HomeMy WebLinkAboutPermit Signage 1992-12-4
225 Fifth Street
Springfield, OR 97477
-.
JOB NUMBER
'1 ~\ \05'7
"""III
SIGN PERMIT APPLICATION
SITE ADDRESS: / ti 66 /YJ /!/tV
ASSESSORS MAP: 1'7(~,);;I.,1 0-'\\
OWNER: /Yl/9 R ;/y AI Z L= A/ j-
ADDRESS:~.? 6 m f) I~ b q-
CITY: "--<:)'pJ2I/2;f~>;'b, ,f\J.'~=' STATE:01Z1fE
BUSINESS NAME. FIRM ETC.: 7 i/ E )/' /f 112. S AI o,&>
/
....... -
5V
.pection Line: 726-3769
Office: 726.3759
TAX lOT:
Il '::l., -Sf )( }
PHONE:
ZIP: /,7 ~71
DESCRIPT~ OF PROPOSED SfGNISI: Iplease check and complete all appropriate information)
~ Wall _ Freestanding _ Projecting Roof
~gle Face Double Face Billboard Other
Marquee
*
"
Square Footage:
.3t:, /
TOlal Height above Grade:
/~/
/
5
Vertical Dimension of sign or enclosure:
c;;/
Horizontal Widlh of sign or enclosure:
. .
Dimension from Grade
to bottom of Sign Enclosure:
I Eleclrical Inslallation: V"Yes No
$? (If yes additional electrical permit is required)
?il9~.0c. <I- />>er'lPL-
VALUE 6#' db
OF SIGN: I' ~ 0 <J d .. ~
Material Sign is constructed of:
List All exisling signage and attach a photograph of each sign:
lal Type
Sq. Ftg.
Ibl Type
Sq. Fig.
Icl Type
Sq. Ftg.
(dl Type
Sq. Ftg.
CONTRACTOR/INSTAllER: /)/} /J.fZ./;:t. /9A.6-S
~ IJ .. 13/) 1\ Q2. 0 t 'j
CITY: e/./ f };;nIlE. STATE: afZ e:.
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: lo4to \ n EXPIRES:
CITY BUSINESS LICENSE NUMBER: ~~ m ' EXPIRES:
S/~A/_S
PHONE:
-?L/2--/7b7
ADDRESS:
=.~ ,- ..;.~,.~
c:....~'_ }II....i..,_."'_~
/
-fr$'
ZIP: Q7fC'02-
~-\' q. Gr0
lo .CO.q~
OFFICE US;;
Sign District: C',r)'j'f\ 0BMW\ land Use: \..~?t'fJ ~ Arca: c)) QIUuJ
ZOning: (\~ Code Section< L1- 0- ~I\
Sign Permit Fee: _~r::\90 Approved By: \ 1.IX) .)\_~Jr-.or JATE: I~ .4.Cf':L-
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
~ Electrical
prior to energizing
electrical installation
)( Final
~ion 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 inlormJtion 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 lhe laws of lhe State of Oregon pertaining 10 the work described herein. I furlhcr 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
of lhe signls)...,......, / (} /)
Signature W' ax.. ~. (// A4/J- Date / d - '-/ - 7' L
Amount Received: 0S,UU
\PC\lt7tt
j,
--
Receipt Number:
Date Paid: LQlc) , -{- l./rr
Received rr;;-;I\ 1J~
Validation:
r
~
1
.
.,
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 lhe Slate of Oregon Construction Contractors Board are listed on lhe applicalion along wilh lhe expiralion
date of each.
11 lhe sign you are proposing 10 install is illuminated. an electrical permit application also needs 10 be com pie led and signed
by either a supervising electrician, limited sign electrical contractor, or if you arc' 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 arc exisling wall and/or frees landing signs. a photograph(s) of each existing sign needs to be auached 10 the
application. The size of each exisling sign also needs 10 be lisled on the applicalion.
PLANS
1
To submit for a sign permil. you need to prepare two complete sets of drawings showing all dimensions. total heighl, and
a plot plan indicating where the proposed sign will be localed. 11 you arc inslalling 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 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 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 indica ling on the lot where the proposed sign will be localed but prior 10 any work
being performed for the installalion of the sign. This inspection is required if lhere is a queslion on the
location of the proposed sign. '
Footing:
To be requesled after excavation and the forms are installed, bul prior 10 pouring concrete. If lhere will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attachmenl: To be requesled when all fasteners are inslalled but prior 10 cover.
Elcc.trical:
To be- requested _ after the electrical connectio~ to the sign is made, but prior to energizing.
Final:
After all required inspeclions are conducted and approved and the sign installalion is complete.
The i~speclions lhat arc required for your sign installalion will be indicated on lhe applicalion during lhe plan review
process. Failure to request ANY of the required inspections could resull in sign removal in order 10 inspecllhe sign allhe
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 Cily
Dcsignaled Job Number, location of where lhe sign is being installed, the lype of inspeclion you arc rcquesling, and when
you will be ready for lhe inspeclion. All inspections called in to the recorder prior 10 7 :00 a. m. will be made lhe same
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 feci free to phone the Building
Safety Division al 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477