/W
Sq. Ftg.
Sq. Ftg.
Id) Type
Sq. Ftg.
PHONE~~I? 19
STATE:
~. ZIP: Q'7t/"'f /
EXPIRES: q-/t./-9'R'
EXPIRES: tiff-nh -3 fl
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: {JOY/]. C;~
CITY BUSINESS LICENSE NUMBER: Cf7 ()/')...r;tJ
REQUIRED INSPECTIONS: ~
Site Footing V-:::achment Electrical V Final
to be made prior prior to placement after fasteners are prior to energizing completion of sign
to sign placement of concrete fl. ~+;:I;~r: pto c:v~. \." el!lGlIl\tri~)il1Slta~tio~ ). n ~n~tl\a:tion
~n:I.~~and~o~~r ~\jW~~JtJ\~I\~)
Sign District:~~L(t ~
ZOning: --- - ---"(f~~ .
4f) .CD
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Sign Permit Fee:
OFFICE USE
Land Use: ~ Quad Area: .r~~'~~
Code Section: . ~ . t.~ ( t ')
Approved By: ~~~ DATE: ".to.q L
.
By signature, I state and agree, that I have carefully exa, n ed the c pleted application a.~d do hereby certify that all information herein
is true and correct, and I further certify that any and all ork performed shall be done in accordance with the Ordinances of the City of
Springfield, and tile 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 ~roper time, that project address is readable from the street, that
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
of the sig,nls)'f\
Signature '-zt')~ "-C:) I./Y'/ Date 7- ~ I -Lf?'
/
A:ount Received: Jt 4.0.; crv
Receipt Number: [)3<:)qq3
Validation:
Date Paid: "7...-:":>1- q)(
Received By: (1 . ("'('t!1.C~
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The application on the reverse side needs to be completed en;ireIY~ 'if~ you. a6ri"ithJ sign contractor/installer, or if you are
hiring a contiactor, you need to make sure that both the city.6ifS'pririgfield!i3U'siness License'Number ana the Registration
Number from the State of Oregon Construction Contractors Board are listed on the apolication along with tho expiration
date of each. . \ " " . ;. _
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SIGN PERMIT;;;Pp~C'ATli)N
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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 jf you are the business owner who also owns the
building in which you are occupying, and you will be performing the electrical installation y'ourself, you may sign the
electrical application.
:1
If there are existing wall andlor freestanding signs, a photograph Is I 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 submii';or'p~Sigh @nit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot plan indicatin~~re 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 C C'i
Depending on your signlsl, 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 ti\l fd~\..aere the proposed' sign will be located.but prior to any work
being performed for the installation of the sign. This i,\S~e'cti<in is required if'"'t~..[a i~ f:.IlYf'N!Or' ~n the
'9cation of the proposed sign. ,-.If. '.. i' ",\-.J'" lh..l.....\.\) -:'
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.
,f'ttachment: 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.
Fi~al: .
After all required inspections are conducted and approved and the sign installation is complete.
The inspectio,ns.' 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.
'J
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 installe~, the type of inspection you ~re requesting, and when
you will be re~dy!for ih(in~pection. All inspections called,ii."\o'ti1e recorder prior to 7:00',a;";'. V(,iil be maa~lthe same
working day, aIJ-inspeclio'ris. phonod in afier 7:00,a.m. Vliilf'be' made the following wor~ d~y:' -' }',SII^/'(/ ,."J
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~! you ~ave_..\~my questions re'garqi[lQ th:.~! ~J)plic"a~ion/ requi~e~ plaps or inspections, please f~e! free ;t~-phone the Building
!Safety Divisrpn at 726.3759. - . ) ""(-' .I: . ( r) .: '._
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Cily of Springfield
Building Safety. pi vision
225 Fifth Street
Springfield, OR 97477
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SIGN ~PER~IT APPLICATION.
225 Filth Street" ~ ~
Springfield, 0.' m" ~~~ .~.
SITE ADDRESS: ~D 1\ l J\% U\ '. ~ r
ASSESSORS MAP: ~~.)!: . _ . . ,: -..
