HomeMy WebLinkAboutPermit Signage 1996-6-7
SIGN PERMIT "APPLlCA TlO'
225 Fifth Street .
Springfield, OR 97477
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JO.~BER
Inspection Line: 726.3769
Office: 726.3759
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BUSINESS NAME, FIRM ETC.: ('a..-n dV1
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LOCATION OF PROPOSED WORK:
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ASSESSORS MAP:
TAX LOT:
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OWNER: ~<uy-~
ADDRESS: /0 d< '-I
PHONE( S<-I () 7 C( ( 'i 3 s- 7
CITY:
STATE:
[Vi . ZIP: 9 7'( '7 7
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DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
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Wall Freestanding _ Projecting X Roof '_ Marquee
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Single Face Double Face Billboard Other
Square Footage: ffp q n ....."if/ -y"-"'- Total Height above Grade: ((f /
Vertical Dimension of sign or enclosur~: -If-I x' (~/8lt1l Honzontal Width of sign or enclosure: ~...- h
Dimension from Grade r
to bottom of Sign: 7
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VALUE:r:;;;:)
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Electrical Installation: ~ Yes _ No
(If yes additional pen1)it is required)
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Material Sign is constructed of: -e.'c7~'." -':-.~:: i~ - ,~,,/t:;':t~.'](:I.J _
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List ALL existing signage and attach a photograph of each sign:
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,
lal Type
Sq. ,Ftg.
Ib) Type
Sq. Ftg.
Ie) Type
Sq. Ftg.
Id) Type
Sq. Ftg.
CONTRACTOR/lNSTALLER: M>{;.-T,',." {bro&,
ADDRESS. .dO" , l..e -f- fev.> or.
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PHONE: ~- 'I / .3 4'.;) 17.r: '7
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CONSTRUCTION CONTRACTORS REGISTRA TION NUMBER:
STATE:
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ZIP: "l 7</0/
EXPIRES: 3 - '7 - '7"7
EXPIRES: ~- 30 - '7c;;;.
CITY:
CITY BUSINESS LICENSE NUMBER:
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Sign District:.,!'" , ./}' _ _
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OFFICE USE
Zoning:
Code Section:
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Quad Area.
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i~and Use:
Sign Permit Fee:
iJO. 01J
.<?\pproved By:
DATE: ~~
REOUIRED INSPECTiONS.
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
/ Attachment
after fasteners are
installed/prior to cover
v' Electrical
prior to energizing
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Fillal
completion of sign
installation
Additional Comments and/or Conditions:
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 t]1e 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 Pfoper time, tha~ project address is readable from the street, that
the permit 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
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of the sign(s).
Signature ~~~ d~Y
,
Date
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Receipt Number:
~3 ,21) _
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Date Pa.id:~' 0
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Received By: I)
Validation:
Amount Received:
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SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed emireiy. 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 BusiriessLicense 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.. .
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If the sign you are proposing 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 wall and/or freestanding signs, a photograph Is I of each existing sign needs to be attached 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 drawillgs showing all dimensions, totar-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. After the plan review
process is completed, and, if your signlsl is approved, one set will be returned to you. 'The.approved set of drawings need
to be at the site when an inspection is requested for the insp~ctors reference.
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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 iocated 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 inspectiq,ns that are required for your specific sign 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
interv~ls 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 install'ed, the type of inspection you are requesting, and when
you will bc 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 a1nv q';es\i'ons regarding the application,
Safety Division at 726.3759.
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required plans or inspections, please feel free to phone the Building
.,'
City of Springfield
Iluilding Safety Division
225 Firth Street
Springricld, OR 97477