HomeMy WebLinkAboutPermit Signage 1999-9-24
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sIGN-p~MI; APPLlCAT..
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225 Fifth Street
.,
Springfield, OR 97477
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SITE AODRESS: 1<6IS MA-1N Sf-
ASSESSORS MAP: n 0 ~ ,:l, '" .~ I
OWNER: UFWN \ "'" t^--\ I "'9+41\-(\1\
IV\A\~ SfRKI
TAX LOT: n ,,/.off) I
'CfTY: SpR,\l'0EjP,ELD
BUSINESS NAME, FIRM ETC.: KAlVOP'i
STATE:
iYl-9Sr'1 ~
r<X2.t-oo[)N ZIP: '1''--\11 T
PHONE:
. ADDRESS:
1<6 l :)
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DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all a00priate inf\\\'1Wi1 IZEDUNDERTHISPERMITISNOT
.J.t G'le"3 DONEDFOR
_ Freestanding _ Projecting ~ RoOOMM CED C\tU~@fIN
AN 180 DAY PERIOD.
Other
KIN6voM
Wall
.k. Single Face
Billboard
~OUb Face
" Square Footage: ~~~D
,- 1 :I
Vertical Dimension of sign or enclosure: ~ _-f1tLL. 'Horizontal Width of sign or enclosure:
Dimension from Grade C)f I="f ~trical Installation: _ Ye No VALUE
to bottom of Sign Enclosure: - / ((I~'~'~~ additional electrical permit is required) OF SIGN:
......,
? \ IL\-"'-Jl c... (_t- I I c.(<.,S
Total Height above Grade:
/OPl '6~f'J
07Pr
\. rP
eo--
Material Sign is constructed of:
Sq. Ftg.
(b) Type
(d) Type
fO'\'~'\ r!: c-;' I' fl,', I ~
'j ;t,t L,'. t , '
nO." , , "
_ _ _ . Sq, Ftg,
VV-'V fl" '\.
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List ALL existing signage and attach a photograph of each sign:
la) Type ?\P,STIC l.E1l~, Ftg. rifn IJ5
{
, ,ri:'
.' " , 1 ~
, , O~
lcl Type
CC: 'Sq,Ftg:'
numoer fur ,Ii u.e -, J'
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~ONTRACTORlINSTALLER:VEN~I'S. vJl"')6t-1f\~
/ADDRESS: Il 7 0 ~19\\2..Vl~ 'U<l2..
CITY: Sp fL; I... \ n--P.: RD
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
PHONE:
9<6'<6' :icc?-
-:ft l-,o
,STATE: I'J<J:=
ZIP:
c:nl.(li
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District: (1.lJ.. I\U, "21-fi<2\"","",^-- Land Use: '5 3(J()
Zoning: C-e..-- Code Section: 1.. :2..4'i? (I \
ck'CU1f- I. 1'~
Quad Area:
2C!.s U)
Sign Permit Fee:
.1t,~. -
I
Approved By:
DATE: q-~lf-ql
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placemant
Footing
prior to placement
of concrete
~ttachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~nal
completion of sign
installation
Additional Comments andlor 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 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, an the approved set of plans will remain on the site at all times during the installation
ofthe~l, :
Signature ;~\...Lv-....",-,<Q, I .~,
v- I -~ /)
~
Date
Y-3o~c:r9
Validation:
Amount Received: tiv 5"5.-
! Receipt Number: n 3 fa 0 10 /_
Date Paid:
Received By:
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SIGN PERMIT APPLICATION
The ,application on the reverse side needs to be completed entirely. If you are the sign contractorfinstllller. 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 t~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
~y 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, r' .-. . .
If there are existing wall andlor freestanding signs, a photograph(s) of aach axlstlng 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 freestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped ~V,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: , /~ I ~T ./ I
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 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 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,
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 inspe~tions 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
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.SIGI\: PERMIT APPLICA"
SPRINGFIELD
. NUMBER
Inspection Line: 726-3769
Office: 726-3759 elf, 0t;L(
svr:=:L.O l
TAX LOT!
