HomeMy WebLinkAboutPermit Signage 1997-8-21
SIGN,.PERMIT APPLlCA TIOf\'
'.
JOB"
1BER
97/)L(3
. .. '" ~.. .
I 225 Fifth Street
Springfield, OR 97477
SITE ADDRESS: ~ '19 t:1 Si-lec j- ~'P-F
ASSESSORS MAP: ,
,OWNER: ~ht:..R-l~ ~ f.. fV)CNcJi<-
ADDRESS: 44 'q ~ (St-rE,f__f-
CITY: 3-p ( " f\uj-f,. ~ ) J. .
BUSINESS NAME, FIRM E1C.: Tho <2. ~
STATE: 0 R
,p);eL<f~ Cf)
Inspection Line: 726i?~N\_^
Office: 726-3759 ~ I :~
6 K . -TM. ~t-~
TAX LOT: aJBP -r:r " or~ '"Z..lo~ \ - } 01
PHONE'l5Y}) 7Z(~- ~
ZIP: Q7'-L1J
.
DESCRIPTION OF PROPOSED SIGN(S): (please check, and' complete all appropriate information)
V Wall
8 \'GN A
Freestanding
Projecting
Roof
Marquee
Single Face Double Face Billboard Other
, Square Footage: '~~ R;uc,ye~c:t Y Total Height above Grade:,,-,- S I
v, . I D' ,. f . '\ I 14,J H. I W.d f' 4 J
ertlca ImenSlon 0 sign ot enc osure:, ,on~onta I Ith o~ or e~closure:
Dimension from Grade Electrical Installation: ' " Yes L NO' VALUE h Il M dJ
to bottom of Sign Enclosure: (If yes additional electrical permit is requiredl OF SIGN: ~ 'l)JJ I '
MaWial Sign is consHucted of, Ml:- t"Z, \ I J l. II 0 ( it' ~ S:::- 12.e <::rIll\{ ~ 'f s: 1)> I? f S S() ~
List All "isting si,nageand atlach a PhotOg,aph of ',ch s;~ ~\ek\<'t\ \)\~+D,~
(a) Type ' Sq. Ftg. ' (b) Type Sq. Ftg. ~O
(c) Type'
Sq. Ftg.
(d) Type
Sq. Ftg.
CONTRACTOR/INSTALLER:
aWIIK r
CITY BUSINESS LICENSE NUMBER:
NQ"!"CE~ PHONE:., 'HEWORK
HALL EXPIRElI" I
THIS PERMIT S : _ -HIS PE-RMITIS NOT
THORIZED UNUE:f' I
STATE: AU . u:>.ai.Qo IS~ANDONED FOR
COMNlI:'iVt;.U ,r.
It\t!'~ 1e~ ~PIemoD.
EXPIRES:
ADDRESS:
CITY:
CONSTRUCTION CONTRACTORS,REGISTRATION NUMBER:
OFFICE USE
'\
\QJJ\)LLJ
Sign District: ~rt\Qf~ VlV
(\~ ./
Sign Permit Fee: L\Q ~
Land Use: ~O ,Quad Area:
, Code Section:\ ,(\. - f\ - \ 4- (\\
Awoved By,' lm.l_~
DATE:
~'al.q1
Zoning:
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~hment
after fasteners are
installed/prior to cover
Electrical. ,\'
. "\:;-1';'~'
prior to eriirgizinQ"::'
electrical in'~tal.l?tron
',", '::"..".
L---- Final
completior:l of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined t;,e 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 c"d is located" the hont of the pmpecty, and the awoved set of plans will ..main on '7 site at all times du"ng the installation
of the signlsl. ,/J /J It t f
Signa,",e ()1~::f ~ . . Date t; I q f)' ,
..~:.
