HomeMy WebLinkAboutPermit Signage 1998-7-8
SIGN PERMIT APPLlCA TIC
SPRINGFIELD
Jr
'lUMBER 9 <t t5t:s L/
I
OWNER:
225 Fifth 'Street
Springfield, OR 97477
Inspection Line: 726-3769
Office: 726-3759
9 79'~7
CITY:
STATE:
ZIP:
J 7c2/ 7
BUSINESS NAME, FIRM ETC.:
/)IiJ
~
7>T"Lc
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)'
)( Freestanding
X Double Face
Square Footage: /DO.s ~ ~/,
o ". .
Vertical Dimension of sign or enclosure: /0 HOZ?Ji Width of sign or enclosure:
Dimension from Grade '7 I Electrical Installation: J( es No VALUE
to bottom of Sign Enclosure: (If yes additional electr I mit is required) OF SIGN:
Material Sign is constructed of: ft ~ a/YJ '"
Wall
Projecting
Roof
Marquee
Single Face
Billboard
Other
Total Height above Grade:
/7/
/
/0
eJO
3000-
,,(..GXA;U (P~..cr.sr/e.)
.q 7)-,c:: 1 \
Iv. 'V./IOIItt \'\ liD^,. '
List ALL existing signage and attach a photograph of each sign: i Otit;cq,,:lJ/es q . Dreg,
'f1 0.qJ,1' /01] C dOlJt 01] /qlltt
(a) Type', Sq. Ftg. O~lllp<.Oc el]ter ~% by tl1l:.rp~ '
M cq/f.' olJ th "00 Os e 0" ~ YO '
(c) Type 1 O~ Sq. Ftg. 1]~I..~fI1€ qy Obl_~O th,.('J~ "l#tfs~fI.~1] 11/~:0
ft -. ve,. 11 "'en ~1T1 -q{Jh 'it~s :y,
7..<i' "t' . 0,.,,., tSr ~\COl>i~ OAb SSt,^ '1
"'IV); 'lith ; /. '-'el]!. .., U"e \' O/s. Of Ih . J~~~'J
CONTRAC.ifQ.RJIh'~L~AiS'p. #cAT // c-5'/t7V.s e,.;S 7VJ~01]~/hsf~/~ e~ : ~3;2-,;2~;lD
"'~CI.-'T/<J.~ I~rr't- ' 'VO'aa.'lJt Iv. "':PI10 ~
:ADDRES~4t. ~'VtV'~ .~/~ / 7 T?-I ~-<~/il;Cllti~~
~, ;y. 0 'fY 11t1. If:' 1; ,. I
CITY: _/-/..L~~ IS11?A O'p~,_ ft~'4t) STATE: I) /!. ZIP: 9 7;;?O~
. .100 rr/~(),' vii,. I'j'k , / . J.
CONSTRUCTION CONTRACTORS Ri:"&~~UMBER: /;;(7 87D EXPIRES: //019/80
011 / /'
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Sign District: ~~~./(\_ ~W ~
Zoning: '~ -./~
Sign Permit Fee: ~ t') D ,00
OFFICE USE '\.
Land Use: ~ ~CX) Quad Area: ~QJ\) lLJ
Code Section: Ja, .t-4R C1- J
Appmved By, ~~ J'{C\~lL DATE, O. .'64g
REQUIRED INSPECTIONS: -
Site Footing ~chment ~ ~al
to be made prior prior to placement after fasteners are prior to energizing completion of sign
~d~::o~~~i1~~:~~~~~~~;W;r(oS~inS~~MnY
- - - - - r- - _.0 -
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 perfo'rmed 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 t~e p~ J~ approved set of plans will remain on the site at all times during the installation
::g:h,::::nISdhb/~(b Dole pA/? .
Amount Received: . \ \'1:J ,C}...) Date Paid: '\ .~w:r .(Art)
Receipt Number: !3}::f6 ~O Received By: ~UJf)..,).
Validation:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are 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
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 and/or freestanding signs, a photograph Is) 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 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 signls) 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:
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 questio,n 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 ~he 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, ~If itlS,J!je~tiori~ phoned in after 7:00 a.ni:":-Vil~:~e ~e the following wor'f: d~~, ", I~ ~t ,. "';~~{:
.. . ~ :'. ...",) . .' ~ ..,. ~ .~. ~.., 4~ ,\. :. J ." .' ,.' / f t\# i I' , ..:
If you have any questions regarding the 'tlp.lJ.licati6n~ }equired plans or inspections, please feel free to pl)on~ the Building
\: t.."...... ;" . .
