HomeMy WebLinkAboutPermit Signage 1994-3-21
SIGN PERMIT APPLlCA T., [~ ,NUMLJEH
225 Fifth Street ~ - Inspection Line: 726-3769
Springfield, OR 97477 'M- Office: 726-3759
LOCATION OF PROPOSED WORK: , ~\ f'\\r\ i [\ ~ \~ 001-)
ASSESSORSMAP:~ ()a~\~\ TAX LOT: ()lo~rf) \
OWNER: ~ 'ct\-(J.~_\\\\f-t')n ,PHONE: \ \g,l()-~~~
ADDRESS: I 'l~n ~J \.:..::1\ ,-jtJleQJ:j _ -
CITY: '" IJ,?J\ iiJI.k\~ 00 q]). - STATE: I 10 ~ _0 ~ / ZIP: !121!.JH
BUSINESS NAME, FIRM E~, ), 7\. dJlQo1./ I r).jJ1tJnfl;;I-iI)(0
CW")?Al
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
:""""~
Square Footage: /cf)t), I f) Total Height above Grade: \ \ n
Vertical Dimension of sign or enclosure: '- ~ / I () ,I Horizontal Width of sign or enClosur~: '- ~e:) /
Dimension from Grad~ I" c::=.. I Electrical Installation: _Yes X- No :$1\ (;::,.rY""". cD
10 boltom of Sign: f'"\.0 IIf yes additional permit is required) VALUE: )..J\.-^--J,
MaterialSignisconstr~ctedob ~\t\I-y)~"\\ ~r\ I Y\'\)
.l.L Wall
Freestanding
Projecting
Roof
~Single Face
Double Face
Billboard
Other
list ALL existing signage and attach a photograph of each sign:
(al Type ~~\Ul~
Sq. Ftg.
,~';l
Ib) Type
Sq. Fig.
(c) Type
Sq. Ftg.
Id) Type
Sq. FIg.
CONTRACTORIINST ALLER:
(C'h .lJI\ 0 i( )
PHONE:
ADDRESS:
CITY:
STATE:
ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Zoning:
Sign District:~('fl\ ('(\ {\C\i\\(l\)[Q,luQand Use:
C' (' J
ffJ,cD
Code Section:
Approved By: \
.5af{) Ouad Area <....~C ,~
Cf-'7-/4'
1 tn. ) ( ~~ DATE: <--~,:J_\ 'cct
Sign Permit Fcc:
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Fooling
prior to placement
of concrete
AlwchmCllt
after fastencrs are
installed/prior to cover
Electrical
prior to energizing
K Fillol
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 certify that all information tlercir
is true and correct, a':ld I further certify that any and all work performed shall be done in accordance with the Ordinances of the City 01
Springfield. and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors anl
employees who are in compliance with OAS 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, tha
the permit card ;s located at the front of the property, and the approved set of plans will remain on the site at all times during the installatiol
of the signlsl.
Signatux /J )off\rl'1
L ~m<.{>h/l
Date
'-"Jb~Lq_t/
Date Paid: J_3~MYt
Received BY~ ~..____
Validation:
Amount Received:
I/,()
I aX3J
Receipt Number:
.
.
SIGN PERMIT APPLICATION
The application on tile 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 tile State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
If the 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
which you are occupying. and you will be performing the electrical installation yourself, you may sign the elect;ical
application.
If there are l:xistinu wall and/or frccstnndino signs, 8 photograph(s) of 8ach existing sign neods to be attached to the
application. Thu sile 01 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 fouting detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, it your sign(s) is approved, one set will be returned to you. The approved set at drawings need
to be at the site when an inspection is requested tor the inspectors reference.
INSPECTIONS
Dependinu on your sign(s), you may be required to request one or all of the following inspections during the installation
of your sinn: .
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 proposed sign. .
Footinu:
To be requested aher excavation and the forms are installed, but prior to pouring concrete. If there will be
t:lcctrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attachmerll: To be requested when all lasteners 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 specific sign 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 nn 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 you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726.3759.
