HomeMy WebLinkAboutPermit Signage 1996-4-5
SIGN PERMIT APPLlCATIO.
SPRiNGFIELD
JOB.BER
C\CSO()'ZL-
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS: '] <100 /l'I..I2L i U
ASSESSORS MAP: II () (..:') \ 7, I
Inspection Une: 726-3769
Office: 726,3759
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ADDRESS: ,?(/C)O ~l,...rSTj2.~-et
CITY: <;rpr- i ~i F ,-e. LI') STATE:
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PHONE:
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OWNER:
BUSINESS NAME, FIRM E"iC,:
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ZIP:
tj 7+li
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DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
-A- Wall ./ Freestanding _ Projecting Roof
Marquee
*
Square Footage:
Double Face
/6c);j;. ,/
Billboard Other
_ Single Face
Total Height above Grade:
/.$
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v
Vertical Dimension of sign or enclosure:
II .)
_~C
Horizontai Width of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
/oi.CD H
Electrical Installation: X Yes No
(If yes additional electri~rmit is required)
VALUE
OF SIGN:
;;) e~d II
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Material Sign is constructed of:
Sf/-.R.I ~""l\L
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Ust ALL existing signage and attach a photograph of each sign:
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Sq, Ftg,
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(a) Type
Sq. Ftg,
(b) Type
(c) Type
Sq, Ftg.
(dl Type
Sq. Ftg.
'CONTRACTOR/INSTALLER:
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Lo.
PHONE: 9~~, S'~ 5:1!=)
ADDRESS:
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE: CfJ2. ZIP:? '/ ~;;1.. /
6 'I r 02-1 EXPIRES:
CITY:
CITY BUSINESS L1CENS~ NUMBER:
EXPIRES:
Sign Permit Fee:
~A'/
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OFFICE USE
Land Use: 01JoO Quad Area:
Code Section: ',/2., q~ 1- /4
Approved By:_!~JlJ1 ilL ~
V
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Sign Disirict:
Zoning:
DATE: -1I_6Jj/~
REOUIRED INSPECTIONS:
, Site
to be m",de prior
to .si.Qn. placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed'prior to cover
Electrical
prior to energizing
electrical installation
Final
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 herebx certify that all information herein
is twe '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 p.ermit card is located at the front of the property. and the approved set of plans wiil remain on the site at all times during the installation
of thesign(s). , .
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Received By:
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Signature
-----
Date
~
Receipt Number:
f/(J -1ft)
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Date Paid:
Validatido:
Amount Received:
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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 80ard are listed on the application aiong 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 waN ,and/or freestanding signs. a photograph(sl of each axistlng sign naeds to be attachad to the
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 t~e
plan review process is completed. and, if your signlsl is approved. one set of plans wilt ba 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 signlsl. 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 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 instaltation 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 instalted, the type of inspection you are requesting, and when
you wilt 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 foilowing work day,
If you have any questions regarding the application, required plans or inspections, piease feel free to phone the Building,
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477