HomeMy WebLinkAboutPermit Signage 1999-3-30
SIGN PERMIT APPLlCATli
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
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SITE ADDRESS: \. O)<,F) ~ Hrd'" ~-IYr ~,.\ - S-tr...,,: \ ~n * \
ASSESSORS MAP:' \'1 n~<"'y....?,;:>, I
TAX LOT:
OWNER: Co _\~ elf;, ~0'; \'rrf\e' \d
ADDRESS: h\ -\..b j, A
CITY: . s.,;)'! ~ ~\-, E' \C\ .
BUSINESS NAME, FIRM EOC.:<!,nnnrf\f' \0\
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PHONE:
JWUMBER g q 0 '+ll
Inspection Line: 726.3769
Office: 726-3759
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STATE:
V-:Y'f' .S
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L\~f', ~r.fp1v.
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ZIP:
q,'lL\'l'l
Roof
~
~
I
.,
_ Projecting
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
Wall t- Freestanding
_ Single Face .;i....- Double Face
Square Footage: ::::J5, 5
Billboard
Total Height above Grade:
\.o~.\- ;::)',n
l 0 -t-\- _
. Horizontal Width of sign or enclosure:
-----
Dimension from Grade . Electricallnstallati~n: _ Yes L N~ VALUE
to bottom of Sign Enclosure: \ rl In. es additional electrical permit is require~ OF SIGN: '-t'::> tl q.O\J
Material Sign is constructed of: '-he",-\- f""Y\pT.. \ c::h.\nTp~\rfr,('f'~ s1\x\ 1~\\i(,N()? n'Olrt>S-n 'e,
. __,.". "...,~ :_..,..,,,~,;,.^,:1.~'1~\lnllto . Q"l'\o~~
Vertical Dimension of sign or enclosure:
4H.,~io.
. ... j".i!w.'rllle' aclilot~tl1lti1eOregOnl:Jtility
List ALL eXisting slgnage and attach a p~otograll1! otl oac nslan: les are set forth
,'lUtlllcanun'l;en ar. 058 ru
la) Type (tc=rA1.J1:>UJG- i"sQ\M!?t'W-~~~)OARe952-0~1-
.;090. YOu may OOlltln CUII,as oHRe ..1."" Ul
(c) Type Sq:BF.itlo the center. (Note: lbf3iYllWhone
(lumber for the aragon utility Nollhcallon
~ C-' A\".!!~ller's I-OUUir>'-'''''''/'
CONTRACTOR/INSTALLER: C -.:::,$ .:'-,ICjn 1>, t-\v~(\\VYj
ADDRESS: \ ~I(J ()r).\:: 0'-\'C' '^ ~(')r\
CITY: \""-'CH'ne STATE:
J
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: I 1\ ',4 ~l ()
CITY BUSINESS LICENSE NUMBER:
SLo()\9 ::J
OFFICE USE
Sign District: Q~'S..~,c-1L
Zoning: L f') tQ..
Sign Permit Fee: :$ ~O ,
Land Use:
,
lo9.oD
':l.).YO (3)
cj>{............. L<..J j.Q.. .
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Code Section:
I
Approved By:
-
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
'/Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Additional Comments and/or Conditions:
Marquee
Other
NOTice:
THIS PEF!r. 'T SHALL EXPIRE IF THE WORK
,
A~~'161~;z~' ,}",.,l:C TI-lI.t:: PERMIT IS NOT
C<S~Mltg!CtD OR IS ABANDONED FOR
AMV 1~nnAY PFRIOD.
PHONE: L\R"S- 55Lj.('()
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ZIP: q'l <-\-()"J
EXPIRES: (\d - ('):)-(')(
EXPIRES:Ol9 - .:":-D-qq
Quad Area:
lit!..JJC
DATE:
3- 30."1 1
Electrical
prior to energizing
electrical installation
v'" Final
completion of sign
installation
, ,
, "
... By signature, I state and agree, that I have carefully examined the completed application. and do hereby c'ertify.that all informationhereir
is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the Cily 0
Springfield. and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors an'
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 from the street, th;
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 installatio'
of the sign(s). 9
Signature 0D.Q.~~ON"" ~n~\'1 Date 2>"~.ci-C1l1
() I
Amount Recei~ 0, Ql)
Receipt Number:().?3 3 d-'7
, .
I.
i
Date Paid: <. ~ -3/- 97
.. . I . .
Received BY:~.fJ. ad 0
Validation:
....... "1
.
.
SIG,N PERMIT APPLICATION
The application on the reverse side needs to he completed entirely. If you are the sign contractorlinstaller, or if you ere .1
hiring a contractor, you need to make sure that both the City of Springfield Business License Number,andthe Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each,
If 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.
I, j.
-.. .~
If there are existing wall and/or freestanding signs, e phologreph(s) of each existing sign needs to be ettached; to the
application. The size of each existing sign also needs to he 'listed on the epplication. '... , '
I . I'
PLANS
To submit for a Sig'n permit, you need to prepare two complete sets of drawings showing all diJensions, total height, and
a plot plan indicating where the proposed sign will be located. If you are installing a freestandirtg sign which exceeds 20
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 completed, and, if your signlsl 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 signlsl, you may be required to request one or all of the following inspections during the installation
of your sign:
.1
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 01 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. If there will be
electrical conduit placed in the footing, It must also be in place prior to requesting this inspection.
Attachment: To be requested ~hen all fasteners'are installed but prior to cover.
",
Electrical:
To be requested after the electrical'l:onnection to the sign is made, but prior to energizing..
After all required inspections are condu~ted ~nd approved and the sign installation is complete.
Final:
The inspections that are required for your sign installation will be indicated on the applicatior during the plan review
process. Failure to request ANy'of the required inspection.s could result in sign removal in orderl to inspect the sign at the
required intervals of work. I .
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
you will 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.
If you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726.3759. '
.1
City of Springfield
Building SafelY Division
225 Fifth Street
Springfield, OR 97477
'.