HomeMy WebLinkAboutPermit Signage 1999-3-31
SIGN PERMIT APPLlCATI.
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
J.UMBER Ct q () 3 7 0
Inspection Line: 726.3769
Office: 726-3759
SITE ADDRESS:
ASSESSORS MAP:
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LL (OM r"m(o,l5lJ,-t;; PHONE: -';''1/. 7l1b' g'tj-iflj
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ADDRESS: ":? I.j() ") B Ja I cI v
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CITY: Sf) (li w(J f,;.. J J
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OWNER:
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STATE: () ~ e
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ZIP: Q'14-77
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BUSINESS NAME, FIRM ETC.: -r J:) / (j.:s
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
Wall 1 Freestanding _ Projecting Roof
Marquee
Single Face ....x... Double Face
Square Footage: --1..!f.7.' ~r
Vertical Dimension of sign or enclosure:
Billboard
Other
Dimension from Grade
to bottom of Sign Enclosure:
:)//
~. or;-/
Total Height above Grade: (#,.J
1'1/ __ n I Width of sign or enclosure: I:?"
/
Electrical Installation: 1 Ye _ No
(If yes additional electrical per . is required)
VALUE II ,1'/ (>
OF SIGN: -r (90 O,d
Material Sign is constructed of: Alu,.. ( '/4 6, ill .... { '"
bi""f'-l>.l i" ,;-.;:-.JIt:Hlun law Ir.1Ciujr~s you to
fg,lIow r\!les adopted bytne uregon U\IIllY
List All existing signage ~~tltT8a'\TSrl'~aRt&\l!'II!fu!le'lMllSli!P1l set forth
in OAR 95~~0~ -001 0 through OAR 952-001-
lal Type UUl:IU, TOLl ma/8bl"iol e6l3ie~ sf the rl.l1l3s'tP}'
Icl Type calling ~ qqeter. (Note: the te'e.~?fK
numberfor'the 0regu1I -i,i;;,y fJvtiflC I ype
CONTRACTOR/INSTAllER: JI~ ~7'l'':;; c~ ~~:A2.. L L c
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P~/IIA ..(,/..,...
Gr...",.
NOTICE:
THIS f!l?1\1'~;r. SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS- t't:HMIT IS NOT
vvrAJ€Nclfu ;:;F; I: AI3AtmONED FOR
ANY 180UAY I"cnIUU;
PHONE: t;'~.:J -'1(1,f.. fi'SI6
ADDRESS: /1tJ /.3 N F IYJR 121t'
CITY: jJrlR I / A ud
5-r
STATE: ORe
ZIP: Q72'Z.6
EXPIRES: /. Z 9- 0 0
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: 12"/ f? 70
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District: J.- 6 ('..I)I'l.....-KRx.l...JL
land Use:
'5 ~ 0'1>
Code Section: Si. 2. s iJ, C ~ )
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Quad Area:
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Zoning:
('~L
Sign Permit Fee: ;Jb ID1l, -
Approved By:
DATE: 3 - =>'0 -c, ~
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
.v' Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
V Electrical
prior to energizing
electrical installation
vFinal
completion of sign
installation
Additional Comments and/or Conditions: ? Ja,hi (I. -'F...:d- ~".J f'&-t- fv ~SW<1..H lh^-
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 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 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 instaliation
of the signlsl. / .
Signature ~-:::6d ;fiA~ Date -:s- ~ r:- C1r
Amount Received: j (tJ1). -
Validation:
Date Paid:
3-:,I-C)"'l
Receipt Number:
~?'"")~I
Received By:
;OJJ
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SIGN PERMIT APPLICATION
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The'application on the reverse side needs to be co~pleted entirely. If you ale"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 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 photograph(s) of aach axisting sign needs to ba 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 :01 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 signls)' you may be required to request one or all of the following inspections during the installation
of your sign:
Site: To be requested aftar 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
',1'\ .
)"-"'1. . 'JH -. - . .Iocation of the proposed sign. .
"k..rv:~ : 11 irJ!'li j 11'<1' ....':.,,-;. :~t .. '
T;;'12.1 F,qmiQ.g:r Gi nT,q~Il,,~e~uest~d ~ft~r~.xcavation and the forms ~re installed, but prior to pouring concrete. If there will be
0"" . electrical conduit plac'ed in the footing, it must also be in place prior to requesting this inspection.
,n ,13W1tH'Ii\':1\ ,;' ;:' '.J;;~iti:lr':,:vlO::J
Attachment: To.be requested,when all fasteners are installed but prior to cover.
.' n.!ln'..'. 1 H'.i utir Y~J\ . .
,
Electrical: To be requested after the electrical connection' to th~ sign is made, but prior to ~nergizing.
Final: After all required inspections are conducted and approved ana 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 application, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477