HomeMy WebLinkAboutPermit Signage 1999-8-3
SIGN PERMIT APPLlCATII
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
'I"~"::":'~~:'i~?-
Office: 726-3759
CITY:
. /~I W
6.; to f2...,{.(J
K' Ere
7'fv...
PHONE:
~'~ C..-
..J (JOt) \J
..:3t(3-ej 0CfV
I
ZIP: '17 i./ () /
SITE ADDRESS:
ASSESSORS MAP:
OWNER:
ADDRESS:
STATE:
6rt-
BUSINESS NAME, FIRM E'iC,: U4e.tL- / I\i /Jkc &>)...
. ~ ....-
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
..L..Wall
_ Freestanding
_ Projecting
Roof
_ Marquee
.1
_ Single Face
Double Face
Billboard
Other
Square Footage:
2-50'
Total Height above Grade:
/q I
Vertical Dimension of sign or enclosure:
.slr
. Horizontal Width of sign or enclosure:
S' f I(
Dimension from Grade / 4 I Electrical Installation: ....:b.. Yes _ No
to bottom of Sign Enclosure: (If yes additional electrical permit is required)
Material Sign i~fE.l!~~t:,y~~~dc.oJb. ,fr;-;~t::?1:~ft. ~ I ~:~1:.t:?Jr
. fnlfnw f1IIA.c:; ArfnntQn h\Jtho1nrol"fn.... 'I"'i+~. Ii. .
. No)ifi,eatiqn Center Tho!=e ru'l!ls are S"lt forth '
list All;~xlsllng,slllnage andl8ttacliu8 pliotolltAAJ), ofOeach sign:
I v,.,r.~';_-U~I-UU ULlIIU glrUf\rl~o,-U 1-
lal ~~~eO;.You.may Obtain, COP~q~ 'Ftd~e rules by
l,;c...."...~ u ,'"- '"'0'1 Hel. \1'JVle: fue tt:'lC'iJIIUIIt:l!
Icl T.;'p.~rnber for the Oregon Us~~\i=~g?tification
",,",p' 'f '-!juu-J32-2~44).
VALUE
OF SIGN:
q~o
1\1 n'i'l ("!I:.
.,
(b) Type
THIS PERMIJ SHALL EXPIRE IF THE WORK
AUTHORlttEb UNDER THIS PERMIT IS NOT
0Jiv1~gNCgu UH It; At:lANDONED FOR
ANY 1~e[fAA' 01:0'0':'.
(d) Type
CONTRACTOR/INSTAllER: 6s ~ (j !?,( brJ
11(0 Of';'L .p~~ ~oc\
GJ (b..l2A,-" f";YL-
r
f-itw~,rJG
PHONE: Ll~-; - S ~ L( (,
v
ADDRESS:
CITY:
STATE:
ZIP: t11 LjOv
Jf)r)
.1
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
1\\Z80..
EXPIRES:
~,
: CITY BUSINESS L1CENSENUMBER:
EXPIRES:
OFFICE USE
.1. 1_.__
Sign Permit Fee: .!JI HO
Code Section:
I
Approved By:
co 30-0
~9:.~J..jq (I)
4<L<-r IAJ.~
Quad Area:
.:L c.. '-.) L.U
. Sign District:~~ ~
Zoning: CJ:.
land Use:
I
DATE:
'7-.;l.7- c.,c,
,
REOUIRED INSPECTIONS:
Site Footing \ ~tachment
to be made prior prior to placement after fasteners are
. to sign placement of concret~ installed/prior to cover
Additional Comments and/or Conditions: C g 1. P rA ~
~~ical
prior to energizing
electrical installation
~I
completion of sign
. installation '
~ o...:h' fJ-r-
~~bL~~~
. . I
,..-._ By signature, I state and agree, that I have carefully examined the completed application. and do hereby certify that all information hereil .
; 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 0
Springfield, and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors an,
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, th,
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 installatio'
oflheSig~_~ 1\_) _
Slgnature,-\ IIJYv \ ~) Date "1-- (t1 " tj',q
,
i'
Received By:
~-3~'i
W
Validation:
Amount Received:.~ JO. .......
Receipt Number: <">~ <6l-/'
I
~ate Paid:
-.......',
. : ~ \'
..
.
SIG_N PERMIT APPLICATION
The application on'.the reverse side needs to be completed entirely, If you are the sign contractor/installer, or if you are .1
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.
It 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.
., ~' r_'. \';...i,.,
It there are existing wall and/or freestanding signs, ephotogrephlsl of e8chexl~t1ng sign need_s tc!. be.~t~8ched;to the
application. The size of each existing sign also needs to be listed on the ~pplication.
