HomeMy WebLinkAboutPermit Signage 1997-11-26
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SIGN, PERMIT APPLlCA TIC
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225 Fifth Street
Spri[lgfield~ OR 97477
ASSESSORS MAP:
OWNER:
PHONE:
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ADDRESS:
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STATE: OR- ZIP:
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CITY:
BUSINESS NAME, FIRM ETC.:
DESCRIPTION OF PROPOSED 7(S): (please check and complete all appropriate information)
Wall Freestanding Projecting Roof
Marquee
$
Single Face
Double Face
Billboard
Other 1t1t)~UM:'trN.-- r
Total Height above Grade:" 4.5 ',1 .). '1 '5 J
--#.$ n ~ 5=1"
Square Footage:
19
Vertical Dimension of sign or enclosure:
, ,1 , (/
<:20 ,10 Horizontal Width of sign or enclosure:
Electrical Install~tion: ' I Yes ~'Jo
(If yes additional permit is requ~' VALUE: (:J-O ()
s .J.-C5VW.. \1 {Y~" -- B. 1 ~ \( - e ~ct ~
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Dimension from Grade I~~ II
to bottom of Sign: f9
Material Sign is constructed of:
List ALL existing signage and attach a photograph of each sign: \\ \~
(al Type
Sq. Ftg. (b) Type
Sq, Ftg.
(c) Type
Sq. Ftg. (d) Type
Sq. Ftg.
CONTRACTOR/INST ALLER:
,li.DDRESS: Lt;}. '7 S- (
O"'UNGtL
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PHONE: g- Cfe. - O.Q." ~
CITY: ____S~'\.-\.~ ~~LS STATE: (J \R. ZIP: 9 7.Lj 7 ~
CONSTRUCTIONCONTR~CTORSREGISTRATION NUMBER: ~\ \()..J EXPIRES:
CITY BUSINESS LICENSE NUMBER: 'f\,~~ '" EXPIRES:
OFFICE USE
Sign District: ~ ~ D'C\Q!I'\m C).
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Sign Permit Fee: ~ ~
Land Use:
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Code Section: \ ~ -~ -- \ l), rl )
AD",ov,d By tN\.> ~~~V
DATE:
11'9~.q1
.
Zoning:
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
Electrical
prior to energizing,
~inal
completion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined the complet3d 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.
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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).// ' ' , I '
Signature -,~ A :~ c::>------.."":' ::... 0-....
Date
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Amount Received: (.1 c:. ~o ' (5L)
~eceipt Number: O~.(S I ;),4
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Date Paid:
Received By: r\
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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 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 vCali 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 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(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 perfo.rmed, 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.
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 (j[ld the sign installatio'l.is r;omp!ete.
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 inspectio'n. All inspections called in to' the recorder prior to 7 :00 a.m. will be made the same
working day, all inspe'ctions phoned in after 7:00 a.m. will be made the following work day.
If you have any questions reg'arding the application, required plans or inspections, please feel free to phone the Building
Safety Divisionat 726-3759.
City of Springfield
Building Saf~ty Division
225 Fifth Street
Springfield, OR 97477
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