HomeMy WebLinkAboutPermit Signage 1999-7-9 (2)
SIGN PERMIT APPLlCATIO.
225 Fifth' Street
Springfield, OR 97477
SPRINGFIELD
SITE ADDRESS:
ASSESSORS MAP:
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4.21':. c... m~ S~
I '7 0 7 ~.; J .;, 2-
OWNER: I!\..; tc::. (' ,-,-, IC
JO.MBER C;Cj ^ <;((on
Inspection Line: 726.3769
Office: 726-3759
TAX LOT: (") I q Ol:l
PHONE: ~'rI~) ~2-?:Z" I
ADDRESS: 'I:J / (" (. ~ti /" <;' -f' r ~ +
CITY: <;/;'/....<./';.eld STATE:tJt<.
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BUSINESS NAME, FIRM EOC,~ (,) LA ,. JC C A et 1::::
ZIP: 9"+-'>' 7}- ':}-
DESCRIPTION OF PROPOSED SIGN IS): (please check and complete all appropriate information)
--.2{' Wall Freestanding _ Projecting Roof
_ Single Face
Square Footage: / C;
Double Face
Billboard
Marquee
~~-
~
Other
,., '-' "',
Vertical Dimension of sign or enclosure: .-< t;:l
Total Height above Grade:
51'
Horizontal Width of sign or enclosure: C ::..) 3'/.P'''
Dimension from Grade ,.
to bottom of Sign Enclosure: > _, h
Electrical Installation: -X... Yes _ No
(If yes additional electrical permit is required)
VALUE
OF SIGN: ~;;} 0 t:> ~
,
Material Sign is constructed of: ----A...' u ;.,., ,.",.. ~ ~ Le. ~Li -. +~ rp
list All existing signage and atta~Q~~~Fo~raPh of each .l!19.'I: IF THE WORK
THIS PERMIT SHALL EXI' Ht: .
fal Type t\UT\liO~::C ~m:E" TUIC o8RMIV~6 NOT
Icl Type f'I1}AMBllCfP OR IS ABANDOWJFrrf~R
-..J .'1 "",(" "'^V OCDlnn
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CONTRACTOR/INSTAllER: ;/7&,..';'.." rr,n.', t;'"',;", [ '7,..,,_.
-.
ADDRESS: ~b ~ .71.fPr('dN S'rre.d:
CITY:. J~IA~ ~
,
STATE: C)ft
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER:
_. ... ~ I,:,,'" --';)Yia:QS ;If\ldn
l"\'i"'T1::i~'ncr'..:.orc.9g.. ......-- .-
f lie" r"l-t ~A^pt~~ h\f tho. nrAnnn lJtilitv
w .. '0' _ .
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. YOSQJ1Ill{jpbtaln copies of the rules by
calling the center. (Note: me lelephone
n, 'm"'~!Slvr~tg) Oregon Utility Notification
Center is 1-800-332-2344).
PHONE: '?'/:2-1~7
ZIP: 'j -=T-<t (J 'Z-
EXPIRES:
OFFICE USE
EXPIRES:
i', ~4 'X { I \
~"-1f - Ii } ;~
Sign District: r.J>..............:1,
Q.Q..
f-'.l!!!,"'-LOr""'~Land Use:
5 :>,0 0
Zoning:
. Code Section:
Sign Permit Fee: :!tUn.-
Approved By:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
~ttachment
after fasteners are
installed/prior to cover
Footing
prior to placement
of concrete
Additional Comments and/or Conditions:
Quad Area:
.--
4e.:st:
DATE: -.1.0 - 4Cl- c; 9--
Electrical
prior t6 energizing
electrical installation
~nal
completion of sign
installation
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 the front of the property. and the approved set of plans will remain on the site at all times during the installation
I of the signlsl.
Signature -fi ~
Validation:
~
/'
Amount Received: ~l/(). OU
Receipt Number: '1J~c.f7<l S
Date
C-2/- 5"5
,
Date Paid: ~ }(t, /~ )
Received By: lJtJ
SIGN PERMIT APPLICATION
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 arc occupying, and you will be performing 'the electrical installation yourself, you may sign the
electrical application.
If there ere existing wall end/or freestanding signs, e photogrephls) of eech existing sign needs to be etteched to the
eppllcatlon. The size of each existing sign also needs to be listed on the ~ppllcation.
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 bya 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, The approved
set of drawings need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign Is), you may be required to request one or all of the following inspections during the installation
of your siiin: '
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 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 thai are required for your sign installation will be indi~ated 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. , , '
"! 1/,
" .
To request an inspection[,ph6.nef726-3769. 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,
',' . > '.. . 'I .." _'
,. .,. ....
If you have any questionsl'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 Fifth Street
Springfield, OR 97477
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