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Home My WebLink AboutPermit Signage 1996-4-19 SIGN, PERMIT APPLlCATI<Jt 225 Fifth Street Springfield, OR 97477 ~ J.UMBER , . q~m* Inspection Line: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: 500 ::tt\\11=l'LUAllhr.lAL ASSESSORS MAP: \ f),{)3\ S ([L _ WA'1 TAX LOT: ...., Q?l\ () 1 OWNER: :\I-\DI2.Ei.JI1()f)' P J:lCI(A(~ I ~I b ADDRESS: SOD .It0i1;\'Z,J\.Jf\ nUllclAL PHONE: '747- C?OOD '" CITY: -..:1-' Spr-;V'\j-h...\r1 STATE: BUSINESS NAME, FIRM ETC,: ~lbre.wcod Po.C\UA5\~ IAJA'1 ()'(? ZIP: Cf7Y77 , DESCRIPTION OF PROPOSED SIGNIS): Iplease check and complete all appropriate information) . 1 .' Wall Freestanding Projecting noel Marquee L , Single Face Double Face Billboard Other " Square Footage: !5lR. 25 Total Height above' Grade: 51qll Dimension from Grade to bottom of Sign: 2'011 31 n" /s'^" , -J HOri20nlal~h 01 Sign or enclosure: u Electrical Installation: _ Yes No t"l 00 (If yes additional permit is requl (I) VALUE: o5C:O . Vertical Dimension of sign or enclosure: Material Sign is constructed of: Q \ um', \,\U(V\, iO t. \ f\-t. !,jOey) (<:.." rdyl. '\ \ List ALL existing signage and attach a photograph of esch sign: la) Type Sq, Ftg, IbJ Type Sq, Ftg, Icl Type Sq, Ftg, Idl Type Sq, Ftg, CONTRACTOR/lNSTALLER: E~ 4-A :IIJ(. ADDRESS: 12.10 OA ICPA1(.i-\ t'Z...D PHQNE: ~~-:\.~I\\ ~ CITY: El) 6.-eN ...J CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: STATE: nit. ilI2l()~ ZIP <17L.f ,02..: EXPIRES: 2-2-t::t7 EXPIRES: (p.- 3D- g(1? CITY BUSINESS LICENSE NUMBER: 950'2:><1'1 Sign Permit Fee: OFFICE USE ~ La~ Use: ~C\~L\ Quad Area \"'\..l\) ,____ Code sectlon\ , ~~ -f) -Q -'2- (:1- ) Approved By: -WJJ-"--~9~ATE: q, (~..C1/b REQUIRED INSPECTIONS: v' Site to be made prior to sign placement j Footing prior to placerrent of concrete Attachment after fasteners are instal1ed!pricr to cover ElcClriCtll prior 10 energizing ./ Fill~l. completior1 of sinn installation Additional Comments and/or Conditions: 6y 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 01 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. i lurther agree to ensure that all required inspections are requested tit the Pfoper time. thai project address is readi'lblc Irom !Ill: street. thai the permit card is located at the front of the property, and the approved set of plans will remain on the sita.at all times [Juring II", installation of the sign'lsl, Signature k.malY\l~, (~ I Date 411Cj I '1c.. I Validation: Amount Received: ~s0J Receipt Number: ~ \@ ~ Date Paid \j, 4-:<l \() C\\.Q- Received By: ~~\}--J . . SIGN PERMIT APPLICATION Tile ilppllcnlion on the reverse side neeus to be completed entirely, If you are the sign contractor/installer, or if you are Iliring il COlllraCtor, you need to make sure that both the City of Springfield Business License Number and the Registration Number Irom the State of Oregon Construction Contractors Board are listed on the application along with the expiration J~J\U 01 CJcll. ' \ II tile sign you are proposing is illuminateu, an electrical permit application also,needs to be completed and signed by either a supervising electrician, limited sign eleclrical contractor, or if you are the business owner who also owns the building in wllich you "re occupying, and you will be performing the electrical installation yourself, you may sign the electrical application. ~ If UH:fe <.J(lJ existing wall and/or frecst<JJlding signs, a photograph{s) of Bach existing sign needs to be attached to the !lpplicalion, The size of each existing sign also needs to be listed on the application, PLANS T\l SlIlJrllil lor J sign permit, you need to 1)f()P~HC two complete sets of drawings showing all dimensions, total height, and o pial pl'"l inulcating where the proposeu sign will be located, If you are installing a freestanding sign which exceeds 20 Icet in tOloll1eight, the footing detail neeus to be prepared and stamped by a registered engineer. After the plan review prucess is completed, and, if your signls) is "pproved, one set will be returned to you. The approved set of drawings need to be "t the site when an inspection is requested for the inspectors reference, INSPECTIONS I)clll:IIUillU on your signisl. you m"y ()e required to request one or all of the following inspections during the installation 01 yuur SIUI): Site: To be requested after indicating on the lot where the proposed sign will be located but prior to any work being performed for the inst"llation of the sign, This inspection is required if there is a question on the location of the proposerJ sign. .. FOOI,ng: To be requesled alter excavation "nu the forms are installed, but prior to pouring concrete, If there will be electrical conduit placeu in the footing, it must also be in place prior to requesting this inspection, ;\lt~jcllflwnt: To be requested when ,111 fJsteners are installed but prior to cover. E!8Ctrical: To be requested after the electrical connection to the sign is made, but prior to energizing. Final: After all required inspecllons are conducted and approved and the sign installation is complete, TIlt: inSpeCliQ,ns that are required for your specific sign will be indicated on the application during the plan review process. F",lure to request ANY of the requireu inspections could result in sign removal in order to inspect the sign at the required il1lerv31s 01 work. Tu request an inspection, phone 726.3769, This is a 24 hour recording, On the recording you will need to leave your City Designateu Job Number, location of where the sign is being installed, the type of insp,ection you are requesting, and when yuu 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 uay, all inspections phoned in "iter 7:00 a,m, will be made the following work day. If you have any questions regarding Ihe application, required plans or inspections, please feel free to phone the Building S"lety Division at 726.3759, r ,- , : Cily of Springfield Building Safety Division 225 Finh S~'eet Springfield, OR 97477 , . 1 ,- ~ :