HomeMy WebLinkAboutPermit Signage 1997-4-7
SIGN PERMIT APPLICATION
22~~Filth:treet .
Springlield, OR 97477
SITE ADDRESS <~~? 'L N\I\: If\
ASSESSORS MAP: ~,j~L"'\' ., ~ ,
.. ,--,_..
OWNER~~(\l\o. -~ ~~~h lC\SW\
ADDRESS: tJJtf)fJ1J - ~ ~oot
CITY ~(\t'o ~t\. STATE: j~u ~
BUSINESS NAME. FI~~ E,C.: \l\o. _ \'no. ~\ M ~ .~- - -
..J
SPRINGFIELD
J_JM.BER C\~~5l)+
Inspection Line: 726-3769 _ 1.
Office: 726.3759 . ~J'
TAX LOT: lYlJ n ( I
--
PHONE: 14 \ lloO (
,,-
ZIP:
Qf)L\f1f\'
DESCRIPTION OF PROPOSED SIGNISI: (please check and complete all appropriate information)
V-Wall
~inOle Face
Freestanding
Vertical Dimension of sign or enclosure:
'\
:::::::::,;::~::;:~:"~;~::~::~:",,",":;':.
VALUE dl 800
OF SIGN: \l.1 .
Double Face
Square Footage:
~ ~2..
Dimension from Grade
to bottom of Sign Enclosure:
\n Electrical Installation: Ves V No
J.,.. (If yes additional electrical permit is required I
\ _ \)d\Q. c\- \. ~m- J
Material Sign is constructed of:
List ALL existing signage and attach a photograph of each sign: ~\t\J
(al Type
Sq. Ftg.
Ibl Type
Sq., Ftg.
lei Type
Sq. Ftg.
(dl Type
Sq. Ftg.
CONTRACTOR/IN STALLER:
\\h 0fwti ./
PHONE:
ADDRESS:
CITY: u STATE:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: \.J\ ~
CITY BUSINESS LICENSE NUMBER: ~ \~V .
\ '.-
OFFICE USE
ZIP:
EXPIRES:
EXPIRES:
Zoning:
Sign District:-.t~rI:.\Ln.QLand Use:
0l' J
4\)~
Code Section:
IQ~OOQUad Area:
Q.-'\-l4 (\')
\UJ(t )v~
~
Sign Permit Fee:
Approved By:
DATE: 4.').QrJ
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
V Attachment
after fasteners are
installedlprior to cover
Eleqrical
prior to energizing
electrical installation
~Final
completioR of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I ha,;,e carefully examined t;,e 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
01 the ~gnlsl. ,
,,\. ("-C \
Signature'......,,_ 1\,,_, " )", \'JJ ~
/" (' - .
\ "
Receipt Number:
4\)~
~.
Date Paid:
L(blli
4l.q1
Received By: ~IM _ ;
Date
Validation:
Amount Received:
.
-
...
"
SIGN PERMIT APPLICATION
The application on the rev'erse sid'e needs to be completed entirely. If you are the sign con'tra'ctor/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 .Cgnstruction 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 busil"}8SS owner who also owns the
building 'in' which you are occupying, and you wjll be performing the electrical ,installation yourself, you may sign the
electrical application. .
If there are existing wall and/or freestanding signs, a photograph(sl of each existing sign needs to be attached 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 indicati~g 'Yhere the proposed sign will be located. If you are installing a freestanding sign which exceeds 20
feet in total height, \he footing detail needs to be prepared and stamped by a registered engineer or architect. Alter 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 01 drawings'need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your' sign(s), you may be required to request one or all 01 t~e fOllowin'g !nspections during the installation
01 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.
Attt.chment: 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 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 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 milde the same
working day, illl inspections phoned in alter 7:00 a.m. wili be made the following work day.
1/ you have any questions regarding the application, .required plans or inspections, please leel Iree to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Firth Street
Springfield, OR 97477
.,
'CITY:
SIGN PERMIT APPLICATION
225- Fift:Street .!f
Springlield, OR 97477 \N\II\ : '" \ ~ ~
SITE ADDRESS: \~~t?....\ i~
ASSESSORS MAP: 3\,1' _ __ , TAX LOT: I)') Jlf'I( )
OWNER~ _ d. ~! \.h USPJ1\ ,- "'-~HONE: f't4\. \IoN
ADDRESS: ~'St?~ d'{\{)..J.'y'\ ~~~ 001
. STATE: lQM11tf(\
BUSINESS NAME, FIRM }:\n(\,. l M~ .~
\l
SPRINGFIELD
JWUM.BER
Inspection Line: 726-3769 0....
. Office: 726-3759 D\O(' V
0'\o\CS01
,-
ZIP:
Qf)4'1~
DESCRIPTION OF PROPOSED SIGNISJ: Iplease check and complete all appropriate information)
V Wall
-Lsingle Face
Freestanding
Projecting
Roof
Marquee
Double Face
Billboard
Other
Square Footage:
\'1.~-t
Total Height above Grade:
u
Vertical Dimension of sign or enclosure:
<6'\\"
Horizontal Width of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed Of:~
~
Electrical Installation: Yes V No
III yes additional electrical permit is required)
0\-\ _ ~(\ Lt\t
VALUE
OF SIGN:
~
~BPO
List ALL existing signage and attach a photograph of each sign: \..K\ Q.)
la) Type
Sq. Ftg.
Ib) Type
Sq. Ftg.
Ic) Type
Sq. Ftg.
Idl Type
Sq. Ftg.
CONTRACTOR/INST ALLER:
~
PHONE:
ADDRESS:
CITY:
STATE:
f\ \ (\.j
ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
\\\~
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District:~N\Q(I.'.\~ Land Use: ~ ,Quad Area:
Zoning: ~(-' Code Section: 0.-""- \4- h')
4\,) ~ Approved By: ~ \.,~e>
~eJ\)~ }
Sign Permit Fee:
DATE:
4-. f'\ .CVJ
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
./
Attachment
after fasteners are
installed/prior to cover
Eleqrical
prior to energizing
electrical installation
.../ Final
completioA of sign
installation
Additional Comments and/or Conditions:
By signature, I st.:1to and agree, that I have carefully examined t:1e completed application and do hereby certify that all information herein
is true and correcr, and I further certify ihat any and all work performed shall be done in accordance with the Ordinances of the City of
Springfield, and the Lows 01 the State of Oregon pertaining to the work described herein, I lurther certily that only contractors and
employees who ore 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
01 the signls). '. I.. .\.
Signa~ur: ;Z~'l~"""" ~~ Date '1/7 (CO
,~- '. ',,\ ~'-J
Validation: Amount Received: 4f) .dJ Date Paid: 4:.( .<=\1
Receipt Number: ('~L~!j,{)4 Received By: ~\:O _ J
.
.
..
'.
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 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, Of if you are the business owner who also owns the
building in which 'you afe occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application.
II there are existing wall andlor freestanding signs, a photograph Is) of each existing sign needs to be attached 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
leet in total height. the footing detail needs to be prepared and stamped by a registered engineer or architect. After the
plan review process is completed, and, if your sign Is I 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!s), you may be required to request one or all 01 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,
AttLchment: 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 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 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 Ill"de the same
working day, "II inspections phoned in after 7:00 a.m. will be made the following work day.
II you have any questions regarding the application, required plans or inspections, please leel free to phone the Building
Safety Division at 726-3759.
Cily of' Springfield
Building Saf'ety Division
225 Fifth Streel
Springfield, OR 97477
.,