HomeMy WebLinkAboutPermit Signage 1995-12-29
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SIGN .PERMIT APPLlCATIO.
SPRINGFIELD
225 Fifth Street
Springfield, OR 97477
PHONE: Lj~L.j- 5QYS
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ADDRESS:
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ZIP: OJ 7LJ S1.J
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DESCRIPTION OF PROPOSED SIGN{S): (please check and complete all appropriate information)
Wall
-.X Freestanding
.2... Double Face
_ Projecting
Roof
_ Marquee
;1
Square Footage:
n' lie\-
Vertical Dimension of sign or enclosure: '1 (0
0(1.(03
Total Height above Grade:
z,-6' ~()r~!
.1
_ Single Face
Billboard Other.
I/l/
. Horizontal Width of sign or enclosure:
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ID 0
Dimension from Grade
to bottom of Sign Enclosure:
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13 1-]"
Electrical Installation: 'l( Ves No
(If yes additional electrical permit i;required)
VALUE
OF SIGN:
ft /0, ceo. 00
Material Sign is constructed of:nh lfY'li fI\ 1m
W;-\Y\ <2,-reG\ pole. mDUn--\-
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Ic) Typ.e
Sq. Ftg.
(d) Type
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Sq. Ftg.
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Sq. Ftg.
List ALL existing signage and attach a photograph of each slgni
(\ _ :h, \?<... r< "" oV'.;ei-
(a) Type -;-{"-l.~ %"Jm-.", Sq. Ftg. (b) Type
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CONTRACTOR/lNST ALLER: E.S-I- A _ 11\1 c.-
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ADDRESS: '.\2.\0 OA-hPATC\4 tLOAD
CITV: EU5e.V\(> ,
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
PHONE: Lj COs- SS'-l (p
ST ATE:
QS79Z.
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0(2..
ZIP: Ci7YO'Z-
. EXPIRES: z-I-9<o
EXPIRES: (,''?::> - q t,
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CITV BUSINESS LICENSE NUMBER:
9S0?J'17
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OFFICE USE
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Sign Permit Fee:
0.0.00
Land Use: .o'W.) Quad Area:
. Code Sectior: q : ~ - \-\ ~ 2 !
Approved By: J.u::D ) I_~)
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Zoning:
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Sign District:
DATE:
It.ge:,~
REOUIRED, INSPECTIONS:
~te
to be made prior
to sign placement
V;::~ing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
~ctrical
prior to energizing
electrical installation
~-
completion of sign
instaliatiOll
Additional Comments and/or Conditions:
,..__.. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that ail information herI,
~ is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City '0
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors an
employees who are in compliance with ORS 701.055 will be used on this project.
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I further agree to ensure that all required inspections are requested at the proper time, that project address. is readable from the street, thi
the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the installatio
of the sign(s),
Signature ~hcvnU. K~
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Amount Received:. \)'il (:W~
Receipt Number: f-\ ~ \l )
Date
12.126/95
Validation:
!?ate Paid: I l~ tJ-q '1<)
.Received BY:~~ )
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SIG,N PERMIT APPLICATION
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The application on the reverse.side needs to be completed entirely, If you are the sign contractorlinstaller, or if you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and ilie Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
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It the sign you are proposing to install is illuminated, an electrical permit application also needs to be complllted 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,. -', , .. " ' ..:" :1
If there are existing wall,and/or freestanding signs, 8lPhotJgr8PhlS) o~ each exlstl~~ Sl~n n~~d~ ~o..ba 8t~8ched:to the
application. The size of each existing sign also needs to be listed on the application, ,~
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To submit for a sign permit, you need to prepare two co~~::ets of drawings showing all di~Lsions, total height, and
a plot plan indicating where the proposed sign will be located. If you are installing a freestandi~g sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engine~r or architect, After the
plan review process is completed, and, if your signls) 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:
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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.
Electrical: To be requested after the electrical\onnectioh to the sign is mad~, .but prior to energ;zi.ng...
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Final: After all required inspections are condubted and approved and the sign installation is complete.
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The inspections that are required for your sign installation will be indicated on the applicatio 1 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.
It you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726.3759.
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City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
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