HomeMy WebLinkAboutPermit Signage 1997-3-28 (2)
!..._SIG~ ~ERMIT APPLlCAT'I' SPR'NO",ELD
225 Fifth Street ,~
Springfield. OR 97477 So~-+h E,\ev~j:;\\" ...... .'
LOCATION OF PROPOSED WORK: Lj ~5o Mo in Str.ee..-+
11013 2~1 ,_, TAXLOT ()2?:x"n
I "---- __.,
Gohnson PHONE Lj85- 037D
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ADDRESS: Lj~5t) Me:; n <s+-r-.f>_ek
CITY: ~ 0r\ Vl3-Af'J cl
BUSINESS NAME, FIRM ETC,: 'Acm (",
.NU~BER
Inspection Line: 726.3769
Office: 726,3759
C\1035 ~'
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ASSESSORS MAP:
OWNER: l?Jud
STATE: () r<
rr>lliSi bn ,<:;UViCf'
ZIP:
qjLf78
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DESCRIPTION OF PROPOSED SIGN IS):
~Wall
L Single Face
Freestanding
Projecting
noDI
Marquee
~
~
Iplease check and complete all appropriate information)
Oouble Face
Billboard
Olher
Square Footage: LJ3,23
Vertical Dimension of sign or enclOsure:
, IJI ,,\ ..,
o(Ul Horizontal Widlh 01 sign or enclosure: jq I II \I
Electrical Installation: ~ Yes ~o ,
(If yes addi~y(W~V\3qV)J~~d3, 000
Total Height above Grade:
Dimension from Grade
10 bottom of Sign: II
Material Sign is constructed of: U\ n Ij \
List ALL existing signage and attach a phot09raph of each sign:
lal Type (Y)()(}\lrne 0+- Sq. Ftg. IJ 0 r:Z1
lei Type
Sq, Ftg,
ne.w wep-t e.IN,d~l>"
Ibl Type tJ(11 ! CWni~ Sq, Ftg
ldl Type Sq. Ftg,
Get. (p {1
CONTRACTOR/INSTALLER: t=' S +- A ,
- - )
ADDRESS: l7~1 () D.C\ V t? A 17,,1-\
CITY: t::,LJ~f'ne.
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
'''-Jr.
,
(2..0
PHONE Af8S-SSLfL,
STATE: h'R
1117-B0
ZIP: q74Q~
EXPIRES: ::J - ;;)- 7 e,
EXPIRES: (,-60- q7
CITY BUSINESS LICENSE NUMBER:
CfSo39 ,
Sign District:
\\~tM'(~io.Q
C'L -
5mP-J
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OFFICE USE
La~ Use: Y1?DD Ouad Area: '?-.0.\:\)O )
Code Section~\ . ~-fj &t~:\) -,----
Approved By: 1.1l.U....) (_~V V~JlJ2./-=DATE: ~. 2. ~.~
Zoning:
Sign Permit Fee:
RECUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to p1acer:'ent
of concrete
Attachment ElectriCill
after fasteners are prior to energizing
installed/prier to cover
~Fin"l
completion of sinn
installation
Additional Comments and/or Conditions:
8y signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inlormillion herein
is true and correct, and I further'certify that any and all work performed shall be done In accordance with the Ordinances or the City of
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I fun her certify that only COl\iraCtors and
employees who are in compliance with ORS 701,055 will be used on this project.
Ilurther agree to ensure that all required inspections are requested at the proper time. that project address is readable from 111" 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 \111: installation
of the signls).
Signature --0b pho rnit H c.od-.t.-
- ~W
Amount Re~~' m~~
1{~\0 .
Date
3/1-7/97
Receipt Number:
DatePa,d ~'C\1
Recelveo By: ~ )
Validation'
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SIGN PERMIT APPLICATION
Tilt: application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you ate
',iring a COI"ractor, you need to make sure that both the City of Springfield Business license Number and the Registration
Number Irorn the State 01 Oregon ConStruction Contractors Board are listed on the application along with the expiration
(j;..Jte 01 CJcll. '
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II tile 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
wllich you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical
application. ~
It tllere arc existing wall and/or freestanding signs, a photographlsl of each existing sign needs to be attached to the
application. The size ~f each existing sign also needs to be listed on the application.
PLANS
Tit sulJlllll fur J sign permiL, you need 10 pr(~p(lrc two complete sets of drawings showing all dimensions, total h~ight. and
:J plOI pl;m Illuicating where the proposl:u sign will be located. If you are installing a freestanding sign which exceeds 20
ll:i.:t ill toWI height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is complbted, and, if your signlsl is upproved, one set will be returned to you. The approved set of drawings need
\0 be at the site when an inspection is reqUllsted for the inspectors reference,
INSPECTIONS
Dl:fltlHJllltJ on your sign(sl. you may be (equired to request one or all of the following inspections during the installation
ul your ~iUJl:
Sile: To be requested after indicating on the lot where the proposed sign will be located but prior to any work
being performed for the ins lalla lion of the sign, This inspection is required if there is a question on the
location of the proposed sign.
fuOting: To be reQuesled after excavution and the forms are installed, but prior to pouring concrete. If there will be
electrical conduit placed in the lOOting, it must also be in place prior to requesting this inspection.
;.\\I~CIlIlll:l1t: To be requested when (111 fasteners are installed but prior to cover.
E!0ctrical: To be requested after the electrical connection to the sign is made, but prior to energizing.
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Finlll: After all required inspections are conducted and approved and the sign installation is complete,
TIle inspectio..ns that are required for your specific sign will be indicated on the application during the plan review process.
F,jilure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required
il1tervJls 01 work.
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Tu request an indpection, 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 insp,ectlon you are requesting, and when
yuu will be rCudy for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same
wurking day, all inspections phoned ill after 7:DO a,m, will be made the following work day,
II you trove any questions regarding \Ile opplication, required plans or inspections, please feel free to phone the Building
S:Jiety Division at 726.3759,
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Cit)' of Springfield
Building Safety Divisinn
225 Fifth S~'eet,
Springfield, OR! 97477
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