HomeMy WebLinkAboutPermit Signage 1999-1-19
SIGN PERMIT APPLICATION
SPRINGFIELD
JOB N'- '~ER
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225 Fifth Street
Springfield, OR 97477
Inspection Line: 726-3769
Office: 726-3759
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SITE ADDRESS:
OWNER:
PHONE:
ADDRESS:
CITY:
STATE:
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ZIP:
Q)Cr:-77
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
$. Wall Freestanding
-X- Single Face Double Face
Square Footage: ~~ S..., /:I-;
/
Vertical Dimension of sign or enclosure:
Projecting
Roof
Marquee
4-'
Billboard Other
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Total Height above Grade: ~ }lJ' 0 ()
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VALUE
OF SIGN:
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Material Sign is constructed of:
Electrical Installatio
(If yes additional elec
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/
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Dimension from Grade . J .'-t
to bottom of Sign Enclosure: q %
List ALL G~~ting signage and attach a photograph of each sign:
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(a) YY-Re. ~-Ll'i""r" Sq. Ftg. -(, C-
l.::l rt:"R'iV1fi1 ::iHALL EXPIRE IF THE W
(e) m~pe,ORI7r=[l U~IDrR -fitS SE' Ftg:- ORK
r;nr\I1A8!:W'''''~ _;...' P RMIT IS NOT
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CONTR~CTOR1IN'S(f(~I!.~~",n. >LJ/C/J .. ? 6 /' () ( c -
ADDRESS: / 'gC((j "/;_1 4-:i~ S f~
CITY: S/r~)72:lj -
CONSTRUC~ON cbNTRACTORS REGISTRATION NUMBER:
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(d) Type
TION:Oregon law requires you to
I les adopted by the Oregon Utility
~otifieati n Cen~. ~se rules arc Get forth
In OAR 2-001-0010 through OAR 952-001-
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~b~~ Orego~l,.J.tim~.Notifieation
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. .STATE:{3/~/t>'1
!/ t?\.. EXPIRES:
ZIP:
97 'r77
,
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
5;9n o;stdc~~ .
Zoning: \,~
Sign Permit Fee: ' '-4() pc)
OFFICE USE
Land Use jtogGO~ Quad Area: !J&Vt()
Code Section: _~ - ~( f) (, 0 ~
Approved By: ll[)r\.,-( ~D0 ~ ;J-E:
REQUIRED INSPECTIONS: /
/ ~ ~
Site Footing ";.ttachment Electrical Final
to be made prior prior to placement after fasteners are prior to energizing completion of sign
to sign placement of concrete installed/prior to cover electrical installation ~tallation ~ .
Add;';on,' comm;ntsand/or cond;t;O~.,~_~OQ)(\ t' ,0. -' \t\ot (} OOOlJlPtv C'/1'\
Lt1ub\J~~D~\JIT1ld~ l~_~;~.,
By signature, I state and agr e, that I have carefully examin d the complet~d application and do hereby certl at II in orma on 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 withORS 701.055 will be used on this project.
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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 per,mit 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~gn(~ ~~ / d _ / .,/
Sigl1ature ---. ....... a/~~~ Date / //6'/9)
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Amount Received:Jb 4.D ,ey::>
Receipt Number:
D3~&>o J
Date Paid: ! - d-O -" 4../91
Received By: n - YY\~fl .",
Validation:
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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 Numb.er and the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application alo'ng 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, Iirriited 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 photograph(s) of each existing sign needs to be attached to the
application. The size of each existing sign also needs to be listed on the application.
PLANS
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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 sinn 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 sign(s) 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.
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. INSPEGTIONS
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Depending on your sign(s), you may be required to request/bne 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 ~f the sign. This inspection is required if there is a question on the
location of the, proposed Si9lil.~'~\ P,.\ ii\ .,. "t, r. .
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Footing: .To be requested' after excayation and the forms Rr:eJJh~~,alled, but 'prior to pouring concrete. If there will be
'.,' . electrical conduit placed in\the footing, it must also/bel,i.n:place prior to requesting this inspection.
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Attachm!'lnt: To be requ~sted when all fasteners are installed but'prior to cover.
Electricai;: T'o be requested after the electrica'l connection to the si~n 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
proce~s. 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 inspect40n. s''Ifll;loned in after 7:00 a.m. will be; wde'the following work day.
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If you have any'q6e~tro'nt r~~rding the appli€;atio~, ~~qui~ed:"~I~ns""6i:irispections, please feel free td\.p~6'n~ !~e)~}Jitding
1;-' (....~af;~~i Diyision at 726-375_9. ,'\ \1..) (0J,-~\ . c.:.:r. .' " ..".rx) /'<.
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Building Safety Division l' l
225 Fifth Street
Springfield, OR 97477