HomeMy WebLinkAboutPermit Signage 1995-9-7
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~iSIGN PERMIT APPLICATION.
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225 Filth Street
,Springfield, OR 97477
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SITE ADDRESS:
:ASSESSORS MAP:
:OWNER:
I
ADDRESS:
I
ICITY:
SPRINGFIELD
JOB .BER
Inspection Line: 726-3769
Office: 726.3759
50rA-Ih 6Ielfll#v"
10111i
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TAX LOT:
STATE:
IYlV\'
!/VI~ ]:ntr,
O~
q Yhflfflr
PHONE:
".7210-:'1 Zulu
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ZIP:
q?'-in
tJ IIvtlf;r,
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! 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;(}
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3../ /J lJ 11.
1LJ-t1", fiJLp'
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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:)
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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.
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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:
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Amount Received: _~lfl ~
Receipt Number: \ ~~ \
Date
~!2't(qr
Date Paid: .5J Lf,';. <-(~
Received BY~ J /) (A
Signature
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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 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
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~.' SIGN PERrVlIT APPLICATION'.
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OWNER:
555D
17-
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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 (()
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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
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