HomeMy WebLinkAboutPermit Signage 1999-6-28
SIGN PERMIT APPlICATIOr
SPRINGFIELD. .
JOP ""JMBER qqo Of 44
225 Fifth Street
., Springfield, OR 97477
SITE ADDRESS: <{'lJ1) .
ASSESSORS MAP: 1"1 n ''S
Inspection Line: 726-3769
Office: 726-3759
~'~ i3>
-
,~ yo v
;:; 4- 0-0
~('~ R ~~
ADDRESS: 3~~~ ~~ V..~
CITY: ~l 0+>'~
BUSINESS NAME, FIRM ETC.: G-A-l--e.u.J"
OWNER:
PHONE:
-=t- 't 4. - 'i?'i q~1
~o
OlL-
Th~ 'P(~"
STATE:
ZIP:
Gel ~ '/1(
u
DESCRIPTION OF PROPOSED SIGN(S): (please ,check and complete .all appropriate information)
/ Wall Freestanding Projecting Roof
~ingle Face' Double Face Billboard Other
Marquee
c; q (;
H '
of sign or enclosure:
ff
/S--<{
I<{"c)
Square Footage: <6~ (J 1 J.;r'
6v
Vertical Dimension of sign or enclosure:
Total Height above Grade:
Dimension from Grade "
to bottom of Sign Enclosure: 11- A
Material Sign is construc~ed of: .~ ~ PI "t.A-\" L' ~ F a.-II " A .
VALUE
OF SIGN:
~ .t-.. ^-lit. e .
~ ~ I ODD
\ i ~lJ-i ~l 1\
(cl Type
Sq, Ftg.
Sq. Ftg.
(b) Type
rI0TI~E~
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZ~~t1~.ER THIS PER~IT_I~ NOT
COMMENCED OR IS ABANUUNtU ruR
ANY 180 DASfp~liltOD.
List ALL existing sigr)age and attach a photograph of each sign:
. (a) Type
(d) Type
,
CITY:
STATE:
;~\n1:j,n-llJi\tOre~on !aw requires you to,
tnllnwrl'/oc:!""~chIII'lJE\Ub_O"_ U"'-
-- f.1l a-o,. ""... ""~VII II ny
~otlflcatlon Center. Those rules are set forth
:~ 0.^.R ~&2 DO~ -(;~ 1 J il uuugn UAH ~52-001-
0090. .You.may o~ copies of the rules bv
valllll!::J me center. (I-Jote: the telephone
number f9c~~S}regon Utilitv Notification
Center is 1-800-332-2344)..
EXPIRES:
. CONTRACTOR/INSTALLER:
ADDRESS:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:.
- 'pTY BUSINESS LICENSE NUMBER:
'-.
, /
'.
OFFICE USE
Sign District: fJI') I\A..~ (on,&,.
Zoning: U
Sign Permit Fee: e!i '1 D .
Land Use: S '30 <::) Quad Area:
Code Section:. <(,. eX Ll<:t L')
Approved By: ~. (A) ~
\c~0
DATE: 1- I ;;)..-cr9
REQUIRED INSPECTIONS:
Site Footing VAttachment vElectrical VFinal
to be made prior prior to placement after fasteners are prior to energizing completion of sign
to sign placement of concrete installed/prior to cover electrical installation installation
Additional Co<ments andlor Conditions: ..p J . Pl },; P.A.9 ~ ~ ^' b~. ( v,...;", j" lA<.. ~ !...u.J-.'....-
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inform.ation 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
Sprin.gfield, and the\.aws of the State of Oregon pertaining to the work described herein. I further certify that. only contractors and
em'pltlyees 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). '
Signatured~,~.
Date 0-2 P'
17
Received By:
,
'/!7/tY ,
, '( 1./
C tJA/
Receipt Number:
GJ
7() .
O~Lff7ff
Date Paid:
Validation:
Amount Received:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely, If you are the sign contractor/imhaller, or if you are
hiring a contractor, you need to make sur~ 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 photographls) 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
pion rClVh~w proco.. II complotod, and, If your III;n(8) III apprOVlild, 01'10 liCIt Of plcn. will be roturnod to you. Tho tlpprovod
set of drawings need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your slgn(s), you may be rel1ulred 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 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 ..J
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 726-37.59.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
~. SIGN PERMIT APPLlCA TION-
,) 225 Fifth Street
Springfield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
cgoo ~~
110 ~ lS 000
OWNER: >y C A" E
ADDRESS: "5 /;J~S- 'ZJC4ld V I/,'e LJ
I
CITY: 5'p"...,.~ f. Ut. ~
J
BUSINESS NAME, FIRM EiC,;..,' aa.*"'JA.Y
C\qo q ~4
JOB' ""\t1BER
Inspection Line: 7 2 6-3 7 6 9
Office: 726-3759
~"'2,
S1' A-
~ .
