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Home My WebLink AboutPermit Signage 1997-3-20 ---- ~ SIGN PERMIT APPLICATION '0 ~ LOCATION OF PROPOSED WORK: ;)'l1()5P hill ::YlnT \'703~~CO __ _ _ _ TAXLOT: O~'101 :::::ss'Sr;; i ~ ~~ (C- (7)~t:t[l PHONE 7d-~ - ~ 7~ 7 CITY: Spr'l rvJ-f}j cJA,' STATE: (f)!2. BUSINESS NAME, FIRM ~C.: SOri nff\f-i e.1 A 1=; rf , aJ-, L I+~. -yrre--l-u , I .J - I 225 Fifth Street Springfield, OR 97477 NUMBER ~ ~spection line:9~6\?~~ Office: 726-3759 ...., ASSESSORS MAP: ZIP: gILl II \ DESCRIPTION OF PROPOSED SIGN(S): (please check and complete ail appropriate informationl , Wall X Freestanding , Projecting floof Marquee Single Face. ,D~uble Face + g S~u"e Footage ~ ~) 0'1' 'rJJ.t1 \ ,~t"nr/ / I Vertical Dimension of sign or enclosure~~jC) ... ) '--"~ Horizontal V,Vidl.h of sign or enclosure: \?I Dimension from Grade a- Electrical Installation: Ye( ry Jo ----.-- to bottom of Sign: /'(;/ (If yes additional permit is reqU1'reCfj VALUE: ;) CfJ{j, 00 Material Sign is constructed of: shl ff- m e1 { I 5: 1\-\-rt.:L. Billboard Other Total Height alJove Grade: 5iq'l li" ALL ex;sting s;gnage a~d ,ttach ,photog"ph of each s;gn'(Jio~l (a) Type ' : ' Sq. Ftg. \m-~ , Sq. Ftg. (c) Type Sq. Ftg. (dl Type Sq. Ftg. CONTRACTOR/INSTALLER: ~5aW1-, =tf\C- T 'ADDRESS: I JIb fhto~+-ch Kd, I I CITY: (;( )(jUlfL V , .CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: CITY BUSINESS liCENSE NUMBER: -9 '5tJ .-2fil PHONE: ~Lj? 5- 55'-1t., STATE: CJfl ZIP: 0140?-- ~ ----...-.- EXPIRES: ;). - d- --12. EXPIRES: fa ~ 30 - <1J \ 1 I ~g~ OFFICE USE Sign District: ~l'{\O \( 0leAl (\\ ,- - \:~ ~ ~pO ~ La~ Use: \Q ~O() Ouad Area: J,e JlliJ Code Section: \\ -f\ .. \,L\ ('L "') Appco,"d By \J-~ f~?QP DATE: ~.\~~ Zoning: Sign Permit Fee: REOUIRED INSPECTIONS: I Site to be made prior to sign placement ~ooting prior to placement of concrete Attachment after fasteners are installed/prior to cover Electrical prior to enr.rgizing V Fil1il1 completion of sinn installation Additional Comments and/or Conditions: ~8ysignatl:Jre,1 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 Otdinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only COlliractors 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 p(oper time, that project address is readable from,tlw street, that the pennit 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' ( J7(1!l~ I/J1A 'iS1J't,}d/~ Date 3--- /.~/ q 7 Validation: Amount Received: 4fJOO R~eceipt Numbe:: ..J~ __~I\. 0...... ,t:j Date Paid ;.d: ,'3 -?Zrrq,'~I Received By: ~~ ~ ~ .. i.; , '.' SIGN PERMIT APPLICATION ~:.. ~ T/1(: applic,ltion n the reverse side needs 10 be completed entirely. If you are the sign contractor/installer, or if you are tliring a COlllraCt r, you need to make sure that both the City of Springfield Business license Number and the Registration Number (rom th State of Oregon Construction Co;1tractors Boa'rd. are listed on the application along with the expiration d(lle ot cach, \ , If tile sign you are proposing is illuminiltcd, an electrical permit application also needs to be c.ompleted and signed by either a supervisipg electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in wtlich you are occupying, and you will be 'performing the electrical installation yourself, you may sign the electrical ,application. " . ' ,If'ltlere arc cxisting wall .a.nd/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' [,1 sul)llIil lor J sign permit, you Ilccd to prl!p(He two complcte sets of drawings showing all dimensions, total height, and J plot pli:HI Indicating where the proposvu sign will be located. If you are installing a freestanding sign which exceeds 20 Il'd in total height, the footing detail necds to be prepared and stamped by a registered engineer-, After the plan review process is completed; and, if your sign!s) is upproved, one set will be returned to you. The approved set of drawings need to be at the .site when an inspection is reqll'ested for the inspectors reference. INSPECTIONS DC:!>(!lldilllj Oil Y9ur sign{s), you muy 1)(: required to request one or all of the following inspections during the installation ul your siUII: ,i Site' To be requested after indicati,ig on the lot where- the proposed sign will be located but prior to any work be)ng 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 excavillion 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 th'is inspection. ;'\ltJCIIl110I1l: To, be requested whel.1 all fasteners are installed but prior to cover. E!ectrical: To be requested after the electrical connection to the sign is made, but prior to energizing. I Fillal: After all required inspections are conducted and approved and the sign installation is complete. Tile inspeClio..ns that are required for your specifiC sign will be indicated on the application during the plan review process, F,;i1ure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required i,1tervJls 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 Designateo Job Number, location of where the sign is being installed, the type of insp,ection you are r'equesting, and when _ you will be reudy for the inspection. All inspections called in to the recorder prior to 7:00 a.m, will be made the same "'larking diJY, all inspections phoned in illter 7:00 a.m. will be f0ade the following work day. , I' , , il you have any ~uestlons regarding the iJpplication, required plans or inspections, please feel free to phone the Building S;Jlety Division ~t 726-3759. (Y ( . . " " Cil)' ot' Springfield Building Sat'ety Divisioll 225 Fifth Sfrcet Springfield, OR 97477 . . v ,- .... . . ; I ~