HomeMy WebLinkAboutPermit Signage 1995-4-27
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225 Fifth Street
Springfield, OR 97477
SPRINCFIELD
JO.BER 9>0:5 7~
SIGN PERMIT APPLlCATIO.
SITE ADDRESS:
ASSESSORS MAP:
J /'c::? Z.
Inspection Line: 726-3769
O;f,ice{~28-1~S ~ '\
~ 2S t,..oAz. 70t:) J
OWNER:
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PHONE:
ADDRESS:
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STATE:
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ZIP:
~ 72/7
CITY:
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BUSINESS NAME, FIRM E1C,:
IYI A /IV D LIt 'Z..A-
DESCRIPTION OF PROPOSED SIGN{S): (please check and complete all appropriate information)
_ Marquee~.
Single Face 1 Double Face Billboard _ Other ~_.
Square Footage: _Lf?!)v:1 pEII. FA<E (ioo~ rOf'A9 Total Height above Grade:/ ,!),O I~-
MPr~\r(\\JYY\ S\7e.-" I " L.::::- d I
Vertical Dimension of sign or enclosure: -'::J (0 Horizootal Width . n or enclosure: (f
Dimension from Grade '1 I Electrical Installation: Y VALUE cfI ~
to bottom of Sigo Eoclosure: '1/.0 {If yes additional electrical perm OF SIGN: ,() I / (J () ,
Material Sign is constructed of: ht'f\flJI!HoL .5:1(f.1J,~' AefZ. f!'::J q hi 00 &.,.:: r. P'-VuJooD M ()U,{J'rt;:;/) /'0 .:J
R",( g" ')( '2<; I P/r Pewl, tlf=..,.. (N t'.MJckg.T~_ - StqA./ tJ,/((LLEI! A-'rr4<.H€/) j() fC!:Ta., v&,-Vo, ('I \ -# 10'xlb"
~ ~ .sW~.W-F'ER..s'f/" fir':.'::
IV), ~ . V,J
~ sq, Ftg,
Wall
..x Freestanding
Projecting
Roof
Ic) Type
Sq, Ftg.
(dl Type
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CONTRACTOR/INSTAllER: -rtlf)LE <...i'fS S/fjNS (AX...,
ADDRESS: f((D5'D I __LDl2.rAAfft t+WJI
CITY: FiJ-9l;ItJ1::. STATE: ~,
CONSTRUCTION CONTRACTORS REGISTRATION NUM8JW7 C/q 0'1 _=?.;t ~
CITY BUSINESS LICENSE NUMBER: /~ t/;W R':1. ~
PHONE: 3<13- ?Di{q
EXPIRES:
q?q{)S'
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ZIP:
EXPIRES:
OFFICE USE
Sign District: ~ N\ 1 11\ rt1..1 ,~r-mm land Use:
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Code Section:,
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Zoning:
Sign Permit Fee:
Approved 8y:
DATE: '- ~.r14 .qCS
REQUIRED INSPECTIONS:
V;ooting
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to c9ver
Electrical
prior to energizing
electrical installation
V<al
completion of sign
installation
. Site
to be made prior
to .siW\ placement
Additional Comments and/or Conditioos:
By signature, I state aod agree, that I have carefully examined the completed applicatioo and do hereb~ certify that all information herein
is Uue 'and correct, aod 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 Oregoo pertainiog to the work described herein" I further certify ,that only cootractors 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 will remain 00 the site at all times during the installation
of thesignlsJ. '
Validation:
Y~~~t.~~~/S
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Date
Signature
Receipt Number:
Date Paid: I} ( 'Vl/ Ct S .
,~;... ", ~JW(
Amount Received:
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.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely, If you are the sigo contractor/iostaller, or if you 'are
hiring a contractor, you need to inake sure that both the City of Springfield',8usiness License Number and the Registration
Number from the State of Oregon Construction Contractors 80ard are listed on the application along with the expiration
date of each. . ' ...... " ",.,. . :'."'
It the sign you are proposing to install is illuminated, an electrical perioit'a~plic'atioo also needs,to be completed and signed'
by either a sup~rvising 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 waW,and/or freestandiog signs, a photograph Is I of each existiog sigo oeeds 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 dimeosions, 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 engioeer or architect. After the '
plan review process is completed. and, if your signlsl 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 refereoce, '
INSPECTIONS
Dependiog 00 your signls), you may be required to request one or all of the following inspections during the iostallation
of your sigo:
Site: To be requested after indicating on the lot where the proposed sigo 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
locatioo of the proposed sign.
Footing:
To be requested after excavatioo 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.
"Ill
Attachment: To be requested wheo all fasteners are installed but prior to cover.
Electrical:
To be requested after the electrical connection to the sigo is made, but prior to energizing.
Final:
After all required inspections are conducted and approved and the sign instailation 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 sigo 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 inspectioo you are requestiog, and when
you will be ready for the inspection. All inspectioos called in to the recorder prior to 7 :00 a.m, will be made the same'
working day, all inspections phoned io after 7:00 a.m, will be made the following work day.
It you have aoy questions regarding the applicatioo, required plans or inspections, please feel free to phone the Building,
Safety Division at 726-3759, ;
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477