HomeMy WebLinkAboutPermit Signage 1992-08-05 (2)SIGN PERMI T APPLICATION
225 Fifth Street
Springfield, OR 97 477
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SP'lINGFIELD JOB NUMBER
inspection Line: 726-3769
Oflice: 726-3159
SITE ADDRESS:
ASSESSORS MAP:
owNER: E D -r. (ictae l,ice HoL nA PHoNE: 2"+l - 56 5 3
DA1o
TAX LOT
G L,J 11-]
CITY STATE:ZIP:
BUSINESS NAME, FIRM ETC V,,, or-o .,1i ewoLv Y
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
_ Wall _!* Freestanding _ Projecting _ Roof _ Marquee
_ Single Face A Double Face _ Billboard _ Other
Square Footage 5 7ff. ' C>BU1+\At s rDF )Total Height above Grade:e
Vertical Dimension of sign or enclosure I Horizontal Width of sign or enclosure:sh
Electrical lnstallation: * ves I *o/&f,(lf yes additional electrical permit is required)ooDimension lrom Grade
to bottom of Sign Enclosure:
VALUE
OF SIGN:
l'
Material Sign is constructed of
List ALL existing signage and attach a photograph of each sign:
(a) Type Sq. Ftg
Sq. Ftg
,5'
(c) Type
(bl rype Pi-Y cq,,,D Ftg.
(dl Type Sq. Ftg.
)
PHONE:CONTRACTOR/INSTALLER
ADDRESS:
CITY STATE:ZIP:
coN STRUCIoN coNrRAcfciiiS htc rsrno
CITYBUSINESS LICENSE NUMBER: I\
ON NUMBER:EXPIRES
EXPIRES
OFFICE USE
Sign Dlstrict
Zoning
Sign Permit Fee:
REOUIRED INSPECTIONS
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Land Use
Code
Approved By
Attachment
after fasteners are
installed/prior to cover
&Y*,"^,pnor to energrzrng
electrical installation
{r,"u,completion of sign
installation
Ouad Area:
o DATE:
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 oI the City of
Springlield, 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 proiect.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable lrom the strect, that
the permit card is located at the f ront of the property, and the approved set of plans will remain on the site at all times during the installatiorr
o{ the n(s)
Si gnature Date
Date Paid:Amount RecValidation:
Receipt Number:Received By
q2_
rP Lv wo oo
(PAv*,"o6,ult)
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 oI 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.
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 owns 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 freestanding sign which exceeds 20
f cet in total height, the f ooting 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
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:
Site To be requested after indicating on the lot where the proposed sign will be located but prior to any work
being performed lor 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 alter excavation and the forms 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
required intervals of work.
Torequestaninspection,phoneT26-3769. Thisisa24hour recording. Ontherecordingyouwill needtoleaveyourCity
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:OO a.m. will be made the same
working day, all inspections phoned in after 7:00 a.m. will be made the lollowing work day.
lf you have any questions regarding the application, required plans or inspections, please Ieel free to phone the Building
Saf ety Division at 726-3759.
City of Springfield
Building Satety Division
225 Fifth Street
Springfield, OR 97477