HomeMy WebLinkAboutPermit Signage 1997-4-14
SIGN PERMIT APPLICATION
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SPRINGFIEL.D
JOB NUMBER C( 70557
.nspection Line: 726-3769
Office: 726-3759
SITE ADDRESS: 111ott> S' 4..Al(
ASSESSORS MAP: 1"1 n '17 'hll? l} I
OWNER: -:S-\-e."e.. ..\ VY1eLi ?5A
ADDRESS: ~sq ItJ'1 S,
hR, 9.7//17
225 Filtll Street
Springfield. OR 97497
PHONE:
CITY: -C:UJlPI'\D_
o
BUSINESS NAME. FIRM E,"C.:e)(C.LuSiv~ ''1
STATE: f'YZ-
Adul-l-
ZIP:
Q7l/0.2
Freestanding
_ Projecting
Roof
Marquee
C9
(please check and complete all appropriate informationl
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Square Footage:
Double Face Billboard Other
10'O)/, _ - - Total Height above Grade: ~('_of0_
is f_ 0' I) /' Horizonta!IWidth of sign or encl:~- ?""~
, It~lnstallatio~?;eJ No VALUE
I ::J -() Ilf yes additional ele permit is requiredl OF SIGN: I 500. 00
Vertical Dimension of s.
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed of: RIUIIYl;{1<AlffI
\A)L~ -forMed- ~ce ~ E?w'Ity,c,SP-d
t:hf"C
lal Type
Sq. Ftg.
(bl Type
Sq. Ftg.
ttppLtCt4-+t-o,,:>
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List ALL existing signage and attach a photograph of each sign:
plaa.. Se.. '5oeJ2-
SCS<'- p2(mi-l-
Icl Type
Sq. Ftg.
(dl Type
Sq. Ftg.
CONTRACTOR/lNST ALLER:
yY)1lR~l{\ '~oS, S~o."S
PHONE: SL//- ~ ;;)- 11 lP1.-
ADDRESS: ;::;)()\.f
CITY: P'A~~
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
..:::It rr:-b-=>ON
STATE: O~
I,., If tol 5?
ZIP: Q7lfod
EXPIRES: ?;, - 9 -1 '6
EXPIRES: (0- ~o-q7
CITY BUSINESS LICENSE NUMBER:
QlJ()1./ J'X
OFFICE USE
Zoning:
Sign District: ~I (}/
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f,(J Ih.mw r.i t.<J
IfJ.~
Land Use:
Code Section:
r:1 'JJ 01) Ouad Area:
q/ l' ill, (J)
2. UIl)
Sign Permit Fee:
Approved By:
DATE:
Lf//1-tJ1
REOUIRED INSPECTIONS:
Site Footing V Attachment .,/ Electrical ./ Final
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 Comments and/or Conditions: -bJ..Mh' ~M. ~ _ ('.eo, 1lJ. rlGL Cl:k'.
+, Wu fn__1 vt5:s\-zt.L{ {( ft fr1f.J _
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU 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 wllo are in compliance with GRS 701.055 will be used on this project.
I furtller agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, tllat
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 tile signlsl.
Signature
\)0/1 ('\ ~
"--'"" -
~rion
- fJ
Date
tf-/If-q 1
Receipt Number: -;2... ?~6
Received By:
S/- :? ':7 ,:;>-::::>
/Z..-~ -
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Validation:
,--., ~- ~,:;.
Amount Received: ./~.
Date Paid:
.
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SIGN PERMIT APPLICATION
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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 jf you are the business owner who also owns the
building in which you are occupying, and you will be performing th.8 electrical installation yourself, you may sign the
electrical application.
If there are existing wall and/or freestanding signs, a photograph{sJ 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(sJ. 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 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 ap'plication, 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