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Home My WebLink AboutPermit Signage 1997-3-28 (2) ;..SIG~ PERMIT APPLlCATII 225 Fifth Street Springfield, OR 97477 SPAINOf"IELD ~ LOCATION OF PROPOSED WORK: 5to q 0 J\{1,Cli 0 ,_ \107~~~\ OWNER \.{P-Y ~o.('))( ADDRESS: 12 \ \ SW S+n CITY: POV-Ho.-nd BUSINESS NAME, FIRM ETC,: Ke.'j \'?)C() \( .NU~BER Inspection Line: 726.3769 Office: 726.3759 Qln44s stree.,t .... ASSESSORS MAP: TAX LOT: 03m1- '790-t")SC)B ~-".",-, , PHONE: STATE: br<... ZIP: q I 2nL/ \ DESCRIPTION OF PROPOSED SIGNIS): (please check and complete all appropri"tc information) Wall Freestanding Projecting noal M","oo -{6-, ~" ::L ::L Single Face ~ Double Face \4 Billboard Other Square Footage: Vertical Dimension of sign or enclosure: / I .... Total Height "bave Grade: Id' Dimension from Grade to bottom of Sign: , \' ,. (etlZOnral Width of sign or enclosure: ./ Electrical Installation 'X: Js _ No - OU (If yes additional p~reQUired) VALUE: .S.SO, Q\LJm',nU<YI vi {)jIJ' Q)(>e J~. Material Sign is constructed of: List ALL existing signage and attach a photograph of aach sign: , , lal Type SQ, Ftg, Ib) Type SQ, FIg, Icl Type SQ, Ftg, Id) Type SQ, Ftg, , ADDRESS: ~St-A 12\ 0 nA\c. PAR\-\ ~(H?()e. v CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: ,STATE: ()-t2 ZIP 3'7L.fO~ .EXPIRES: (). d - 9 ~ EXPIRES: (p - 2>0- '7-' CONTRACTOR/lNST ALLER: I\..IG f2,p PHONE: 49,S-SSl.fb CITY: III z..~c.. CITY BUSINESS LICENSE NUMBER: C1S03CI7 OFFICE USE Zoning: Sign District: ~~ \r0~ C\'/ L\\)(LJ La~ Use: (~~ Ouad Area: ~c..n)o./ Code Section: Ct - '1- t 4 (\ ') Approved By: m \.;~ DATE: ~~~~ '~'7 Sign Permit Fee: RECUIRED INSPECTIONS: Site Footing /Attachment V' Electrical 10 be made prior prior to placel"f\ent after fasteners are prior to energizing to sign placement of concrete installed/prior to cover ,- Additional Comments and/or Conditions: lA JPct 1 ~ ~ C\ J~ .[\.1 ~ Q 1)-;. J (l}~ 11rw~ ,( f1Jlll\ CDSt. LJ1-, 0 i'.llli' lJJ(\t; (Y'l rC\~ n - ,,") 1M) (dA ~rA . ~ Fini11 completion 01 sinn installation By i nature, I state and agree, that I have care ully examined the completed ap icatian and do hereby rtify that all information herein is t e 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 thai only contractors and employees who are in compliance with ORS 701,055 will be used on this project. Ilurther agree to ensure that all required inspections are requested at the p(oper time. thaI 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 tltl: Installation 01 the sign'ls), Signature ~h~I!...~ v R3,1)) ~~<tf\ Date '3-;n-7/ R'eceipt Number: Received By: :3 .V6 .'--(-/ 'tN~ " Validation: Amount Received: I Date Paid: .. . . .... ~. .. SIG N PERMIT APPLICATION Tile applic~ltion on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are ,,,ring" contractor, you need to make sure that both the City of Springfield Business License Number and the Registration Number Irom the State 01 Oregon Construction Contractors Board are listed on the application along with the expiration lble 01 CJctl. ' . , II ltle sign you are proposing is illuminulCd, all 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 w"lcll you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical application. ~ If ttwre ()(\J existing wall andlor frecstJnding signs, a photograph(s) of 8ach existing sign needs to be attached to the application. The size <:,1 each existing sign also needs to be listed on the application. PLANS T\l sul)flHI for a sign permit, you llcetllo prl~lJ(]rc two complete sets of drawings showing all dimensions. total height, and J plOl pl,Hl indicating where the proposl.:u sign will be located. If you are installing a freestanding sign which exceeds 20 leet in tOlul height, the looting detail needs to be prepared and stamped by a registered engineer, Alter 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 reqiJ1ested for the inspectors reference, INSPECTIONS Dl:rH:IHJIIHJ (H~ your signfsl. you tnJy IJL~ rl.:quired to request one or all of the following inspections during the installation uJ your siUn: 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 lo~atjon of the proposeu sign. FLlOllflO: To be requested after excavJlion and the forms are installed, but prior to pouring concrete. If there will be electrical conduit placed in ltle looting, it must also be in place prior to requesting this inspection. ;.\ll0CtUlll.:JI\: To be requested when alll(]steners 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 Final: After all required inspections are conducted and approved and the sign installation is complete. The inspections that are required for your speCific sign will be indicated on the application during :he plan review process. F<.iilure to (eQuest ANY of the requireu inspections could result in sign removal in order to inspect the sign at the required irltervols of work. . Tu request an inspection, phone 726-3769, This is a 24 hour recording, On the recording you will need to leave your City Designaled Job Number, location of where the sign is being installed, the type of insp,ection you are requesting, and when you will be (eady for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same wo,king day, all inspections phoned in olter 7:00 a,m, will be made the following work day. II yuu hove ony questions regarding tile application, required plans or inspections, please feel free to phone the Building S"lety Division at 726.3759, . . Cit)' "I' Springfield Building Safety Div~sioll 225 Fifth S~'eet Springl'ield, OR 97477 : ,- ~ :