OWNER: Q,.,j "\..... C. ~ q,,,~ ,
SPRINGFIELD
'0' i"::::';~~ :~~:
Office: 726-3759
ADDRESS: ~~~ I IY1 J4-^- . '11. :#=/n /
CITY: Sf"Y''hv;H<e1d ,
" STATE: t<1r .
PI fli ^ h 11.LO
BUSINESS NAME, FIRM EOC.: 2.:::>_ b.
,
TAX LOT: U'[.lQnr }
PHDNE: ~ - '?:B~ -f.t.{, ~ tJ
ZIP:
DESCRIPTION OF PROPOSED. SIGNISI: Iplease check and complete all appropriate information)
Wall
Freestanding
_ Projecting
Roof
Marquee
-$. Single Face ..x Double Face Billboard Other
Square Footage: 1)..i/~~\~~\~-\1I/'~otal Height above Grade: Ie;!.. 01/
~ /-0 //
Vertical Dimension of sign or e osure: 0 Horizontal Width 'n or enclosure: ~
Dimension from Grade
to bottom of Sign Enclosure:
/'7-- / (/
-('J
VALUE as<-
OF SIGN: VJJ)n.
Material Sign is constructed of: ) ~Jf.
)
List ALL existing signage and attach a photograph of each sign:
(al Type j::fee~+ncd.^~ Ftg. <..~I ra
Icl Type "" Ftg.
Ibl Type
Sq. Ftg.
Idl Type
Sq. Ftg.
CONTRACTOR/IN STALLER:
r: t4-kJCD
\Rev,,'1{)r-,'t-/
PHONE: qt:./~-/0'59
ADDRESS: ~~k-(.,
CITY: Lnv 1<:l?1 '"
~J
STATE: .
tflv'.
ZIP: 9)'/') I
0-IV-'9?
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: (Jo9'J.. &>'J-;J;-
CITY BUSINESS LICENSE NUMBER: C?'Jf) '2 !'?(J
EXPIRES:
EXPIREs:~n("_ ~I"'>
Sign Distrff,\ l\~~..loJL
Zoning: ~
40.00
OFFICE USE
Land Use: :1~l Quad Area:
Code Section: fi.lL4CO~ .\--
Approved By: \ ~1 ffi.") .~
~ . ~ -\
DATE: '). P, . q R'
Sign Permit Fee:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
/
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~I
completion of sign
installation
REQUIRED INSPECTIONS:
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 shali be done ir: 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 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 the signls\.-.
Signature '--VU~ 0, L..-/ Date J-~f-C;9
- . II
Amount Receiv~ ~ 00
Receipt Number: (0j <,(V143
Validation:
Date Paid: 7 ~ 3' -q Y.
Received By: n ' 6'YYl (l/htk.rl ,0
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SIGN PERMIT 'APPUCA'n6w': ,'...
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The applicadon on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are
hiring a cont('actor, 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'lis.ted on ihe application along with~~e 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 photographls) 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 ;~ sign permit, you need to prepare two compf~tE~se'ts.ot ~r.a.w~n9s showing a)l ~imensions, total height, and
a plot plan indicating where the proposed sign will be located. If. you,ar<i 'installing a freestanding sign which exceeds 20
feet in total h~ight, the footing detail needs to be prepared 'and stampe~ b'Y"" registerld. In'gineer" or architect. After the
plan review prdcess is completed, and, if your signls) is approved, one set of plans will be returne'd 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:
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 i. a question on the
\) ( - ,'y..... . -.r, (" ...
I~cation of the proposed sign. ; ( ..,: U,.. ,} "L~_' ::.~ -; "j! .'
To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be
e!.ectrical 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.
,
Footing:
Electrical:
T9 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 of inspection you are requesting, ~nd when
you will be ready fQrthiin~pection. All inspections called1i~'{0;.the recorder prior to 7:60,a'.m~ iNillbe,mad1J'the same
working day, a11 inspection~ phoned in after 7:90 a.m. wilr'be'';''ade the following work iJay. ./ h.;' H! II...... j " "
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If you have any questions,rJQarding 'the apPli:"'~~: r~qu~ect'pla~s.or inspections, please feel free \0 phone ;he Building
1SafetY:Divisi6~at726.3i!l9:,i'::';:, '.r:,' - ,....;.-~ I ~-'~. "-1;,
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City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR ~7477