HomeMy WebLinkAboutPermit Signage 1993-6-4
SIGN PERMIT APPLICATION
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PHONE: f'\ 4 (j - \:J..9J /
JOB N'ER ~l)'B(o
Inspection Line: 726.3769 ~
Office: 726.3759 ~
2:!5 Filth Street
Springfield, 011 97477 \
LOCATION OF PROPOSED WORK: "" {) \ \
ASSESSORS MAP: ,/ r; O<..~:::))r::i. ~
OWNER:' 'CD '\\ \ () -0.9_ ':<.\A. I\~.f' _'
ADDRESS:'- \.Q \ \. ~ 'L\\ ,-J\I\OO t-
CIT'y:b1J\.L~foQ ~_ STATE:JD>-P <f1~ riP: C{l1'lf')
,"'",,:- ,h"" """ '" \ t\; \\1'\ I'M1-\:o > ~ D ~ () oCl ~ _ lQ\\ I Yi 11 rVL/
DES~lIPTlON OF PliO POSED SIGNIS): Iplease check and complete all appropriate information)
_ Wall Freestanding Projecting _ Roof
__._ Sinule Filce W Face Billboard Other
Squill" FOOlilU": ~ __ Total Height above Grade:
- . .-,- ) ""'
V"rtical Dimension of siun or cnclosure: ~J. i I. <;. ~ Hori'zontal Width of sign or enCIOSU(~C--" . -::~) / l.JJ
Marquee
~
r
IDf
Dimension fWIll Gr<1dc Electrical Installation: Ye No
10 bottom of Sign: __ (If yes additionaie(fl~' is r uired) 'K"LUE:
Malcrial Sign is construc~.9l )() w1n rJ oJ4- \ / l fA 0~
-~ ' - 0 .
List ALL existing signage and attach a photograph of each sign:
I~..C:O
~
lal Type
SQ. Ftg.
Ib) Type
SQ. Ftg.
Ic} Type
(Q :;; Qf)
Id} Type
SQ, Ftg.
CONTnACTOf"I/INSTALLEIl:
PHONE:
ADDIlESS:
i
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CITY: .
STATE:
ZIP:
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EXPIRES:
C(JN~;TI~UCTION CONTflACTORS REGISTRATION NUMBEr!:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Sign DiSlriCI:~C),(\ID \.)1\.
, fi\ .
Zunino: '--.-./ ___
I- ~5 0J
Sign Permit Fcc:
OFFICE USE '\
Jland Use: ;~?--(Y) Quad Are", 0) ~ JL} /1 )
Code Section: \ Gf -: ry ~~ )
Approved By: i fi'\ _ ,,'l. \ J\\ )Q.Q
)DATE: La . 4.-.C{ ~
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
instal!ed/prior to cover
Electrical
prior to energizing
PFinal
/ompletion of sign
installation
Additiolllll COlnmenls und/or Conditions:
BV si!]n:Jture, I statt: :md aurae, that I have carefully examined the completed application and do hereby certify that all information herein
is lIuC and COHoet, <llld I further certify that ally and all work performed shall be done in accordance with the Ordinances of tile City 01
Springfield, and tile Laws 01 the Stote of Oregon pertaining to the work described herein. I further certify thtH only contractors and
clllployecs who are ill compliance with ORS 701.055 will be used on this project.
I further agree to ensure 1I18t all required inspections arc requested at the proper time, that project address is readable from the street, tl1,ll
the permit card is 10C<lted at the front of tile property, alld the approved set of plans will remain on the site at all times during the installation
of Ihe signls).
Signature ~~..u_ f~ ~4:"/
. r "'- .........- ..
Date
~~. 7~ ~-? .
/
Receipt Number:
5:5: ~
~}#B
Date Paid:
/
Received By:
C-2-5f7 3-
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7//
Validation:
Amount Received:
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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 arc
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 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 tho building 'in
which you are occupying, and you will be performing the. electrical installation yoursclf, you may sign the electrical
application. .
if
If there are existing wall andlor freestanding signs, a photographl.l of oach oxisting sign noods to bo aunchod to tho
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 excecds 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 sign(sl 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 inspectors reference. I
, - . . '
, 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:
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 "II fastencrs 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 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'
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 Citv
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 Division at 726.3759.
City 01' Sprinj;lield
\luildinj; Safety Division
225 Fifth Stred
Spl'inglicld, OR 97477
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SIGN PERMIT APPLICATION.
, '
, JOB YER Q?1 rJ/P{ ",n
Inspection Line: 726.3769 ;R'\
Office: 726.3759 ~
OWNER:
U'-':;J.Ln
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
DESCRIPTION OF PROPOSED SIGNIS):
Y2wall
_ Single Face
Iplease check and complete all appropriate information)
Freestanding
_ Projecting
Roof
Marquee
Square Footage:
Double Face
UJ iT
Billboard
Other
---
, Vertical Dimension of sign or enclosure: d Horizontal Width of sign or enclosui, - -li:2.-'
Dimension from Grade . E!ectricallnstallation: Yes l//NO VALU~''-- ." -:-v'""\
to bottom of Sign Enclosure: ''''''', _ __,_ (\1~Oe:_a\,dditi~.na.I/~e~r\icalt!Z.e~~_i: ~<..~\,e~~:SIGN:-\'C::; f) ,,---,,---",
.MateriaISigniSconstructedof:\ M_' _\,Htl VF\ ~\. ,\ ~ k '--l. ~
Total Height above Grade:
List ALL existing signage and attach a photograph of each sign:
la) Type
Sq. Ftg.
(b) Type
Sq, Ftg,
(c) Type
Sq. Ftg,
(d) Type
Sq. Ftg,
, CONTRACTOR/INSTALLER:
lU..1.. _u\\ o..R ')
PHONE:
ADDRESS:
CITY:
STATE:
ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
. EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE )
Sign District: \. )) .tl'\1nll0fnd Use: ~~fY) ~~ Area: ~){'J/JlJ.
Zoning: ( ~ . _ Code Section:\ Cf - '1 .-/~ \ ')
S'gn Permit Fee: 4f) ,W Approved By: _ ~ ) lo 4~
Sile
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
I...~inal
~i~n of sign
installation
REOUIRED INSPECTIONS:
. 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 informalion 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 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 further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
Ihe 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
of the signls). .
".",c/~,,--. d:. z:: ~~ .
Validation: Amount Received:
Date
j,. l~q-5
/
Date Paid: G -7-5 ?
Received 8y: ~~-
?-
- -.
I';
I;
Receipt Number:
t.Jc?/So
~,gr:5
-'
I
.'
.
.
SIGN PERMIT APPLICATION
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 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 il 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 photographlsl of each existln9 sign needs to be attached to the
application, The size of each existing sign also needs to be listed on the application.
j
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 the
plan review process is completed, and, if your sign Is) 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:
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 connection to the sign is made, but prior to energizing.
Final;
After all required inspections are conducted and approved and the sign installation is complet~,
The inspections that are required for your sign installation will be indicated on the application during the pian 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.
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
Building Safety Division
225 Fifth Street
Springfield, OR 97477
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