. I' I'
PLANS
To submit for a Sig'n permit, you need to prepare two complete sets of drawings showing all di~ensions, total height, and
a plot plan indicating where the proposed sign will be located,' If you are installing a freestandil)g 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 signts) 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.
I
INSPECTIONS
Depending on your signls}, 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,
.1
Footing:
Final:
To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be
electrical conduit placed in the footlngr it must also be in place prior to requesting this inspection.
To be requested when all fasteners .are installed but prior to cover,
i' ! . " . . - . -' . '. . .. # ... '~..~ ~... ""..... .',
To be requested after the electrical\onnection to the sign is made, but prior to ener~iZi~g,
: ~ ! . . ' '
After all required i~spections are condubted and approved and the sign installation is complete.
. ,
Attachment:
Electrical:
The inspections that are required for your sign installation will be indicated on the applicatior during the plan review
process. Failure to request ANY of the required Inspections could result in sign removal rn orderl to inspect the sign at the
required intervals of work. ., i 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, loc~tiooi of where the'sign is being installed,the type of Inspection. you 'are,'r'equ~sting, 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 in'spections 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. .1
i
'j'
City of Springfield
Building SafelY Division
225 Fifth Street .
Springfield, OR 97477
.1
"
,J SIGN PERMIT APPLlCATII SPRINGFIELD JIUMBER .~ i Dlr r
225 Fifth Street Inspectio~ Line: 72~'3769
Springfield, OR 97477 Office: 726-3759
SITE ADDRESS: $=,' D
ASSESSORS MAP: U"^-
OWNER: ~ t3rc ~.; / /f C2. PHONE: Sif3-1bQ if
ADDRESS: I~/ W _ 1 'f"V-.- I
'CITY: EiJ@~~ STATE: Gk- ZIP! 0,#0 /
BUSINESS NAME, FIRM ElC.: ~k~ (11 ~ ~-^ .. -,,-
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate informationl
Wall
~ Freestanding
_ Projecting
Roof
_ Marquee
./
_ Single Face
Square Footage: ~ Q\
Double Face
r , .I0-r/l
Billboard
Other
Total Height above Grade:
Vertical Dimension of sign or enclosure: &, L3 '{ ~' Horizontal Width of sign or enclosure:
Dimension from Grade 1 Electrical Installation: ...;:~ Yes ~ VALUE
to bottom of Sign Enclosure: I u, (If yes additional electricalPerm;t is required)~F SIGN:
. .!-IJI ENTIOI,,... )"")Or/1'''''''''''''' ...."""'. ...., <r.. "",." ,-"--_~ , (tJ-MJ\
Matenal Slgrolibconstrur.teil of: ,......,"'.......U1,"'''<_~ ."TkkL..-, ,-LUO",c",,,,,,,s( ~-. 'r:s.
"~"::A~!': ~"'::. aUlJlJt~ oy lOll Uregon Utility' I ' j , ..
. -.- --- --......... ""V,;)C 'UIt1~d.rt1SelTOnn 1
List ALL {\y~~~~SRagn"nrl:Pi1ft8a;rilljj~Oto"gT8iilj:2lfJ@l!ch sign:
'. ou may obtam copies of the rules by
lal Typfalhng 1he center. (NotSq!tlitg;)IRnh,,"o
nUlnoerror,tne Oregon Utility Notification
(cl Type Centet j" 1-Rno_3Sq,..Ftg.,)
'. ...""''-.......,-
10.'
(p , ~
~u.,:
((),bCO
'.
(b) Type
NOTICE:
THIS PERMIT SHALL hPIRE IF THE WORK
.''.UTlIOmZCD Of\II:fE~ 11;11::' t-'I::HMI r IS NOT
COMMENCED SlR 1S1III'lAMnmll::':' e~,;_
ANY 1flnf)AVPI=Plnr,"" ,
(d) Type
. CONTRACTORnNSTALLER: e-S + ;(\
\~
. ADDRESS: jVO VAIL. r~TC 6-1
CITY, GihbVl:=-
31bloJJ &.uN"..!1=>
I
PHONE:. L/gr:.~5,7fCo
'f!D
,
'STATE:
((/zf:k
6Yr- ZIP: q7 t(02-.
. EXPIRESt:i;;c5
EXPIRES:'.' '
.1
,
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
. CITY BUSINESS LICENSE Nl,)MBER:
,
t.
'1
"
Sign District: CnflAJiIA.. ,tI.O
Zoning: r ~
Sign Permit Fee: $ffi.
OFFICE USE
r flMIA.I ~iA~and u~e: c:; 3crn Quad Area:
Code Section: c;, ,J.l4l, ('2..)