City uf Springlield
Building Safety Divisiun
225 Fifth Street
Springlield, OR 97477
SIGN PERMIT APPLlCA T., [~. ~ NUMllEH_~D2A.l__._m___
225 Fifth Street ~ ~ - Inspection Line: 726-3769
Springfield, OR 97477 .. '~ Office: 726-3759
LOCATION OF PROPOSED WORK: ~~\_.f'\\r) t f\ .; llOo t;____________________._..__
ASSESSORS MAP: \ 11 n~?J\"?\\ TAXLOT: (llQ~rD \ ____________n
OWNER: ~ t'R\\ ~_m \ttJf\ PHONE: \ \Al~~~
ADDRESS: I 'lAT,) ~) \.-J\ 0tJlJ.QL.> _ _ ,__
CITY: \.. ~,?)\~t_oO d) _- STATE: I l~).LO~ / ZIP: C(')j!Jij
BUSINESS NAME, FIIiM E~ \ '), j\ d/LQ01.; I r:At.dflLrf(J}nl/0____
""""1",
DESCRIPTION OF PROPOSED SIGN IS): Iplease check and complete all appropriate informationl
..I..L. Wall
~Single Face
Freestanding
Projecting
Roof
Marquee
Double Face
Billboard
Olher
Square Footage: /fl!J. I ~ Total Height above Grade: \ \ r/
Vertical Dimension of sign or enclosure: ,~I I () II Horizontal Width of sign or enCIOSU: ~f) /
Dimension from Grade I f\ c=... / Electrical Installation: _Yes ~ No Sf\ f;;.rY'\ cD
10 bottom of Sign: rJ.. ,--..) (If yes additional permit is required 1 VALUE: :,-J~ A-J,
Material Sign is constructed of: \ ~ It\ I :ncx-l.....\ \ ))0. _ t At-) ---'3 --====-_
Ust ALL existing signage and attach a photogrol>h of each sign:
101 Type ~~QD~ Sq. Ftg. .~ ~
(01 Type
Sq. Flg.
Ie) Type
Sq. Ftg_
(d) Type
Sq. Ftg_
CONTRACTOR/lNST ALLER:
(C'h ,l-:)~ 0 f'.. ')
PHONE: .
ADDRESS:
CITY:
STATE:
ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Zoning:
Sign District: \\~ _ct\. ~~ Use: cs..~ Ouad Area: P-l ~
(\ (' ./ Code SectiOn\ q - 'I - l4. '
Sign Permit Fee: Pn .ocJ Approved By: . ~ fr\ ) ~O\( ~.Q 'f )
DATE: 5~l:lLq1:-~~-u
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
-.xu_- F,"",
completion 01 sign
install(ltion
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hcreir
is true and correct, a~d I further certify that any and all work performed shall be done in accordance with the Ordinances of the City (J
Springfieid. and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contracturs all'
employe os 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, tllil
the permit cord is located at the front of the property, and the approved set of plans will remain on the site at all times during the installotior
of the signls). .
SignaturJ IkYl rL t/ ~&
I
Date
~>>/J?//
Receipt Number:
I~()
" /6lJ:5 (
Date Paid: ~~_.bLC2~~
Received By. _~_u. _ ___."_"_ ____
VnIidation:
Amount Received:
;J~"
.
..
"
SIGN PERMIT APPLICATION
.,
The applicalion on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if yOU are
hirinu a conlractor. you need to make sure that both the City of Springfield Business License Number and the Registration
Number hall' tile State of Oregon Construction Contractors Board are ~isted on the application along with the expiration
date of eHcll.
If the 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
which you are occupying, and you will be performing the electrical installation yourself, you may sign the elect;;cal
applicatioll.
II Ihme are cxistinu wall and/or freestanding signs, a photograph(sl of aach existing sign needs to be attached to the
application. The siLe 01 each existing sign also needs to be listed on the application.
PLANS
To submit for a sign permil, you need to prepare two complete sets of drawings showing all dimensions, total height, and
o plot plan indica ling where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20
leet in total height. the foutiny detail needs to be prepared and stamped by a registered engineer. After the plan review
process is con1plctcd, and, if your sign(s) is approved, one set will be returned to you. The approved set of drawings need
to bu at tlm site when an inspection is requested for the inspectors reference.
INSPECTIONS
Dependinu on your signtsJ. you may. be required to request one or all of the following inspection~ during. the installation
of your sion:
Site:
Tu be requested alter indicatiny 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
locatiun 01 the I~roposed sion.
,
Tu be requested aller excavation and the fo'rms are installed, but prior to pouring concrete. If there will,be
ellJclrical conduit placed in lhe footing, it must also be in place prior to requesting this inspection.
FootinO:
AltaclHnent: Tu he rcqueslctl wh~n alllastencrs are installetl but prior to cover.
Eleclrical:
, '
To be requested alter 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 specific ~.ign will be indicated on, the application during the plan review process.
Failure to request ANY of the required inspections 1:ould resul(in sign removal in order to inspect the sign at the required
intervals of work.
To request 1I11 inspection, phone 726.3769. This is a 24 hour recording. On the recording you will need to leave your City
Designated Job Number, lucation of where the sign is being installed, the type of inspection you are requesting, and when
you will be rcady lor ttle 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 you have any ,question:;. regarding the application, required plans or inspections., please feel free to phone the Building
Safety Division at 726.3759. .
,...
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,Ii' ., r- ' ~ .~
City "r Sp,.;ngficld
Building Surely Divisi"n
225 Firlh Street
Springfield, OR 97477
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