HomeMy WebLinkAboutPermit Signage 1996-10-28S,GN PERM,T APPL'CAT,C
22S Fifrh Srreer
rPlngfie/d, OR g7477
asPFrNoFrELo _\H J( ,UM8ER
LOCAIION OF PROPOSED WORK:,U
ASSESSORS MAP;
OWNEB +
ADDRESS
CIIY:
lnspection Line: 7
Of f ice: 7 26-37 5s
26.3769
n
TAXL OT
PHONE
I I
STATE:
ZIP:q1 L-loBUSINESS NAME, FIRM ETC.:Ct)C ,*l
U t
DESCRtpTtON OF pROpOSED SIGN(S): (ptease
X wrrr _ Freestanding
X Single Face _ Double Face
Square Footage:%il,1 tp
Vertical Dimension of sign or enclosure:J
check and complete all appropriate inf ormation)
-
Proiecting --= tloo f
_-. Billboard ---- other
I
Total Height above Grade: I 3'
Horizontal Wjdth of sign or enclosure: I
Electricat tnstaltation: _ yes X ruo(rI yes ,ilr,;;;;i;;,Iiit i, ,..quffi vnLur:t OD
--.- Marquect
tl
IDirrrension from G
to bottom of Sign:
rade ll,
Material Sign is constructed of
List ALL existing signage and attach a photograph of each sign
(a) Type
(c) Type llct\3,{ , lp
Sq. Ftg,
Sq. Ftg.
,lb (b) Type
(dl Type
Sq. Ftg
Sq, Ftg
CONTRACTOR/IN STALLER
ADDBESS: I ID
CITY
PHONE 'Lr g S..SV{-
ZIP:1")\oz
EXPIBES: 2-.q'l
STATE
CONSTRUCTION CONTRACTORS BEGISTRATION NUMBEB , I I IL l_
Qsc aCITY BUSINESS LICENSE NUMBER:qr).)EXPIRES
OFFICE USE
Sign District:
Zonirrg
RE0UIRED INSPECT|ONST
_ Site
to be rnade prior
to sigrr placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
instal!eC/pricr. to cover
5Yi
Land Usel
Code Section
Approved By:
Ouad Area
t
Elec trical
prior to energizing
DATE
Final
completion ol srorr
insta lla t io rr
Additional Comments andlor Conditions
By signature, lstate and agree, that lhave carefully examined the completed applicatiorr and do hereby certify that ail iniorrnation herein
is true and correct, and lJurther'certify that any and all work performed shall be done in accordance with the Orrdrrrarrces of the City of
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. llurther certify tiar onty coprractors and
employees who are in compliance with ORS 701.055 will be used on this projecr.
I lurther agree to ensure that all required inspections are requested at the pfoper time, that project address is readablc f rorn ttrt: street, that
the perrnit card is located at the lront of the property, and the approved set of plans will remain on the site at all time s ciuring tirr: installation
ol the sign(s).
Signature Date
Amount Received
Receipt Number:
Date PaidValidation
Beceived By
fli oar
t^)ctl $rers&at"El
\(p
Sign Permit Fee:
--\rrl * Ytn-"u
SIGN PERMIT APPLICATION
r.irc opplrcir riorl on the reverse srde rreccJs ro lJe cornpleted entirery. lf you are the sign contractor/instatler' or ii You are
r)rrrrrg 3 cor\rracror, you need to make sure thar both the city of springtietd Business Lice.nse Number and the Begistration
Nur.bcr f rorn rhe state or oregon corrstructio,r'i.'..,iru.aii Boa;d a;e lisied on the apptication along with the expiration
u:rte ol ecclt.
{
rf rire sig. you are proposing is iilumirratcri, a,', erect,iIar permit application also needs to be completed and signed by either
a supervisirrg electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in
which you are occupying, and you wirr rro p.iio,rlng ine etectrical installation yourself, you may sign the electrical
application. \
lr trlere art: cxistlng wall ar-rd/or {reestorrdir-rg signs, a photograph(s} of oach existing sign needs to be attached to thB
a1ll:llcatiorr. The size of each existing sigrr also needs to be listed on the application'
PLANS
'[,, srbrrrit {or a sign perrnit, you rrcetJ to l)rutr0rc two complete sets of drawings showlng all dimensions, total height' and
u rrrr.rr plar*rdicatirrg where the proposctj sigrr will be located. lf you are installing a freestanding sign which exceeds 20
tr:ur. irr roral lreight, the f ooting detail rreeds io be prepared and stamped by a registered engineer' After the plan review
t)rocess rs cornpteted, and, il your sigrr(s) is approved, one set will be returned to You. The approved set of drawings need
ro be at lhe site when an inspection is requested for the inspectors referenCe.
INSPECTIONS
Dulrr:rrijirrg 0rr your sign(S)
o{ your sigrt:
you rnay t.rc rcquirccJ to request one or all of the {ollowing inspections during the installation
SiLe To be requested af ter irrrjrcarrrrg on the lot where the proposed sign will be located but prior to any work
being performed ior the irrstallation of the sign. This inspection is required if there is a question on the
location o{ the proposed sigrr. .:
Fr-iotirtg To be requested alter t:xcavatior'r arrrj the forms are installed, but prior to pouring concrete. lf there will be
elecrrical conduir placcd irr tnc footing, it must also be in place prior to requesting this inspection,
i\Lr.iulrrlruIrr. To be request€d wher all (asterrers are installed but prior to cover,
Electrrcal: To be requested after the electrical connection to the sign is made, but prior to energizing,
Frrtal: After all required inspectiorrs are conducted and approved and the sign installation is complete,
Tlre in5pesliqns that are required for your specif ic sign will be indicated on the application during the plan review process,
Failure to rcq'uest ANY ol the required irrslrcctiorrs could result in sign removal in order to inspect the sign at the required
int()rvals <-rf work.
1'r-rrequcstanirrspection,phonel26-3769. Thisisa24hourrecording. Ontherecordingyouwill needtoleaveyourCity
Desigrtated Job Number, location of where the sign is being installed, the type of insppction you are requesting, and when
you will bc ready ,or the irtspectiorr. All irrspections called in to the recorder prior to 7:OO a,m. will be made the same
irtlrkirrg cjay, all inspections phoned irr after 7:00 a.m. will be made the following work day.
ll vou have any questions regarding the appl cation, required plans or inspections, please feel free to phone the Building
S,rfety DrvLsion at 726-3759.
Cit1' ol'Springl'ield
llrrilding Sirl'ety Division
225 Iril'tlr St'cct
Slrrirrgl'ield, OII 97477