HomeMy WebLinkAboutPermit Signage 1997-10-1
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IIGN PERMIT APPLICATION.
/25 Fifth Street
;pringfield, OR 97477
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SITE ADDRESS:
~ASSESSDRS MAP:
/' II (}H l:j AtlIlNUl,l,Nt.OJOR Dr' cZ.
OWNER: Iri ,- W l') rt:v.p !;'Tl2fVlSwe~r.v rl'c,ll'f,hfiI'!ONE:
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ADDRESS: ,~:;Jn \J \.0 .c::;pl'",.'1A Ave'h)€.- <S~-k... (,,<:;0
CITY: Pn....\-v.."'A, STATE: 0 f?ICbcxV
SPRINGFIEL.D
6D~~ ;1i{~- 5. p., i='.4x SD3-'1<{"- G,54,O
ZIP: q '7 JC'1
BUSINESS NAME, FIRM E,C,: Cn,'/\d\erc;AL ('ror\~-\-
DESCRIPTJ.0N OF PROPOSED" SIGN(S): (please check and complete ail appropriate information)
--.:I.... Wail _ Freestanding _ Projecting _ Roof
Marquee
~
Single Face
Double Face
Biilboard
Other
Square Footage:
3'1,J
1
Dimension from Grade
to bottom of Sign Enclosure:
,,, "
h -()
l'G' '_I. j I
, Total Height above Grade: D I.P
~\i' '5~""lJl ~ 1-
'" , J (' ... '-7',,1'
4 '\:l:M\DU> \:',~HQIiz ta,' th of sign or enclosure: .,< y
Electrical (nstall~: ~es No VALUE
(If yes additional el ctrical permi s required) OF SIGN:
5'50.00
,
s~, f'- ,n
~ ns-tA-lI
Vertical Dimension of sign or enclosure:
Material Sign is constructed of: -"'phl\M.:/\i.;.M ,,~~ \Y'\fiUi\
'-.l
~~'YI& l d::tllAb .
(al Type
Sq, Ftg,
tJ/A
(bl Typa
Sq, Ftg,
List ALL existing signage and attach a photograph of aach sign:
(cl Type
Sq, Ftg,
(dl Type
Sq, Ftg,
CONTRACTOR/iNSTALLER: rYVl 1"-+1.(\ hr.A, S;c:J'''-.
ADDRESS: ,...:;:n'-l :JeJ{'p_fSon ST,
CITY: PllC) 0 ,>,\ 0 STATE:
U
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: <0 l/ (oi'3
CITY BUSINESS LICENSE NUMBER: ~ o..fJ.rjLC\ ~
OFFICE USE " '1
Land Use: OW) Qua~rea: Ar ilJLLJ
Code Section: 4 - '1- t 4 (I )
Approved By: ~~G~.x(./ DATE:
PHONE: 5'11- 3<td-I7/e,'i
(}~, ZIP: 91lf.o:l
EXPIRES: 3'-9- C(';I
EXPIRES: (0- ~o-9'8
Sign District:
~rrom\lf~ laC)..
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l~5~
11I.I.Ql
, ,
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
I ~chment
aftir fasteners are
installed/prior to cover
~Iectrical
prior to energizing
electrical installation
VFinaJ
completion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined the completed appiication 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 t'ime, that project address is readable from 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 ail times during the installation
of the signlsl,
. \) 01).,\,\ p, e:,~rn'l
Amount Received: q}(.;;1()
Signature
Date
q - ,;JW~ q7
Receipt Number: Od-I S 7.3
Date ~aid: 1(\ - 2- Crl
Received By: D-r0a (1 u({1)
Validation:
.
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SIGN PERMIT APPLICATION
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The application on the reverse side needs to be completed entirel~.\ If you are the sign contractor/installer, or if you are
hiring 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 expiration
date of aach,
If the sign you are proposing to install is iIIuminatad, an electrical permit appiication aiso 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,
If there are existing wall and/or freestanding signs. a photograph(s) of each existing sign neads to ba ellached to the
applicetion, The size of each existing sign also needs to be listed on the application,
PLANS
To submit for a sign permit, you naed to prapare two complete sets of drawings showing all dimensions, totai height, and
a plot plan indicating where tha proposed sign will be located, If you are inslalling a freestanding sign which exceeds 20
feet in total height. the footing detail needs to'be'prepared and stampad by a registerad engineer or architect. Aftar tha
plan review procass is completed, and, if your signls) is approvad, ona set of plans will be returned to you, The approved
set of drawings need to ba at the site when ~an~inspection is requested for the inspectors reference,
INSPECTIONS
Depending on your signls)' 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, II 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 electricai connection to the sign is made, but prior to energizing,
Final:
After aii required inspections are conducted and approved and the sign instaiiation is complete,
The inspections that are required for your sign installation will be indicated on the appiication 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,
To raQuest an inspection, phone 726-3769, This is a 24 hour recording, On tha recording you wiii 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
you will be ready for the inspection. Aii inspections callad in to the recorder prior to 7:00 a,m, wiii be made the same
working day, all inspections phoned in after 7:00 a,m, will be made the following work day,
If 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 Fifth Street
Springfield, OR 97477
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