HomeMy WebLinkAboutPermit Signage 1992-8-10
SIGN PERMIT APPLICATION
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JOB NUMBE~ q 'd \DL\~
"speclion Line: 726-3769
_ ..fu5ice: 7:6'3759
TAX LOT: ()'i2:,:>C:'LI
PHONE:~7-, - L\CA~-7Z.1~<J
S...~ '7'1.~-tt31'" -
225 Fiflh Strcet
Springfield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
Ts Ie.- T e..(" "Jc,___
STATE: OR ZIP:
\:-\mDe' s \'\\~(\~ \\\~
Wall
Freestanding
_ Projecting
Roof
Marquee
<<
DESCRIPTION OF PROPOSED SIGN is): (please check and complete all appropriate information)
Single Face
.A-
Double Face
Billboard
L Other PI) I t".--
Total Height above Grade: / 5
I'
Square Footage:
Vertical Dimension of sign or enclosure:
LJ.ff
Horizontal Width 01 sign or enclosure:
Lj ..,
Dimension from Grade
to bottom of. Sign Enclosure: 1 'J--
.....Material Sign is constructed of: Pi" <'!:<:-
E' a' . X Yes_ No VALUE iI!I~ ~o
(If yes additional electrical permit is reqUir~OF SIGN: N. / (!) o.
- C:+<'- LL
List ALL existing signage and attach Ii photograph of each sign:
(a) Type ofv~~~CU{1trtg. '9/~ c;t- 4Atr
ic) Type Sq. Ftg.
" WpJ,L ">1--4"1-_ '2 {.i- ,'(;~
(b) Type ~ in 0, J ;,. 'FM-r Sq. Ftg. -'- -;) J
(dl Type
Sq. Ftg.
CONTRACTOR/INSTALLER: (') 13' L ('_~ N S 1".
ADDRESS: 'S ') 22 5 J..I e-L tD n }i
I""' V. /'_ ~~ AP"")/)
CITY: L <-=> ~ STATE:f:?QO:;:: ,
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: $N9-h. (P'?I f''-/
CITYBUSINESSLlCENSENU~BER: q~[)~
PHONE: 3 it 3 - 'J- Lj 3"
ZIP: ql']'-Io'.>-
EXPIRES: (O. '1 . q 21
EXPIRES: Lo -:!:{) . Cl "'--\
OFFICE USE
Sign District:~t'\\\~\t ,?~nd Use: 62J::)n Quad Area: ?{\ SO ~
Zoning: ~ _ . ~ _ Code Section:, q - '1 ' \4 ('1.'\ _
Sign Permit Fee: L\\).o::J Approved By: ~ ~~Q ~ DATE:~.q~ {).J
REQUIRED INSPECTIONS:
Sile Footing' Attachment L Electrical V Final
to be made prior prior to placement after fasteners are prior to energizing ~ion of sign
to sign placement of concrete installed/prior ~::o;:: n"~:'_i~_sta IN"\lIationJ....L, in:taJ\lIa~~ I C\.
Additional Comments and/or Conditions: \ ~ ~ 9. r:~ \. I " , u ~ 1 \ ~ " ~\~
,
By signature, I state and agree, that I h3VP. carcfu:!y examined the completed application and do hereby certiiy that all information herein
is true and correct, and I further certify that any and 011 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 o~.:ly contractors and
employees who are in compliance with ORS 701.0G5 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 l:'~""'llhe 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' the\nstallation
of the signlsl.
Signatu~~_~
Date
r;{.- ~ - CZ ~
Validation:
Amount Received:
-rf)
4\),
t>~~
Date Paid: r 0 h_ : (() 9 L-/'
Received B~ \00--..)
Rcceipt Number:
..
..
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. 11 you are the sign contractor/installer, or if you are
hiring a contractor, you need to make sure that both the City 01 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
dale 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 eleclrical installation yourself, you may sign the
eleclrical application.
If there are existing wall and/or Ireestanding signs, a photographls) of aach existing sign needs to be attached to the
application. The size 01 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
~ plot plan indicating wherl;: me proposeo ~IY" wll; oe IO(;cht:f1, i;' yuo d~e installing a rreestandlllg sign which exceeds 20
leet In total helghl, the looting detail needs to be prepared and stamped by a registered engineer or archilec!. After the
plan review process is completed, and, if your signlsl 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 signls), 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 01 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 fOOling, 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 arc 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, ~he type of inspection you are requesting, and when
you will be rcady 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 feci free to phone the Building
Safely Division al 726-3759. .
City or Springfield
8uildinl!. Sarety Division
225 Fifti. Street
Springliel~, OR 97477
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