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Home My WebLink AboutPermit Signage 1997-3-28 ~1?NtERMIT APPLlCAT!_ 225 Fifth Street . Springfield, OR 97477 ~ .U~BER Inspection Line: 726.3769 Office: 726-3759 ~1n4t-f LOCATION OF PROPOSED WORK: ')25 0 "R" ASSESSORSMAP:~"_~ OWNER \<.f:L) (?)C:() \( ADDRESS: \ L., \ \ ,<) w 5.k h CITY: p()("-\-\ri ()d. s -\-( e e..-\- ..... .... TAX LOT: m O{J) 50 -:,-rq o..,-:.s'18 PHONE: STATE: l7'tZ.. ZIP q I 1...0 \.{ \ BUSINESS NAME, FIRM ETC.: \"'~ t=)v.()~ DESCRIPTION OF PROPOSED SIGNIS}: Iplease check and complete all appropriate information} .::b.... Wall ..:f::.... Single Face Freestanding Projecting 1\001 Marquee Square Footage: Double Face f.o' .- Billboard Other Total Height above Grade: Id-.' Vertical Dimension of sign or enclosure: i,,1 Horizontal Widlh of sign or enclosure: Dimension from Grade \ \' to bottom of Sign: I Electrical Installation: ';f. Yes _ No Ilf yes additional permit is required I VALUE: (~~f) ,W Material Sign is constructed of: c.. \ U (YI\ ()\JM "; nv. \ p\ ex: I ,:) I List ALL existing signage and attach a photograph of each sign: lal Type pole. Sq. Ftg. Ibl Type Sq. Fig. lei Type Sq. Ftg. Idl Type Sq. Ftg. CONTRACTOR/INST ALLER: r:- <., -\- A T. rJ C ADDRESS: \7.\() ()(411/(J A.LI-I "1l..0 CITY: C(.Aj ?:J f' ,rHo CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: PHONE €.j <e S - ,'):SLl (.., STATE: 1")(<... ZIP i 1"-10.2,_ EXPIRES: ;2- d - "i % EXPIRES: c- ~D- 'i ") \ \, L.~\o CITY BUSINESS LICENSE NUMBER: l~~C;1 Sign Permit Fee: t\tJ ~ OFFICE USE La;d Use: ~~) Ouad Area ~(~(\)\A) D____ Code Section: G\ - '1 -j ~ (J j Approved By: \J_t\(\) ~~'f ~ DATE ~'2-t_[lL Sign District: \:Jr\ 0\\m~ 0(} / - Zoning: REOUIRED INSPECTIONS: Site to be made piior to sign placement Footing prior to p1acerr'em of concrete ~ttachment after fasteners are installed/prier to cover L/ Electrical prior to ene.rgizing ~ Fir1i11 completion 01 sinn installation Additional Comments and/or Conditions: By signature, I state and agree, that I have carefully examined the completed application Dnd 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 COI~iractors 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 readrlblc from Ih(~ street, that the permit card is located at the 1ront 01 the property, and the approved set of plans will remain on the site at all times during the installation of the signlsl. Signature ~h~ J~ v.:;Dle. 9>~.01J ~~c:) Date <2>).;;2111/ Receipt Number: Received By: . I '~.7~ .It\l 'O\\t\~ Validation: Amount Received: Date Paid: . . SIGN PERMIT APPLICATION TIlIJ (JppIIC~llioll on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are tliling J contractor, you need to make sure that both the City of Springfield Business license Number and the Registration Nurnber frurn the State of Oregon Construction Contractors Board afB listed on the application along with the expiration UJle 01 GJell. ' \ Illlle sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by either i:l 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. ~ If th(:re arc existing wall and/or frecs((Jnding 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. PLAN S Tll SUl)1l1it lur iJ sign pennil, you Ilct:d to PIl~JKj(C two complete sets of drawings showing all dimensions, total height, and J plOl plJf\ ilH.Jicating where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20 k~t ill lOwl height. the footing detail needs to be prepared and stamped by a registered engineer. After the plan review prucess is completed, and, if your sign(sl 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 Dt:!l[;lldiIHJ on your sign(sl. you may IJ<.: rl:quircd to request one or all of the following inspections during the installation ul yuur siUll: Site: To be requested alter 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 proposeu sign. ... FllOllllQ: To be requested after excavCllion and the forms are installed, but prior to pouring concrete. If there will be electrical conduit placed in ltlC footing, it must also be in place prior to requesting this inspection. l-\lt~J{.,;Ilflll:llt: To be requested wher1 <:111 fasleners arB installed but prior to cover. Electrical: To be requested after the electrical connection to the sign is made, but prior to energizing. FiIlJI: After all required inspectiolls are conducted and approved and the sign installation is complete. Tile inspectia.,ns that are required for your specific sign will be indicated on the application during the plan review process. F,jilure to rt.;quest ANY of the required inspections could result in sign removal in order to inspect the sign at the required intervals of work. To request on 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 insp.ection you are requesting, and when you will be rcady for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same wurking day, all inspections phoned ill afler 7 :00 a.m. will be made the following work day. !( ',.'au have any questions regarding the application, required- plans or inspections, please feel free to phone the Building S,J!C1Y DiviSion at 726.3759. . . Cit)' uf Springfield Building Sill\:ty Div!sion 225 Fifth S'reet Springl'ie1d, OR 97477 . , " .- ~ :