HomeMy WebLinkAboutPermit Signage 1993-8-26
V'
SIGN PERMIT ~PPLlCATIO.
SPRINGFIELD
JO+BER C\ 0 \~, fit
225 Fifth Street
Springfield. OR
Inspection Une: 726-3769
Office: 726-3759
SITE ADDRESS:
ASSESSORS MAP:
c.x"\.B.<':")()
PHONE: m(J)-A~ -M-1P,
,ZIP:
C\,\~ \4-
::1... Wall
_ Freestanding
_ Projecting
Roof
"."~. *
DESCRIPTION OF PROPOSED SIGN(S): Iplease check and complete all appropriate information)
Single Face Double Face
Square Footage: l ~ 4L\ ~
Vertical Dimension of sign or e~c1osure: 4. rt ~
Billboard
---
Other
~
Total Height above Grade:
. ,
\?1
Horizontal Width of sign or enclosure:
,
Dimension from G(ad~
to bOil om of Sign Enclosure:
, .
Electricallnst~lIation: _ Yes X- No
III yes additional electrical permit is required)
~k\ ~ S\-t'~
VALUE
OF SIGN:
j5crD
',Material Sign is constructed of: \.
List ALL existing signage and attach 8 photograph of each sign:
(al Type
Sq. Ftg.
(b) Type
Sq. Ftg.
Ic) Type
Sq. Ftg.
(d) Type
Sq. Ftg.
CONTRACTOR/lNST ALLER:
PHONE:
ADDRESS:
CITY:
STATE:
ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign Permit Fee:
'lDSO
Code Section:
Approved By: \
~~a Q q Quad Area: \.'; LS (\
q-ri-\\\CC, _ -
~-~ ).~Lf)DATE:
R'PJln.9S
Sign District: ......\).'{\N 1 U
Zoning: . ~.T
) \ 1I I ?tP Land Use:
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing Allachment
prior to placement after fasteners are
of concrete installed/prior to cover
1-..' ,-, f\ II
Additional Comments and/or Conditions: ,;,) \ ()('\\ 1-\
~
Electrical
prior to energizing
electrical installation
V'Final
c6mpletion of sign
installation
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
is true and correct, a'nd 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.
x
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 ont of the property, and the approved set of plans will remain on the site at all times during the installation
:~:,:""'~ ""/, 4~ ~ DOl' 9-$- 9 3
1570.C]2) Date Paid: ~o/93
/19 2. ~,~ Received By: ~~
Validation:
/ Amount' Received:
Receipt Number:
,
.
.
,
, ,
i
,
SIGN PERMIT APPLICATION
The application on the reverse side neads 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 Ucense 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, 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 wall and/or freestanding signs, a photographls) of each axisting sign needs to be allached ,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
feet in total tieight;'the footing detail needs to be prepared and stamped by a registered cnginecr 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 ~eed to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your signls), you may be required to request one or all of 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 questio\, 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.
AlIachment: 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:
Aftef 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 feview
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 3.m. will be made the same.
working day, all inspections phoned in aftef 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 of Springfield
Building Safety Division
225 Fifth Slreet
Springfield, OR 97477
.
SIGN PERMIT APPLICATION.
SPRINGFIELD
JOB .ER
C\~\~f1L\
225 Fifth Street
Springfield. OR 97477
SITE ADDRESS:
ASSESSORS MAP: '
, PHONE:
ZIP: C\'\~ \~.
DESCRIPTION OF PROPOSED SIGNIS): (please check and complete,all appropriate information)
::d... Wall
_ Freestanding
_ Projecting
Roof
Marquee
Single Face
Double Face
Billboard
---
Other
Square Footage:
\~\ D
Total Height above Grade:
Vertical Dimensiori of sign or enclosure:
\1/
A9->
, Dimension from Grad~
to bOllom l)f Sign Enclosure:
, .
Horizontal Width of sign or enclosure:
Electrical Installation: Yes)( No VALUE
IIf yes'additional electrical permit is required) OF SIGN:
){[\;)(\ t
.i5" th?
',Materiijl"Sign is constructed of:\
Ust ALL existing signage and allach a photograph of each sign:
(n) Type
Sq. Ftg.
(bl Type
Sq. Ftg.
lc) Type
Sq. Ftg.
ldl Type
Sq. Ftg.
CONTRACTOR/INSTALLER:
PHONE:
ADDRESS:
CITY:
ST ATE:
ZIP:
CONSTf\UCTION CONTRACTORS REGISTRATION NUMBER:
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District:~f\r\ 1 \()h! I i1 r Land Use: ~'2,\A Q q ,Quad Area: ....~ J,:--:'" ('
Zoning: " ~.T . Code Section: C\ - ri - \ :J ~i""
Sign Permit Fee: Rn ,cD ,Approved By: '_\.ff) ).. ~~VOX~ATE:
A.~~
REOUIRED INSPECTIONS:
Allachment
after fasteners are
installed/prior to cover
~\~ ",~'/
~
Electrical
prior to energizing
electrical installation
Y Final
completion of sign
installation
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
',Additional Comments and/or Conditions:
, .
