HomeMy WebLinkAboutPermit Signage 1992-10-28 (2)
SIGN PERMIT APPLlCATlO JOB NUMBER qA I\~II)
r'/"~. ~ /J>.~ .spection Line: 726-3769'
;> f1) III O~ ~-l, 1:LUJ cfJ)ice: 726-3759
-, . ~. - TAX~fr: .
OWNER: C <./ /7.. 1/.$ !? t::ds 1/ /l.A Ie. ..;
1/6 L ~ A-JF- WAv/
CITY: 5/?1</1/.-c; .,k'/E/.h
r
BUSINESS NAME. FIRM ETC.: (1/ /2. 1,5-
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
ADDRESS:
J"v l7P~'/
/ '
h /)~P
PHONE:
~ % 7 - &' )-2-c,
STATE: /"?.i! r=
i? ,= 5 .-J. A 1/ /l11n..rJ
ZIP: ~q 7/7'77
:\1-' ppf..;
II
DESCRIPTION OF PROPOSED SIGN IS): (please check and complete all appropriate information)
Wall V-;:estanding _ Projecting Roof
Single Face ~ble Face Billboard Other
Marquee
Square Footage:
go S a Ft!.
Total Height above Grade:
,;)~I
/~/
Vertical Dimension of sign or enclosure:
_/
,,?
Horizontal Width of sign or enclosure:
Material Sign is constructed of:
I Electrical Installatil"'ln' l VPC: ~. VALUE
/7 IIf yes~ditional electrical permit is re,qUir~dl ')F SIGN:
?J. Fr S ..j ,,'.:. ;:} /J/ V /YJ p: pi iY C-
<It)
t::ooa
Dimension from Grade
to bOllom of Sign Enclosure:
list ALL existing signage and attach a photograph of each sign:
(a) Tvpe
Sq. Ftg.
(b) Type
Sq. Ftg.
Icl Tvpe
Sq. Ftg.
(dl Type
Sq. Ftg.
CONTRACTOR/lNSTAlLER: /YJ.f)f({/~ B/lIJS 51<'?~3 / /A-t!
ADDRESS: ,..;}tJ t../ J~,t:"/' .t/t5~N ? 0, &tJ rx ~()~9
CITY: ek uqJ5~ STATE: 0~
00"'''"'''0' ,~"""o" ''''''''''0' !'\''1!''l' 'vAxi I Q \
CITY BUSINESS liCENSE NUMBER: q ~ ~-.D_. ~ .
. PHONE:
3'9:? - 170 '1
ZIP:
7/~6~
EXPIRES:
EXPIRES:
lo.?f) .cr~
OFFICE U~E
--....
Zoning:
Sign District: .:c - ::: ) (\.()ffi .JY\and Use: ~ '?-Kt) Quad Area: \ ~ i\ ') (0
0f' / Code Section: . q - f! - \ ~ ~_.
ou '\ ,- , f1 (j' .
Sign Permit Fee: '1().' Approved Bv: .\:,\Jj\ /~:r\l . DATE: lb. 2-""1 '~I2-
REQUIRED INSPECTIONS: ~ s\:5 {\-o.. )
Site JM\ Footin: D
to be made prior rior to placement
to sign placement of concrete
Attachment
after fasteners are
installed/prior to cover
WElectrical
prif?r to energizing
electrical installation
<--/ Final
~mPletion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that r have carefully examined the completed applicDtion 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 01
Springfield, and the laws of the State of Oregon pertaining to the work described herein. I further certifv that onlV contractors and
emplovees 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 propertv, and the approved set of plans will remain on the site at all times during the installation
of the Sign(~ .:J /J
Signature . X/ ~ ~ (~4/J.- Date / t) _ 0< !? - '7 2--
Receipt Number:
fIU.CO
lo~o~
Date Paid: -LD '7~' q:+--
Received BV: ny lJIl. ./
Validation:
Amount Received:
~.-
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirelv. 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 01 each.
If th& sigh If{lu 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 Ihe
plan review process is completed, and, if your signls) is approved. one set of pla~s will be returned to vou. The approved
set of drawings need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your signls), you may b~ 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 inslallation 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 vour Citv
Oesion<ltcd 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
Safetv Division at 726-3759.
City or Springfield
Building Sarety Division
225 Firth Street
Springfield, OR 97477