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HomeMy WebLinkAboutPermit Signage 1997-4-4 ,;. -SIGf\L PERMIT APPLlCAT. 225 Fifth Street I ,\ I l ''<7 \ V _ I' Springfield, OR 97477! nv\\..oj.: \ .;:, 8G3 M(:;(ln S{ye-et .J103~5t 'l-- ~ e NU~BER.iL7n 1fJ Inspection Line: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: .... TAX LOT: 01 \[JJ 7lj 7- ~~7'Y ASSESSORS MAP: , , PJ iI , 1m 1 -\-r Y'li () S , doton cl.t"V)+"()Yl i'r^ \ r?J"LvD . CU)jf'Ylf'> !' ' :.. BUSINESS NAME, FIRM ETC,: H1..J-bJ"I i Vl<, " " '-~ . PHONE: :. "ADDRESS: ,'~ . I ..'.T~ ," . . ~ CITY: STATE: ZIP: qiL{(') I \ OIL, 1D<j o~ f_'f' .'~ ~LDESCRIPTION OF PROPOSED SIGN(SJ: ';l\.':' --I.... Wall -:;z: Single Face (please check and complete all appropriate inlormationl Freestanding _ Projecting nonl Marquee *.'.'. . . .' '. , Square Footage: .v . 10' . f. I . ~\ -.t,l ertlca ImenSlon 0 sign or enclosure: ,.(S(~.:-; I Dimension from Grade ., /) I Electrical Installation: X Yes to bottom of Sign: D (If yes additional permit is requiredJ Material Sign is constructed of: t:;"h~G-t ()I'\-t: hI Double Face 2q\C\~ Billboard Other Total Height above Grade: IS' NO ~ Vl.1__ ~~OQ Horizontal Width 01 sinn or enclosure: VALUE: r;,. ' ...., T.. . 1 ~<Li:t ALL existing .signage a~d attach a photograph of each sign: . ; .'Ial Type. Db \ e... . Sq. Ftg, " :v 1 (cl Type Sq,Ftg, (bJ T~pe~ rShf'G\ S~~~~ IdJ Type Sq, Ftg. . '9 :\ CONTRACTOR/INSTAllER: F -7-rA rB"'.' . IT'.~'~D'RESS: '6/'0 ()A\cPAIZ-r+ , b J3-tV1f'- CONSTRUCTION CONTRACTORS REGISTRA TION ~UMBER: l/\l('. I f2.0 PHONE: YE:"5~55L{~ .CITY: STATE: hV2 1/ll9>G EXPIRES: ZIP: q?iD,;2 ;)- -;),. Cj g, ,;Pr3b- q7 CITY BUSINESS LICENSE N4MBER: I Sign DistriU"i\))i\ ~ , Zoning: (\0 J - \Dll ~ I~- I '1SD'2ti7 EXPIRES: , . I . S' . p 'F ;1}j~ Ign~ .~.rmlt ee: ;-t,"',~..' '..' . '\1:;\....,. OFFICE USE la~ Use: n:i)n Ouod Area.1l~ 1\ \ll)-.---- Code section'\lli;a~ --\ ~Q I _ Approved By: \ DA TE: 4.4. Gt_1 ~>"../ . :-.$..~'rIJ;.., " ,:~~E~UIRED'INSPECTIONS : ~~rAdditional Comments and/or Conditions: . ~~ " h. ~."'; .. - . j~~lt:,:~,,'/."~:" . Ftting ~:hment ,/ Electric,,1 prior to place'flent after fasteners are prior 10 energizing of concrete . insta1!edlpr-ior to cover 'N\l\~. ~{_> ~F;Il'" completion 01 SI\,P' installation ~ '. . ) ,-, Site . :.: to: be made prior to sign placement .' . ,. .~.;~y ~jgnature, I state and agree, that I have carefully examined the completed applicrltion ()nd do hereby certify that all inforrnt'ltion herein . 'is true and correct, and I fu"rther'certify that any and all work performed shall be done In accordance with the Otdinances 01 the City of ~Spri"gfield, and the Laws of the State of Oregon pertaining to the work described herein, 1 further certify that only contractors and . employees who are in compliance with ORS 701.055 will be used on this project. :-:;1 iurther agree to ensure thaJ all required inspections are requested at the Pioper time, Ihat project address is read"ble from '"'' streel. thai ',-:' 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 sigrrlsl. _ ',Signature ~h~ , , j ,"::\ . ~V I.d . . ,~ a I atlon: :7~:'~ -;. ; :' L. ~mount Received: 'I t~ \AUfJ ASI1\6 Date Date Paid: 3-;;;/")-1/ 4 .~ Jqj' Received By ~\f\()' ) R'eceipt Number: ! .. r"., ('U"'... ~< ~. ~2- . iIVr,.o:- ~.;; " ~~-.:,. ::','f ~. !~~~'; :,i'-' l:i.t. I'. ',: ..... ... ,.. f'" ' ,~F~; i",l, " it' : {. , ..~, ""', f.<;, .. " [<,' ~i ~;. ~.. . . 