HomeMy WebLinkAboutPermit Signage 1999-6-1
SIGN PERMIT APPLlCA T10tt
225 Fifth Street
Springfield, OR
SPRINGFIELD
JOWMBER q 1lL~ ( tJ I
Inspection Line: 726-3769
Office: 726-3759
TAX LOT: _,< (JO D
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OWNER: W 0. VIe.
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ADDRESS: 5(,.,7 (" Mo.i V\ st.
CITY: ~0";V\J-f;~ A
BUSINESS NAME. FIRM Elc.;JER.', Y A l('1
PHONE: 5"11- 57'1- gt:,~q
STATE: n R..
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ZIP:
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-ik: Wall
Freestanding
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(ple.ase check and complete all a~rnlllllf6lrb'AtliliiR THIS PERMITIS NOT
_ Projecting COMMEN~~oqOR ISABANDQt:!~fPR
ANT ItlUOAYPERIOO:--
Other
DESCRIPTION OF PROPOSED SIGN(S):
>I- Single Face
Double Face
Billboard
Square Footage:
~g I
Total Height above Grade:
\( n
"
, Width of sign or enclosure: I ~
'0"
Vertical Dimension of sign or enclosure:
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No
is required)
VALUE 11.3 0-
OF SIGN: 'JP , is,;? i$ .oa
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Dimension from Grade \'1- Electrical Installati : /< Ye
to bottom of Sign Enclosure: . ~ (If yes additional ele teal per .
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Material Sign is constructed of: ~e c4. a/u mw u l'Y1 r ~
.,c 1 UCl re.'5~nT lavv'T"
(al Type
Sq, Ftg.
Ib) Type
ATTENTION:Oregon jaw r,"qulres 'IOU. ~u
follow rules adopted by the Oregon Utility
Notifieation C8ntaB. Those rules are set forth
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0090. You m!!lq?~t~!n copie.~ ?f. the rules b~
ealllng trie eente'l. \'W'~' ,,)_ .~~e
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List ALL existing signage and attach a photograph of each sign:
lei Type
Sq, Ftg.
(d) Type
CONTRACTOR/lNSTALLER: /'}"fIr.fi V\ ~Y"f1 "'-
ADDRESS: C){) 'i c;y:..f-fe.r. <;11"""V1
CITY: Z uc..~p
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
,t:; ir.J Y"'\
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ZIP: CJ740 ~
EXPIRES: ,q/I.;?/:::; b'm
EXPIRES: 6 /~ /.2 rJ,.,/'1
CITY BUSINESS LICENSE NUMBER:
q (00 30
STATE: ~
bt.J~/9
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OFFICE USE
Land Use: n ~ Quad Area:
Code Section: . 8 .~~ Cl ')
APpr~ved By: ~txWJ) ./
,~~ in)(l,/
Zoning:
Sign District:~ ~
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DATE:
5.U).90_
Sign Permit Fee:
REOUIRED INSPECTIONS: '-' ~- /"
Site Footing ~ttach~ent VElectrical
to be made prior prior to placement after fasteners are prior to energizing
to sign placement of concrete . . n A ~s:alled/prior to cover electrical installation~
~,~(~pllD ~~ ~
~inal
completion of sign
installation
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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 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.
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 at ,ront of the property, and the approved set of plans will remain on the site at all times during the installation
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Amount ~eived: ~-c". Date Paid: t !r 1'1 f
O :2 i.( ~" ( . -'i/ II I
Receipt Number: ~ Received By: .cr vv W
Validation:
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. ~IGN PERMIT APPLICATION
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The application on the reverse side needs to be completed entirely. If you are the sign contractorlinstaller, or if you are
hiring a contractor. you need to make sure that both the City of Springfield Business License Number and the 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.
If there are existing wall and/or freestanding signs. a photographls, of eech existing sign needs to be attached to the
application. The size of each existing sign also needs to be listed on the application.
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To submit for a sign permit. yoJ nee~ prepaJe,tw'ci,coij'lPleteJsets ofldrawings s~ol.ving all ddnensions, to.tal height; and
a plot plan indicating where the droposed sign' willl1e located. If you are installing a freestanding sign which ex~eeds 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...signls, is approved. on>;..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 yo()ur sinn(sl. you may be required to'~que.st'~ orlalo. [thO'follOWing inspections during, th'e ins\alla;ion
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of your sign:>:::' 0:") ( '..IV C:'.Iv'VV '.1 ~ - \:': IJ \. \.-",-l
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S' I '/. .~ b d f . d" hi' h' ~ ,,',. . \ fd '. , I b I '
'te: I \f -,0 e requeste a ter In Icatlng on t e ot ,w er. t e ~ropose s'gn w,l e ocated but proor to any work
A., "1f1bii~g.'p'e~.ormed for the installation PfYhe-$igri>)hi1 i'ii'spection is requir,;dlif,gie\eiS oil question on the
(.V/JUA.."<1o.'f'Joe of the proposed sign. L-.c. \)"1,.-'\.... i,) ~ ~I.: \j
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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 i~stalled 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 ealled 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. .
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City of Springfield
Building Safety Division
225 Firth Street
Springfield, OR 97477
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