1l..(\~Sl9
..~. ,i;;;/ CA II 21
"'lIIIl
2 2 5 Fifth Street
Springt'ield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
l ~ I'::>
rr\AIN
IlL. -
Sl'LO<2.-t"
ADDRESS:
Tl f" \-.J \(j Is"
,qlC; vY\f\-IN
'"
~ 12.1 N<"ll=ll:::t..O
BUSINESS NAME, FIRM ETC.: I~ A-INDf:/L\
PHONE:
OWNER:
CITY:
ZIP:
Qil..{li
Square Footage:
7rN
110 l=T
t,'-\ ;I
Dimension from Grade
Yes
VALUE o~
OF SIGN: \ 00
QG.."(""tQ.~ ~
,
( PI -,rN Electrical Installation:
to bottom of Sign Enclosure: V1 I If yes additional electrical permit is required)
Material Sign is con~tru~ted ~f:" C ~~. 'f. '6' 'P1{...01i~ S:::k.aoJ~
.\,\1, '.\Ili,... l. II..J:: ')O,'lv
List ALL existing signage and attach a photograph of aach sign:
lal Type jpludlc si..f.lo(k, Sq. Ftg, C:, Y .i
I
", ,!' \ 'n '" .". ~ ,., 'll,.... . I ... t j ',.
: i' lY
.rtil
.' .'11-
. ~ 01'
~', ,~
Icl Type
Sq. Ftg.
."
(bl Type .."-, ", Sq. Ftg,
)001 ," " .;
(dl Type Sq, Ftg.
.........1.".. .. -.. .' ..., ..fI,
..."....,)tinn
CONTRACTOR/INSTALLER: \') p!-",\. ~\ "" "iJ IN 6 AA ~
.
ADDRESS: II 2.0 VA\~Jli:::W \R.I\.E (t~
CiTY: c::.:;rQI~r=z.D
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
, PHO~E: ~~~42 002-.
(,0
STATE: rR....
ZIP: q,L{f/J:}
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District: ~..t'ln... fAll.;.b
/l n I
Zoning: ~
Sign Permit Fee: #> '7 n . ~
-, '- - - --.
(16) t.cl\.u~l~nd Use: C) 3oL)
Code Section: ~. ;~A<i1 Lz.l
, '.
Approved By: ~~L--- IIl..~ DATE: Q-~-Cj Cl
_____,_ ---.....=.a.----.---------- -..-.-. _a.
Quad Area:
,!1(l5/J.. J
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~Attachment
after fasteners are
installedlprior to cover
Electrical
prior to energizing
electrical installation
~inal
completion of sign
installation
REQUIRED INSPECTIONS:
Additional Comments and/or Conditions: . ,0 I M. ~M<... ~ cl i. 0V0fYJ. ~ It' _ . ~ ;h...R1,J.,'H-
~ ~ 'I.M-tu~. ~ r1-t<<J-' 7'nMU t'JU..<.riL o/l1J hM..L /U. Mu-.u.-~ '
U
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
the permit card is located at the front of the property~d the approved set of plans will remain on the site at ell times during the installation
Oft~ "- (\
Signature_ t9-\.~tJ...\t.l"" :=J Date L{,-30~1'1
Ij
Amount Received: <;\h 1 D, .-
Receipt Number: n?JhOlP '"'}.../
Validation:
Date Paid:
Received By:
q ".v-~~t
cP<~
11- 1-<;'7
I,
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.
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"'-I...
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.' ,
il
,
SIGN PERMIT APPLICATION.
I '
\_) If
The application on the reverse side needs to be completed entirely. If you are the sign contractorfln$tilller, or if you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number imd the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
I
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 ere existing wall andlor freestanding signs, a photograph(s) of aach existing sign needs to be attached to tha
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 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
Depending on your sign Is), 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 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 when all fasteners are installed but prior to cover,
Electrical:
I ,.
To 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, 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 Building
Safety Division at 726-3759,
," ,
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
;- .
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