HomeMy WebLinkAboutPermit Signage 1996-9-12
"SIGN, PERMIT ApPLlCATle
225 Fifth Street
Springfield, OR 97477
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.UMBER q~ I ;){jD
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LOCATION OF PROPOSED WORK: \/ i IIQQp SqUare. 5Y \5 fJlA II-.I
ASSESSORS MAP:'L._)J.Dq~~
OWNER: \ \ Af IlSOiJ C()OPF~ 4- Assccl A"fE,S
ADDRESS: 2.0'2.. ~w I ~+\'I
C,oev'c..di s
Inspection Line: 726,3769
Office: 726-3759
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SP~ 110/,,1" I E l,-I), De
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q 71./77
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TAX LOT:
, PHONE:
f75L/- I.,=?7n
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Q1")330 ~
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DESCRIPTION OF PROPOSED SIGNIS): Iplease check and complete all appropriate il1formation)
OR.
WI \ 0.3(, Sg\ Ja.re.. Shcpp\()5 C.en-\cr
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CITY:
STATE:
,ZIP:
BUSINESS NAME, FIRM ETC,:
Wall
i Freestanding
_ Projecting
noal
Marquee
Single Face
~ Double Faci\. Billboard _ Dlher --""
11.13 t/J &L <:O~D\iiSL Total Height above Grade: _~ffi(l,(lm\)(Y\
I ~ I ~ W,dlh 01 sign or enclosure: III \'\~
Electricallnstallation:U Ye/ _ No -- ~
(If yes additional per~qU"ed) VALUE: 1 (p ,COD
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Square Footage:
Vertical Dimension of sign or enclosure:
Dimel1sion from Grade
10 bottom of Sign:
51
Material Sign is constructed of: 0. \ Urn i () urY)
,-,--.....
6f:
List ALL existing signage and attach a photograph of aach sign:
EXISTltJ<a
F'GaSTAJJDIV(;. SIC,;,iJ TD
/z'(,l<-iov'cD
lal Type
Sq, Ftg,
Ib) Type
Icl Type
Sq, Ftg,
Id) Type
Sq, Ftg,
CONTRACTOR/lNSTALLER: E.,S+ A TN C.
ADDRESS: 1'210 bAKI'ATC\-\ 'R()At:I
9 AJ::!/--V\f / oR
STATE:
PHONE: 4R,-s-s-'-I\"
C1'/'-lO'L.-
CIT'!:
ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: \ \ \ L.~(,
CITY BUSINESS LICENSE NUMBER: C1 '50 '3<1 f')
.EXPIRES:
EXPIRES:
2-2.-~ 'I
G-3o-9,)
REOUIRED INSPECTIONS:
V~Site
to be made prior
to sign placement
V-::oting
prior to placement
of conCrete
OFFICE USE
La~ Use: CC)~a) Ouad Area: :?:/'~~
,Code Section:\ _ Q- f1- \4(2. ') _ _
Ap~~o~ B.:r ,~
U""1 Y\ i\ 1\ A1J
Sign District:
~'tf\\N\O ((\ I Q Q
('0 )
Pf)~
Zoning:
Sign Permit Fee:
Attachment
after fasteners are
installed/prior to cover
V Electrical
prior t'o energizing
~~l1al
completion 01 sinn
installation
Mditional Comments andlor Conditions:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
is Irue and correct, and! further'certify that any and all work performed shall be done in accordance with the ().rdinances 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.
Ilurther agree to ensure that all required inspections are requested at the Pfoper time, that project address is readrllJlc from lh(~ 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 111" installation
of the sigl1{s).
Signature ~h~KCw:dt
Date
q\Y\<1~
Validation:
Amount Received:
JA~ .&0
~?J'~
--
-
Receipt Number:
Received By:
L\ .\!J ~lO
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_ Dalc Paid:
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SIGN PERMIT APPLICATION
The Jpplic[llion on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you afe
h"ing 0 COlllractor, you need to make sure that both the City of Springfield Business license Number and the Registration
Number Irom the State of Oregon Cons[luction Contractors Board are listed on the application along with the expiration
Ll~Jte of CJch. '
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1IIIle sign you are proposing is illumin"ted, 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
appliC3tion. ~
II Illere al" existing wall ond/or freeslJnding signs, a photograph(s) of each existing sign needs to be attached to the
upplicDtion. The size ,?f each existing sign also needs to be listed on the application.
PLANS
T\l :-;U\)l1l1! lor a sign permit, you need to p1l.:parC two complete sets of drawings showing all dimensions, total height, and
a pial plall Inuicating where the proposed sigll will be located, If you are installing a freestanding sign which exceeds 20
leet in 10101 height, the footing detail needs to be prepared and stamped by a registered engineer, After the plan review
process is completed, and, if your signlsl is approved, one set will be returned to you, 'The approved set of drawings need
ll) be at th'e site when an inspection is requested for the inspectors reference.
INSPECTIONS
DC!l(,ndi"u 011 your signls), you may Il" required to request one or all of the following inspections during the installation
o! yuur siUn:
Site; To be requested after ind,cating 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
localion of the proposeu sign,
fuotil1g: To be requested after excavl.Jtion and the forms are installed, but prior to pouring concrete. If there will be
electrical conduit placed in the looting, it must also be in place prior to requesting this inspection.
f\lt~JCIHl1l:11t: To be requested when all fJstencrs are installed but prior to cover.
E!0cuical: To be requested after the electrical connection to the sign is made, but prior to energizing.
F1f1al: After all required inspections are conducted and approved and the sign installation is complete.
Tilt: inspcclia,.ns that are required for your specific sign will be indicated on the application during the plan review process.
Failure to request ANY of the reQuirc:u inspcclions could result in sign removal in order to inspect the sign at the required
illtcrvJls 01 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 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, will be made the same
working day, all inspections phoned in alter 7:00 a,m, will be made the following work day,
II you have'any questions regarding Ille application, required plans or inspections, please feel free to phone the Building
Safety Division at 726,3759,
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City or Springfield
Building Safety Div~sion
225 Fiflh Street
Sprill~fiefd, OR 97477
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