HomeMy WebLinkAboutPermit Signage 1999-08-27SPRINGFIELD JOP \TUMBER oSIGN PERMIT APPLICATIO"'
225 Fifth Street
Springf ield, OR 97 477
SITE ADDRESS laa ztrdr 5+
ASSESSORS MAP:
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lnspection Line: 726-3769
Office: 726-3759
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oWNER: C-c*-rft Ao*Z*z-1.PHONE:7qa -a5z
a5-1 zKfu SvADDRESS
CITY:aJJ STATE: .--G-ZIP:17q11
BUSINESS NAME, FIRTII ETC.:C".'nrr 21 Qr-x^t=I-
DESCRIPTION OF PROPOSED SIGN
X singte
(S): (please check and complete all ap
X Freesta nding Projecting
ORK
NOT
oneFace BillboardnlIilr, .'iir,
Square
Vertical Dimension of sign or enclosure q Horizontal Wi
Electrical Installation:
(lf yes additional electrical pe
Total
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Material Sign is constructed of:t)L }{l4-)dry.r1
List ALL existing signage and attach a photograph of sign:
(a) Type Sq. Fts
(c) Type Sq. Ftg.
6pJo"cr s1 qra(srt"1
Sq
Ftg
Ftg(d) Type
CONTRACTOR/INSTALLEB
ADDRESS: p O
k
Box a15
11a PHONE:1i3 - oLj
ctrY, Farccrla STRTE: G({ ztp:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:AAo3s EXPIRES:
EXPIRES:CITY BUSINESS LICENSE NUMBER
OFFICE USE
Sign
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Land Use
Code Sectio
Approved By
Attachment
after fasteners are
installed/prior to cover
Ouad
Electrical
prior to energizing
electrical installation
_ Final
completion of sign
installation
DATE:
l/ Footino
tFr t" placem-ent
of concrete
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 fronr the street, that
the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the installation
Validation:
heceipt Number:Ossgs )Received By:
L7
a-
of the sign(s)
Signature L
55.@Amount Received
L)
tr
or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
Date Paid:
SIGN PERMIT APPLICATION
The application on the roverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you arehiring 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 &pirationdate 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(s) 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
feet in total height, the footing detail needs to be prepared and stamped by a regist'ered 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.
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 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. li 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
prooess. Failur0 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 a24hour recording. On the recording you will need to leave your City
DesignatedJob 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 g.m. will be made the same
working day, all in5pebtlohsiphoned in after 7:OO a.m'. wlll be'riraQe the following wort< day: ^ 1 . t.
'"'; ,l lf,'xou.hare iny g{estipns.regaiding tne apdibation,'.requii.ed plans or inspections, please feel free to phon'e the Building
: !, '
' Satetri oivisioh Jt 7263759.
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City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97{17
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