HomeMy WebLinkAboutPermit Signage 1999-7-23
S~~Ni~ERMIT APPLlCATI~
225 Wth St'oet
Springfield, OR 97477
SITE ADDRESS: 51 ^o mCL.<-.^-'
ASSESSORS MAP: II h? ~ ~ ~ "l--
OWNER: lJ,l Ann M, (',VMIA-t
SPRINGFIELD
J.MBER q q 0 q :A3
Inspection Line: 726-3769
Office: 726.3759
ADDRESS:
",'"Z-O
MA-. ~
"'.,..
TAX LOT: 0 360 {
PHONE: (9+/ )
IlO;r.. 33 $#
134> - P6~
03<:rol
CITY: ~,A
BUSINESS NAME, FIRM ETC,:
STATE:
MA-',j AA-AA ~
ctL
ZIP:
Q,4-,R
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information) r
KWall
_ Freestanding
_ Projecting
Roof
_ Marquee
r
-X Single Face
Square Footage:
Double Face
;}DrP
Billboard
Other
u;+
J.O -
.~
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Total Height above Grade:
~r
Vertical Dimension of sign or enclosure: '.J Horizontal Width of sign or enclosure:
Dimension from Grade IT 0iectricallnstallation: _ Yes X NO) VALUE t/'..) !!f?
to bottom of Sign Enclosure: $- - ~ yes additional electrical permit is require~ OF SIGN: 7W
Material Sign is constructed of: "f6,L.Lfv!""...(l.f,'I>J5 M~ ~X / ~<.6. -, ~~ ~ Att<....'T2P ')
'\TTI=~ITI(lN'ClrAoon law requires you to
~t low rules adopted by the Oregon Utility
ification Center. Those rules are set forth
in OAR 952-o0t-O~ 0 through OAR 952-001-
(b) Type Sqb Ill, ',. -f lh' -"les by
UUl:lU. TOU "'''Y 0 am ~vt"VV - - ,-
(d) Type calling the cS1j1~lflig(Note: the tele~hon.e
number for the Oregon UWIlY IWlll,~""On
." -1"- :>':I"l
vl:llll~' I,:) j-VVV ..r..._ -" - .
PHONE: 0'?f1' C(60(
t,t(
List ALL ~~&\J;tG~~age and attach..p.pI1o~K'ach sign:
THIS PERMiT SHALL EXPIHI: II"
lal T~p(l. 't"'-O'':- L"j""'n TUI~\IleRlIIIT IR NOT
AU I nvr\l6.\o.V \;I, -- .. .
(cl T'(R!jMMEillr.F=D~R IS ABArw~ FOR
" t\~ ',n,:, "^" D!:R10n
ADDRESS:
d.-ll
6Lt Ga-.J::
~'3c>N ~
<;:t-. ~: F"
CONTRACTOR/INSTALLER:
Ge..lI!-HSS'
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:'
STATE: 6<2..C
"I~?~
ZIP:
'4,40,-
{o/(o/oo
CITY:
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Zoning:
Sign Permit Fee: -4l.H.D, -
c..~
OFFICE USE
Land Use: t:;:; 30-0 Quad Area:
Code Section: 'is. 24 i ( \ )
Approved By: ~~" I... ,:, ~.,~
o
~CtJ(".
Sign District:~~.k.. tm.v..
.
DATE: '1-.J..~-c,q
REOUIRED INSPECTION!>:
,
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
~nal
completion of sign
installation
Additional Comments a~p/or Conditions:
- "r-
By signature, I state anc('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 cQmpliance with ORS 701.055 will be used on this project,
1
I further agree to ensure that all reQuired inspections are requested at the proper time, that project address is readable from the street, that
the permit card is located;):the front of the property, and the approved set of plans will remain on the site at all times during the installation
of the sign(s), ~
Signature " Date '1-1- ff 6~7- rGo(
, /
Date Paid: ~ 7(.,25 (r:r
Received By: <f{ - fl/J,1AA-
I
Validation:
,
Amount Received: -J:)-I D - 0.. u
Receipt Number: {)J l/tf7q
.
.
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SIGN PERMIT APPLICATION
. .... . . I
The application on the reverse side needs to be completed entirely, If you are the sign contractorflnstaller, or if you are
hiring a contractor, you need to make sure that both the City of Springfield Busi'ness license Numbe; ahd the Registration
Number from the State of Oregon Constructiol1 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 elso needs to be coA,pleted end 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 lor freestanding signs, a photographls) of each existing sign needs to be attached to the
epplicatlon. 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 wiil be located, If you are installing a freestanding 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 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 forthe installation of the sign, This inspection is required if there Is a question on the
location of the proposed sign" , '
Footing:
'" "l,"r'
To be requested after excavation and the forms are installed, but 'prior to pouring concrete, If there wiil be
electrical conduit placed in the footing, it must also be In place p'rior,to requesting this inspectio~,
Attachment: To be requested when all fasteners are Instailed but prior to cover,
l. .:.:~; . '. -,' ':
'1'/
Electrical:
To be requested after the electrical connection to the sign is made, but prior to energizing,
Final:
After ail required inspections are conducted and approved and the sign instailation 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 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 a 24 hour recording, On the recording you will need to leave your City
Designated Job Number, location of where the sign is being instailed, the type of inspection you are requesting, and when
you wiil be ready for the inspection, Ail inspections cailed in to the recorder prior to 7:00 a,m, wiil be made the same
working day, ail inspections phoned in after 7:00 a,m, wiil be made the foil owing 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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