HomeMy WebLinkAboutPermit Signage 1999-9-9
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SIGN PERMIT APPlICATloe
SPRINGFIELD
JOeMBER
,
oCr 1193
225 Fifth Street
Springfield, OR 97477
Inspection Line: 726-3769
Office: 726-3759
SITE ADDRESS:
ASSESSORS MAP:
TAX LOT: a.t/OO
51'ir,d3
PHONE:
? B.& - 03 f)t'tJ
OWNER: (.;-r-, PAl"> iJ U JAlL~ 41 AN
ADDRESS: 39:1? MAptJ Sri
CITY: <:;PR.oVO)Fdf<...1)
BUSINESS NAME, FIRM ETC.: WAJ::ElI1iVV
STATE: (J.tE':} ()AJ
AU TO IS-AlES
ZIP:
9'71.{ ))
M,,," *
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
~ ..x Wall ($J X Freestanding _ Projecting Roof
...It Single Face --2(. Double Face Billboard Other
Square Footage{t :~hllll 0; i!,;PE2HtcE. Total Height above Grade: ~IJ ' @.1::I0'
. , d"
Vertical Dimension of sign or enclosure: W _ ~ Horizontal Width of sign or enclosure: 0
~ a!:
Dimension from Grade VI) ~ ~ctricallnstallation: L Yes _ ~ VALUE #.'It'l.(P~...Qj'
to bottom of Sign Enclosure: ~,~. I~es additional electrical permit is req~ired)) OF SIGN: ~~'~I...v,-
Material Sign is constructed of: fA \- ~..l"I'>1"O 'I ',^fI' -p,e "'lED" ('AtN7~1J -, {I'l ') .:1.<1 "A, QA(ilAlIJd~'i "(./N'T",~,,,(
-StatU CAB! N~ W'TH J'J.;J."<ti!l.^ Kif,," f'/.I'J~I.E ,i!iYVFf!.IVJ1€:- :!?.,' , w(./trc f'i::i;-lt<.P*-Ei "Peu>l€lh-!'A I1Irffl
List ALL existing signage and attach a photograph of each si~n: t. tVo,v~:)
(a) Type
Sq. Ftg,
(b) Type
Sq. Ftg.
Icl Type
Sq. Ftg.
(d) Type
Sq, Ftg.
CONTRACTOR/INSTALLER: '-r2.IP~ :s:..~.s'lq.<l~ (,ve..,
PHONE: 3'1:~ - J() qq
ADDRESS: ~Co ('0 I ,LD R ME i/.wl
CITY: ~1)<iFtv€ STATE: ("I,l2.~. ZIP: C.'f?<:{05,-
NO I It;c:
CONSTRWtjg~~[f~~PlF@IPW~~I(MBER: (i?'~<;{~~~::;:.:..;.., :.::... r,*~m~s~ yv!.(rS' lor
~ITYBUSWi'f~Iii~iiHlS PERMfTIS NOT . .f~!~ow,rule~ adoPte~ by thEfpJRES~ Utility
COMMENCEu uti IS ABANUUNcU I-UH o~HaA6's~52-001-00i o'ih~;ughOAR-952~001'~
,',".\J'~{l_'l_~",-!o,:o'0n il.....\ ..................., -I..,...._~- --.-'- ... ..
_ --.. ----... --,............. ........ . "',....... uy
Sign District: Cell<"" " if ~ CaUl. '*nI Land Use: 5 B01Icauing ~he ceI(}U~d(~ma:: the te~IS E
_.. I 'VI "~'i' IUI '''''', uregon UIIIIlY l~ollllCa1l0n
Zoning: (' 1! ~ Code Section: <!. .1.Ji 1~9n(f1!:\ 1-80()-332-2344).
Sign Permit Fee: dti 9;. -
Approved By: ~0~.:._' )
.~
REQUIRED INSPECTIONS:
I Site
to be made prior
to sign placement
Attachment
after fasteners are
installed/prior to cover
~ctrical
prior to energizing
electrical installation
hoting
prior to placement
of concrete
Additional Comments and/or Conditions: tJ., ~,~ rN.d M1 uPu.~ J...
DATE:
q-q -q q
/Final
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 onl~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 sign(s).
Signature
n~~~~
Date
<3/3I(r1
,
Validation:
I/O c.-
Amount Received: T'
Receipt Number: 0:3 $' S- 't f{'
Date Paid: "1'/1<(/;'
Received By: d tJ c..Y
SIGN PERMIT APPLlCATI~
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
JO.MBER qq II C) .3
Inspection Line: 726.3769
Office: 726-3759
SITE ADDRESS:
ASSESSORS MAP:
3gCJ1 t!lAI.v 5T.. sm, OR.€..
