HomeMy WebLinkAboutPermit Signage 1997-5-29
SIGN PERMIT APPLICATION
-"'r
SPRINGFI:EL.D
JOD ~UM~~.R CA\.o \ 2.- 4 ~
225 Fifth Street
Springfield. OR 9?477
Tnspectio'n'Line: 726-3769'
Office: 726-3759
" \(1: ((
SITE ADDRESS: IOf UJ, Q, ST.
ASSESSORS MAP: \ ., lY0-2j.Q..~~
'r A w\pS ~ ::fu..JL\ l"nn 0 hoe..-
I' ((
, 01 L0~ n..
~IZ'\"'4 ~ei~
l) ,
,BUSINESS NAME, FIRM E.C.~ lA:,'<\OV\Dfl _ A iA ~_ ~Sl.\X Ct VI te_
S OR \ n.' -\'~eAd- C k' .
,j CJ TAx LOT:
g7'{7]
1)0 \nQ
54. ,- '1 d ~ - ~ <6 <f "3
,
/'
OWNER:
PHONE:
ADDRESS:
"'0\ I
CITY:
STATE:
,0 l<::
ZIP:
DESCRIPTION OF PROPOSED SIG)US): (please check and complete all appropriate information)
Wall \/ yeestanding Projecting Roof ,
Single Face J Double Face Billboard Other
Marquee
Square Footage:
q it')
d
l
Total Height above Grade:
.::;)() :.- 0 II
l ;;J '~DIf
Dimension from Grade
to bottom of Sign Enclosure:
l ;VLo/f
Ql II
o -0 Horizontal Width of sign or enclosure:
Electrical Installation:' ~es ' No VALUE
(If yes additional electrical permit is required)', OF SIGN:
Vertical Dimension of sign or enclosure:
List ALL existing signage and attach a photograph of each sign:
IV/A
(0 . 00'0. 00
, .
wt8u 'S~ tWlJ2-ta.P PO~
LU\:-\~ V \,~ ~Ovf~ I ;:h,
Material Sign is constructed of: Z'..xfru. ~(j. ~..lAJ'V't\ C' c1\.~J
ec,~ ' RttCU,:) --ta l'llL- LD 'r\J.. iu:. l!l.xt\..r\
(a) Type
Sq, Ftg.
(b) Type
Sq, Ftg.
(c) Type
Sq, Ftg,
(d) Type
Sq. Ftg,
CONTRACTOR/INSTALLER: m fleJ-:i () fAro::-,;
ADDRESS: r90Li ':.\ f~-\t.fC~ LV\ I
CITY: --=-71:Jl~-i rl'OVCt'../LL E?'Lo\,~PA1'.Q,/ >.
CONS"fRUCTION CONTRACTORS REGISTRATION NUMBER:
stanS
v
PHONE: 5Ll1-'?;,l[;:)-/7((Ff
STATE:
D\2... ZIP: q.l'-lo;Z
EXPIRES: ~ ~q ~ q 'f)
EXPIRES: {o- 30-q '7
((";tfltJ/~
CITY BUSINESS LICENSE NUMBER:
qL{oL{I'6
----_.
'"
Zoning:
Code Section:
OFFICE USE
n ?fX) Quad Area:
- C\-fl-\~
\ ~)lt)
Sign District:
~fm\ N\Q)( 0,ic&-
01' ~ '
Land Use:
Sign Permit Fee:
'\D pO
Approved By:
DATE:
REQUIRED INSPECTIONS:
V' Site
to be made prior
to sign placement
~ Footing
prior to placement
of concrete
~ Attachment
after fasteners are
installed/prior to cover
V--Electrical
prior to energizing
electrical installation
V Final
, completion of sign
installation
Additional 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 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 fur.ther ,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 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). .
Signature
\-.:')OlA(A p\ ~ tU\\
Date
f) '-dq~CJ~
Validation:
Amount Received: /~ Y &1
Receipt Number: ..26(p 5'2
Date Paid: ~-$'-..~")
Received By: 4~
SIGN PERMIT APPLICATION
'\
, The application ~~n the reve;se side needs to be completed entirely. If you are the sign contractor/installer, or if you are
hiring a con'hactpr, you ne,ed 'to make sure that both the City of Springfield Business License Number and the H~gistration,
Number froln the State of Oregon Construction Contractors Board are listed on the applicatio~ along wi~h the expiration
date of each.
If the,tlign you are proposing to install is illuminated; an electrica,l permit application also needs to be completed and signed
by either a supervising electrician, liniited 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
,
,
,
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 freestandirg 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
l " _
of your sign: )' " " 4 ,
Site:
To be requested after indicatjng 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 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 pri~r to cover, . .
,\
,
Electrical:
To be requested after the electrical connection to the sign is made, b.ut pri9f to energizing.
Final:
After all required inspections are conducted and approved and the si9rJ installation is complete.
The inspections that are required for your sign in~tallation 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 interva,ls 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
'r-