HomeMy WebLinkAboutPermit Signage 1993-9-2
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
JOB .BER q~ j z.L/2.
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SIGN PERMIT APPLlCATI04
Inspection Line: 726-3769
Office: 726-3759
SITE AODRESS:
ASSESSORS MAP:
TAX LOT:
I'JU (1'1 117)
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PHONE: 7~ 7 7'7 i./ Sf 3Y$""7RY'/9
BUSINESS NAME, FIRM ETC.:
/It /""to
fi?/B
STATE: oP2
S P-l"l.v;Cc.r C~/Z.
ZIP:
97 C/O 2
tv //
CITY:
;x. Wall
;;[. Single Face
Square Footage:
Freestanding
_ Projecting
Roof
"..,." ~
,
I ~. <" Pr
DESCRIPTION OF PROPOSED SIGNISI: (please check and complete all appropriate information)
Double Face
Billbdard
----
Other
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Total Height above Grade:
Vertical Dimension of sign or enclosure:
/~~r
Horizontal Width af sign or enclosure:, '7 D /,v
. Dimension from Grad~
to bottOITl of Sign Enclosure:
I () pr
Electrical Installatian: _ Yes ~o
(If yes additional electrical permit is reQuiredl
VALUE
OF SIGN:
;}, 00
00
.Material Sign is constructed of: SIIF.Y'r /1?ErRZ...
List ALL existing signage and attach a photograph of each sign: A/o~
lal Type /
SQ. Ftg.
(bl Type
SQ. Ftg,
Icl Type
SQ. Ftg.
Idl Type
SQ. Ftg.
CONTRACTOR/lNST ALLER: ---" S' e?- P-
PHONE:
ADDRESS:
CITY:
STATE:
ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District:~ ~"'i\\..I. '\\,t)i'\.,j-and Use: (\(' / Quad Area:
Zoning: 0..G ,Code Section:. q - '7-, IS C\ Yo. '\
,-~5 ,cO Approved By: \ \ f\Lu ~rO(j~
\ \
\~i\)U )
Sign Permit Fee:
DATE:
8. rilG-:..L( '=\
-
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Foating
prior to placement
of concrete
Attachment
alter fasteners are
installed/prior to cover
Electrical
pridr to energizing
electrical installation
LFinal
completion of sign
installation
Additianal Comments and/or Conditions:
'"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inlormation herein
is true and correct, a'nd 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 df plans will remain on the site at all times during the installation
of the signls).
Signature &AO .J?7'A _ ..Q _
Date
<t 2'0
9'3
Receipt Number:
5~ OJ
\ 0 \5\
Date Paid:~ -:J .CL~
Received re...'!, 7) ff) 4 .-J
Validation:
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 il you are
hiring' a cantractor, you need to make sure that both the City of Springfield Business License Number 'and the Registratian
Number fram the State of Oregon Constructian Contractois 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 accupying, and you will be perf arming the electrical installation yaurself, you may sign the
electrical application. .
If there are existing wall and/or freestanding signs, a photag,aphls) af each existing sign needs to be attached to the
application. The size df 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 shrv.ting all dimensions. total heig~t, and
a plot plan indicating where the proposed sign,will be Idcated. If you are installing a freestanding sign which exceeds 20
feet in total height, the foating detail needs to be prepared and stamped by a registered engineer or architect. After the.
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 ~eed to be at the site when an inspection is requested for the inspectors reference,
'INSPECTIONS
Depending on your sign!s), 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 wor~
being perf armed for the installatian of the sign, This inspection is required if there is a questioQ on the
location of the proposed sign.
Foating:
To be requested after excavation and the forms are installed, but priar to pouring concrete, If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Allachment: Td be requested when all fasteners are installed but prior ta cover.
Electrical:
To be requested alter 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 inspe~t the sign at the
required intervals of work.
Ta 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 01 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.
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City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
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