Received By:
. I
/ 1 tf /9r- '-
~ .U1~
Validation:
Amount Received: .:t L/ 0, 00
Receipt Number: ~)<:(1()5
Date Paid: J I
A
SIGN PERMIT .A:PPLlCA TION '0
'... .;
. '.. 1 :" , -; .-' I
" "'The' ~ppli~aJion. orl';:,the'reverse,. ~.iqe~n~eds to be completed entirely. If you are the sjgn contractor/installer, or it. you are
'hiring a cori"tr'~ctor,' YOU' need to make'sure that both the City of Springfield.BusinessLicense.Numbe[ and the ,Registration
Number from.the State 6f Oregon, Co~struction Contractors Board are li'sted on 'the application along wit'h th:e:expiration
~ '\ .. . ... . " . ~ .
date of' each, ., ", ;,
. ' --i", : ~ ~
If the sign, you are proposing to install is illuminated,' an electrical permit application also needs to ,be 'compl,eted ,and signed
~ ~ , .' .'. . ; '. " . I
by.either a supervising electrician, limited sign ~Iec,trical contractor, or if you are the business owner. who also oyvns the
buiJ'€ling in' which you are occupying, and you,'will be,pe/forming the electlical installation yourself, you may sign the
. .. ..1. ., I .
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
! .
To submit for a sign permit, you need to prepare two complete sets of drawings showing all q.~mensions, total height, and
a plot plan indicating where the proposed sign will be located. If you are installing a freestanOinglslg~ ~vvhich exceeds 20
feet in total height, the 'footing detail needs to be prepared and stamped by a registered engineer< or"a'rchitect. After the
plan review process is completed, and, if your sign(s) is approved, one set of'p!aos will be returned to you. The approved
set of drawings rie'ed,to be at the site when an inspection is requested for the, in'spectors reference.
\ '
INSPECTIONS
Depending on your sign(sl, you may be, required-to request one, or ,all;Qf ',th~ following inspections during the installation
I'~ . ~ ,. . ' :. ." ~
q,f your s!gn: '. . . , ' . u' :" ". ' '"
\ "
Site:
To be requested after indicating or) the lot where the proposed sign will be located but prior to any work
.being p,erformed fot the' inst~lIation 'of the sign. This inspection is required if there is a question on the
10cilti,?r1 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.
Atti.chment: To be requested when all fasteners are installed but prior to cover. "
EI.eptri,cal:'ll'f']o be requested aft~r';"t~'J~ieJfhcal connection to the sign is made, bu~ ~rior' to energizing,
,,;: .h,hfl./ :':111 ~.li 3~.?!CJt.'::; l ~ i W.... T" " .
, ,tJ !.I\....; -'..111, f~,.:I ,;r/n-~"1'~i ~p'r('
Fli-@:l el.'n?'~f!A.f.ter;;aU'r-eq~if!~d jnsP.e~ctions' are conducted and approved and the sign installation is complete.
" " J..J, J '.~'-:: t J j"t:.;,~H~nJ.~):3 ~i)~101-!'~"f f..\
The i~~1'~gi'g~~;qkl{H~r.e'Heqj)i(~g:'fPEf~~,I;i[~r~jgn installation will be indicated on the application during the plan review
process. Failure to req:u.es.t".AN'(qfJ~e re'qOired inspections could result in sign removal in order to inspect the sign at the
required intervals of w'of~:"':Y'1 'I ,ell : 11tH' \-':'11\
To request an inspection, phone 726-3769. This is a 24hour recording. On the recording you will need to leave your City
., Designated Jo15Number, 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 mad~' the following work day. 1
If you have any questions regarding the application, reqpired plans or inspections, please feel free to phone the Building
Safety Division at 726-3759.
City of Springficld
Building Safety Division
225 Fifth Street
Springficld, OR 97477
':. .,
. ,
, .'
~- 'r ..,.;.
\' ,'.
SIGN PERMIT APPUCA TIDI"
JOP
'\1BER
q '1 I ) Lf.FY
OWNER:
Inspection Line: 726-3769
Office: 726-3759
, ,.
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS: LJq,~o 5t-re.d-
I ASSESSORS MAP: .
~~4Yk~ .
TAX LOT: -.J~ 14 - t\
PHONE:' SY I) tZb.--l/ ~ / V
. . i" ... ~
CITY:
'f7Y / /
,
DESCRIPTION OF PROPOSED SIGN(S): (please check and' complete all appropriate information)
Wall Freestanding prOjecting)( Roof
,
~ lGN ~
Marquee
Single Face
Double Face
Billboard Other
T~tal Height above Grade: --LZ- '
/h SJ!~-f
, .'1.. /
Vertical Dimension of sign or enclosure: .-...tt.
Square Footage:
Dimension from Grade
Electrical Ins~allation: .
(c) Type
Sq,. Ftg.
(d) Type
Sq. Ftg.
