HomeMy WebLinkAboutPermit Signage 1994-02-08SIGN PERMIT APPLICATIOT..
225 Filth Street
Sprins{ield, OR 97 477
SITE ADDRESS
ASSESSORS MAP:
J
ADDBESS: {
CITY
BUSINESS NAME, FIRMI ETC.
SPRINGFIELE,
STATE
JOP ','MBER
lnspection Line: 726-3769
OIfice: 726-3759
i
I
I
I
T LOT:
PHONE:7+1 -ba)OWNEN
ZtP:q74 77
DESCRtPTION OF PROPOSED SIGN(S): (please check and complete all appropriate informationl
X *u,,
Ksinste race
Square Footage a7.6A b Total Height above Grade:
Vertical Dimension of sign or enclosure Horizontal Width of sign or enclosure
fJ::il,,,", \2',-1"Electrical lnstallation: _ Yes X *o ,ALUE
is requiredl OF SIGN:
Material Sign is constructed of:e-
o
_ Freestanding _ Proiecting _ Roof
Double Face _ Billboard _ Other
(lf yes additional electrical
_ Marquee
Dimension from
to bottom of Sig +
List ALL existing signage and attach a photograph of each sign:!r\o e<(?+i Y +g^a3e,
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
(b) Type
(d) Type
Sq. Ftg
Sq. Ftg
CONTRACTOR/INSTALLER. dIilV\CA PHONE:
ADDRESS
CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER:
STATE:ZIP:
EXPIRES
EXPIRES
OFFICE USE
Sign Dist'rict
Zoning
Land Use
Code Section
Approved By:
I
5[1Pc))Sign Permit Fee
REOUIRED INSPECTIONS
_ Site
to be made prior
to.sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
Jj ,,n",
Fmp-tetion 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 hereb y 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
tn
Receipt Number: I I S ?5 Received ev, C)A
Sprin!field, .a Laws of the State Oregon pertaining to the work described herein. I further certify that only contractors and
employees liance 70
that rns
the
1.055 will be used on this project.
ons are requested at the proper time, that proI furlher a
the permit
of the sig
Signature
Validatioo
addre sis able from the street, that
and the a pproved set of plans will remain the at I times during the installation
Date
.--L
ount Receiveo, AIS oO
Date Paid: e I
lb'-qu
UTU
\
q
n
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lI 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.
It the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed
by either a supervising eleJtrician, 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 oach existing sign needs to be attached to the
appllcation. The size of each existing sign also needs to be listed on the application'
PLANS I
To submit f or 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 instilling a freestanding sign which exceeds 20' '
{eet in total height, the tooting detail needs to be prepared and stamped by a registered engineer or architect' A{ter the
plan review process is compleied, and, if youirignt.t 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 ref erence'
INSPECTI.Nt^,,
^, +k^ {^rnr,inn inc tarration
Dependingonyoursign(s),youmayberequiredtorequestoneorallofthefollowinginspectionsduringtheins
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 tne instattltion 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 lorms are installed, but prior to pouring concrete' ll there will be
electrical conduit placed in tne tooting, it must also be in place prior to requesting this inspection'
AttachmentrToberequestedwhenallfastenersareinstalledbutpriortocover.