I' .'
Approved By: ..iv t- I~
.;t{l r-.) 0
DATE: ry - J..r. - "1 Cj
REQUIRED INSPECTIONS,
he
to be made prior
.. to sign placement
\~ting
prior to placement
of c'oncrete'
Attachment
after fasteners are
installed/prior to cover
~cal
prior to energizing
electrical installation
~al
completion of sign
installation
Additional Comments and/or Conditions:
. . I
'. ..., By signature. I state and agree, that I have carefully examined the completed application. and do hereby certify~that all information hereil .
~ is true and correct, and I further certify that any and all work 'performed shalJ be done in 'accordance with. the Ordinances of the City 0
I , Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify.:~hat only contractors an,
I: . employees who are in compliance with ORS 701.055 will be used on this ptoject. .
I'
. .
. !
I further agree to ensure that all required inspections are requested at the proper time, that project address. is readable from the street, thl
the permit ca~d is I cated at the front of the property, and the approved set of plans will remain on the site at all times during the installatio
of the sign(s}, ~ ^ _
Signature , )<::f1'1 V0 Date 1-, I ti ~tj t1
-, ,
,
Amount Received:._~. -
~ate Paid:
Receipt Number:
=-6o't If'
Received By:
<?; , "0 -q <1
W
Validation:
,
<
~ I
.
..
SIGJJ PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractorlinstaller, or if you are .1
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 supervisi'ng 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.
i
.- ..... -,",'
If there are existing wall and/or freestanding signs, aphotograph(s) of each existing sign needs to ba attached. to the
application. The size of each existing sign afso needs to be 'listed on the ~ppllcatlon. " ... , 00 . .
. , I .
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all diJensions, total height, and
a plot plan indicating where the proposed sign will be located, If you are installing a freestandirig 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 Is) 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 signls), you may be required to request one or all of the following inspections during the installation
of your sign:
.1
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 r~quested when all fasteners'are installed but prior to cover.
Electrical:
To be requested after the electrical'=onnection to the sign is made, but prior to energizin.g.
After all required inspections are condu~ted ~nd approved and the sign installation is complete.
Final:
The inspections that are required for your sign installation will be indicated on the appllcatior during the plan review
process. Failure to request ANY 'of the required inspections could result in sign removal rn orderl to inspect the sign at the
required intervals of work, , i.
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, locatio'; of where the sign is being Installed, tha 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. .1
,
.,
City of S,pringfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477'
"
I
/
,
SIGN PERMIT APPLlCATI9ft.
225 Fifth Street .
Springfield, OR 97477
SPRINGFIELD
'I"~~:~:'"~ 7.Z,:,-
Office: 726-3759
OWNER:
.... t@
"PI O~~f2-. ?A\7~A../1 g-~l
/- / U<...Ll 01:.1.. ..'1 TAX LOT:
ll~~ I ~c." I I PHONE: 3.4::': 't1.0t14
1<61. W 1t' 0f~ I
e-vc..-
I '2JGS
SITE ADDRESS:
ASSESSORS MAP:
;J...U)U.
s:..: I'l
D
ADDRESS:
'ClTY: G:iJ~.L
, . .
BUSINESS N~ME, FIRM EOC,: J /l.U/, I ~
STATE:
ZIP:
q-J r.{a (
11I-'e {2,(J X
....
.- ....,.
DESCRIPTION OF PROPOSED SIGN(S): (please cneck and complete all appropriate information)
~ Wall _ Freestanding _ Projecting Roof _ Marquee
.1
_ Single Face
Double Face
Billboard
Other
Square Footage:
2-0 g1 ,
ta'
Total Height above Grade: " I
Vertical Dimension of sign or enclosure:
L:',
..> I . Horizontal Width of sign or enclosure:
~ctricallnstallation: )(Yes No VALUE
<:..i~~s additional ~I~('trical er .. quired) OF SIGN:
5"
Dimension from Grade
to bottom of Sign Enclosure:
1'-1' ,
(:l.uJ Y\
1oo~
Material Sign is constructed of:
, "
,. r I L.:..", I., d.. .r._,,, '.. I.:J."" ro.""I,ro~ \/nll tn
\.-~~J ,
. f>>{J1VSC-~
. . . f!l"~W rlJle~ Rdontp.d bit Ihe Orenon Utility'
List ALL eXisting, S nage ana 8ttllcliti8 l!liotogr8pli jlfseecli,slgn:
\JOIIII atlOn L:emer. I ase rUle::> arl:l I:lllO I ,
la) Type in OAR 952-001-001Osarq;ta~ OAR 952-001-
Ul1~U. YOU may OUli:l1O cop,~" VI U'" IUI"" 1,,1
(c) Type callinQ the cenler. (slptFtg!1e telephone'
number lor the Oregon UlilllY NOtlllcallon
I \....HfHPf'~ 1.f'\\1l1-,)u(:.-t':.~'"'"
CONTRACTORnNSTALLER: 1S'6 J, {j S~lo-.J
~
ADDRESS: (l.IO OA.1uPAnA-i
(b) Type
(d) Type
NOTICE: I
THI~ F'ERRlllftSHI\'-'- ':VOIOC ICTYE WORK
AUTHOR.j~.EFWNDe;R THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY P~g~E:
r
~ fWN I fJ b
.
