HomeMy WebLinkAboutPermit Signage 1996-8-22
SIGN PERMIT APPLlCAT.
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eNUM.BER 9~" 0575
225 Fifth Street
Springfield, OR 97477
Inspection Une: 726.3769
Office: 726.3759
SITE ADDRESS:
ASSESSORS MAP:
TAX LOT:
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OWNER:
PHONE:
ADDRESS:
CITY:
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ZIP:
97{j77
BUSINESS NAME, FIRM E,C.:
DESCRIPTION OF PROPOSED SIGNIS): Iplease check and complete all appropriate information I
Wall 1 Freestanding
Single Face 1 Double Face
Square Footage: 97,S #
7'/ '/
Vertical Dllnenslon of sign or enclosure: . (0
_ Projecting
Roof
Marquee
Billboard
Other
Total Height above Grade:
A-t?f~"
13 f~fI
Horizontal Width of.-Sriln or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
Electrical Installation: V Yes _ No VALUE
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or C/ (If yes additional electrical permit is required) OF SIGN:
51CEL- Sfft::=f HerA-L- f=at::JlZE!:rl!JTS- LExA-1J - V/Nl.[L
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Material Sign is constructed of:
List ALL exisling signage and attach a photograph of each sign:
lal Type t:f F MOnU mfn'tsq. Ftg. OJ l/ ~ Ib) Type
Ic) Type Sq. Ftg. Idl Type
Sq. Ftg.
Sq. Ftg.
/t(lJ-ffliJ Ibee.S' >tMS
ADDRESS: !loti JetTeJZSON sf.
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CONTRACTOR/INSTALLER:
.PHONE: 3'1;}.-/7b'1
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CITY:
STATE:
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ZIP: Q7!./O 2-
EXPIRES: 3/9;2-
EXPIRES: ~/9:?-
hl/~/f}
9C)-03'1b
CITY BUSINESS LICENSE NUMBER:
OFFICE USE I. )
Sign District: Il\.l~l) t'G'Mfi~and Use: ~~() ~ad Arfl' l(l JUv .
Zoning: \l ~ . Code Section: L\ . f! .l4l ~)*. .
Sign Permit Fee: 'If) CXJ Approved By: J-m ~rt ~ l~ \~t~4BC1i{2
REOUIRED INSPECTIONS: /' /
Site ~oting Attachment
to be made prior prior to placement after fasteners are
to sign placement of concret~ installed/prior to cover
Additional ComTents and/or Conditio . JlOl) O~ . blt. I
() .;c, . a.l 0 -6
~C!rical ~inal
prior to energizing completion of sign
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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
Splingfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only conlractors 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 aU times during the installalion
of Ihe sign Is I.
Validation:
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Date
'1S-"2."2 -'1 Co
W
Date paid:C\ . 'llJu,JtJ
Received By: ~ J\1A ..J
. Signature
Amount Received:
Receipt Number:
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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 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 b.usiness 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 photograph(s) 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!sl 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 inspector.s reference.
INSPECTIONS
Depending on your signlsl, 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 ihat 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 application, required plans or inspections, please feel free to phone the Building
Safety Division at 726.3759.
City or Springfield
Building Sarety Division
225 Fil'th Street
Springfield, OR 97477
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