Electrical: To be requested after the electrical connection to the sign is made' but prior to energizing'
Firrai: After all required inspections are conducted and approved and the sign installation is complete'
The inspections that are required for your sign instailation will be indicated on the application during the plan review
process. Fairure to request ANy of the require-d inspections couto resutt in sign removar in order to inspect the sign at the
required intervals o{ work'
To request an inspection, phone 726-3769..This is a 24hour recording. on the recording you wi, need to leave your city
Designated .lon ruumulr, ri""tion of where tne sign L u.ing instalred. tiie type of inspectron you are requesting, and when
you will be ready to, tnl inspection. a, in"p-u"tionr "rrruo .in to the '""o'du' prior to 7:0o a'm' will be made the same
working day, allinrp."iion. phoned in atterToo a.m. will be made the Iollowing work day'
lf you have any questions regarding the application, required plans or inspections, please leel free to phone the Building
Safety Division at 726-3759'
City of SPringfield
Building SafetY Division
225 Fifth Street
Springtield, OR 97477
I
I
I
l
SIGN PERMIT APPLICATION
225 Filth Street
Springlield, OR 97 477
SITE ADDRESS
ASSESSORS MAP:
OWNER:
ADDRESS:
CITY
BUSINESS NAME, FIRTI/ ETC.:
SPRINGTIELO
STATE:
JOB VBER
lnspection Line: 726-3769
Office: 726-3759 q
PHONE:fr1
ZIP.,
M
TAX
DESCRIPTIoNoFPRoPoSEDSIGN(S):(pleasecheckandcompleteallappropriateinformation}o
( *.,,
-
Freestanding--r'--
Xsingte race Double Face
Prolecting
Billboard
il ,_b
(lf ye
Electrical lnstallation:
-
Yes
s additional electrical
Roof Marquee
Other rl
Square Footage Total Height above Grade:
Vertical Dimension of sign or enclosure 4 ,-Zu Horizontal Width of sign or enclosure a 3t-b"
X*o
i(reilireo
VALUE
) oF slGN
+
Material Sign is constructed of :
List ALL existing signage and attach a photograph of each sign: Vt'C
Dimension {rom Grade
to bottom ol Sign Enclosure
(a) Type
(c) Type
€xr,+4 42l3ta.s!e,
Sq. Ftg.
Sq. Ftg.
(b) Type
(d) TyPe
Sq. Ftg
Sq. Ftg
L^)PHONE:
CONTBACTOR/INSTALLER:
'-ADDRESS
STATE:
CITY
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER
OFFICE USE
ZIP:
EXPIRES
EXPIRES
Ouad Area:A s
Sign Dist'rict
Zoning
Sign Permit Fee
REOUIRED INSPECTIONS:
Land Use:
Code Secti
\Approved BY
\
Electrical
prior to energlzlng
electrical installation
ATE:
Site
6-6E---ade p,iot
to sign, Placement
Addiiional Comments and/or Conditions:
I and agree, that I have care{ully examined
and I further certify that anY and all work
thecompletedapplicationanddoherebycerti{ythata|linformation-herein
performed shall be done in accordance with the Ordinances of the CitY of
to the work described herein. I further certify that only contractors and
used on this Proiect'
Footing
prior to placement
of concrete
Attachment
alter fasteners are
installed/Prior to cover
\/ ,,nu,
6-rnp-rution of sign
installation
Validation:
Receipt Number:
01
-0|D
Received BY:
')
te
By signature, I state
is true and correct,
Spring{ield, 'and the
employees who are
I fuither agree to
the pgrmit card
of the sign(s).
Signatu
Laws of the State n pertaining
ui
nt
all
nce with will be
Amount ived
are req uested at the Proper time, that
, and the approved set of Plans will
Date
Date Paid
add is readable from the street, thal
at all times during the installation
I
r L,/
ll c, q.
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 uotn ihe city of Springf ield Business License Number and the Registratibn
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 eleclrician, 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 ihe proposed sign will be located. lf you are installing a f reestanding sign which exceeds 2o.
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect' After the
plan revieW process is compleied, and, if your sign(s) is approved, one set of plans will be return'ed to you' The approved
set of drawings need to be at the site when an inspection is requested lor the inspectors reference'
INSPECTIONS
Depending on your sign(sl, you may be required to request one or all of the lollowing inspections during the installation
of your sign:
Site:
Footing:
Attachment:
Electrical:
Final:
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.
To be requested after 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'
To be requested when all fasteners are installed but prior to cover.
To be requested after the electrical connection to the sign is made, but prior to energizing.
