HomeMy WebLinkAboutPermit Signage 1996-1-6
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SllJl\l I'LHI\illT AI'I'Ul,;l\ jjl\l
~:~!) hllh Street
$pliIlUI;"ld, Ofl 97477 /IIA
LOCATION OF pHOI'OS[o WORK: 1111
A$SESSORS M~P: \ f'j~~\()~
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CITY: ~VVlV\9-+t~Jd STATE: Of?____
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.13 NUMUI.II
Inspection Une: 726.3769
011 ice: 726-3759
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ZIP: UMLMJ7
BU$INESS NAME, FlflM ETC.:
DESCIIIPTlON OF 1'f10I'OSED SIGNIS): (pl"ase ct,,:cl< and eOlllpl"te all appropriate information) ~
'Wall X F",,,stalldiIlU I'roj"cllllU Roof _ Marque" ~
__..__ $IIIUI" Fa,," =K DOU~C" Oillboord __ Other QJ ~
Sq"are F"oIaUI): ____~O_ {,Ll _ I I Tot<lllh~lgllt nlJove Grade: \ ~/
Vt;llici'l1 Dimension of sign or enclosure: (). (() II \2....... Hori7on~nl . of sign or enclosure:
()iIlH~l\sitJll frulll GUill<: fJ '. I tl/ll() ~ Electrical l~lSl1lllalion: _ Y V-- 0 l~.x'[~
tu boltom 01 Sigll: ~t,. \ (If yes additional permit is r ire VALUE:
Mawri:i1SignisconSlrllcledol: SVtJ!tVVLltaD : pttt.) 1~ -1-
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list ALL existing ~ionage LInd attach a I)hotograph of each sign:
la) T,YPI)
Sq. FIg.
(b) Type
Sq. Ftg.
(e) .Type
Sq. Fig.
Idl Type
Sq. Fig.
CONTflACTOfl/lNST ALLER: hlLQ.QM ?:i;l oon r ~ .
ADDIII,~;S: .-12>79=; K1-rN- 'is+- . A.Jfv
CI~Y: ____~~ffi---- _______ _ STATE:
C()N~;lIt1JCTION C(lNTflACTORS IIEGISTflATION NUMllEll: I obdLl 1
CITY BUSINESS LICENSE '~UMIlEfI: _ *, ~_~S ___
PHONE: 5'-l\-{031D7~_
ZIP: Q1?J03
EXPIRES:_:3..~_~k__..__
EXPIRES: \()!-Lt'lk ~
OFFICE USE .. 1
S,un Dislrll:t:~QXt\i~and Use: ~ JuaCd AW{. tJr JIJJJ
Zoning: . \'QI ) - C?de Section: n -'1-~2 )
. -. 00 -J ~ ,t'J }
S'gn Perlllit Fee: ,~f) . Approved By: \ ^1:Jo. ) \./ .. U(../ DATE:
~
Site
to LJe made prior
to sign pl~cell1ellt
Fooling
prior to placement
of concrete
V Attachment
. after fasteners are
installed/prior to cover
Electrical
prior to energizing
VFinal
completion of sign
installation
HEOUIRED INSPECTIONS:
AllditiOflJI COIoments and/or Conditions:
By sjWl~lture, I SlalO and agree, that I have carefully examined the completed applictltion and do hereby certify that all inlormlltion her
1$ HUH and correct, (Jl1(11 further certify that ally amJ all work purlormed shall un done in accordance with the OrcJillllllcCS 01 the City
Spril1ufield,. <lI~d the Laws of the Stntc of Oregol1 pertaining to the work described herein. I further certify that only colHrQctors :
(~rnpl()v(:cs who <IrE! in conip!iance 'with ons 701.055 will be used on this proj~ct.
llurlhcr agree to ensure that all required inspections arc requested at the proper time, that project address is readable from the street, t
tile permit cartq;d' ated at the front of th~ property, and the approved set of plans will remain on the site at all times during the install..It
011I'[;slgI1151. ~ ......, I
Sigl1JlUle . ad. Dale \ t-f'1 JCLC::;--
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'!?l'0 ~'L Date Paid: ,1 \ ~-\o-C\ l{J
\C{ C\~ Received By: \J~~
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Validiltion:
Amount Received:
Receipt Number:
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City nl' Spl'illglicld
IInildillg S"I'I,ty Divisinll
225 Firth SlI'eet
Sl'rillglicld, Olt 97477
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If you tlflVl! any questions regarding the application, required plans or inspections. please feci free to p~lonc the Building
SafelY Division at 726-3759. I r . '
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To 'equest on 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
workinn day, nil inspections phoned in nfter 7:00 a.m. will be made the following work day.
Fin.::ll: After ull'reQuircd inspections me conducted and approved and the sign installation is complete.
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Tlw inspections th8t 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 remov,al in order to inspect the sign at the requirc~.
intcrv;)ls or work.
To be requested after the electrical connection to the sign is made, but prior" to energizing.
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noctricnl:
^IWc!ltlH;rll: Tl} Ilu requested when alllastcners arc instLI11ell but prior. to cover.
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To be requested after cxcnv:ltion and the forms are installed, but prior to pouring concrete. If there will be
electrical conduit placed in the lootinu. it must also be in place prior to requesting this inspection. .
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Site: To be requested after indicating on the lot where the proposed' sign will be located but pr~or to any work
being performed for the installation of the sign. This inspection is required if there is a Question on the
I.OCHtion of the proposed sign. .
Depending on your sign(sl. you 'may be ~equircd to request one or all of the Ifollowing inspections during the installation
of your sign: . .
INSPECTIONS
To submit lor a sinn 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 installif1g a freestanding sign which exceeds 20
. feet in total height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and. if your signlsl is approved. one set will be returned to you. The approved set of drawings need
to he nt the site when an inspection is requested for the inspectors reference. '
PLANS
II there Lift 8xistinu wall and/or freestandinu signs, n photographls) of Bach existing sign needs to bo attached to the
application. Tile size of each existing siun also needs to be listed on the application.
\111m sign you nre proposing Is IIlumlnnted, an electrical permit application also needs to bo completed and signed by either
;) supcrvisillO electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in
whicll yOll arc occupying, and you will be performing the electrical installation yourself, you may sign the electrical
application.
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TIlt: ilpplicDtion Ofl the reverse side needs 1U he c~lTlplClCd entirety. If you are the sion contractoftinstall~r, .or if you me
Iliring a CU/ltfill.:tor, you neet! to rnake sure tha"t bot Ii the City of Springfield Business License Numbef.and the Registration
NUIl""111Cr frulll tile Statc of Or.egon Construction Contractors Board are listed on the application alorlg with "the expiration
dale ul cacho
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SIGN PEI1MIT APPLICATION
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