HomeMy WebLinkAboutPermit Signage 1992-12-4
SIGN. PERMIT~PPLlCATIO~,
S"I!~
~
JOB NUMBER
CIa II fi5C:)
2:i'S Fiftll"'Street
SjJ/irrgfieltl, on 97477
LOCATION OF PHOPOSED worK _ 212 'QY Street,
ASSESSORS MAP:_J.r\O~4~__,
Inspection Line: 726-3769
Office: 726-3759
Springfield, OR
TAXLOT:
n\~\
- .
OWNER:
James Branch
PHONE: 746-0389
ADDRESS:
212 'Q' St., Springfield, OR
Springfield
STATE:
OR
ZIP: 97477
CITY:
BUSINESS NAME, FIRM ETC.:
State Farm Insurance
DESCFlIPTION OF PROPOSED SIGN(S): (please check and yomplete all appropriate information)
Wall
x
Freestanding
Projecting
Roof
Marquee
Single Face
Double Face
Billboard
, Other
Squme Footage: approx. 16
Total Height above Grade:
5'
V{;rlic:11 Dimensioll uf siun or enclosur(;:
3'
Horizontal Width of sign or enclosure:
5'4"
Dinrensin!i frolll Clrilcle
to IJCJttolll0f Sign:
2'
ElcclJical Installation: Yes X No
(If yes additional permit is required)
VALUE:
700.
Milterial Sigll is cunstructed of:
wood
List ALL existing si~Jnilge and attach a photograph of each sign: NONE (existing engineering wooden sign being remove
(a) Type
Sq. FIg.
(b) TyP?
Sq: Ftg.
Sq. Ftg.
Ie) Type
Sq. Ftg.
(d) Type
CONTRACTOR/INSTAllER: RAY-O-LITE SIGNS, INC.
PHONE: '688-2500
ADDRESS:
101 N. Seneca
CITY:
Eugene
STATE:
OR
ZIP: 97402
CONSTI~UCTION CONTFIACTonS !'lEGISTRA TION NUMBER:
71490
EXPIRES: 2-1-93
CITY BUSINESS LICENSE NUMBER:
920321
EXPIRES: 6-30-93
-
Sign District: ~, .D)
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OFFICE USE
la::d~':e,~~?J ~) 7z(Od (3
Appcoved By, t~ ffi~\C:1\~F-
1 f/J uJ
(c9 .4-.C( r
REOUIRED 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
~inal
rmpletion of sign
installation
Adejitional 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 11urther certify that any and all work performed shall be done in accordance with the Ordinances of the City ot
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 furtl1er agree to ensure that all required inspections are requested at the proper time, that prqject address is readable from the street, that
tile permit card is located at tile 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). , ~, ~' 12-2-92
Si~lllillure _ ~~/ &_ Date
-&L., 11~' '(
~Ci\sotl
Receipt Number:
~qqb
Received By:
ia/ if) I c{)
f)~
Vi)lidcltion:
Arnount Fleceived:
Date Paid:
,
..
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 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 als.Q own~, 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 bo 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 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 sign(s) 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(sl. 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 tl1ere 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.
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