HomeMy WebLinkAboutPermit Signage 1995-4-24
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SIGN 'PERMIT APPLlCATIOtlt
225 Fifth Street
Springfield. OR 97477
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SPRINGFIELD
JWMBER .~S{) 4-ErO
Inspection Line: 726.3769
Office: 726.3759
SITE ADDRESS:
ASSESSORS MAP:
~t@
4n:~ 4 MD.; "-I S-r-.
1702. 3/ "l-/ eo':;:Ob
G J c<> lLj- ('\ Ll~ A
TAX lOT:
OWNER:
RO~I
PHONE:
/4,- qer,I
ADDRESS: 4 n .. ~ Mo.;"
'CITY: 5pritJ'j f),@{J.
s:+ .
BUSINESS NAME, FIRM E,C.:
() {y 'Mf .:('>
STATE: -fl.,;. e'1c\ I:i,/
Au.. f-C\ G{~s: J"
ZIP: 9/4-,o:P
x.. Wall
_ Freestanding
_ Projecting
Marquee ~
Billboard Other _ _ .... ~
Total Height above Grad0(, I - 0 ", ";' ")
Horizontal Width of sign or enclosure: , d. ~'"
Roof
DESCRIPTION OF PROPOSED SIGN(S): Iplease check and complete all appropriate information)
~ Single Face
Double Face
Square Footage:
J2f
Sr' t:'T
.1.'-0"
Vertical Dimension of sign or enclosure:
1/_. ~t
Material Sign is constructed of: Y',
VALUE S
OF SIGN: 4 S<J. Co (l
Dimension from Grade . I j-/
to bottom of Sign Enclosure: 1'1 - 0
MOG
IJ 11 1,J6"'~
List All existing Signag~e and attach a photograph of aach sign:
L.crM."J)
lal Type Pd~ :1N Sq. Ftg. 30 St? ~T. (b) Type
lcl Type Wc.ll' ~; <J.cL Sq. Ftg. a (] Jc:. Pi- (d) Type
lL;qld~d)
WQ;jJ~ "'iN Sq. Ftg.
Sq. Ftg.
1 J' S"l' C'-f J
CONTRACTOR/INSTAllER: .) /0<'" f'>J..:, J ~ "[tJ
I
ADDRESS: ,,\ IS; d \J~ I" L rt..l ('>
leD)
.
PHONE: 4t. I ... 7;), 7 c..
. CITY: J!Uj"./@'
. ~ ,/
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: C en '9" G d-.
q4D\ Q\.oS.
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STATE:
elL
ZIP:
9',/.j()4
3);0/eN:, .
l ~.'-;().Q~
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Sign District: ~\Jl\\ ~_~ r'Y\
Zoning: (\ (\ ./
4D ,00
OFFICE USE
land Use: ~ 21:0 Quad Area: .Y.:\ (' J\)~ J
Code Section: q -fl - \~l ') ~
Approved By: \.l.- ffi ) \ . QQJe~ DATE: ~. \\ q S
- \ \ .
Sign Permit Fee:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~ttachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
~inal
completion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certily 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.
llurther 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 the front of the property, .and the approved set of plans will remain on the site at all times during the installation
of the sign(s).
Signature r" _ cd. ,K;) QJ ~
Amount Received: ~ ~
001;\
Receipt Number:
Date J.f /,~ / '9 ~.......
, .
Date Paid: ~L\AA ,CJ};
Received By: ~
~
Validation:
~
.
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SIGN PERMIT APPLICATION
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 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 photograph(sl of aach axlsting sign 'neads to ba attachad to tha
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 sign(s) is approved, one set of plans will be returned to you. Tha 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 whera 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 h . d' h I" , d I . . I - f 11f,r f' }'h 1'\ B 'Id'
you ave any q~estlOns ragar Ing t e app Icatlon; require . p aos or InspeCtions, pease B,B :,reejto p, one, the VI 109
Salety Division at 726-3759. ' ,- .
I
Cily of Springfield
Building Safely Division
225 Fiflh Street
Springfield, OR 97477
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