Safety Division at 726-3759. . "I, ',,~.... '~; 0 ·
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City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
..: ',' " ,', ,.t
SIGN PERMIT"APPLlCATIC
225 Fifth Street l~ ,
Spc;n,field, OR 97477 -..._
SITE ADDRESS: S/Lj 4) S"7/iEt:::-T"'. "VAJ,€/fiJ6rAELD
ASSESSORS MAP: t2DS2l17'2lf-D ' TAX LOT:
OWNER: VAJU 6; oTe /-I
ADDRESS: .9~9 /V '/c)~r:J/I AaJJ::.
CITY: ,- 41--D
SPRINGFIELD
JO~ "UMBER q" 0 ~ -5 '-f
Inspection Line: 726-3769
Office: 726-3759
BUSINESS NAME, FIRM ETC.:
/1/ IJ)
STATE:
'rT,LE
PHONE: rs-O:3 )
-,
-L ~~ _ v~/U6
o/e
.LO/t)U5
=/J
. O/C-.
L..... ~O..s
Cl)9 :s- -/7;2-1
97~,L/7
ZIP: 77;;2 /7
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
.4')0..'>'
" "'1:2
IV; 0//0 ,lvl{,
" Of 'it: /1t 1",,1. Otv'O
II} 0 oilf,' e.s . ~e
(b) ft(!jgor;qly ~Of) c ilC1o%'(J~ Ftg.
Oel."' }oil '<-OO~' 'Ier. 'h tI by ~ I"eq", .
(dn};~~~ i ""~J.' 0 -On.Yn 1}~8'~ ~~"e '11"61.<:> ~
'Oe;,(~,f)e 0"" 'Ofal.. fl}I"(), I ,It/(},,,_ '(JOn', 0" fl'l
, Vi II} 'Ie 7 (.' .~f) qr. ""1//
CONTRACTOR/INSTALLER: /lE/9 7}-1 c5i67;J~ Cel}f~~~Ol"~(1V01~/e.s()?.<l~.s~~3) ;:(3:<'-~~O
. / . ,~. 1 .:::tul} -. (f1. 'Il .. ~<-a 'I'
ADDRESS: ~ ~11 J G. /7 'n-I -800_,?~fi/itv~~e/e::"/e.s'fjl-
P\ v2<..;'];'~.tili~~ ~y 9'//)./").0"')
CITY: "H"L 7J STATE: C)/--' Z ~'-'1 /<:::KL-/C>4....
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: /0(7 870 EXPIRES: j ~9 /00
. / /
CITY BUSINESS LICENSE NUMBER: ~ ^ } EXPIRES:
\ .
'I... Wall
I
;< Single Face Double Face
Square F99tO~ J/. S-o
~ 'i1
Vertical B~~'iO~f ~ or enclosure:
Q~)~7~Q ,~~
Dime1pfln ~J~& ,/ Electrical Installation: Yes
to botto~f . '\I~as~: /0 (If yes additional electrical permit i
!?() ~ %~r( &, /J / /) ('_-
Material Sign~J8. kol'J.tru ~~ /v' ~ ?L/Y? .. / nt""'::'
/V ~J)'/c ))' /.< .
~ 0' -'t Nf~,.('
'u '<i 'o~ "'^'
List ALL existing sig~age ~~Qa~ ~otOgraPh of each sign:
~ ~ ~A
(a) Type ~Q ~.ut-~
(c) Type ~Sq.V~g.
Freestanding
Projecting
Roof
Marquee
Billboard
Other
Total Height above Grade:
/.:<
"
B /1
/-
or enclosure:
Q)//
;J, /OoD
VALUE
OF SIGN:
OFFICE USE
2..~ AVuJ
Zoning:
Sign District:~~
~~ ~
L\t)(D
Land Use: ~W) Quad Area:
Code Section,. ~. ~~(\ ~
Approved By: ~.)(_ J1-~
, \
DATE: il--- S.c ~
Sign Permit Fee:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~ttachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~al
completion of sign
installation
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 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 peem;t "cd ;s located at the lcont 01 th~prop., y, and the approved set of plans will remain on the site at all times during the installation
of the sign(s). / p~ ? d # _ ~. .
Signature d //~ '~~ Date 7/?l dff
v - / /
Receipt Number:
,~)oo
.~tJ~-{\CJ
Date Paid: J. ,1,' .1- L\ .q ~
Received By: \j\\t1\-=
Validation:
Amount Received:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are 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
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 and/or freestanding signs, a photograph(sl 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 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(s), 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:
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 recordfng. 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, 1111 itlsl>ecfionsiphoned in after 7:00 a.m. will.b~tTtade the following work qav', ',' .... ....'
~ ..... \ . " ..
; . ',. .. . ).. . . [ ,_ j _ i
If you have any questions regarding tl1e appl~catiOn,' reql!lr'ed plans or inspections, please feel free to' ~'lO!\Ie the Building
Safety Division at 726-3759. '.., . ~
~ I
.'
'.,
'r'
~ .
It ....
l ,
'.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477