HomeMy WebLinkAboutPermit Signage 1995-7-13
SIGN PERMIT APPLICATION
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. SPRINGFIELD
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SITE ADDRESS:
ASSESSDRS MAP:
1.7 I ~ 1/V1f\-lN cST;
1-1 I; I).., 1).." _ /J, I
JOB NU'~BER\}0 0 [l1 \
. \,spection Line: 726,3769
Office: 726,3759
225 Fifth Street
Springfield, OR 97477
TAX LOT:
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OWNER: J1i!Tf:!)2JlJ4TIONAL fl2N.oc, If'V' J (bl7'~J:tt PHONE:
ADDRESS (p xl:> ~,l ~hb
CITY: ~( )u-r.;:N. ~ STATE: t""'}(2.,
BUSINESS NAME. FIRM HC.: ~)I\I E~~~l""lO.t)(2,V?N
~ <?s.--Oqzt:.
ZIP: CJ7YOZ-
DESCRIPTION OF PROPOSED SIGNIS): (please check and'complete all appropriate information)
- W.O {~ii!;:"""';"" Cbl.,,;"" - ""
_ Single Face ~oU~Face 'Billboard Other ~
SQuare Footage: 4W ' D , - Total H'elght above Grade(~ }
, Vertical ~f~n ~~~: v:t\ [S1/ q \ Horizontal Width oLsign,or enclosure: :,C;-
Dimension from Grade Electrical Installation: -,---{yec2 ~o? VALUE "'7 ,A")
to bottom of Sign Enclosure: \ I (If yes additional electrical per~~ OF SIGN: c-,OO",
/IV1 . 0,0.
Marquee
,.
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Material Sign is constructed of:
List ALL existing signage and attach a photograph of aach sign:
101 Type
~
Sq. Ftg,
Ib) Type
Sq. Ftg.
Icl Type
Sq. Ftg.
(d) Type
Sq. Ftg.
CDNTRACTOR/INSTALLER: ~ 9V~\I. gy,J?
ADDRESS: 4f;70 /.1) \ II ft
CITY: r.=1'y~-d\l,LS.'
CONSTRUCTION CONTRACTORS REGISTRATION NuMBER:
PHONE:~?~/I~
CITY BUSINESS LICENSE NUMBER:
~LjO:J.-/)q
EXPIRES:
Q7C/t17-
C,/7-~/~h
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STATE: ~v:: ZIP:
72-1 2.. 7 EXPIRES:
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Sign Dist'rict:
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OFFICE USE
Land Use: ~81TO Quad Area:
Code Section: n q-1~ I t}. ( ~,/
Approved By: _ ~1.JAJ){ \-(fWJl
:AUltJJ
Zoning:
Sign Permit Fee:
41) . (J~
DATE:
1/PJ,c10
REOUIRED INSPECTIONS:
Site
to be made prior
to ,sign, placement
Footing
prior to placement
of concrete
K Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
11/ Final
com~letion of sign
installation
Additional Comments andlor Conditions:
,
By signature. I state and agree, that I have carefully examined the completed application and do hereb~ certify that all information herein
is !fue 'and correct, and I further certify that any,and all work performed shall be done in accordance with the Ordinances of the City of
Sprin'gfield, .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 fuither 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 t ite at all times during the installation
::g~e~ , " Date ~6
,y
Validation:
Amount Received:
41J ,0()
f::J ( Y:~ trr
Receipt Number:
Date Paid: ( 1 -- (Lf -0 S
Received By: ~~
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SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign co~tractor/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 listedon the application along with the expirati,on
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 whi'ch 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 Is) of aach axisting sign needs to be attached to the
application. The size of each existing sign also needs to be listed on the application,
PLAN S
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. Alter t~e
plan review process is completed, and, if your sign!sl 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 signlsJ. you may be required to request one or, all of the following inspections during the installation
of your sign:
. ,
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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.
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 als)) be in place prior to requesting this i~spection.
Attachment: To be requested when all fasteners are installed but prior to cover,
Footing:
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 in?tallation 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. )O';,.ihe~e~Ording 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 alter 7:00 a.m. will be made the following work,day. I.
If you have any questions regarding the application, required plans or inspections, please feel free to phone the Building,
Safety Division at 726-3759. '\"\ >\ t' . .
.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477