CONTRACTOR/INSTALLER:
OtuNer
CITY BUSINESS LICENSE NUMBER:
---
PHONE:
NOTICE: '. ': c: C TI-lE..WORK
THIS PERM' I SHh'LL ClWIR- I.
,ST A TE:-AU71 ~12!:~b&t:THIS PERMIT IS NOT
r.l)MMEN€ffil~:IS ABANDONED ~OR
ANY 180 OAY PERIOD.
"EXPIRES:
ADDRESS: .
CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
, a
Sign District: \1.)\,{\N\~'
~.
'\\)~
OFFICE USE
"-
~U)LU
Zoning:
Land Use: aWC) Quad Area:
. Code SecHO, ., ~-f\ ~J L\: 0-1
App"ved By, utf\ ;\ J\~~
DATE:
~4j\.qll
Sign Permit Fee:
Site'
to be made prior
to sign placement
Footing
prior to placement
of concrete
, /' Attachment
after fasteners are
installed/prior to cover
Elec~rical
prior to energizing
electrical installation
~
completior-l of sign
installation
REQUIRED INSPECTIONS:
Additional Comments and/or Conditions:
By signature, I state and agree, that I haye carefully examined t;,e 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, '
Validation:
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 pern'iit 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
::g~:t:::~k C;; 0 Date Fkf~)
11/2 q /'11- .
'-A . U1 :Lffi
Amount Received: [/). L/ 0.00
Receipt Number: n 1 'bID S
Date Paid:
. Received By:
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 to install is illuminated, an electrical permit application also needs to be completed and signed
by either a supervi~ing electrician, limited sign electrical contractor, or if you are the b.usiness 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 lis red 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 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.
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 t~e 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.
Att;,chment: 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.'.Failur.eMre'quest ANYq.f 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 Spl"ingfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
. ,
,,"
. '1-. ,......
-' ~
SIGN .PERMIT APPLlCA TIO~'
JOP
'\1BER q 7 / J- Lf _~
225 Fifth Street
'I Springfield, OR 97477
SITE ADDRESS: 4~'i 0 Otlff'}- S>~~J ~ ()J~.~..
ASSESSORS MAP: 'LlL~~ 1 _. ~/. . TAX LOT:
'. c'" . .
OWNER: Gh~( \;C~' M \.-f\j a r
ADDRESS:. ~. ,q '-~+. (ee.-+
CITY: 5~ r " I\{ ~ f \~Q l~ ~
BUSINESS NAME, FIRM E"fC.: t F;
ST ATE:
Inspection Line: 726-3769
Offlc", 726'37~ .
. fJO\()l .,.~
PHONE, { f) ~ T2.b - '-iJ / L/
() ( e :J d !\S ZIP: q 7 Cf'! /
~SStJ C()'
DESCiON OF PROPOSEOSIGN{SI, {please check and complete all app,oprlale Info,matlonl
. Wall Freestanding Projecting' Roof
Single Face Double Face Billboard Other
Square Footage: 7_4 I SqL-lCtYe -PI- . Total Height above Grade: 7 n I
I . I
Vertical Dimension of sign or enclosure: '- Hori~ontal Width of sign or enclosure: -12-'
Dimension from Grade Electrical Installation: . Yes No/ VALUE j{ 11 r"\ rIJ
to bottom of Sign Enclosure: (If yes additional electrical permit is required) OF SIGN: ~ LtJ.
Mat,,;al Sign Is const'ucted of, P lI. iN-h' 01 Q "-I ~~ L"hIJO bu i ~d i ~ II: )
(ft4IJJ/1! ~ MH!J1Id) (}JJ A/I11fZI1. 'M11!' t>f&: 8f./;/qJ1IV~7
List ALL existing signage and attach a photograph of each Sign~~" snt'l\ ~\~'O'lif_J:0 \Jt rJ2JY\O~
(a) Type Sq. Ftg. (b) Type Sq. Ftg.
S \ bN e
Marquee
(c) Type
Sq. Ftg.
(d) Type
Sq. Ftg.
