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Home My WebLink AboutPermit Signage 1999-7-12 SIGN PERMIT APPLICATIO~ 225 Fifth Street Springfield, OR 97477 s. 'RINOPII!LO JO.MBER aq tJl[(P I Inspection Une: 726-3769 Office: 726-3759 SITE ADDRESS: 5"Jfi r_ --d';" ('.t ASSESSORS MAP: (') "L ~ ~ \l '-) TAX lOT: (').~ 300 OWNER: ~/ _.-k .k-_L...-- ~-k.,4,;...qp..../.. &".1.. 6;~D I PHONE: CITY: <A-.i;_C_/l BUSINESS NAME, FIRM ETC,: STATE: tnL ZIP: A ~ ADDRESS:.s...",~ oH.....';,., (' ~"./ ler <g/_~ DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information) (rc "'=~ ~ Wall L 'Freestanding _ Projecting Roof (l!G~c "\ Y Single Face ..JL Double F'ace Billboard Other LJ 7.. ~ Square Footage: "7 r Total Height above Grade: Marquee IJ.!'C." Vertical Dimension of sign or enclosure: :1'-1." Horizontal Width of sign or enclosure: ~'_ {, I' Dimension from Grade to bottom of Sign Enclosure: J 2. / Electrical Installation: 1.. Yes _ No VALUE (If yes additional electrical permit is required) OF SIGN: c;~()o~ , Mat'Yjt)rpc~.:constructed of: ,tlC~ AJ/",__., I Hit; ..t:HlVof: ;'M1\L.L. c^rtnC ,.. I n" ..':';:~l~ List ~b7Fi'B~\~Bllm~~H\~~~l\'rJ/I1OfS~ of each sign: lOOfI1tJmNr.FO OR IS ABANDONiiP PIilR .m~~CP DAY PERIOD. Sq, Ftg, ~ rr~ f\il.1fIIV': )r'")'~ln.fi..t:lw rAni JirA~ y-nll tn follow rules adooted bv the Oreaon Utilit'{ Notification Center, Those rules are set forth in OAR 952-00.1-0010 through OAR 952-001- (b) T 0090, You may ob~in ~9Pies of the rules by ype va';;II\:1l;'t;J .....gllter~{N6~e:-the-~..!:...t"I.....-..:.. (d) Type numberforthe O!lm~,j,ltilityNotification \,;enter IS f-BOO-'3:n:e."....), CONTRACTOR/lNSTAllER: ,;?J'~/~ ~/'~$ ADDRESS: ;lCJt! ~f"",.J CITY:~. ,/ CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: '~. ..... .f:.~Ar ,; , 2:-- PHON~/_ \ 5 '/.<-./ 7.t$- t'.</h/R EXPIRES: ZIP: 9;1 ~o :2.- .3 /9 /0/ '/~o/ 99 STATE: ~~ CITY BUSINESS LICENSE NUMBER: q/,() ~ '/? I EXPIRES: OFFICE USE - land Use: S '::a,oC> Quad Area: Code Section: g-" ~ ~ 'X (I) Approved By: ~". ,v~ Ll(' _ '5 t: Sign District: (l1l1lA.1IU..... .~~( 0.....111'- (1.(1- Zoning: Sign Permit Fee: jtS'5. DATE: '7 - la-ctL REQUIRED INSPECTIONS: Site Footing ~ttachment ~trical I~nal to be made prior prior to placement after fasteners are prior to energizing completion of sign to sign placement of concrete installed/prior to cover electrical installation installation Additional Comments and)or Conditions: J)o.n.l.JV,('~ ~ It.. Ule,.:. tP r'/" ~~. ~ By 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 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, 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), ~ Signature L1J/ ~ Date b /,1/ (N / 7/f) /r7' I J'tJ~ Validation:'. ~i~'~'F.r Amount Received: 7ffJ/71 /)11.(~ 2 & Date Paid: Receipt Number: Received By: >. . > SIGN PERMITAPPLlCATIO~, , . .' . '. " The application on the reverse side needs to be completed entirely, If you are the sign contractor/install~r, or if you are hiring a contractor, you need to make sure that both the City of Springfield B,usin.ess License Number and the' Registration Number from the State of Oregon Construction Contractors Board are liste'd on the application along with the expiration date of each. . ' ' ,'. ..~ - .' If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed by either a supervising electrician, lirriited sign electrical 'contractor, or if you are the business owner who also owns ihe' building in which you are occupying, and you will be performing, ttieelectrical installation 'yourself, you may sign the electrical application. . ". ,. . If there are existing wall andlor freestanding signs, a photograph(s) of aach existing sign naeds to ba at1ached 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 'or architect. After the plan review, process is completed, and, if your sign(s) is approved, one set of plans 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: . '~,' I .' . I',' To be requested after 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 ;eq'uif'ed if: there is a que'stion on the location of the proposed sign, .' . ",~; , -',' " ',I, Footing: To be requested after excavation and the forms are installed, but prior to pouring concreie::I(Jthere'will be'; 'f, electrical conduit placed in the footing, it must also be in place prior to requesting this inspection, . Attach')"'ent:, ,Tq 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 and the sign installation is complete. The inspections ,that are required for your sign installation 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.inspection, All inspections called in to the recorder prior to 7:00 a,m, will be made the same working day, all inspections, phoned in after 7:00 a,m, will be made-the following work,day-:, . ,: '" ".',." If you have any questions regarding the applicaiion, Safety Division at 726.3759. " '. ... , , required plans or inspections, please feel free to phone the Buir'ding .~ '. , " " . . ., "t. . J City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477