HomeMy WebLinkAboutPermit Signage 1997-3-20 (3)
;;SIG~J PERMIT APPLlCATII
225 Fifth Street
Springfield, OR 97477
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t'A..-, 0 '$ 5 $
.NU~BER ~I I
Inspection Line: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORK: w..~5D mO jn 5+,
ASSESSORSMAP:--L:j 0 ~ ~ i ~i
OWNER ~ i I ({ "J' nh ,,-:;m/\
ADDRESS: 4~q) mn\f\ S+.
CITY: -2flbJjgl.i:2)ri
BUSINESS NAME, FIRM ETC,: ACJrv-f
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TAX LOT:
()'Z?;ov
Y~5- D5 70
PHONE:
,STATE: ()/!...
~()II ;~';,O/\ 'Sn'vie-t'
ZIP:
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Projecting
"
"
noal
Marquee
Dimension from Grade "y' f) ,
to bottom of Sign: A' (J
Billboard Other ~
~ Total Height above Gra19~ ~
4' '/lJ,/' Horizontal Width 01 sign or enclo~j
'Ele~allati'\Q~ _ No
(If yes addition~t~n'Ul-iSrequiredl VALUE: L/ ,1)1)1), fAJ
Material Sign is constructed of:
List ALL existing signage and attach a photograph of aach sign: n 0 ~
la) Type
,q. Ftg.
Ibl Type
Sq, Ftg,
Icl Type
Sq, Ftg,
Idl Type
Sq. Ftg,
CONTRACTOR/lNSTALLER: E5o/-A I ()(l ,
ADDRESS j)J!) (hf O/1..1r 11 J2d,
CITY: h JM /ILdl[
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CONSTRUCTION CONTRACTORS REGISTRA TlON NUMBER:
CITY BUSINESS LICENSE NUMBER: . qj-rJ 3Il7
PHONE 'L/.f5-~5V~
STATE:
/ ( IdEb
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ZIP: q 7(/0 d'
EXPIRES: d' )-9?
EXPIRES: 10 ,30 - '77
OFFICE USE
Sign District: ~j ~/
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Zoning: ~(Jl
Sign Permit Fee: fP~!J , f!!2-
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Land Use: 01hn1)
Code Section:, q, 1". /
Quad Area:
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Approved By:
DATE 4J,/(~!q /
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
L Footing
prior to placer")lent
of concrete
Attachment
after fasteners are
installed/prior to cover
()(
Electrical
K .FII1;J1
completion of sq1n
installation
prior 10 energizing
Additional Comments and/or Conditions:
By sign.::ture, ! state and agree, that I have carefully examined the completed applicr)tion and do hereby certify that all inform<ltion 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 funher certify thfll only COl1uactors 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 p(oper time. that project address is readable from lhc SHeet. that
the permit card is located at the fro(lt of the property, and the approved set of plans will remain on the site at all times during thr: Installation
01 the sign-Isl.
Validation:
Jt->>JhainU ){~
I
'lOrD
Receipt Number: ,~L\C\.""1l.. ,
Date(.0 3-JCl-CJ7
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Signature If)
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Received 8'1:
^ ~ '.ceO' cq
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Amount Received:
Date Paid:
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SIGN PERMIT APPLICATION
TIlt: applicJ!ion on the reverse side needs 10 be completed entirely. If you are the' sign contractor/installer, or if you afe
tliring a cOI"ractor, you need to make sure that both the City of Springfield Business license Number and the Registration
Number Irom the State of Oregon Construction Contractors Board are listed on the application along with the expiration
UJiC 01 c.:Jcl'l. '
. I
,
II tile sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by either
:J supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in
w',iCI) you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical
application. ~
II ttlCre Dn: existing wall and/or frecsuJIlding signs, a photograph(sl of each existing sign needs to be attached to the
applic[Jtiorl. The size ~f each existing sign also needs to be listed on the application.
PLANS
T\I sulJf11i1 lor oJ sign permit, you Ilce<J to prl:p~HC two complete sets of drawings showing all dimensions, total height, and
:.J plOI pli:Hl ill\Jicating where the propost:u sign will be located. If you are installing a freestanding sign which exceeds 20
!eet ill tUtul "eig~t, the footing detail needs to be prepared and stamped by a registered engineer, Alte, the plan review
prucess is completed, and, if your sign!sl is approved, one set will be returned to you. The approved set of drawings need
to be at the site when an inspection is reqUllsted for the inspectors reference,
INSPECTIONS
DL:IH:ndllHJ Or) your signfsl. you rn()y IH.: required to request one Or all of the following inspections during the installation
III yuur siUIl:
Site: To be requested alter 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 proposetl sign.
FUOling: To be requested alter excaVi:llion and the forms are installed, but prior to pouring conCrete. If there will be
electrical conduit placed in ttle looting, it must also be in place prior to requesting this inspection.
;-\ll~JClllll(:':lll: To be requested when i:lll fJsteners are installed but prior to cover.
E!eClrical: To be requested after the electrical connection to the sign is made, but prior to energizing.
r
Fillal: After all required inspections are conducted and approved and the sign installation is complete.
Tile Illspeclio..ns that are required for your specilic sign will be indicated on the application during the plan review process.
Filllure to reQueS,t ANY of the required illspections could result in sign removal in order to inspect the sign at the required
intervJIS 01 work.
Tu request an inspection, phone 726.3769, This is a 24 hour recording. On the recording you will need to leave your City
Desiglltlted Job Number, location of where the sign is being installed. the type of insp.ection you are requesting, and when
vou will be ready ror 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 alter 7:00 a,m. will be made the following work day,
,
II vou hove any qu'estions regarding tile application, required plan's or inspections, please feel free to phone the Building
S:Jlety Division at 726.3759,
I
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,
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City tit' Springfield
B\lildi\lg Sal'ety ,Divisioll
225 Fil'th S~'eet! .
Spriogl'icld, OR' 97477
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