1. . I '. SIGN PERMIT APPLlCATIION . I' II .. lIe applrC;'llll)r"l on the reverse side needs 10 be completed entirely. I you are the 51gn contractor lnsta er, or 11 you are TlIring 0 COlllraCtO;', you need to make sure that both the City of Springfield Business License Number and the Registration Number Irom Ihe 'State 01 Oregon Construction ContractorS Board are listed on the application along with the expiration UJW 01 cacho ' . : \ lithe sign you are proposing is illuminDted, an electrical permit application also needs to be completed and signed by either '-l supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in whicl1 you are occupying, and 'you will be performing the electrical installation yourself, you may sign the electrical application, "' . II tllere Drt: existing wall arldlor IreeslOnding signs, a photograph(sl of each existing sign needs 'application. Thel size 01 eafh existing sign also needs to be listed on the application, to be ettached to the I PLANS 'r'l SUl)1l111 lor.1 sign permit. you need 10 1,Hcll~lrc two complete sets of drawings showing all dimensions, total height, and :J plOl pl'-lrl 1I1uicating where the propost:<.J sign will De located. If you are installing a freestanding sign which exceeds 20 kc:t in toWI height, the footing detail needs to be prepared and stamped by a registered engineer, After the plan review process is completed; and, if your signlsl is opproved.one set will be returned to you. The approved set of drawings need to be at the site when an inspection is reqtl-ested for the inspectors reference, INSPECTIONS to request one or all of the following inspections during the installation Dl:pt:lldill<j on yOl!H sign(s). you mDy be requircd ul your SiUI1: '! . Site: To :be requested after indicating on the lot where the proposed sign will be located but prior to any work being performed lor the installation of the sign, This inspection is required if there is a question on the location of thC proposed sign. FuOling: To be requested alter exc()Vi)\ion and the forms are installed, but prior to pouring concrete. If there will be electrical conduit placed in the looting, it must also be in place prior to requesting this inspection, All.:lCI,11l101l\: To be requested when all IDsteners.are installed but prior to cover, E!8ctrict\l: TO; be reqUested alter the electrical connection to the sign is made. but prior to energizing, I I. A(ter aU required inspections are conducted and approved and the sign installation is complete, Final: Tlle inspeclio.ns that are required for your ~pecific sign will be indicated on the application during the plan review process. Failure to rCQuest ANY of the required inspcctions could result in sign removal in order to inspect the sign at the required IfHt:rvJls 01 work. To request an inspection, phone 726.3769. This is a 24 hour recording, On the recording you will need to leave your City DesignDted Job Number. location of where the sign.is being installed, the type of insp.ection you are. requesting, arid when you will' be ready io, the inspection. All inspections"called in to the recorder prior to 7:00 a.m. will be made the same working doy, all inspections phoned in oller 7:00 a,m, will be made the following work day. If you have any qtuestions regarding the application, required plans or inspections, please feel free to phone the Building S:Jlety Division at 726.3759. I .. . Cit)' {II' Springfield Bllildil\~ Safety Div,ision 225 Firth S~'ect Springrield, OR 97477 .. ,- -; , .. I.. :