After all required inspections are conrlucted 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 Aruy 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 a 24 hour recording. on the recording you will need to leave your City
Designated Job Number. location of where the sign is being installed, the type of inspection you are requesting, and when
yo, *itt be ready for the inspection. All inspections called in 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 free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fitth Street
Springfield, OR 97477
SIGN PERMIT APPLICATION'
225 Filth Street
Springlield, OR 97 477
SITE ADDRESS
ASSESSORS MAP
OWNER:
ADDRESS
SPFlINGFIELD
STATE:
JOB MBER
h,
PHONE:1a
4 ZtP'.
CITY
BUSINESS NAME, FIRTI/ ETC.:
TAX
DESCRIPTIoN oF PRoPosED SIGN(S}: (please check and complete all appropriate information)@xxIWaFreestanding
Double Face
Projecting
Billboard
Electrical lnstallation:
(lf yes additional electri
RooI
-
Marquee
Other
Single Face
Scluare Footage:qb.z b
Vertical Dimerrsion of sign or enclosure
t rl
Total Height above Grade
Horizontal Width o{ sign or enclosure
Z 3 lt Yes X ,o+
cal permit is required)+@VALUE
OF SIGN:
Material Sign is constructed o{
List ALL existing signage and attach a photograph of each sign
Dimension lrom Grade
to bottom oI Sign Enclosure:
(a) Type
(c) Type
,ro eciatr\3 +igns3e-
Sq. Ftg
Sq. Ftg
(b) TYpe
(d) Type
Sq. Ftg
Sq. Ftg
,. Qt ,ftfcP- - PHoNE:
CONTRACTOR/INSTALLER
ADDRESS
CITY: -
CONSTRUCTIONCONTRACTORSREGISTRATTONNUMBER: -
CITY BUSINESS LICENSE NUMBER
OFFICE USE
EXPIRES
EXPIRES
(_
Sign Dist'rict:
Zoning
Sign Permit Fee TD
REOUIN;D INSPECTIONS
Site
6-6u-.ad. Ptiot
to .sign. placement
Addi'tional Comments and/or Conditions
Attachment
after fasteners are
installed/prior to cover
Land Use:
Code Section
Approved BY:
Ouad Area:
Electrical
prior to energlzlng
electrical installation
t I
DATE:
Footing
prior to placement
of concrete
v) ,,^,
fifripw:=tion of sign
installation
By signature,I state and agree, that I have carelully examined the completed aPP lication and do herebY certilY 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
to the work described herein. I {urther certifY that onlY contractors and
Springf iel d, ,and the Laws of the State Oregon Pertaining
employees who are in ance with 701.055 will be used on this Proiect.
I fuither agree all
the permit
of the sig
Signature
Received:
d at the ProPer time, that Proiect add is readable from the street, thal
proved set of Plans will re
"-7
on the at
Date (.'
Date Paid:2l?le,t(t
Ir
rty, and
"l/
Validatioo
ReceiPt Number cr8 <Received BY tQ
times during the installation
lnspection Line: 726-3769
Oflice: 726-3759
( _tt=f/rr<
I
STATE: - ZIP:
I
SIGN PEBMIT 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 ot Springfield Business License Number and the Registratibn
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 eithei a supervising eleclrician, limited sign electrical contractor, or if you are the business owner who also bwns 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 e'acn 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 ihe proposed sign will be located. lf you are installing a f reestanding sign which exceeds 2o
leet in total height, the footing detail needs to be prepared and stamped by a registered .engineer or architect. After the
plan review pro-ess is compleied, 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:
Footing:
Attachment:
Electrical:
Final:
To be requested altbr indicating on the lot where the proposed sign will be located but prior to any work
being periormed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign.
To be requested after 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'
To be requested when all fasteners are installed but prior to cover.
To be requested after the electrical connection to the sign is made, but prior to energizing.
After all required inspections are conducted and approved and the sign installation is complete.
The inspections that are required lor your sign installation will be indicated on the application during the plan review
procuss. Failure to request Aruv 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
Designated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and when
yo, *itt be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same
working day, all inspections phoned in after 7:OO a.m. will be made the lollowing work day.
lf you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Salety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477