1?-/'Xl.-.3/- t.//
~-
TAX LOT: hi t/O 0
5iY" ~
OWNER: (";nIUI,.,Al U JAI!.!iMAN
ADDRESS: 8<;{1? fflMIIl Sri
PHONE:
?{}..&; -03 ?fo
BUSINESS NAME, FIRM ETC,:
STATE: ()t2.~~ ()~
(jJA~EfI1AAJ AVTO S,ALES
ZIP:
9'71.J ))
CITY: <:;/)I2{~r7J~rf;,Jj
DESCRIPTION OF PROPOSED SIGN(S): (please check 'and complete all appropriate information)
~ ..x Wall ~ X Freestanding _ Projecting Roof
....1i. Single Face -X Double Face Billboard Other
Square Footage{t _"<.il III ,,~ :;:PE~14t<l!. I Total Height above Grade: Wiln ' @.1:10'
Vertical Dimension of sign or enclosure: ~( 4 Horizontal Width of sign or enclosure: e I'
~ Q2
Dimension from Grade 0) (9) .,0ectricallnstallation:..K. Yes _ No VALUE ~ ft'l.(gtR ....lli:.
to bottom of Sign Enclosure: ~,~ I ~~f yes additional electrical permit is required) OF SIGN: .4Jr~. ,'Ul#'''-
Material Si~fi' ,tructed of: ~)- %l"",,pf) '{:j"V -P.e/f'IEll"PAtNT/2/1-' '( f./all.aMiJMI'Fi-S..uN'o"'~r.u
S/q.u ~II-I .. ITH 'Ja'!'Rrl~~~tiltW~o<\;t1e- '?klb" W'+lrC Ac:.e.rc!.l<=.;::;4<.E;S ~Pe.(m€.jh--PAu117-E'Jl
THISPE II;:,n
List ALL 1>l1f~e>~(!IlPI'~~lPIi6Wl\rJa,Nlf18ch sign: (. f\JO~)
lal ~MENCEDORISABAI\!RP~t~~FOR Ib) Type
ANY 180DAYPERIOD.
Icl Type Sq, Ftg,
Marquee
Id) Type
Sq, Ftg,
ATIENTION:Orsq'1cFt~'lW re.9ulres y?~..~:
follow rUlesaaopted by "''''UI'''lj'''' J.....,
-. . - - ~--- -.......,,......~
l\IOIHlCHlIlJl1 Vt::lllC'l. I I IV"'''' ........... -. - - -. ...
in OAR 952-001-001 0 thrrpffONe\~~~Q{lC21 'ICl
00!'l0. You may obtain copies of I'''' y
,.."lIin{l IhA (,,;:IniAl. (Note: the telephone
ST WgYb~~~,?J~~~~:~i:~~r:':91i~Cz;~ '\
EXPIRES: sirS/Of
, ,
CONTRACTOR/INSTALLER: '1~{PLE !S'+5> oS ,qAlS (,(/<!..,
ADDRESS:
~w('OI
Lo~ ME tI-W(
CITY: F').::!~AJ12
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
&- '/ c( 'i';l
~ITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Code Section:
6~
~ .1voff ll~
~, -~~~~ .-'
Quad Area:
4~~
Sign District:fpllL l'>>~l\OJ\'..i.. ~
Zoning: 1'1' ~
Sign Permit Fee: IJ,;./O.'-
j'
Land Use:
Approved By:
DATE: CJ-'1-e; 1
REOUIRED INSPECTIONS:
Site
to be made. prior
to sign placement
Footing
prior to placement
of concrete
V Attachment
efter fasteners are
installed/prior to cover
~ Electrical
prior to energizing
electrical installation
/Final
completion of sign
installation
,~ ~L II. J.,.,u.)
Additional Comments and/or Conditions:
tbr~Ll f/Jl,nUt, 1tt~ r-~
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, '1
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 signlsl.
Signature
~~~,~~
,
Date
Receipt Number:
I{o
o 'lS:S- 't €
Date Paid:
"1S'(SI(r9
'1lilr 7 /7
,dItJ~
Validation:
Amount Received:
Received By:
.
.
SIGN PERMIT APPLICATION
The application' on the reverse side needs to be completed, entirely, If you ere 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
~~~!' ,
If the sign you te proposing to install is illuminated, an electrical permit application also needs to' b~ 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 whi~h you are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical applldation. '
I
If there are existing wall and/or freestanding signs, a photograph(s) of aach existing sign needs to be attached to the
application. The size of each existing sign also needs to be listed on the application,
PLANS
,
I
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 freestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stemped by a registered engineer or architect. After the
plan review pro'cess is completed, and, if your sign(s) is approved, one set of plans will be returned to you, The approved
set of drawing~ need to be at the site when an inspection is requested for the inspectors reference,
INSPECTIONS
i
Depending on your slgnlsl. you may be required to request one or all of the following inspections during the installation
of your sign:
Site: '
I
, ,
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
I?cation of the proposed sign, ' ' ' '.
To be requested after excavation and the forms are installed, but prior to p'ouring concrete. If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection,
Footing:
Attachment: -':0 be requested when all fasteners are installed but prior to cover.
Electrical:
,\0 be requested after the electrical connection to the sig~ is made, but prior to energizing.
Afier all required inspections'are'contiucted and approved "nd the sign installation is complete,
Final:
The inspection~ 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..aIl.l(1~pections phoned in after 7:00 a,m, will be m.aQ.e the following work day, (,;,
, ~c...:J\;" , (\"~C C ,.J),~j.V-OJ,I";ol'3J -,nil)
If you have any' questions regarding the applicatioq. lreq~ire.9 plans or inspections, please feel free to phon, tty; Building
Safety Division'at 726-3759. t!) (['""" 0 ' . ". .}J
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City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
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