HomeMy WebLinkAboutPermit Signage 1992-12-29SIGN PERMIT APPLICATION SPflINGFIELE,JOB NUMBER S
225 Fif th Street
Springfield, OR
SITE ADDRESS:
97 477
,nspectiorr Line: 726-3769
Ollice: 126-3759
TAX LOTASSESSORS MAP:
OWNER:PHONE:
ADDRESS
CITY:trOG€T€STATE: /l ZIP
BUSINESS NAME, FIRM ETC
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
Wall __ Freestanding _ Projecting _ Roof
Sing le Face Double Face Billboard _ Other
_ Marquee
Total Height above Grade /Z 6 t(
Square Footag \D
,l at
Dimension from Grade
to bottom of Sign Enclosure:
Vertical Dimension of sign or enclosure:Horizontal Wi
Electrical lnstallation: _ Y
(lf yes additional electrical permi
(b) Type
(d) Type
10'
nclosure
VALUE
OF SIGN
z7/
&
Material Sign is constructed of:
List ALL existing signage and attach a photograph of each sign
(a) Type h41-L_-Sq. Ftg
Sq. Ftg
q*d
(c) Type l,t/k
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/IN STALLER:
ADDRESS:
CITY:
CONS
STATE:
PHoNE: 3f 2 -6 f ",?'
ZIP:
TRU ON CONTRACTORS REGISTRATION NUMBER EXPIRES:
EXPIRES:CITY BUSINESS LICENSE NUMBER:Z
OFFICE USE
Sign District:
Zoning a-,
55 d)
Land Use
Code Sectio
Approved By
Ouad Area
Electrical
prior to energizing
electrical installation
Sign Permit Fee:
REOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
V orrr"hment-1-after lasteners are
installed/prior to cover
Final
completion of sign
installation
DATE:
Additional Comments and/or Conditions
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi{y that all inforrnatiort hereirl
is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances o{ the City of
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certily that only corltractors and
employees who are in compliance with ORS 701.055 will be used on this proiect.
I further agree to ensure that all
the permit card is located at the
of the sign(s).
requi,r€d inspections are requested at the proper time, that project address is readable lrorn the street, that
f ron{ of the property, and the approved set of plans will remain on the site at all times during the installation\/
VrW,l 't-"tv1q>
Signature
Validation:
-l l3)Received By:
qa&6t t)
Date Paid: 1) llq<c-,IAmount Received
Receipt Number: .
c
fi,
'r :'
? -{a,-r
Date
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer. or if you are
hiring a contractor, you need to make sure that both the City of Springf ield 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.
lf 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 if you are the business owner who also ownb the
building in which you are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application.
lf there are existing wall and/or freestanding signs, a photograph(sl 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 drawings showing all dimensions, total height, and
a plot plan indicating where the proposed sign will be located. lf you are installing a f reestanding sign which exceeds 20
f eet in total heiglrt, the looting detail needs to be prepared and stamped by a registered engineer or architect. Af ter the
plarr review process is completed, and, iI your sign(s) is approved, one set ol plans will be returned to you. The approved
sct of drawings need to be at the site when an inspection is requested for the inspectors reference.
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:
Sitc 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.
Footir.rg To be requested after excavation and the Iorms are installed, but prior to pouring concrete. lf 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 sign installation 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
rcqurred intervals ol work.
Torequestaninspection,phoneT26-3769. Thisisa24hour recording. Ontherecordingyouwill needtoleaveyourCity
Desigrrated Job Nurnber, location of where the sign is bcing installed. the type oI inspection you are requesting, and when
you will be ready for the inspection. All inspections called irr 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.
lf you have any questions regarding the application, required plans or inspections, please feel lree to phone the Building
Safety Divisiorr at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springlield, OR 97477