HomeMy WebLinkAboutPermit Signage 1997-10-6
SIGN PERMIT APPLlCATI~
225 Fifth Street
Springfield, OR 97477
JWUMBER
Inspection Line: 726-3769
Office: 726-3759
C\ '11-44-0
SITE ADDRESS:
ASSESSORS MAP:
3 d--l.?
PHONE:
CJ/o('(U( )
'7l.f-~- 11 I 5?
CITY: ~d
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BUSINESS NAME, FIRM fOC.:
STATE:
~./) It-'t.-d" 1.Nv1 tJ1.Ap>, ' '"
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ZIP:
OJ L'l/-' 7 8'
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DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate inTcWIBatlttiilMIT SHAll EXPIRE IF THE WORK
Wall _ Freestanding -i- Projecting _ R~4THORIZEO UN~lWS PERMIT IS NOT
i Single Face Double Face Billboard _ Ot~:N;A~ f"~~il~;BANOONEO FOR
Square Footage: I ~ Total Height above Grade: /.3 f/.J1J f:I-
Vertical Dimension of sign or enclosure: 3 tr+ Horizontal Wi s n or enclosure: ~ tr+-
VALUE
OF SIGN:
./l~3. 5D
Dimension from Grade I I lJ-- Electrical Installation: s L N
to bottom oi Sign Enclosure: ~ (If yes additional electrical peim is re . ed)
Material Sign is constructed of: fA i.JA/VI/f j) t h )
(c) Type
Sq, Ftg.
(dl Type
Sq. Ftg.
Sq. Ftg.
*
List All existing signage and attach a photograph of aach 81gn~
(al Type Sq. Ftg. (b) Type
CONTRACTOR/INSTAllER: r: U./VlX t -~ JL..tY'""(U, ~NE: '1 t-/- 1,-1.#'-158
A 0 .
ADDRESS: I ~ 1;?, rf1.M ;j)dih
/VhPd
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.STATE:
rPlLI
ZIP:
07'-1-79'
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CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
&:) <f.,/o f{ q
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
NIl/-
EXPIRES:
OFFICE USE
Sign District: \JJ\i){\\D\U\\
~
land Use:
Quad Area: \lU\ '\Jjf)
Code Section: (j, !'\. ~ \~ ,\ Y u.. )
Approved By: ~ )~.~~ DATE: -lo:\Q1
n?JJCJ
Zoning:
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Sign Permit Fee:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign ~Iacement
Footing
prior to placement
of concrete
/Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
/Final
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 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
the permit card is located at the front of th~roperty, and the approved set of plans will remain on the site at all times during the installation
of the sign(s). /l b
Signature 1~/ld'v'tdL ~JVl. Date q- 11- Gj 1
il I
Amount Received9; L-/ 0.0 () Date Paid: ft)/ { 0 / q }-
Receipt Number: n)...... 7 (PO$, Received By: )<. J1I1~
Validation:
.
.
SIGN PERMIT APPLICATION
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The application o~ theie~erse side needs to be completed entirely, If YOl:(irr~-the sig~ contractor/installer, 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 Rroposing to install is illuminated. an electrical permit application also needs to be completed and signed
by either a supervising electrician. Iirriited 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(s) of each existing sign needs to be attach ad to tha
. ., . ;appllcatlon,' :rhe ;size of each existing; ~ign also needs to be listed on the application.
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PLANS
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To submit for a sign perm!t.Jy.ou,ne.eq'wrepare two complete sets of drawings showing all dimensions, total height, and
a plot plan indicating ';":'~ere th'e 'P'topos'ed sign will be located. If you are installing a freestanding sign which exceeds 2C
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(s) 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.
,
Depending on your sign(s), you may be required to request one or all of the following inspections during the installation
of your sign:
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INSPECTIONS
Site:
To be requested after indicating on th.e 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 complete.
I
The inspections that are required for your sign installation will be indicated on the application during the plan review
process, F,ailure 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 Divi.sion at 726.3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477