TAX lOT:
_d- '-l 0-0
. PHONE: -:r y' - ?' 0/ If 4
Lt:c.hf:)
STATE: tJ'/L ZIP: '9 ff+.+.
hu::y~_-J-.,o/a.CL <(;00 UC!./-t-J,'cu. iJu,"Jd ,'r.'9 3
., ~
DESCRIPTION OF PROPOSED~ (please check and complete ~!I appropriate information)
V Wall Freestanding Projecting Roof
I
Dimension from Grade
) J '- ., "
to bottom of Sign Enclosure: '-
Material Sign is cNofle~:f: /?;~ -h. Jl d- ,.::;Z~: r+~; c F~c.JL~
THIS PERMIT SHALL EXI-'IHI: It' I Ml: vyunl'\
List All existing sA~T~OAI~E6tlJf~b1:~"?J.\Wf~lfl~rWr:
(a) Type COMMENC!:~ QR~,PlBANDmIED FOR (b) Type
(c) Type ANY 180 DAY PEFtlQPFtg. (d) Type
Y Single Face
,
Double Face
Square ~,ootage: U /j -W
Vertical Dime~sion of sign or enclosure: 57"
CONTRACTOR/INSTAllER: ./?'J4"Y+/d\
ADDRESS: ~ () t.../ JI? f..f::e. y ~ () ,.,
Marquee
Billboard
Other
/ c:-/_. c- '/
Total Height above Grade: ~ 0
/ (? /J. 0 ' ,
Horizon 0
VALUE
OF SIGN: ~ t) p (!J ~.
...:'
I' ;
r?/7S'. S'./ ~", r IkJ r .
"
.I-\J2.(j ^ )""7 A f,or. 1
i.' ;rENTI6N:Oregan law requires youto,
fi)iiow rules adoptea oy me url:lyulI UlIlJlY
f..ioWlG5.tion Center. Those rules are set forth
it, (: ':XH 952-001-0010 through OAR 952-001-
'., Sfl,,,f..:otQ,,,..-\.: e....t~in r~ni",c:: of the rules by
...;,:...,.;il.l". T [I'IIU,.1 _ c:... ~. '
cs~~i'F9J,he center. (Note: ,t~e tel~~ho~e .
tn...;{;ber foTtl j~ C, ~~U, r Ut,Hty Notification
~ l ,- ~ ,,~n l)"ll IlI)AA)
V..."I ':'1, ...:.. , c.~,~ - .
PHONE: .3 0/2-/7-61
CITY: ~Uo-L e..... e:
. /
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE: O~
ZIP: 7~ t1'2-
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
EXPIRES:
OFFICE USE
Sign District: (l D~~{\J)t'\A..r\^-land Use: '5 =:,00 Quad Area:
Zoning: ~ Code Section: q.;:).. 4. V (I ~
Sign Permit Fee: t1f 7 p-' ~: Approved By: 9><' 4.t1{- lJ) ~
REQUIRED INSPECTIONS:
. Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Additional Comments and/or Conditions:
IC, t\. \ LU
DATE: '1- fri.-Cj -=t
~ttachment
after fasteners are
installed/prior to cover
V-Electrical
. prior to energizing
electrical installation
~Fi~al
completion of sign
installation
E.1.JLfl~CL-P U~
A<. o.l~1~ h, V\L<'~~'o--
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 readcible 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 :# ~ ~~~
Validation:
Amount Received:
Receipt Number:
Date
t6-~9--7'7
7o~
6~LfRt;5
Date Paid:
7tJJ!2j /
~JtJJ
Received By:
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 Busi,ness License Number and the Registration
Nuinbe! .from the State' of Oregon Con'struction 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 yciuwill 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 wilibe 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(51 is approved, one set of plans will be returned to you, The approved
set of drawings need to he at the site wh~n '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 req~est ANY. of the required inspections could result in sign removal in order.to inspect the sign at the
required intervals of work.
To request ~n, !l!spe"G~iqn" phor,e 726-3769. This is a 24 hour recording. On the recording you will need tq leave your City
Designat~8 ~oti\NumberHoda'tion of where the sign is being installed, the type of inspection you are requesting, and when
y~.u winrJje;:~$'agy.:\f,otCtttE;ldl!~P~9.ti.on. C'HlensE!'lR!ions called in to the recorder prior to 7:00 a.m. will be ~ade the same
working, day"all inspections phoned in after 7:00 a.m. will be made the following work'day. '
"ti :.,J.:,r .~jl..\~::: \ f iJ/i:.~~.b lH!~~ f..:~~t<f~il. i2 ~tr~ '. .
If you h~.v~':$lQy.:que,sti9r;ls.freg?!<:l!r:Q;~h't:~.8R!~c~Jior;,'required plans or inspections, please fe~1 free to phone the Building
Safety Divi~ipr.:,~,t 726-3759.' " - . . " '
i~I(:.~/ .,,;'-;" . ~
. '
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
. ,
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