HomeMy WebLinkAboutPermit Signage 1995-10-19
SIGN PERMIT APPLlCATIO_
225 Fifth Street
Springfield, OR 97477
JOW~BER O~ ~\4v 0
'Inspection Line: 726-3769
Office: 726-3759
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SITE ADDRESS: 155 l^ \?,c,-t A S-\<P-E"+ ~\n 0- k \
ASSESSORS MAP: I,O-:2,?,c""'''?_ J TAX LOT:
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OWNER: 6:Yrt {',n} Tnc.
ADDRESS: \55 ,^)fs+ Pr .C::VN:+ ~\rlg
'CITY: ~'\ ()r, JC\e.-\c1 STATE:
BUSINESS NAME, F?RM EtC.: (00 ( du1 Tn c.
PHONE:
lU,4- 324S
A-I
oa..
ZIP: OJ'l.JTJ
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DESCRIPTION OF PROPOSED SIGN{S): (please check and complete all appropriate information)
..:::i::: Wall
L Single Face
_ Freestanding
_ Projecting
Roof
Marquee
Double Face
Billboard
Other
Square Footage:
,iI
Total Height above Grade:
q'
.~/'
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Vertical Dimension of sign or enclosure:
"r-:s ,I
Horizontal Width of sign or enclosure:
Electrical Installation: _ Yes...i.- No VALUE
(If yes additional electrical permit is required) OF SIGN:
$.
(Pro
Dimension from Grade
to bottom oi Sign Enclosure:
Material Sign is constructed of:
ql
s;ntv0.
( WOOd '\
\ pJ--\-us
List ALL existing signage and 8tt8C~ a photograph of each sign:
(a) Type.
Sq. Ftg.
(b) Type
Sq, Ftg.
J ....J
NEW (c) Type \0"'.0/1..\,"\\ Sq. Ftg. \.~ (d) Type
- -~ O~ '-e-iO!Au" 1:....(. r-x.,; \ ,j,,,,-, P^,v-r..-r\u
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CONTRACTOR/lNSTALLER: Fe:.,+ A s;~n -T AIrX\\,(\~
ADDRESS: \ 2 ~ 0 (lA I( P ATCA-\ R ~
Sq. Ftg.
PHONE: 4~ S'SS;:I..{t..
EXPIRES:
ZIP: OOll 02-
2-I-Cfv
( 0- 3ty g (.,
CITY: I::. Uc:1.f\P .
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE:
9'5'712 'It
r'JR.,
CITY BUSINESS LICENSE NUMBER:
4S03Q,
EXPIRES:
Land Use:
Quad Area: \ ~I\ )ll ')
Code Section: q- 0.... \ tfJ C \ \
Approved By: 'u.N) _ I ~~. II? ) 'DATE:
OFFICE USE
Zoning:
Sign District:.ln.D(\-\\t kJ{\
00/
4\).00
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Sign Permit Fee:
\\'). \\0 q~
REOUIRED INSPECTIONS:
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
V Final
completion of sign
installation
Additional Comments and lor 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 describ-ed - herein. - I further c"ertify 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, and the approved set of plans will remain on the site at all times during the installation
of the sign!s).
Signature x1tfJh~ I-Ir~ Date )0-) 9-95
V
Validation:
//A._e:o
Amount Received: '?'L/
Receipt Number: J~Yc:>
Date Paid: /L> ./9.~,-S-
Received By:/'Z,....::--........ '"
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SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractorlinstaller, 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 andlor freestanding signs, a photograph!s) of euch existing sign needs to be attached to the
application. The size of each existing sign olso needs to be listed on the aoplication.
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 instal1ation 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 electricaf'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 inspectiof!s 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.
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City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
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