HomeMy WebLinkAboutPermit Signage 1992-9-1
SIGN, PERMIT APPLICATION
.
JOB NUMBER q2. /cJ It
.Inspection Line: 726-3769
Office: 726-3759
, .,
PHONE:
717- 27ooz.
t)
STATE:
of(
ZIP:
f/7'AJ 77
;
J)h/k t/ovd J;lveJp-Y'S
BUSINESS NAME, FIRM ETC.:
DESCfllPTlON OF PflOPOSED SIGN(S): (please check and complete all appropriate information)
-1- Wall
Freestanding
Projecting
Roof
Marquee
Single Fncc
Double Face
Billboard
Other A l.I.:m ; ~<J
rl ,_"
Total Height above Grade: u v +:..
13'0"'"
~6 \ I r/
Square Footage: ~
~.
OilllUnsilJll 1(0111 Gr;lIk , If
tu IWltOlll of SiUIl: ___<gO + ._
Mlllt~riul Sigll is ClJI1SlruClud of: ~e
s1eej 6'(1i<<e, &kif"'
n '/
'"'\ HOfi;wnWal . ,sign or enclosure:
Electrical Installation: _ Y -X- No
(II yes additiol1al perlllit is re ' VALUE: #/700
I AluM I~ '\
'- /
f1..nl1t"~V"@ ,.)
Vertic;ll Dimension III siUII or el\do~un~:
List ::'Il.;yX~:I't~~;~~)I:t~9~~ of ; sign: Ibl Type
(e) Type __.________ Sq, Ftg, Id) Type
Sq, Ftg.
*
Sq. Ftg.
CONTRACTORIINST Al.l.ER: -iJd;.o.JJesie r "-
Oee't? /'1 S/;
3:1"" cff>tJJtJ(y
PHONE: .3-Y..~-.3'_qO/
ADDRESS: //-'l1J
CITY: Et(4t?/~~
f7
CONSTHUCTION CONTrIACTOnS nEGISTr1A TION NUMBEn: '77 S-S- ,Q
CITY BUSINESS LICENSE NUMBEn:X C\~4JJ~~ 1
STATE:
(}f<
ZIP: t?7?"lP;;;l...
EXPIflES: /CJ-;;1S- f.;;L.
EXPIRES: lo.?f) q~
Sign District\' \)" ,")(\ tT-,\ I "){\./
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OFFICE USE
l.and Use: ~ -~,rr) Quad Area:
Code Section:. q -)~~o ,n\
Approved By: i1.N\ \ " '"'\\ u
cDC' 1\ llU
Zuninu:
Sill" Permit Fee: ~ a:)
DATE:
q,~,Cj'U
REOUIflED INSPECTIONS:
Site
to be made prior
to sign placement
FOOling
prior to placement
of concrele
tOAttachrnent
al:r fas~eners are
installed/prior to cover
Electrical
prior to energizing
\. /J. Final
~ion of sign
installation
Adllit;orlal Comments anti/or Conditions:
By signature, I state ::lIltl agree, that I have carefully examined the completed application and do hereby certify that all information her"ein
is true and correct, and I further certily that any and all work performed shall be done in accordance with the' Ordinances of tile City 01
Springfield, and the Laws of the Strite of Oregon pertaining to the work described herein. I further certify that only contractor~ anti
employees who <Ire in compliallce with ORS 701.055 will be used on this project.
I further Dgrce to ensure tl1at all required inspections are requested at the proper time. that project address is readable from the street, that
the permit c.:ud is located at the front of the property, and the approved set of plans will remain on the site at all times during Itle installation
01 the signls). A
Sio"aturc j*t ,J,A~J:..( Date rj-j- tJ.P--
t
Receipt Number:
Received By:
?-t"'C/- 5"' ~
~~~
'/ ~-~
V;llidation:
Amount neccived:
4"'0_ ..,.-e.
.
~/77
Date Paid:
.
.
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 Aegistration
Number from the State of Oregon Construction Contractors Board are listed on the application along with HlC expiration
date of each.
If lhe sign you are proposing is iIIuminaled, 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 arc existing wall and/or freestanding signs. a photograph(sl of each existing sign neods to bo <lUnched 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. 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 inspeclion is requested for the inspectors reference.
INSPECTIONS
Depending on your sign Is), you may be required to request one or all 01 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 me installed, but prior to pouring concrete. II 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 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 10 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 10 phone the Building
Safety ~ivision at 726,3759,
Cily of Sprio~lield
nllildin~ Safely Division
225 Fifth Slreet
Springlicld, OR 97477