HomeMy WebLinkAboutPermit Signage 1999-6-29 (2)
SIGN PERMI! APPLlCATI.
SPRINGFIELD
.~UMBER 9~Jq<~!
225 Fifth Street
Springfield, OR 97477
Inspection Line: 726-3769
Office: 726.3759
TAX LOT:
"7 Ll'J{T)
,5,' f'J
6
&i II\, k..
PHONE:
72.~ - (;ft/O
.
STATE: tJ1<:.
-SWe.
ZIP:
C!f,<.{78
BUSINESS NAME, FIRM ETC.:
0&f wk...
Wall
..x Freestanding
X Double Face
_ Projecting
Roof
Marquee
~
"
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate informationl
_ Single Face
Billboard
Other
Hnrb
Width of sign or enclosure:
~ I C. I'
'II
..5'qS tJO
Square Footage:
''''/q II
Vertical Dimension of sign or enclosure: J..J
~
Dimension from Grade ..., ( ,. II Electrical Installation: X Yes _ No
to bottom of Sign Enclosure: ?- {Q If yes additional electrical permit is require
':4/ ~ -S he <:-T- ""'liVI ~
h3 SF
Total Height above Grade:
VALUE
OF SIGN:
Material Sign is ~frsrt: of:
I HI::iPERMITSHAII E)(P'RFI~n..II;,^,f"lCk'
List ALL existinMm,aod.lIUlIc1i""a ~liotolJl'~ph' lit eSllI\ 'Sl\ln:
Ll:U UNDER rHIS PERMIT IS NOT
(a) Type COMMENCEf)()B.JS~Ai\IDc~IE-8:-or.
ANY180DAYPERIOD F
Icl Type llq. tg.
(bl Type
AnEI~ljU'I"'O" .
'II. ,Ad()n'~" #_~
IVilUW rUles adopted - ,-......v yvu lU
~ Notification Center Th by the Oregon Utility
in OAR 952-001- . os€ rules are set forth
0090 VOSq'l~tg.~01 0 through OAR 952-001-
calling ~h~ /A~t~;" , ,"up,.es of the rules by
n"~"o,Sq. F~g. . (Note. thetAIAphone
-- ~~~!_ tI ..,Jregon Utility NotifiC'.;!tinn
<:J t'l h J. JJwM~'~?~P~~~~;""7~~4l:3 3 1 Z-
(d) Type
CONTRACTOR/INSTALLER: Vl1I Jro - VI) e-s -t-ey 11
ADDRESS: I 7 q 2.. !\1. L-/ z.... nA.. s+,
CITY: ~~YIYlAH~t/
- , I
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE: () R...
J z (j,4fc.
ZIP: q 7 '-f 7 )
EXPIRES: t../ -I S-- M
CITY BUSINESS LICENSE NUMBER:
flvt F/~
EXPIRES:
OFFICE USE
Sign District: (l-nI1\....n'V. ~..I..L...
U
Zoning: ~
Sign Permit Fee: L70,
~rV-d..and Use: 5~}
Quad Area:
-
4t'!..se
Code Section:
q , ~~ S{ ('2.)
C1)''''J' /J..)1~
DATE:
~-~Cj-77
Approved By:
REOUIRED INSPECTIONS:
l/Site
to be made prior
to sign plecament
~ooting
prior to plecement
of oonorete
Attachment
after fasteners ere
In.tllled/prlor to Gover
~Iectrical
prior to energizing
.1'c~rlc.1 In.~.II.tlon
~I
completion of sign
Inltlllltlon
Additional Comments end/or Conditions: .1kJ '''' f VLv. :f- ~.u'~ ~...tL A
By signature, I state and 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 La-ys 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 time, that project address ;s readable from the street, that
the permit card is locate the ront of the property, and the approved set of plans will remain on the site at all times during the installation
of the signlsl. ~
Signature ~ ~ Date b -.2 ( ~ tftf
Validation:
3i -/.,-
Amount Received: ,'1J 70.
Receipt Number: -1ii1l;cb
Date Paid:
Received By:
7-(,,- Q'7
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The application on the reverse side needs to be completed entirely. 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 ahd the Registration
Number from the State of Oregon Construction Cont~actors ~oard.are listed onthe application along .With the expiration
date of each. .
SIGN PERMIT APPLICATION
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, lirriited 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 needs to be ettached 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 the proposed sign will 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 signlsJ 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(sl, 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. 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 when all fasteners are installed but prior to cover.
Electrical:
To be requested after the electrical connection to the sign is made; but prior to energizing.
Final:
After all required inspections are conducted 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 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 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.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477