CONTRACTOR/INSTALLER:
f);/I//I~
CITY BUSINESS LICENSE NUMBER:
- - PHONE: --K
NOT\~r.~ . E' XPIRE IF THE 'Nun
. . rPJtAlI-SHALL . T IQ. f\lOT
\ 1"1I;J i'L- ER THIS peftM\. -
. ST A TI1>' .miORIZEO UI'.'O . 6~NgQNEO FOR
COMMENCEO OR \::) M
ANY 180UA"(W~
-'-. e' EXPIRES:
ADDRESS:
CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
Sign District: \ ~~(\ A OQ.
~~
Sign Permit Fee: 4:\) PJ
Zoning:
OFFICE USE
Land Use: ~Q['() .Quad Area:
. Code Section: ~ ---q...f"\ - \4 (\ ')
App'oved By, \licu-.- ~
\QJ\)LLJ
DATE:
R.~l.q(J
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Elec~rical
prior to energizing
electrical installation
I~inal
completioR of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I ha,:,e carefully examined t:,e 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.
Validation:
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 the sign(s)L/? /, C r;; ; /
Signature -bI~ Z? ~ ~ Date ( 1/7,)
1/ J J.,C/Jq~
Received By: ~ -1111 ~
Amount Received:
Receipt Number:
51 L/f). DO
DJ 7;1 OS
Date Paid:
"
SIGN PERMIT APPLICATION ,
\. '.. .,... ,
The application on t~e reverse side needs to be completed entirely. If you a're the sign contractor/installer, or if you are ''', e
hiring a contractor, you need to make sure that both the City of Springfield, Busin!;ls~ ~icense Number arid the Registration .
Number from'the S'tate of Oregon Construction Contractors Board are listed on the applrcation alo'ng '~ith ~the expiration
date' of each.
If the sign you are proposing to install iS,illuminated, an electlical permit application also n,eeds to be completed and signed
by ehher a s'upe(vising electrician, limited sign elettrical contractor, or if you are the b.usi.riess owner who also owns the
building in which you are occupying, and you will be performing the electlical'dnstallation 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
a.PPlic~tion: The size of each existing sign also needs to be lis ted 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 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.
. .
INSPECTIONS
Depending on your sign(s), you may be requi,red to request on~ or all of, the following il)speqtions during the installation
of your sign: ;. ~ l.
.Site:~.:
;. ~. ~ ~.'
. .~. .( " : '" \ \ .... .~.\ i"i .-....~, >......,;: '. :.';>~"I. -';;.' 4' "" ..
Td'6e requesfed after indicatiiyg 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 ~ign.
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.
Atti,chment: To be requested when all fasteners are installed but prior to cover.
Electrica}i,,, .., To be requested after ~he;'~lectlic,~1 connection to the sign is made, but prior to energizing.
,lr1V\!'! :.~II.-: r =1: :In'')''''1 . - .), .' I.... .
.{ ...;1},.....)0:1 J 1"_,' .jo', "''''
Fina~Ii'~"!!,'i ;)/1"!'At1er. al! re\qui~e'cVi'nsp{lctions 'are conducted and approved and the sign installation is complete.
"<'''~''1 ~:iV!tt:j'(,.1;:~lffr~?::Jn'_o11' .....'1' . ".
. /:.".,1'/'11.." I"f"'~i" ,
The insB~t=ti6h's"1tJ;1.<~lip.~r;:\r~,gui,~~~J'9.Cy?uF' sign installation will be indicated on the application during the plan review
process. Failure to reques'f~ANY oFthelre'q'\iired; inspections could result in sign removal in order to inspect the sign at the
required intervals of worki., >-: T'j ,',' ," . 't.. ,,': .. .
t..l.;- . I': \
.. . t I "''l
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
'. t
'\-.... ,,'\'
..
.
JOB'
'~BER 971 J- L/3
SIGN 'PERMIT APPUCA TIDl"
225 Fifth Street . Inspection Line: 726..3769
, Springfield, OR 97477, ~ Office: 726.375t~ . D
SITE ADDRESS, {jl./~. t). ~+reer- S p t-d Dr. '-J.~
ASSESSORS MAP:\,! ('> ~ 7_ ""' ~ TAX LOT: _.. JX) l b I ,4 .- .~- .
OWNER, (' ~ A ~t L,,) 2-: MtN () 72- PHONE, ( SYJ) /7J-, -'-- W (j
ADDRESS: 4 L I ctn 8 t-r~-e._)
CITY 2', ~rt tV ~t- ,'~ d _
BUSINESS NAME, FIRM HC.: "y ~(Jt N ~ ,(
STATE:. n~
?~?l<<7$~() (ll .