l?-P
CITY: bJt;" P.AVL.
STATE:
f7Y1---
ZIP: Ch40'Z-:-
.71,Q( C10
.1
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: J ((~'b0 "
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign Permit Fee:
,jj Ifo . -
Code Sectiol'
Approved By:
5 ~6()
~ ,.d-4.\? (I)
+\"[;'-' 1...h.Q....,
Quad Area:
~VJ L0
; I
I
Ii
Sign District:r "....~1
Zoning: c...~
r .1l1lA'tu.i.J Land Use:
DATE: '1 -.,l f - <:; "i
REQUIRED .INSPECTIONS:
Site Footing ~ttachment ..,/electrical /Final
to be made prior prior to placement after fasteners are prior to energizing completion of sign
, to sign placement of concretd installed/prior to cover electrical installation . fnst<illatiol1
Additional Comments and/or Conditions: 1.L..a... ;(I...J f'~:.J: TD &... ~.k iALs-l-r. 00 Q .J..;~
., I
.,.. - By signature, I state and agree, that I have carefully examined the completed application. and do hereby certify. that all inform.tion,her~il
:. 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 0
, ! Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify. that only contractors an,
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, thl
the permit card' located at the front of the property, and the approved set of plans will remain on the site at all times during the installatio'
of the sign(s).
Date 1'.(.qAt1
I': .
, .
I
Signatur
Validation:
Amount Received:.
I
dP tlo,'
3C) 0 8'lA
I?ate Paid:
I.
Receipt Number:
Received By:
<6-':>:'19
!~
.......-...,
',- ..
'" .,1.
.. .
SIG_N PERMIT APPLICATION
The application on the reverse side needs to be completed entirely, If you are the sign contractorlinstaller, or if you ~;e .J
hiring a contractor, 'you need to make sure that both the City of Springfield Business Ucense 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 y6u are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application.
/ - ,'"
- ....~.' .. . j
If there are existing wall and/or freestanding signs, a photograph!sl of each existing sign n~edll ~<!.. be ,,~t~ached I to the
application, The size of each existing sign also needs to be listed on the ~pplication.
, , '1;
PLANS
To submit for a sign, permit, you need to prepare two complete sets of drawings showing all diJensions, total height, and
a plot plan indicating where the proposed sign will be located.' If you are installing a freestandirig sign which exceeds 20
feet in total height, the footing detail needs to ba prepared and stamped by a registered engine'er or architect. After the
plan review process,is completed, and, if your sign Is) is approved, one set of plans will be returned to you. The approved
set of drawings nee'd to be at the site when an inspection is requested for the inspectors reference.
I
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:
.1
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,
i' , .
......
Electrical:
To be requested after the electrical\onnection to the sign is made, but prior to energizing:
" . _.. /- . . . ,
After all required i~spections are condu~ted and approved and the sign installation is complete.
Final:
The inspections that, are required for your sign installation will be indicated on the applicatior during the plan review
process. Faiiure to request ANy'of the required inspectioll!i could result in sign removallhorderlto inspecHhe sign at the
required intervals of work, . . i .
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, locatio'; of where the sign is being installed, the type of inspection you aie: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.
.11
City of Springfield
Building Safely Division
225 Fifth Street '
Springfield, OR 97477
"'.. ...
.1
..
SIGN PERMIT APPLlCATI~
225 Fifth Street .
Springfield, OR 97477
'.'"~":,,~~~::.
Office: 726-3759
OWNER:
1'60s "fCbt--lh--1'2....
17n-;aCO...J.<
L)IZ-l C Co '/
t--- \.-> . ,. Vt..c--
151 W l-r.-...
6JG~
a.-
~.Av1 ~(
I TAX LOT:
PHONE:
:..u 10 n
"3 L/2:, Ji {/i <!
I
Sij'>'-A
SITE ADDRESS:
ASSESSORS MAP:
ADDRESS:
CITY:
(jJ'L-. STATE:
J~ I tJ ittt-~ ~K
ZIP:
Cj 7 {6 if-
BUSINESS NAME, FIRM EiC,:
," ........
DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate information)
..L Wall
_ Freestanding
_ Projecting
Roof
_ Marquee
.1
_ Single Face
Double Face
Billboard
Other
Square Footage:
-ZCy{
Total Height above Grade:
/., ,
Vertical Dimension of sign or enclosure:
5 ' I . Horizontal Width of sign or enclosure: _5' I
~r:al Ins:llation: i YeS~3NO VALUE
.. /iCO 00
dditional ele~trical ~it' . ~I OF SIGN: '7'
Dimension from Grade
14 I
,to bottom of Sign Enclosure:
Material Sign is constructed of: A (.().L1 It j(~ nu1)t7~tsr
. , .. '." ~"" rAhlllres yOU to ' "
. t~:';~'\: fI'!"~ ~rloot;;d bv the Oregon Utility ,
List ALL eXisting slgnage tand,8tt8ch a.~tRll!''Y!!t RfrMch sign:
j-Jotific81101l1J.,n P.r. '"U~'" 'u," ~,.
lallType~R 952-001-\)010 throUS'c\! 9tR.95~~0~ ~
0090. YOU may OUl,,"'vvlJlo.. 01 \T1- W._, "
(c) Typ.elllinO thE' center. (Note~~~rFt~!ep'hon.e
numoef tor the Uregon ut~lIty.~~IIl''''''''V''
l -'-:("€ '~ ,.~\}V-~""'L. ..........-, .).
CONTRACTOR/INS~A~LE~: es~: fJ s:'~(PN i fJ-.<.<.) N ,I tJ c..
ADDRESS: 17..10 (JAIl- PfJ.nArf
CITY: G) foQ.-.v..JJ
(dl Type
NOT/(~I=.
AUTHTH1S PERMITSHA~XPIRE IF THE WORK
ORIZED N
Cm1r;(fr-D~' 9 . THIS PERMIT IS NOT
.. vC OR IS ABANDONED FOR
ANY180nAv~/Q~
(b) Type
PHONE:Ats - ~ (" .
, CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE:
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ZIP: 4-1 '-f 0 2-
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EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
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Sign Permit Fee:
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OFFICE USE
Land Use: C)_",>0'Tl Quad Area: '1C'.II.IIA)
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Code Section: <x. . ~I{. <l ( 1\
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Approved By: ~ DATE: 1~~7-C;~
Sign District: C OI'V. M H"'~J ~ (.L)M..
Zoning: (I.C
REQUIRED INSPECTIONS:
Site
to be made prior
. to sign placement
Footing
prior to placement
of concrete
~tachment
after fasteners are
installed/prior to cover
VElectrical
prior to energizing
electrical installation
,../ Final
completion of sign
installatioll
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 informalion he rei!
; is true and correct. and 1 further certify that any and all work performed shall be done in 'accordance with, the Ordinances of the City 0
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors an'
employees who are in compliance with ORS 701.055 will be used on this project. .
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I further agree to ensure that all required inspections are requested at the proper time, that project address. is readable from the street, thl
the permit card is locat d at ~front of the property, and the approved set of plans will remain on the site at all times during the installatio'
of the sign(s).. $1
Signature ,'(') Date q '0
1
lAm~unt Received:. l"II>4n ,i _
Receipt Number:
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Received By:
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Validation:
[)ata Paid:
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SIG"N PERMIT APPLICATION
The application on the reverse side needs to be completed entirely, If you are the sign contractor/installer, or if you are .1
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.
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If there are existing wall and/or freestanding signs, a.photograph!s) o.f aach ax!l!.t1ng sign n~ed.s to'be..!!!!ached;tothe
application. The size of each existing sign also needs to be listed on the application.
. ! 'I I
. PLANS
To submit for a sig'n permit, you need to prepare two complete sets of drawings showing all di~ensions, total height, and
a plot plan indicating where the proposed sign will be located. If you are installing a freestandi~g_sjgn 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 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 signlsl, you may be required to request one or all of the following inspections during the installation
of your sign: .
.1
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.
I . . .
Attachment: To be requested ~hen all fasteners .are installed but prior to cover.
Final:
..)....:- .,'J.
To be: requested after the electrical~onnection to the sign is made, but prior to energizing.
After all required inspections are condubted ~nd approved and the sign installation is complete.
: I I
Electrical:
The inspections that are required for your sign installation will be indicated on the applicatio 1 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 Nu~ber, 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.
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,
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City of Springfield'
Building Safety Division
225 Fifth Street ,
Springfield, OR 97477
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