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HomeMy WebLinkAboutPermit Signage 1995-9-7 It!: . . . ~"" ~iSIGN PERMIT APPLICATION. I 225 Filth Street ,Springfield, OR 97477 I SITE ADDRESS: :ASSESSORS MAP: :OWNER: I ADDRESS: I ICITY: SPRINGFIELD JOB .BER Inspection Line: 726-3769 Office: 726.3759 50rA-Ih 6Ielfll#v" 10111i q~ \4~":"'" TAX LOT: STATE: IYlV\' !/VI~ ]:ntr, O~ q Yhflfflr PHONE: ".7210-:'1 Zulu q ZIP: q?'-in tJ IIvtlf;r, 'Lh'" i ! DESCRIPTION OF PROPOSED SIGN(SI: Iplease check and complete all appropriate informationl I -XWall _ Freestanding _ Projecting Roof V Single .Face Double Face Billboard Other ~ Footage: ~Lf Total Height above Grade: i Vertical Dimension of sign or enclosure: I() I Horizontal Width of sign or enclosure: Marquee Dimension from Grade to bottom of Sign Enclosure: 1,-/1 Electrical Installation: ~s _ No . (If yes additional electrical permit is required) . 4{1J1iY'I~J"A ~bt~f VALUE OF SIGN: Z;(} ! yJ 3../ /J lJ 11. 1LJ-t1", fiJLp' ., ~ Material Sign is constructed of: - weft-.. , , List ALL existing signage and attach a photograph of each sign: \ / Ibl Type Sq. Ftg. /~ (d) Type / "- 7YI{JrJ.,'v.. &Pl- Jft+BrfllVl- {frppf 17) ~e reVhOve& ! ('Wt'-/;/~lC!,^ ,) I~I Type Sq. Ftg. Sq. Ftg, leI Type Sq. Ftg. . CONTRACTOR/lNST ALLER: )~~( PHONE: J42- f76q CITY: STATE: Or< . CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: (0 Lf In I r q co()~o() 2/9'-1 E WI {J1r{I ZIP: q tlf,f}l { VitO 1o.30 C\l n ADDRESS: EXPIRES: CITY BUSINESS LICENSE NUMBER: EXPIRES: Sign Disi;ict: ~ ~ (\?lID.rY\ Zoning: . 0,0 .J I] (J-W Sign Permit Fee: OFFICE USE Land Use: ::)?:J0fJ Quad Area: \ ~J\)LlJ Code Section:. q - r; - I X (I ) Approved By: .lJ1J1 ) CbhppLll'.-J DATE: ~ Cf:.J!J...C:) i I I I I I I , REQUIRED INSPECTIONS: . Site Footing ~ttachment V-;;:ctrical ~inal to be made prior prior to placement after fasteners are prior to energizing completion of sign to .sign placement of concrete ~'nstalled/prior to cover electrical installation ins\t~lI\"atioA ~" . ~ Additi~ni>1 C9mments and/or Conditions: \... \ Ml)Q d . (\f) c\1 s",(' l' f)M.(i . C( 0 Ul( d tJ\",\:-~D~~ ~9..~ ~(\(\ W\ ~\l M ,\3 \C\C\S (q'S.O~,\[)~ \ By'.sig~Ure, I sta~e ~nd agree, that I have carefully examined the completed application. :nd do hereb~ certify that all information ~erein 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 I \1 il I ! I fulther 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 thesignlsl. Validation: 'j' ~~ 9nA~ ~ " '/" Amount Received: _~lfl ~ Receipt Number: \ ~~ \ Date ~!2't(qr Date Paid: .5J Lf,';. <-(~ Received BY~ J /) (A Signature . ~ v.- . .:"j '. .';,; . .. >:~..I:}. ~'>';. '_ ,~.. .t' '.IL~-'a r',l:!?rJ".;Y:" d I ,....'1q!l\'1,;.{ i . 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 photograph Is I of each existing sign needs to be ettached 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 t~e 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 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: i' 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 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 )Nhen 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. ' Cily of Springfield . , Building Safely Division 225 Fiflh Slrecl Springficld, OR 97477 't {~ '/~ ",;r. r ~.' SIGN PERrVlIT APPLICATION'. ".'