HomeMy WebLinkAboutPermit Signage 1995-12-7
I SIGN PERMIT APPLlCATlQ. SPRINGFOELD JO.~BER
L~ ,
225 Fifth Street ~ Inspection Line: 726.3769
::;~;::: :: ::::w WO," <\ \ \ tJ CJ\ '-in'? ~ t , """ "'"" ~
ASSESSORS MAP: \\\;L:::1,jt:J:) TAX lOT: ~ ') ~
OWNER\ \'0{\ \\~ ~ ~ _ \ ')~ \\\\~ (\ , . PHONE: ?-A~ . ~ ') ~
ADDRESS: !-~~'0:') U.~fu~t cA\\~ {\~
CITY: Y ~ ~(\ Q f\lL . ~ STATE:' ~ '\ ~ n fT(\ ZIP: Q,L\{j \
BUSINESS ~AME, FI~ ETC.:\ I\'(\{\ \\~(\ \(Q [\, J ~
OA\LtUo
\
A
DESCRIPTION OF PROPOSED SIGNISI: Iplease check and complete all appropriate information)
v--- Wall
_ Freestanding
_ Proiecting
Roof
Marquee
\'/single Face
\ mouble Face
Billboard
Other
Dimension from Grade A ~
to bottom of Sign: . I: )
Electrical Installation: Yes V No
Ilf yes additional permit is required)
li . \:). () ,
VALUE:
1-('(
&4-
\ rmD po
Square Footage:
Total Height above Grade:
Vertical Dimension of sign or enclosure:
~/
Horizontal Width of sign or enclosure:
Material Sign is constructed of:
lal Type
Sq. Ftg.
of each sign:' f\ \ O--J
Ibl Type
Sq. Ftg.
List All existing signage and attach a photograph
Icl Type
Sq. Ftg.
Idl Type
Sq. Ftg.
CONTRACTOR/INSTAllER: ffi~ ~\ \\>-rf\ ~r-i)
~\() \l). \\~ \
1-' >..)('1 1\ <L
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: 'l ?- \ 1- '1
C\~D~V\
PHONE:1:A.fJ_: \\l\C\
ADDRESS:
CITY:
STATE:
-
\\).k~f\()(lzIP: o..\~\lL
~PIRES: l() . 'L'L. C\ \.0 .
EXPIRES: ~ 0 . ~l) .C\ \D
CITY BUSINESS LICENSE NUMBER:
Sign District:,\.'{\~~t5:\\ \ ~ ~
\-\l
MCD
OFFICE USE
land Use: AG... Or\ Quad Area: ~ I \\ ')(' J
Code SectiOn\.; C\-1- .\0. C\ ')
Approved By: .u..m) ~,,\,\,GJ2.~ DATE: \ ~ _' '1 .O?\
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
V Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
~inal
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, thaI
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 the~i' ~ J /
Signat ~;;'/f" /~.A-/ -^- ~ Date /A// 7 ~ ~
J~~ ~. / // z
f<{) OJ
\ C{l-tdfl
Validation:
Amount Received:
Oate Paid: -tft~~'}C{'"
Received BA-!Lf 5 1..}
Receipt Number:
.
.
SIGN PERMIT APPLICATION
The appli.calion 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 the State of Oregon Construction Contractors Board are listed on the application along with the expiration
~re~"~ .
If the sign you are proposing 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 photographlsl of each existing sign needs to be attached to the
application. The size of each existing sign also needs to be lisled 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 height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, if your signlsJ is approved, one set 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:
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 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.
Attachment: To be requested when all fasteners are inslalled 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 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 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 a.m. will be made the 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 feel free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
SIGN PERMIT APPLlCATlce
SPRINGFIELD
~
4;;\ \\) \)\, r~\(\ ,~"o,
JO.MBER
Inspection Line: 726-3769
Office: 723~ ~
IT'f\f'C\ \ .
?4<6.()\?2'\
~~\~?j 0
225 Fifth Street
Springfield. OR 97477
PHONE:
ZIP:
l\1'\C') \
DESCRIPTION OF PROPOSED SIGNISI: (please check and complete all appropriate information I
\,...---"Wall
Freestanding
Projecting
Roof
Marquee
~ Single Face _ Double Face
Square Footage: t\ ~_()
Billboard
Other
Total Height above Grade:
2-0;"
14-
\ flfD
Vertical Dimension of sign or enclosure:
~
Horizontal Width of sign or enclosure:
Dimension from Grade \ r;:::::
to bottom of Sign: '- ,
Electrical Installation: _ Yes /../No
(If yes additional permit is requiredl
U.\\.Cl
VALUE:
Material Sign is constructed of:
List ALL existing signage and attach a photograph of each sign: \\ \C\J
lal Type
Sq. Ftg.
Ibl Type
Sq. Ftg.
(cl Type
Sq. Ftg.
(dl Type
Sq. Ftg.
CONTRACTOR/INST ALLER: ~ \1.
ADDRESS: ~~..r\\\
~\~ ~\\\\~
\\~
PHONE: ?:;~9. \\ C\L\
\.~~
CITY r:\ '1C\ Q A\ \) ST A TE:~\ C\ r\ rt+
CONSTRUCTIO-NC~NTR\.:dTORS~EGISTRA~NNUMBER: '\ '2. \ r') ,., -- ~PIRES:
CITY BUSINESS LICENSE NUMBER: '-\ ~ \ '\- EXPIRES:
ZIP: ~-r\.(\~
~ :Q'L .Qlo
lo <:l[) .Gl "
Zoning:
Sign District~~c\\ \Sj\\\k\J.lL
\-\\
~Cl <;0
OFFICE USE
Land Use: ,-~C\~g Quad Area: <:..~J" \\')C'_
Code Section:\ < C\ - ') - \ Q (\ ~
Approved By: l,\ 10...; \\~ DATE: ~ 1- . \ . 0... ~
Sign Permit Fee:
REQUIRED 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
~al
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 01
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
~~et~:r~~~~~:;d IS loca:at~ of lhe/;6~f:and t,he approved set O,f plans Willy remain Ofn the site at all times during the installation
Slgnatu;N" /~~ ?c:;;vhutd~ Date ~ I "1'5
/ '\..1/ '/ _
validatitn: Am:unt Received: _'0{) .UU Date Paid: /f-); /) .L(~
Receipt Number: \ U(l \_() (c> Received By: df...ll'1 )
.
.
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 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 is illuminated, an electrical permit appljcation 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 installalion yourself, you may sign the electrical
application.
If there are existing wall and/or freestanding signs, a photographls) of each existing sign needs to be attached to the
application. The size of each existing sign also needs to be listed on lhe application.
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total heigh!, 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. After the plan review
process is completed. and, if your sign Is) is approved, one set 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 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 question 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 muSl 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 energizing.
Final:
After all required inspections are conducted and approved and the sign installation is complete.
The inspections that 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 removal in order to inspect the sign al 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 a.m. will be made the 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 feel free to phone the Building
Safety Division at 726.3759.
Cily of Springfield
Building Safely Division
225 Fifth Slreet
Springfield, OR 97477