HomeMy WebLinkAboutPermit Signage 1992-12-14
~", SIGN PERMIT APPLICATION
225 Fifth Street .
Springfield, OR 97477
~
JOB NUMIJEH
.
q BlloqA
Inspection Line: 726-3769
Office: 726,3759
1.0CATION OF PROPOSED WORK: !;7.Z~ Mc,II....i-;:;r
ASSESSORS MAP: / f} () [). ~ ~1
OWNER: ~ KelBe.. l::~Nf;'rot-l 17ePor,-
ADDRESS: /;'17':~... Ht>",,J Or~
TAXLOT:
'()nPiJ I
PHONE:
CITY: ...<::;a4foJbs::ic/J)
STATE: ()rz-
ZIP: Q,t/7B
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BUSINESS NAME, FIRM ETC,: A AiJV>L.I1J' mUST'
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
V Wall
Freestanding
Projectil10
Hoof
M;](quee
_ Single Face
Double Face
Billboard
Other
SqU<lre Footage:
dJ..LI t7f
,
Total Height abuve Grode:
Vertical Dimension of sign or enclosure: ;2011
Horizontal Width of sign or enclosure: I;;).'
Dimension from Grade
to bottom of Sign:
Electrical Installation: ~ Yes No
(If yes additional permit is required)
VALUE: 1/. 'ZD9I'~!i!S?
Material Sign is constructed of:
,~HJ:?r1,(_ ,~; 14~I"_ ~
, I
List ALL existing signage and attach a photograph of oach sign:
lal Type\. X\~ ~
Sq, Ftg,
Ibl Type
Sq, Ftg,
(cl Type
Sq, Ftg,
(dl Type
Sq, Ftg,
CONTRACTOR/INST ALLER:
HArmtJ ~ Sr..N6
PHONE:, ?f1d-.J7(ii,
ADDRESS: ?,/l1- ~~$1'l"j ~
CITY: &vaaJC
STATE:
<9tz.
ZIP: 91407_
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: h4<", ( f2,
CITY BUSINESS LICENSE NUMBER: CJ / Q3.-0::>-
EXPIRES: _-$3. -~__,_
EXPII1ES: ..ff!~2.Q~."Z.:s._,..__,____,_"
Sign Permit Fee:
OFFICE USE
(\ ./land Use: ::=:) 3 ()() Quad Area:
Code SectiOl\ q -7 -/1
Approved By: 1J.0C't ~~.o ~)
.3 G.. <::[r J
Sign District:~
Zoning: ....~G' - ()
L\U ,00
DATE: JQ, l4,q~
REOUiRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after lasteners are
installed/prior to cover
~lectrical
prfor to energizing
~inal
~pleti~n of sign
instnllation
Additional Comments and/or Conditions:
By signature, I state a.nd agree, that I have carefully examined the completed application and do hereby certify lhat all in[o011atiorl I1cruin
is true and correct, and.l further certify that any and all work performed shall be done in accordance with the Ordinances of the City 01
Springfield. and the Laws of the State of Oregon pertaining to the work described herein. I lurther ce;tify that only contractors tlnd
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 remltlble from the streel. 1l1i11
the permit card is located at the front of the property. and the approved set of plans will remain on the sile at all times during the insttlll<ltioll
01 the sign(s). I)
Signature _ ~ \~ Date 1)- (l.{ .-C,7-
Receipt Number:
fh7 pC)
r;(Xi( /J
Date Paid: _ 4_ ( :J -14 ?fg;
Received By: ~( M )
Validation:
Amount Received:
.
.
,
SIGN PERMIT APPI.ICATION
Tile applicalion Ufl tIle fcverSv side needs to tJc completed entirely. If you are the sign contractor/installer, or if you are
hiring a contractor, you need 10 make sure that both the City 01 Springfield Business License Number and the Registration
Number froOl1 11m Stale of Oregon Construction Contraclors Board are listed on the application along with the expiration
date of each, '
If the sign you are proposing 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 photograph(s) of aach existing sign naads to ba altachad 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 totai height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, if your sign Is} is approved, one set 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
D(:pmlllinu on your sign Is)' you may be rcquireu to request one or all of the following inspections during the installation
01 your siOIl:
Site:
To be requested alter indicating all 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
IOCJtiuil of the proposed sign.
FootinU:
To b~ requested aller 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.
Altacllmenl: To be requested when all lasteners 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 inspeclions are conducted and approved and the sign installation i~ complete,
The inspections that are required for your specific sign will be indicated on the application during the plan review process,
Failure to request ANY of tile required inspections could result in sign removal in order to inspect the sign at the required
intervals of work.
To request nn inspection, pllone 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 lor 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 foilowing work day,
If you have any questions regarding tile application, required plans or inspections, please feel free to phone the Building
Safety Division at 726.3759.
City of Springlield
Building Safely Division
225 Fifth Street
Springfield, OJ{ 97477