ZIP: ~7Cj77
DESC,TION OF PROPOSED SIGN(S): (please check and' complete all appropriate information)
. ("- Wall Freestanding Projecting Roof
~\GNJ7
Marquee
Single Face
Douple Face
Billboard
Other
Square Footage:
~~~ 7 ,'"J., 3 ~~q~ A-
I~/{
Total Height above Grade:
. ~ .""/A'- _
Horizontal Width of signor encI9'sure: . J _
'.!.- V
Electrical Installation: Yes No VALUE
1I':.ves addi,;a,,1 electdeal permit is required} OF SIGN, - ~ (tj rJ.
// "" II vi
~ /ttm(J /t:llfttX ~ ,P'f)h./t:(yJ/&30~~'f!1tJW}( GJ~l{8/()
, ^
. List AL, existiMg signa,. and attach a Phota.graPh of each Sl~ ~ls\i.~ ~\~ to t)Q. Mu'Yl~
(al Type' Sq. Ftg.' (b) Type Sq. Ftg.
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed of:
(c) Type
Sq. Ftg.
(dl Type
Sq. Ftg.
CONTRACTORIINST ALLER:
\~t0MLJ
CITY BUSINESS LICENSE NUMBER:
PHONE:
NOT'liE~: . EXPIRE IF THE WORK
- -Ell"AIT ~I-IALL ',1_'"
, 1111" r 1\1' ERM\1 I~I'4\f1
ST A TE:';ljTI-IORIZEO UNOE~~~I~:bNto ~QR
COMMENC~~R I~ ABA .
ANY 180 DAY p~{bO.
.... . EXPIRES:
ADDRESS:
CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
OFFICE USE
\
\W0
Sign District:
~~
~L
~\) .rP
Land Use: ~Quad A~ea:
C\-fl-\L\Q) .
. Approved By, 'ui:i\) ~ ~l'W 0 .\Z.--
Code Section:
Zoning:
Sign Permit Fee:
DATE:
B.Al.Qj
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~ttachment
after fasteners are
installed/prior to cover
E1ecrrical
prior to energizing
electrical installation
v- Final
completioR of sign
installation
Additional Comments arid/or Conditions:
By signature, I state and agree, that I ha,:,e carefully examined t;,e 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 10:!/7t the front of the property, and the approved set of plans will remain on the site at all times during the installation
::g~:t:::n(s}t/"4'~q~_ ~ Date /{)/fJ, .
II / 2, C{ jell-;
~'111~
~
Receipt Number:
$c.{D.OO
()1~/OS
Date Paid:
Validation:
Amount Received:
Received By:
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SIGN, PERMIT, APPLICATION:
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The application on, the 'reverse side needs to be completed entirely. If you are the sign 'contractor/i~staller, or if you are
hiring a contractor; you}ne~d 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 6n' the application alol')g with the expiration
date of each. ' , . .
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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 el~ctrical contractor, or if you are the b.usiness owner who al~o 'o~ns the
building in which you are occupying, and yo,u will beper/orming 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
applic~tion'. The size of each existing sign also needs to be listed on th'e 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 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 draJinQ~ .nee8 to be at the site when an inspection is requested for the insp'ectors reference.
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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 propo'sed sig'n. .' ,
Footing:
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To be requested after excavation and the forms are installed, but prior to pouring c'oncrete. If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Atti.chment: To be requested when all fasteners are installed but prior to cover.
Electrical: "To be requested after 1h~;'~le~.trical connection to the sign is made, but prior to energizing.
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Fip?,I,:.._ '" ."After'all\requirecfjnsp;e~!iqns:~are conducted and approved and the sign installation is complete.
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The ins~mcti.ons, that ,are - required,jfclr''y'6uri,~ign installation will be indicated on the application during the plan review
proc~'s't .'F~il\:;rkJtWlr'~:d0e?i AN'OQ.c\I)~![~Qp',lr;d inspections could result in sign removal in order to inspect the sign at the
reqUired Intervals of work....i,..", .. , . '.
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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, ~~quired plans or inspections, please feel free to phone the Building
I Safety Division at 726-3759.
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City of Springtield
Building Safety Division
225 Fifth' Street
Springtield, OR 97477
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