HomeMy WebLinkAboutPermit Signage 1997-8-7
SIGN PERMIT APPLlCATIOr SPRINCFIELD
,225 Fifth Street l~
'Springfield, OR 97477' 0 ~ tD;
SITE ADDRESS: J11.G., (' ~ ~..:t-A ~;~-tlL\ ~ -:'l"~ . _
ASSESSORS MAP: \V~~---= . TAX LOT: ---11.LX.X.:J
OWNER:t:hr,~,' 0 ~~~PHONE:
AOORESS~ ,~~-lUrn /aJ1 ~. M ' , '
CITY: ~~,;.. ^Q-~~ ' STATE:~ 7LOtlGE~(
~ ~ .F1 L,_ 'riISPER~
BUSINESS NAME, FIRM nc.: ~ ~.{hi~~ ~ ~ ~rSJt1~' . '
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DESCRIPTlO~ OF PROP SED SIG N {S J: {pleas e check and complete all approp rlate Infor.w\0~8I- 'ED OR 18 A 18 PERMlr OR/(
v DA)f PI: BANDO IS NOr
Wall ./' Freestanding Projecting , Roof . /tllilQ8.e 'NED FOR
Jor
O'MBER
Q'7rl%g
Inspection Line: 726-3769
Office: 726-3759
,4 .
L Single Face Double Face
Square Footage: ~ . .
Vertical Dimension of sign or enclosure: ~ '-1-,"
.
Billboard Other
Total Height above Grade:
y , q /1
C\~U
VALUE J-
OF SIGN: ;;p { I <?s:: DC)
Dimension from Grade . I #1. Electrical Installation: Y s ~ N
to bottom of Sign Enclosure: tf!...., (If yes additional electrical per it is requi dl
Material Sign is constructed of: ~L
(a) Type
Sq. Ftg.
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(b) Type Sq. Ftg, re,pl~~~ ~,
(d) Type Sq. Ftg: -U\~S ~l1"l.
PHONE: ~~' - )~h!t
List ALL existing signage and attach a photograph of each sign:
(cl Type
Sq. Ftg.
CONTRACTORnNSTALLER: H ~ S fTIf>. ~
ADDRESS:-A.Dlf ~~.E~ ~f.
CITY: ~.~ , .STATE:~
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: ~ ~
CITY BU'SINESS LICENSE NUMBER:"" ~/"15. '
, ZIP: q-,tf0.2.
EXPIRES:~
" EXPIRES: -1:!3QJ q tj
Sign Permit Fee:
~~
OFFICE USE
Land Use: ~ -m Quad Area: ~ 0 J\)uJ
Code Section: Q ... '1... \ 0 ("'\ '\
Approved By: ll.OOV~) DATE P1.l9 G{l
-
Sign District:~\!\2.tI\~ ~
Zoning:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Elec~rical
prior to energizing
,electrical installation
Final
completion of sign
install13tion
Additional Comments and/or Conditions:
By signature, I state and agree, that' I haye carefully examined t;,e 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 perrrdt 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 Sig:~ ) r. 6 ~ Iqo1
Slgnature-lJ~, Date DI'i (t
Date Paid: 95 -7~q 7
Received By: V\.I./
(J~
Validation:
Amount Received:
llO 00
:J,005
Receipt Number:
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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 i.f you are
hiring a contractor, you need to make sure that both the City 9f Spf,ingfield Bl!sine~s License Number ~and the ~eQ.istration
Number .from the State of Oregon Construction Cor,Hractors B'oard, are 'Iis'tedon -th'e application' a,Ion9 witt\ the e~piration
date of each, , , '
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If the sign you are proposin,g .toJQstall is illuminat~d:' an elect'rical per~it application also,needs to be.completed and .signed
by either a, supervisi[1g elechici'an.. limited sign ele9tri,cal contractor, or if you are the b,usiriess 6wnerf who' also owns the
buildi~g in1w~ich,~YOu .'~~e\9.cPJPying, and you will b,e p.e~formi~g the~lectr:cal,installat!on yourself, you may sign the
electrical applica!I.on, '.:....,' . ,",', \", \,,' < , . .,< "
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If there "are existing ~walr and/or!\:fteestanding signs, a photograph(s) of each existing sign needs to 'be attached to the
. ;-'! \\l,j'Ji1bphcatio'n::; T'R~ ~i~e o,nte'~;~t\\~~!sJl!1g sign also needs, to be lis red on the application. '
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i~(':\ ~.~': 1:.1.\::f,~/\c,Cy~,.;,,::j,:, ,:,:A,U~;' U..",; '01" 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 t-r~estanding sign which exceeds 20
feet in total height;; the footing detail needs to be prepared and stamped by a regis'tered engineer 'or ~rchitect. After the
plan review process is completed, and, if your sign(s) is approved, one set 0,1, pJans :will be returned to you. The approved
set of ~d,rawings need to b~ at the site when an inspection is requested for the, inspectors reference.
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INSPECTIONS
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Depending; on Y0U~ sign(s), you may be required to request one or all of the, f~II,9wing' inspeqions during the installa,tion
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 'perforn'1ed fo.r .the installation'.of thesi'gn. This inspection is required if there is a question on the
'~" ,': location of the" proposed sign... .. ,\ I ,.'"
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"Footing:
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" To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be
ele,Str)ca) conduit placed in the footing, it must also be in place prior to requesting this inspection.
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Atti.chment: To be requested when all fasteners are installed but prior to cover. .,'
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,'"' To be requested a fter the electrical connection to' the sign 'is: ma'de,"but prior to'l energizing,
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, ,Ele.ctrical:
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Final: After all required inspections are conducted ana approved'. and the sign i~st~IIatjon is complete.
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T.he inspectio~~ that are required for sour sign installation will be indicated on the application duri~g the plan review
process. . Failure totrequest ANY of the required inspections: Could result in sign removal in order to inspect the sign at the
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required intervals 6Lwork. " ." " .. " ,;;,\
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To"regue~dninspection, phone 726-3769. This is a 24h6Jr i'ecording. On the recording you will need to leave your City
De'signated 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.fr. will be made the same
working day, all inspections, ph~ned in after 7:00 a.m. will be' rr1?de the fOl,lowing work day.
If you have any questions regarding the application, requi,red' 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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