HomeMy WebLinkAboutPermit Signage 1995-8-31
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~.. SIGN PERMIT APPLlCATIOI\'.
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SPRI~GFIELD
JOB.ER QS\ 3lg
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS: III ~,('h
ASSESSORS MAP: ~~
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I nL(;S- A/Or+/-..
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TAX LOT:
Inspection Line: 726-3769
Office: 726-3759
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O.oJ..fX-./ '~/f~r - {fell!i.HOV\
ADDRESS:
CITY: Yh:J.
IJtrl
PHONE:
(,ff1~'L 4J .
STATE: ell-
A Vh€1/':r r~
ZIP: C1fel2(;z
OWNER:
BUSINESS NAME. FIRM EOC,:
I" 1,~J~lr-'e~d f
DESC~I~ OF PROPOSED SIGN(S): (please check and complete all appropriate information)
6- Wall '_ Freestanding _ Projecting Roof
~ingle Face Double Face Billboard Other
Square Footage: In/- S Total Height above Grade:
Marquee
*
Material Sign is constructed of:
f /'/ II
'6 Horizontal Wi Ih1if5i!jn or enclosure:
Electrical Installation: 4. ~o " ALUE
,(If yes additional electrica~ ~erm '--;C- OF SIGN:
YlDI'\.- ltl'A.l.1A~",rtdlj (;/rJvtt II/tI.W{
1(9 C O{(
LtI 1- Oll
I,D /)11 (J!-
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
List ALL e1cist<ng signage and attach a photograph of each sign:
Sq, Ftg,
(d) Type
Sq. Ftg.
ff
(c) Type
J1
Sq, Ftg,
ff
(b) Type
%
Sq. FIg.
(~I Type
CITY:
rvv.vALh
2/)~ J ef{pr(^.....
L.,^ /.I OlAf)
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
t'rnf. t1qh(
C; trtpJ
PHONE:
'CONTRACTORJlNST ALLER:
ADDRESS:
STATE: /)((
1(};t.tI~1 f
ZIP:
~{L{fiL
L ()/4h
J '
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
---
Sign Disirict: l:n.tl'\1N 1"f\
ZOning:. (3' j -
Sign per~it Fee: - il \( ) ,CO
Land Use: DmO _ Quad Area: \ l'J\ lL )
Code Section: ~ C{-' I ~ ~A~ ~
Approved By: \ ~ N\ i " "_~ 0 f ~ DATE:
H,L~Q5
REOUIRED INSPECTIONS:
, Site
to be m~de prior
to .si.9n, placement
Footing
prior to placement
of concrete
~hment
alter fasteners are
installed/prior to cover
Electrical
prior 10 energizing
electrical installation
~al
completion of sign
installation
Additional Comments and/or Conditions:
By ,signature. I state and agree, that I have carefully examined the completed application and do hereb~ certify that all information herein
is Uue '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 fulthcragree to ensure that all required inspections are requested at the proper time, that project address is readable from the street. that
the p,ermit 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'sign!s),
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Signature
/Z~~
C/
Dale
(j'-/l-1S'
Receipt Number:
7CJ,(H)
/'i!>l'tJJ
Date Paid: $~~.r
Received By: /-t"" ~
Validatido:
'1"
Amount Received:
.
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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 iLyou 'are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Regi~trallon
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 arc 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 waN ,and/or freestanding signs, a photograph!s) of each existing sign needs to bo attached to the
appllcallon. 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 t~e
plan review process is completed, and, if your signls) 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 rcference,
INSPECTIONS
Depending on your sign(sl, you may be rcquired 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 i~spection,
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 sarpc'
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
I Building Safety Diyision
225 Fifth Street
Springfield, OR 97477
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~!! SIGN PERMIT APPLlCATION~'
225 Filth Slreet
Springlield. OR 97477
SITE ADDRESS: ---..d I ( JlA#..t~
ASSESSORS MAP: ~ () :>.;:":x:Y:'1-z..-...
.,. .......,-:..-'..'.
SPRINCFIELD
JOB.ER qSI -SZX
Inspection Line: 726-3769
Office: 726-3759
(')/0/ ()( )
,
D/
VI
TAX LOT:
OWNER: 1/ P,('rv1JV'\. 1..-. ~ MnJ O~ PHONE:
ADDRESS: Il9 y. r A/TY.fh nul S .f1114Q ~j.
CITY: nltl-- c!vA (tt STATE: Oi- ZIP: t1M/iJ
-
BUSINESS NAME, FIRM EOC.: ,^"l~l',~ I j fJ ( .4WLPlft CC1
DESCRIPTION OF PROPOSED SIGNIS):
XW;II
~ngle Face
Square Footage:
_ Freestanding
Double Face
~!. 5
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed of:
(please check and complete all appropriate information)
_ Projecting
Roof
Marquee
Billboard
Other
Total Height above Grade:
I ~ 1_ Oil
L{;('-OU
if hDnD!.
(S'/{
51 'v-. trlJ If #er(
Sq, Ftg,
List ALL existing signage and attach a photograph of each sign:
(b) Type
Sq, Ftg,
CONTRACTOR/lNSTALLER: Yhltlr,h:"
lDY "Je/f(;fSO'l
h AI? {JiNJ
i
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
(al Type
D
/(/
Sq. Ftg,
Ic) Tvpe
ADDRESS:
CITY:
CITY BUSINESS LICENSE NUMBER:
--9/
f);-
L/
/~
ld) Type
Sq, Ftg.
tfr-Df,
,skeet
{l~h ~
JLiz- OM
PHONE:
STATE: ()~
(ol.{~U/
ZIP:
11.J:1D L
~
EXPIRES:
EXPIRES:
Sign Dist~ict:~
(\('/
'If) -CO
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS:
, Site
to De made prior
to ,sign, placement
Footing
prior to placement
of concrete
Additional Comments and/or Conditions:
'.
,
OFFICE USE
Land use::5'&Y) Ouad Area: \ ~ J\') t 1 )
Code Section: C( -1-- \ CS [ \ )::-\
Approved By: \r\'{)_)~ (10J ) DATE: R-1./.~ -~ ')
~~nt
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~al
completion of sign
installation
By ,signature, I state and agree, that I have carefully examined the completed application and do hereb~ certify that all information herein
is Ifue '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 fuither agree to ensure that all required inspections are requested at the proper time, that project address is readable' from the street, that
the p,ermit 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'signls).
Signature
~~r.:.. ~~o.-/
C/
Date
q-- /I-qr
Validatioo:
Amount Received:
'I'.
Receipt Number:
7~,~
/1:1'10'3
f5'/~;Jr
~
Date Paid:
Received By:
,
..
.
,
?-'/."I,'l.} ),;.~ '. ~'J~l~,l;
...... . ..:. ' ~ . , ,>." .
,
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 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 waN ,and/or freestanding signs, a photographlsl of each existing sign needs to be attached to tho
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 se.lS 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. Alter t~e
plan review process is completed. and, if your signls) 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 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 alter the electrical connection to the sign is made, but prior to energizing,
Final:
After all required inspections arc 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 alter 7:00 a,m. will be made the following work day,
If you have any questions regarding the application. required plans Qr inspections. please feel free to phone the Building,
Salety Division at 726-3759. .
..
City of Springfield
Building Safely Division
225 Fifth Street,
Springfield, OR 97477
/.1
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