HomeMy WebLinkAboutPermit Signage 1996-3-29
SIGN PERMIT APPL~ATIO.
225 Fifth Street ILLUIJ1', Slbt-J
Springfield, OR 97477
LOCATION OF PROPOSED WORK:! qp,(',lJ('i~ +hr,; f\ r. Jq),,?_
ASSESSORS MAP: I ~Cf:A~:)._,___
OWNER:&rj)ri~ P()C'I(:;c.. h~1101 -'.f'fV,U,S
ADDRESS: I () () f1q 1,0; II t)l.o. ) (l/"t"K l?.or'A(j
CITY: ~C.(\ 'b i e.a ()
oJ
BUSINESS NAME, FIRM ETC,:
~
JeeUMBER ~tt'~i :;~ .'
~spaction Une: 7 ~~56~
Office: 726.3759
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TAXLDT: []C)l~
{J; I q - 57R-/o /50
....,
, PHONE:
STATE: fA
r ce. f,' c. ~. (1 ()
,ZIP:
QZI31
,
DESCRIPTION OF PROPOSED SiGNISI: Iplease check and complete all approprintc inlormntionl
lWnl1
A Single Face
Square Footage: Ljo I
Freestanding
Projecting
nonl
Marquee
Doubie Face
Billboard
Other
,;:',
Total Height above Grade:
1'7 J (p Ii
Dimension from Grade
10 bottom of Sign:
I'J'
2 '/"111 , I
l:p Horizontai Width 01 sign or enclOsure: \ (0
Electricallnstallatio~ _ No
(If yes additional rmit i quiredl VALUE: 52.00, 00
G \ Urn i ('\'JfY'\ I 0. Cfj \, (" ,,-leon.) She-e -I- rY\em \
~
Sl#
Vertical Dimension of sign or enclosure:
Material Sign is constructed of:
List ALl. existing signage and attach a photograph of each s~ NO to\( 1ST II\J C-
lal Type Sq, Ftg, IbJ Type
Sq, Ftg,
Icl Type
Sq, Ftg,
(dl Type
Sq, Ftg,
CONTRACTORJlNSTALLER: E. S-I- A ItoJC.
ADDRESS \2\D ()A\Z:Pf\R.~ R,t:>
El1GF."-IE:
PHONE: Y9,S -S'S4(,.
CiTY:
ZIP: Q7Yo 2-
EXPIRES: 2. - 2- 9 'I
EXPIRES: (1-30- qip
STATE: OYL
1\ \2<Ol.:>
CONSTRUCTION CONTRACTORS REGISTRA TION NUMBER:
CiTYB,USINESS LICENSE NUMBER:
Cls03Q!'"J
Zoning:
Sign District:~m\t{\OJ1'inJ)
00
(~~co
OFFICE USE , "\
, La;d Use: ~) Duad Area: ;f.1 (!J\)LLJ
Code Section: 3-1':'- '7 -'lj(1 ) " ' ,
'APproved By: LkM ) \5m}~\JQR .-J_DATE 3.~ .Qb
Sign Permit Fee:
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placefTlent
of concrate
~
Attachment
after fasteners are
installed/prier to cover
~ical
prior to energizing
----
Fini1(\
completion of sinn
installation \.
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 inform.1tion 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 Oragon 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 p(oper time, that project address is readable from llH~ 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 {/w installation
of the sign'ls),
Signature ~ h~ K<Nl:t:ll
Date
sl2.slqio
Date Paid (~. 2J1. ct L f)
Received By: - ~N.,~ )
Validation:
Amount Received:
U)\,Zf)
&'OmJ
Receipt Number:
.
.
SIGN PERMIT APPLICATION
The applic'::Jlion on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are
Iliring J COlltractor, you need to make sure that both the City of Springfield Business license Number and the Registration
Number Irom the State 01 Oregon Cunstruction Contractors Board are listed on the application along with the expiration
U~l\e 01 cacl\. '
,
,
II clle sign you are proposing is illuminated, an electrical permit appiication also needs to be completed and signed by either
il 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 yoursell, you may sign the electrical
application. ~
II tllere arc existing wall and/or freeswnding signs, a photograph Is} of eech existing sign neads to be ettached to tha
upplicmioll, The size ~f each existing sign also needs to be listed on the application.
PLANS
'[\1 sublllit {or a sign pennit, you Ilced to P1Up'::lfC lwo complete sets of drawings showing all dimensions. total height, and
a plOt plan indicating where the pcoposed sign wiii be located, If you are installing a freestanding sign which exceeds 20
ket in totallleight, the footing detaii needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, if your signisl is approved, one set will be returned to you, The approved set of drawings need
10 be at the site when an inspection is requested for the inspectors reference,
INSPECTIONS
DCIH,nclinv on your signis), you may IJe required to request one or all of the following inspections during the installation
01 yuur siUI\:
Site: To be requested alter indic,,,ing on the lot where the proposed sign will be located but prior to any work
being performed for the installation 01 the sign, This inspection is required if there is a question on the
location of the proposed sign.
Fuoc,no: 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,
f\ttacllllll;;lll: To be requested when all fasteners are installed but prior to cover.
E!ectrical: To be requested after the electrical connection to the sign is madel but prior to energizing.
Final: After all required inspections are conducted and approved and the sign installation is complete,
TIle inspectio.ns that are required for your specifiC sign will be indicated on the application during the plan review process.
FJilure to request ANY of the required inspections couid result in sign removal in order to inspect the sign at the required
ilHerv,Jls of work,
Tu request an inspection, phone 726,3769, This is a 24 hour recording, On the recording you will need to leave your City
Designmed job Number, location of where the sign is being installed, the type of insp,ection you are requesting, and when
you will be ready for the inspection, All inspections called in to the recorder prior to 7:00 a,m, wiil be made the same
working day, ail inspections phoned in alter 7:00 a,m, will be made the following work day.
II you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Salety Division at 726,3759,
,.
,
.
.
e;t:, uLSpril~gn~ld.
Building Sal'ety Div!sioll
115 Firth SfI'cel
Springfield, OR 97477
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