HomeMy WebLinkAboutPermit Signage 1995-10-17
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SIGI~-PERMIT APPLlCATION~ SP,J.~~'Ed, JOB~ ~\~lL.l
225 Filth Street ~ ~~ l~ I. Inspectio~_l~.' (;26~3769)~c... 7.
Springfield, OR 974~7 ..... ~ Office:. ?~6.3759 [, ~
SITE AOORESS: {-]A'3t~~~ -I-~rCMM /H ~~~ Gn~\ .
ASSESSORS MAP: ___ __J TAX lOT: \.....In ( ')\
OWNER III ~l.RJJ &niC PHONE: ,t- (fr2AlIl
AOORESS: ~ tf..< \,J '.. Q-f -r GIVnr .J::'QJlffl !:d
CITY,--- ';+2(^~FiN --. STATE: ();?
, II )f,trE:.K.rJ &/lK
ZIP:
Q74'7'7
BUSINESS NAME, FIRM nc.:
OESCRIPTION OF PROPOSEO SIGN(SI: (please check and complete all appropriate information)
Wall L Freestanding _ Projecting Roof Marquee
Singie Face V Oouble Face Billboard Other
Square Footage: QIo Total Height above Grade: /<3 I
Vertical Dimension of sign or enclosure:
8 I Horizontal Width of sign or enclosure:
:?
Oimension from Grade Electrical Installation: ./ Yes No
to bottom of Sign Enclosure: 4 f IIf yes additional electrical permit is required)
Material Sign is constructed of: ~lJJ.r";/}rl-r:J) .( f1C;(19<l/IV.
,; ro bL C(yYIp{';Tf:/. 6'1 d0r~'cA{ c<wtJk:d
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VALUE
OF SIGN:
<q G:rrtf/f)()O
List All existing signage and attach a photograph of each sign: NEd> CQJSrTJVa'lo';
I~ I Type
Sq, Ftg,
(bl Type
'Sq, Ftg,
Icl Type
Sq, Ftg,
Idl Type
Sq. Ftg.
CONTRACTOR/INSTAllER: .Ifl4NlrJ :iSJ2~ ~ GAl s:-
f
AOORESS: d/0S" GIo-1~.tl:.2.a;,Ae. ~
,CITY: &f~
PHONE: S~ 2tD4~l/1
STATE: (")f>
ZIP: q0~
CONSTRUCTION CONTRACTORS REGISTRATION NuMBER: a (64 7{f"o I
CITY BUSINESS LICENSE NUMBER: 9s:- 04S: '1
EXPIRES: .3,- G" 9("
EXPIRES: <0 - q(o
OFFICE USE
~
Sign Permit Fee:
-~s ~lN\land Use:
\\v
f( f) .co
Code Section:
DC1A) Quad Areal
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Sign Oist'rict:
Zoning:
Approved By:
OATE:
\\).?1).QS
REQUIREO INSPECTIONS:
VSite ~ting Attachment ~trical ~al
to be made prior prior to placement after fasteners are prior to energiz!ng completion of sign ..
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By~gnature, I state and' agree, that I have carefully examined the completed application and do hereb~ certify that all information herein
is tfue 'and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City 01
Sprin'gfield, ,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 further agree to ensure that all required inspections are requested at the proper time, that project address is readable from th'e street, tha:
the p.erml~ated 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 sig "
Signatu;~ ,'I?t1L lYJ",k /k" 'r- Oate /0117/1,
/ fl'l .~ (Jin:,.-:-;loate Paid:
, /j ~ I') Received By:
Validation:
Amount Received:
Jb-]I'-~r
~~
'1"
Receipt Number:
.
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SIGN PERMIT APPLICATION
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The application on the reverse side needs to be completed entirely. If you are the sign contractor/lnstaller; or Ii 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 applicationaiong, 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 aiso owns the
building in which' you are occupying, and you will be 'performing, the electrical installation yourself: you may sign the
electrical applicati,on. ... ' , >.' ", ._, ,': Y' .~\, '
If there are existing waN ,and/or freestanding signs, a photogrephls) 01 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 dime~slons, totai 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 Is) is approved, one set of plans will be returnee to you, The approved
set of drawings need to be at the site when an inspection is requested for the inspectors reference,
. INSPECTIONS
,
Oepending on your sign Is)' you may be required to request one or all of the following inspe2tions 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 instal!ali.on ?f .t~e sign. This inspection is required if there is a question on the
location of the proposed sign, .'... , .-
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,
Footing:
Attachment: To be requested when all fasteners are installed but prior to cover,
Finai:
: .
To be requested after the eiectrical connection tei the'sign is: mad~, but prior to energizing,
After all required inspections are conducted and approved and the sign in!'talliltion "i;c'ompiete,'
. . Electrical:
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 removai in order to inspect the sign at the
required interval; '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,
If you have any questions regarding the application, required plans or inspections, please feel free to. phone the Building,
Safety Oivision at 726-3759.
,
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
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