HomeMy WebLinkAboutPermit Signage 1997-5-14 (3)
"~ SIGN PERMIT APPLlCAT.
225 Fifth Street I @ ,
Springfield, OR 97477 I
" LOCATION OF PROPOSED WORK: ~ 1 r:y; Gn-lfl,j(' ~ L-ocp
I' ASSESSORS MAP: _l1D1J'[;-1/W_H , TAX LOT:
i~:~~,~~R: C(*h~n :~\\en kn(Y'f \ rl+r,; nr,') PHONE:
f~~;..~~,~E,~S:, .~, 50 :COc~ OJ..A I AJap
'f:::'c,Ii;Y:J.~~ n r\j ~ .....J d STATE:
;~!SU~INESS NAME, FIRM ETC,: Y 'th6.V\ A' '-en
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)~;:': DESCRIPT
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," Squa ootage:
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. NUMBER
C(10(,J-1
Inspection Line: 726,3769
Ollice: 726.3759
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ZIP:
~/L17)
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PROPOSED SIGNISJ:' (please check and complete all approprialo ",lormationl
Double Face f1L- Billboard Other ---------.
.Q.. '2; . GLJ {; 't./V ~ Total Height above Grade I I /
~i?f.t7 . , ,y---'
'. Vertical D,mension of sign ~r enclosure: ~,. Horizonlal Width 01 sign or enclosure _ \ 'Y. _._.
Dimension from Grade ,I::.' Electrical Installation: ~ Yes _ No 00
10 bottom of Sign: \'y (If yes additional permit is requiredl VALUE: (P, 000,
Freestanding
Projecting
noot
Marquee
Material Sign is constructed of:
snee+
(Y)E', \-Q., \
,
:~;~ - ',' " ," T
lr,' ;';riS;'AlL existing signage and attach a photograph of .ach sign:'
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~rL"';!al'Type%e~~:A-fl"'l)i,()~ Sq, Ftg, 5L\
~rlcJ Type tr.ef<';\1\('\r\u:~ Sq, Ftg, \00
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'~i;~9!'JTRACTOR/INSTALLER: ~~S-t.Pl \ l\\ C',
i~:';qbRESS: \1:.1 0 Ot:\\L 9ATb-\ f\Q
''''CITY: <2t )(1p{JtI.
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" CONSTRUCTION CONTRACTORS REGISTRA TION MUMBER:
Ibl Type
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Sq Fig, 3s
IdJ Type
Sq, Ftg,
PHONE Lj <65- 5!;l{ 10
STATE:
tX
ZIP!:jlLfO"0
EXPIRES 9_- 0- ~ 9 ~
EXPIRES: Co- 30- CJ 7
,CITY,BUSINESS LICENSE NUMBER:
1\\ 2-~lo
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:;: SignDistrict:~~ CotlUl\(..VU(l)
Zoning: ~j)~a1
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OFFICE USE
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,,~and Use:
CfJ;ff7)
Code Section: q/1/ I q (I)
Approved By: ~~
OUo'ld Area:
I {!;N IAL______
tF.
~l~jg9?,ermit Fee:
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li\j,ii~~I~Y~SR':I~S'PECTldNS: '
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~;''':I ,- Site
~Z~"to.be -made prior
~.;'''I.'tO si'grl placement
DATE:
t:j~ (t/-q1
FOoting
prior to placer'f'ent
of concrete
V Attachment
after fasteners are
instal!ed/prior to COver
/" EIr.C:iriCJI
prior to energiZing
V FlOill
complelion of Sin I'
installation
".!~~d,djti.onal Comments and/or Conditions:
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:'1~:i8-ylsignature, I state and agree, ;hat I have carefully examined the completed applicrllion and do hereby certify that all informiltion herein
'L(is,true and correct, and I further' certify that any and all work performed shall be done in accordance with the OJdinanccs nl the City of
\'~:..tSpringfield. and the Laws of the State of Oregon pertaining to the work described herein. 1 fun her certify that only CQniractors and
\:q'eniployees who are in compliance with ORS 701,055 will be used on this projecl.