By signature, I'state and agree, that 1 have carefully examined the completed application and do hereby certify that all information herein
is true and correct, a'nd 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 locat~ fr~nt of t prop Y. and the approved set of plans will remain on the site at all times during the installation
of the signtsl. &/.P1
X Signature ~ /?~ Date ;3'~/b -9.3
/
/
Received By:
~ij/P/9'...? ,
~~~
Receipt Number:
~::9C)O-O
/bJ2-'j, \
Date Paid:
Validation:
Amount Received:
.
.
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 Ucense 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, or if you arc the business owner who al59 owns the
building in which you are occupying, and you will be performing the electrical installation yoursell, you may sign the
electrical application. '
If there are existing wall and/or freestanding signs, a photograph!s) of each existing sign needs to be allachod ,to tho
application. The size of each existing sign also needs to be listed on the application. I
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 footing detail needs to be prepared and stamped by a registered engineer or architect. After the,
plan review process is completed. and, if your signls) is approved, one set of plans will be returned to yqu., The approved
set of drawings ~eed 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 of 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 questio!' 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.
Allachmen\: 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 01 the required inspections could result in sign removal in order to inspe~t 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 3.m. will be made the sarno',
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.
. '
,.
.',
Cily of Springfield
Building Safely Division
225 Fifth Street
Springfield, OR 97477
"
SITE ADDRESS:
ASSESSORS MAP:
SPRINGFIELD
JOB 6ER
~'~\~0L\
SIGN PERMIT APPLICATION.
225 Fifth Street
Springfield, OR
Inspection Une: 726-3769
Office: 726-3759
r 'J ') r ('
~ ) ):',,) \
ZIP: CV\::i. \~.
DESCRIPTION OF PROPOSED SIGNISI: (please check and complete ,all appropriate informationl
~Wall
_ Freestanding
_ Projecting
Roof
Marquee
Single Face
Double Face
Billboard
-
Other
Square Footage:
12~
Total Height above Grade:
Vertical Dimensiori 01 sign or enclosure:
, Dimension from Grad~
to bottom 'Of Sign Enclosure:
, M'ateri&i'~ign is constructed of: \ ~)(\ ~
" - \ --
Horizontal Width of sign or enclosure:
Electrical Installation: _ Yes No
(If yes'additional electrical permit is required)
X\' --r; .
VALUE
OF SIGN:
J'Sb-O
list ALL existing signage and attach a photograph of each sign:
Sq. Ftg.
(bl Type
(dl Type
Sq. Ftg.
lal Type
Sq. Ftg.
lcl Type
Sq. Ftg.
CONTRACTOR/INSTALLER:
PHONE:
ADDRESS:
CITY:
.STATE:
ZIP:
CONSTf\UCTION CONTRACTORS REGISTRATION NUMBER:
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
,,"- -
OFFICE USE
Sign District:~f\N \ \ ()\lll n r Land Use: ~~Q C\ q Quad Area: ....~ l' .~~ ('
~ .T - Code Section: '\ C;;~ ",,'1- \?\ (" '
Sign Permit Fee: RO,ro Approved By: ,~ct\;~~DATE:_PY.RI~
Zoning:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
alter fasteners are
installed/prior to cover
.....'J\~ \\ 0---, II
Electrical
prior to energizing
electrical installation
X Final
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 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 e front of the pro~) and the approved set of plans will remain on the site at all times during the installation
of the signlsl. ~ .h-' J
~Signature ~_~~ ,- Date (0.-$~9~
Validation: / Amount Received: ;C ~O. <>>-0 Date Paid: 9 ~ 6/" J
Receipt Number: /0 ). ~ ) Received By: , ~X-._
.
.
, i
" ;
,
,
, ;
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractorJinstaller, or if you are
hiring a contractor. you need to make sure that both the City of Springfield Business Ucense 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. or il you are the business owner who also owns the
building in which you arc occupying. and you will be performing the electrical installation yourself. you may sign the
electrical application. '
If there are existing wall and/or freestanding signs, a photographlsl of each existing sign needs to be allached ,to the
application. The size of each existing sign also needs to be listed on the application. I
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 heigh!. 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 signls) is approved, one set of plans will be returned to you. The approved
set of drawings reed to be at the site when an inspection is requested for the inspectors refcrence.
INSPECTIONS
Depending on your signls), 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 arc 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.
Attachment: 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 en~rgizing.:
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 inspe~t the sign at the
required intervals 01 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. tho 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 samo-.
working day, all inspections phoned in after 7:00 a.m. will be made the fo~owing 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.
,.
.",'
Cily of Springlield
Building Safely Division
225 Fifth Slreet
Springlield, OR 97477