HomeMy WebLinkAboutPermit Signage 1999-4-12 (2)
SIGN PERMIT APPLlCATI~
225 Fifth Street
Springfield. OR 97477
SPRINGFIELD
JWUMBER Cf9 0 ~ 11
Inspection line: 726.3769
Office: 726.3759
SITE ADDRESS:
ASSESSORS MAP:
3t.\63
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TAX LOT: n'i?D~
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Dut-b~ Sle...~.<.. .-L
ADDRESS: 3tnn 13\ s+- ~ S. ~.
f.Ju I tlJ,.A.lL-o
OWNER:
PHONE:
~SaD
BUSINESS NAME, FIRM ETC,:
f)ul-bDJ'''-
STATE: 11111 ~';...~
5.1.. II 111.. ~<<.... "
ZIP:
q~i
CITY:
DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate information)
_ Wall ~reestanding _ Projecting _ Roof
Marquee
_ Single Face
Double Face
Billboard
Other
Square Footage:
10 AtY
Total Height above Grade:
II' ..
,.0
d.,/5"
Horizontal Width of sign or enclosure:
Electrical Installation: _ Yes ./ No VALUE
(If yes additional electrical permit is required) OF SIGN:
ION:Oregon law requires Y?~t'I~I~V
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follow rules aoup''''....::'~~.;, ,I;"" are set forth
NotlllCauu" v~.I.-.. . hOAR 9o;!oUU ,-
In OAR 952-001-0~~~nt~~~~s of the rules by
0090, you may 0 Note: the te\ephO~e
Mllonn the CSlIltflfg~ "'\" tls\,,,,.,,tlon
number for the,Oregon-33v'2~2344).
~"'lteA~~OO
f J~ fl
"'r'O
Vertical Dimension of sign or enclosure:
3',s"
Dimension from Grade
to bottom of Sign Enclosure:
300 'JL.
Material Sign is constructed of:
list ALL existing signage and attach a photograph of each sign:
!\JIlt
(a) Type
Sq, Ftg,
Sq, Ftg,
(b) Type
lc) Type
(d) Type
CONTRACTOR/INSTALLER: ~ ~ ~~ LLC-
ADDRESS: 1 ().l. I ?, kl, G. ~ Sh'.u..-r
CITY: "':?~ STATE:
PHONE: 'S"og -1/et - &s:[b
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
\;t,C6iD
() f2- ZIP: q 1 .l.;t 0
EXPIRES: 1-a.'1- 6 0
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Zoning:
~"
s~
Code Section: q.:::J S(p
Approved By: +G, 'aL--
Quad Area:
I c../J 0
Sign District:
i-e; rmuMu.lia...t Land Use:
Sign Permit Fee: ::!l JJ./) . -
(3'\
Lu../.1 hfn"'-'
DATE: JJ - <i? -'1 C;
REQUIRED INSPECTIONS;
./ Site /Footing Attachment
to be made prior prior to placement after fasteners are
to sign placement of concrete installed/prior to cover
Additional Comments andlor Conditions: !J.liiJ 111;'.1 ~:t
Electrical
prior to energizing
electrical installation
\hinal
completion of sign
installation
Iyt~JtL.P ~ .Jo
~~MlLfl-h'~
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 front of th rop , and the approved set of plans will remain on the site at all times during the installation
of the signls), .
Signature
Date
--~~/2-J)
Validation:
Amount Received:
'-...::::::::.
/ c)o <.J
o )J 1.(7 CJ
Date Peid: ,~/;~1i
Received By: t;)I tJ J
Raceipt Number:
"
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.
:,11,. '
The application on the reverse. side needs to be completed entirely~;:lf you are ~h~ si~n contractorr.n~tilller, 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 withthe expiration
date of each, ' " ' . '
SIGN PERMIT APPliCATION
~. ; . ,J'. ... ..'
If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed
by eithe.r a supervising electrician, lirriitl'd :sign electrical contractor, or if you are the business owner who al,so owns the
building in which you are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application, ' . ; , J '.. ' :
If there are existing wall and/or fraestandlng signs, e photogreph(s) of each existing sign needs to be attached to tha
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 signlsl 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,
",. .-
Eiectrical:
To be requested after the electricai connection to the sign is made, but priiir'tii energizing,
Final:
, ,
After all required inspections are conducted' and abproved and th~ sign installation is complet~,
fh,; inspe'ctions that are required fo; 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,
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If you ha~~ ?ny questions regarding the ~pplicatio.n,_~e,quired plans or inspections, please feel free to p,~ore the Building
Safety DIVISion at 726.3759, ,'.... ,.. . _, ' . ' ,
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City of Springfield
Building Safety Division
22S Fifth Street
Springfield, OR 97477