:'il';;urther agree to ensure thaJ all required inspections are requested at the proper time, that project address is readilble Irom iI", s<reel, that
~\1~,~the'perrTlit card is located at' ~he front of the property, and the approved set of plans will remain on the site at alltimcs duringllll' Installation
:'''::g:~aet:::ITls:Jtwh~ !<~ Date 5/8/0/
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~~Q~ti'~t~!ion:
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..olmount Received:
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R'eceipt Number:
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;}58"f/
Date PaieJ:
Received By'
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SIGN PERMIT APPLICATION
Fin'
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T'Jl~:~ppjic[lLio~' on:'the reverse s'id~ needs \l) be complEHed entirely. If you\are the sign.contractor/installer, or it you are'
tliting " contlactor, you nee~ to make sure that both the City of Springfield Business License Number and the Registration
Number frurn the State of Oregon Construction ContractorS Board are listed on the application along with the expiration
u'~le of GJcI"l. '
\
IIttlc sign you are proposing is illuminatcd, an cleCtrical permit application also needs to be completed and signed by either
::J supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in
wtliCI) you ate occupying, and you will be pedorming the electrical installation yourself. you may sign the electrical
application. ~
II ttlcre ,He existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to be attached to the
"""liCDtion, Thel size of each existino sign also needs to be listed on the application,
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"~t;':-~ Dc!>iii'di;'U on your signlsl, ,yo'u mDY be rcquitC:d, io,.reqiiest ~ne or all of the following
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"r\, :'iul)n\1\ lor J Si~n permit. you lICCtll() ~HCP~HC two complete sets of drawings showing all dimensions, total height, and
;J IJ101 pli:HI indicating where the propOSl:c.J sign will be located, If you are installing a freestanding sign' which exceeds 20
ki::t in tuliJl height. the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, if your signls) is npproved, one set will be retullled to .you, The approved.set of drawings need
to be at the site when an' inspection is reQil'ested for the insp~ctors reference, ..
PLANS
,.
INSPECTIONS
inspections during the installation
~ ,\
Site:
'To be reQueJted after indicatil)g on the lot where the proposed sign will be located but prior to any work
being performed for the ir)stallation of the sign. This inspection is required if there is a Question on the
location of the proposcu sign.
ruotlllU: To be requested alter excJvution C)nd 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.
..'-:t~H.;llllll;:IH: To be requested when (JII fasteners are installed but prior to cover.
E!;,:ctricill: To be requested after the electrical connection to the sign is made. but prior to energizing.
I
F:nill: After all required inspections are conducted and approved and the sign installation is complete.
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Tile inspectio..ns that are required for your specifiC sign will be indicated on the application during :he plan review process.
F(jdure to request! ANY of the required inspections could result in sign removal in order to inspect the sign at the required
lIHcrv,Jls 01 work.
To request nn inspection, phone 726.3769, This is a 24 hour recording, On the 'ecording you will need to leave your City
Designated Job Number, location of whe,e the sign,isbeing installed, the type of insp,ection you are requesting, and when
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;y~"",.- '.' "youwill'bc teadv for"the inspection, All inspections called in to the recorder prior to 7:00 a.m, will be made the same
; '~~:';<'".:, wO,rking,day",all inspections phoned in niter 7:00 (rli: ~iU be made the following work day,
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~~f~:;;.-:; II'y.oy,havc any Q~e,s'tions (eg\lrding the application, required plans 0' inspections, please feell,ee ,to phone the, Building
::i~'~r:',.; ", 'S,Jf,ety Division at'726.3759.
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Cit)' 01' Spril\~I'i~ld
lluilding s"rcty Division,
225 Firth S~'cct,
Spl'ingficld, OR: 97477
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