HomeMy WebLinkAboutPermit Signage 1999-2-8
SIGN PERMIT APPlICATlW
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
JifUMBER . L1 G1 nl. f)]
Inspection Line: 726-3769
Office: 726-3759
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SITE ADDRESS: 602>0 ~~'\ Loo~. c.., 0v'V\9\!\?\e ~r\
ASSESSORS MAP: "In.,., ~H ~ (). .' '1 TAx LOT:
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OWNER: G"'V)~~ \nd\1~{\t's. t Vl"r\.\1-
ADDRESS: <? () D(l'l' 'I d-..'--t6
CITY: '-:r=cu~-<J.I\(," _ .
BUSINESS N~ME, FIRM EOC.: ~<()A
PHONE: 0'-\ I
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STATE: c::J\-\
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ZIP:
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DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all approwiatel information)
liJ0I1CE:
J- Wall - Freestanding - Projecting -:-: ::: p~IWy1n SHAL~ ::;:Pt~~r~!J~~E WORK
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-t- Single Face Double Face Billboard AUTHbfherED UNDER THIS PERMlllS NOT
Square Footage: 'd, 0 . 3 I Total HeI6mA~bbt:r~raQ,~ IS A8A~'U~iNE8 FOR
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Vertical Dimension of sign or enclosure: cL 'H ,zontal W dth of sign or enclosure: . G .2
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Dimension from Grade Electrical Ins~allat on: -X- Yes _ No VALUE ~ \ 0' ~ C. Ci ~
to bottom of Sign Enclosure: (If yes additional el trical pe~it is required) OF SIGN:, J <::J I::::> <> \ , ( 1
Material Sign is constructed of: o.hArY..,(\II>!V\ \e Jf "'II) P ~ V \... ~_~
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List ALL ex~~:, aild)attach a photograph of each Slg\.J{\D dX--\ 51\1\(11
~e/ Sq. Ftg. (bl Type Sq.-G).
;lcl Type . Sq. Ftg. (dl Type Sq. Ftg. (i1
CONTRACTORnNSTALLER: C 5~iC\
ADDRESS: I rl. 10 ()..-Jc rv-J- (' In
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
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PHONE: ,'9-(1- 4ld) - h;S~
CITY BUSINESS LICENSE NUMBER:
STATE: ()~.
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ZIP: SYJ'-I-O~ .1
EXPIRES: ./6- 1- C,S
EXPIRES:: ( 0 - 2Jj- g S
CITY:
OFFICE USE
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Sign District: f'tTh{'M)r~aO-1.5Land Use: ....t?)':1...[j:) Quad Area:
Zoning: r C' .J Code ~ection: . R . Q..~ (:L:)
Sign Permit Fee: ~.m Approved BY! hI:"{) _~~ ~
DATE:r!). s.Q4
REQUIRED INSlilfufioN~;:Oregon lal"< requires you to
follow rules adopted by the Oregon UtlhtY.L ..-/
Sitlbtification Center. Thofil,rift!lgs are set f~ Attachment
to be mad~, ~iC\R 952-001-ptidlCtll1p1l1liefu\i\1tR 95'iirtet 'fasteners are
. to sign ~1'\W\!\j~'Vou may ~lll9n"re\Iles of the rUlflSt.lliedlp,ior to covel
calling the center. (Note: the telephone
Additional C~m~St~&'fI{gr~ip().llj\ihl Notification
Center is 1-800-332-2344).
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Electrical
prior to energizing
electrical illstallalion
t-/'Final
completion of sign
. in~i:ail~liul1
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-.. By signature, I state and agree, that I have carefully examined the completed application,and do hereby certify-'that all information_here;'
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 0
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify'that only contractors an.
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, thi
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 installatio
of the signlsl.
Signature c'......q \ . n ^" 'K gO...O
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Date
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Validation:
Amount Received:
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Date Paid:
Receipt Number:
Received By:
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SIG,N PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are .1
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 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.
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If there are existing wall and/or freestanding signs, a photograph(sl of each existing sign need,a to be '!t~ached, to the
application. The size of each existing s',lgn also needs to be 'listed on the ~pplication.
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PLANS
To submit for a Sig'n permit, you need to prepare two complete sets of drawings showing all diJensions, total height, and
a plot plan indicating where the proposed sign will be located. If you are installing a freestandirig 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.
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INSPECTIONS
Depending on your signls), you may be required to request one or all of the following inspections during the installation
of your sign: .
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Site:
To be requested after indicating on the lot whcre 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 installed but prior to cover.
Final:
To be requested after the electrical~onnection to the sign is made, but prior to energizing.
After all required inspections are condu6ted ~nd approved and the sign installation is complete.
Electrical:
The inspections that are required for your sign installation will be indicated on the applicatior during the plan review
process. Failure to request ANY 'of the required inspections could result in sign removal rn orderl 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. .
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City of S,pringfield
Building Safety Diyision
225 Fifth Street
Springfield, OR 97477
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