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HomeMy WebLinkAboutPermit Signage 1999-9-9 1- 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 : . \ \ '," - \...., . \ \, ..,. ,,\,~ ~- r' -. .' _ _J '--_~ ....\' .' '\ _ "'. "'., . ,,'(', ~ .' \ , ;';, "'_,,'-....I' _..s.....to, . . ~:' '" . , \.~ , .\:~\ " .~~l \. " I " '-..~-~ ',.;..tJJ..iJ.aJl\l ~ .,rojlo!V ~"';1.i.~ H1 U ..:TUn,r...i ,-.~ V :- .." i...."'lt.t ''''''J',r~"",')...J City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 '- ,-