.,-' '.... OWNER: 555D 17- t? SPRINGFIELD JOB .ER Inspection Line: 726-3769 Office: 726-3759 225 Fifth Street Springfield, OR 97477 SITE ADDRESS: ASSESSORS MAP: TAX LOT: #' aft fll '?c:!;n ~v1Y"'~1Ilj{~ BUSINESS NAME, FIRM ElC.: I. PHONE: ADDRESS: P'aJA'fl{, nit YVvf)/Tir :tv! v, ZIP: Qr"f77 CITY: q DESCRIPTION OF PROPOSED SIGNISI: (please check and complete all appropriate information) -X Wall -X.. Single Face _ Freestanding _ Projecting Roof Marquee Squar.c Footage: . . Vertical Dimension of sign or enclosure: .1 f) ( Horizontal Width of sign or enclosure: Dimension from Grade II Electrical Installation: -'x'Yes _ No VALUE to bottom of Sign Enclosure: J~, (If yes additional electrical permit is required) OF SIGN: , , -Material Sign is constructed of: ~A oN\ PkfriltrJ,.pl (A{,(.:e~ I {{hobl, I/Lhtl _ (/(/F~' I. Billboard Other Total Height above Grade: 2-10' lot I ~)OO ~ fate ( List ALL existing signage and attach a photograph of aach sign: TO /.:;Ie r-eMoveJ ~ ~id [1fJt--.t) 1~1 Type ~ Sq. Ftg. lei Type d) Type Sq. Ftg. Sq. Ftg. ~ I 'CONTRACTOR/lNSTALLER: --.l11rwf,h &ff;, I I ADDRESS: 204 :Jff{Pr{nh I , CITY: ~ IAfrdittD I CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: CITYBUSINESSL1CENS~NU~BER: qlli~ r[l Sf4bc PHONE: 542- l7(PQ Sf. STATE: /}tf ZIP: Q7'iOZ tV/PI? _ wdJ.Y (() ~ EXPIRES: EXPIRES: Sign Permit Fee: / - 'lU .W OFFICE USE Land Use: ~~Cf- ) Quad Area: Code Section:. ct - '1- I R (\) Approved By: .'UJ'{\ _,~ Q,p - Sign Dist~ict: --:::r-~ (\('\{YVY) (\(\ \ ~ vULt ) Zoning: ) DATE: C( - /. LfS REQUIRED INSPECTIONS: . Site Footing ~chment ~af ~al to be made prior prior to placement after fasteners are prior to energizing completion 01 sign to .si;n,Placement . of concret~~installed/Prior to cover ~'ectrical installation . instal~~on Addl~ional cO"kments andlor Conditio . .('\J) 0_ r:L C\ [) dt ,-c:.,~!J- e./Y! tiY'l Ilfl Rl-d (7'\f"[)of)Qs NOU lry" J l)'(\ ...'1, (\Q .,~ \C\q c; (qS.oJ.\lY~) By'SigUUre, I sta:e ~nd agree, that I have carefully examined the completed application and ~o hereb~ 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 I Springfield, .and th'e 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 thesign(sl. Sign6tur~ (h~~ Date 9(1 Vt!~r- Date Paid: r /I Cf.' lC(<) Received BY:~~ _ ) Receipt Number: Al~lo AU \'~PALt ValidaticiO: 'I" Amount Received: . ;(~~,~..~ ",. r,~'-"\'" : I ,,,"'~'(:.~:, -, . \.;. j~' . . SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. If you are the sign contractorlinstaller, or il.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 ettached 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 t~e 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 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 alter 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: Alter all required inspections are conducted and approved and the ~ign 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 or inspections, please feel free to phone the Building. Safety Division at 726-3759. ' City of Springfield I Building Safety Division 225 Fifth Street Springfield, OR 97477 -- " ,~ ';1