HomeMy WebLinkAboutPermit Signage 1999-11-10SPFlIt\lGFTELE,JON \UMBER
OIGN PERMIT APPLICATIO
225 Filth Street
Sprins{ield, OR 97 477 Zfr,
lnspection Line: 726-3769
Olfice: 726-3759
SITE ADDRESS LlLZ ?v.t"^l- BlvJ Sle ,@
Itzqz. Co^-.-.e l-.Ste A
TAX LOT:
iz.ipHorur:(s''r D r-tg1-q63LASSESSOBS MAP:
OWNER: \Jr"cAsso..i..l.:,\,a
ADDRESS:
CITY:E"oR-ZIP:.1?90 LSTATE:
Ab*,e-BUSINESS NAME, FIRM ETC.
DESCR|PTION OF pBoposED slcN(S): (please check and complete all appropriate information)
Square Footag e: ztQ q, P+
Vertical Dimension of sign or enclosure
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed of:
-_
Roof
Other
Total Height above Grade:P+.
Horizontal Width of sign or enclosure 8 F{..
Fs".
,f *"u
K singte race
Freestanding
Double Face
_ Projecting
_ Billboard
_ Marquee
Q+
c\
Electrical lnstallation:
-
Yes
additional electrical permit is required)
No
List ALL existing OEfh a photograph of each sign:
(a) Type ISPEHMIT TRETFTHEWOru{Type
AUTHORIZED UNDER THIS PERTV?IT IS NOT
(c ) rv pe -------€orrftilEf{eEd&frBrcr,naenearon (d ) rvpn
Sq. Ftg.
Sq. Ftg.
:. ,.-CONTRACTOR/INSTALLEB 5;Tln^"t PHONE:S F
Z b /n Av<
STA ctL ZIP:9 ?yoz
/o
ADDRESS
CITY:Wq'a-e
CONSTRUCTION CONTRACTORS REGISTRATION I{UMBER . 1 ,IOI,S
CITY BUSINESS LICENSE NUMBER:76o ts /
EXPTRES:
EXPIRES:
OFFICE USE
Sign District:
Zonins: LC--Code Section:
Approved By:
Land Use: 5ZO O Ouad Area: r en) J
a
Sign Permit Fee 44L DArE: l0 -AS '7n
REOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
ztnttuchment
after fasteners are
installed/prior to cover
' Electrical
prior to energizing
electrical installation
Final
Effietion of sign
installation
Additional Comments andlor Conditions:
By signature, I state and agree, that I have carelully examined the completed application and do hereby certily that all information herei
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 <Springfield, and the Laws ol the State of Oregon pertaining to the work described herein. I lurther certify that only contractors ar
employees who are in compliance with oRS 701.055 will be used on this project.
I lurther agree '
the permit card
of the sign(s).
to ensure that all required inspections are requested at the proper time, that p roject address is readable from the street, th
the propert)', and the approved set of plans will remain on the site at all times during the installatir
Signature Date g
Validation:
is located at
Received By
Amount Received:
Receipt Number:
VALUE
OF SIGN:
qL^ l),-!-N
0
DatePaid: L; t0-?1
03u tffi *-)
The apprication on the reverse side needs to be compreted entirery. rI you are the sign contractor/installer' or il you are
hiring a contractor, ,"r'"..0 i ,"uk. ,rr. ,nr,i"in in.-iitv of sp;in;fi;td Business Li""'t'e Number and the Resistration
Number {rom the state'ot oregon constru",[" i""ii..toii eouio ;:; ;r,J;" the application along with the expiration
date of each.
rf the sign you are proposing to insta, is ilruminated, an erectrical permit application also needs to be completed and signed
by either a superrisinj"","Jan","^,-,.it"o,.ign "i""tri"ar
contractor,';; u";;;;re the b.usiness owner who atso owns the
building in which yo., ur" occupying, uno v'ou *,r bL per{orminn ,i" '.rl.ui".r insta'ation yourself ' you may sign the
.r..iii Jai rP Plication'
rI there are existing wa, and/or rreestanding signs, .a photograph(s) of each existing sign needs to be attached to the
application. rne size J el'cn e*isting ,ign ;l; ;.;ds io be ii.t"d on the application'
PLAI'IS
To submit Ior a sign permit, you need to prepare two complete sets oI drawings showing all dimensions' total height' and
a prot pran indicatins #;;; rn. Jropor.o ,ig"'*;rib" ro"rtro. rr voi'uiu initirtins u t,".runrrins sisn which exc.eeds 20
reet in totar height, tne tooting detair needs i" u. ,rur"red and ,o,",..*l iv u ,.ugiri"red engineer or architect' Af ter the
olan review process is compreied, ano, it.your-is^:bii. ,pproruo, onl-r"iot prun, wi' be re-turned to you' The approved
set or drawings need a uJrtir," site when ai'inrpection is requested f or the inspectors relcrence'
INSPECTIONS
Depending on your sign(s), you may be required to request one or a, of the folrowing inspections during the installation
of your sign:
Site:Toberequestedafter,indicatingonthelotvr,heretheproposedsignwill.belocatedbutpriortoanywork
beins performed for,nu rn*.rir,.io" oi,nu sign. rhris"in"Jp;Ln i. r.qrir.d if there is a question on the
location ol the ProPosed sign'
Footing: To be requested after excavation and the forms are instared, but prior to pouring concrete' lf there will be
eiectiical conduit placed i" ,r., i""li"g, it ml|st- atso"ue ln place prior to requesting this inspection'
Attachment:ToberequestedwhenallfastenersareinstalledbutpriortoGover.
Electrical:Toberequestedaftertheelectricalconnectiontothesignismade,butpriortoenergizing.
Final:Afterallrequiredinspectionsareconductedandapprovedandthesignlnstallationiscomplete.
The inspections that are required -f
or your sign installation wi, be indicated on the a.pplication during the plan review
orocess. Fairure to request ANy of tne requ.riei'inrpr.tion, "orro"*rriii"
.ign ,",no,ur in order to inspect the sign at the
required intervals of work'
To request an inspection, phone 726-3.769.This is a 24 hour recording. on therecording you wi'need to reave your city
Designated Job Number, tocation of *nereir,; ,ig" i, b"r"g inrt.ri.o, tne type of inspectlon you are requesting' and when
you wi, be ready,fii;;;o*tion. arr-inir*'.;; care-d in,"iil'i.""lier prior'to 7:00 a'm' will be made the same
working day, all inspections phoned in arteii:oo a.m. will be made the lollowing work day'
* you have any questions regarding the application, required prans or inspections, please feer free to phone the Building
SaietY Division at 726-3759
City ot SPringfield
Building SatetY Division
225 Fifth Street
Springfield, OR 97477
SIGN PERMIT APPLICATION