HomeMy WebLinkAboutPermit Signage 1993-5-5
225 Filth Street
Sp,inglield, 011
97477
JI NUMBER
Inspection Line: 726-3769
Ollice: 726.3759
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S~N PEllIVlIT APPLICATION
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ASSr:S~;ORS MAP:
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LOCATION OF PflOrOSED WORK:
TAXLOT:
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OWNfI1: .._.__._&.)/.LJJ-~
1nU-'dd>:!!~____
PHONE: .3 'I..J- - /1,-" ,
AODflESS:
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CITY:
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BUSINESS NAME, FIIIM ETC.:
~L-,...& "i C'"'1-~' of 2Jl:r&. o.-.v/ .Ma..:....,~.
OEScrUPTlON OF PliO POSED SIGNIS): Iplease check and cornplele all appropriate informalion)
STATE: ("
ZIP: 97tkJ __
Wall
Freestanding
~____ Projectino
Roof
Marquee
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~.
Single Face / Double Face V Billboard Other
Square Fuotage: ')4 c::Je/i~'1 Q Ll, ~clL TOlal Height above Grade:
~,.
Vertical ~imension of sign or enclosure:
,. ,." ~
I.:. Horizontal Widlh of sign or enclosure: .....,.
Electrical Installation: .,,/ Ves No
(If yes addilional permit is required) VALUE: 1.7 1"""",
Dimension tram Grade
10 bOllOIll of Sign: ;23 '
Material Sign is constructed of: A_<H""J.L r5/;'c d"..." ,/M~ -#' 5<lf -X'2"2, - LJ RG/ \
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List ^LL existing sion<lge and attach 8 photograph of each sign:
la} Type ._..__.__
Sq. Fig.
(b) Type
Sq. Ftg.
I,,) Typ" .._. _.... .-._________ Sq. Ftg. ___..____..__._ Idl Type
Sq. Fig.
CONTHACTOH/ltJSTAI.LER:
3- '1J1_'tJg~~ -#. Ad...ur,,~u-i1
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PHONE: t8"~ -3Y'35f'
ADOIlE:,S:
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CITY: ~ STATE:
CONS;IlU~~~N CONTRACTORS REGISTRA ~ ~UMIlER: t {) R'Cx-C)\
CITY BUSINESS LICENSE NUMBER: ~ () JLt/ 0
6~A<M ~ ZIP: '?7'J?O J--
EXPIRES: \ ILl-IS's
EXPIRES: CQ /3CY7l1::::L
OFFICE USE
Sign D~\-. ~ui.\'f:CV1~ _
Zoning:' l f\,\ \
Sign Permit Fee: I ~ ~.(:;()
Land Use: . ~C\~ Quad Area: ~3(' J~).~../ '\
Code Seclion: 1 C\ - f\t) - p.n (i)~~ j(4- )
Approved By: J..f'f:'1..JPr1JOi...f2-) DATE: <5 .f) .C( ~
. . ~ . I
REOUIRED INSPECTIONS: ~
____ Site . __ FOOtlllg Attachment l J Electrical \... 0 Final
to be made Prior. pn r to placement alter fast~rs are pr:~.to energizing _ ~ion of sign
to sign plo"ernenl of concrele installed/pfilIl'~ - mSlallation
AUdiliunol Cunllnents and/or Conditiuns\ 0 ~ 001 )) .1 \:\ 't\1.J .~}('f' \9.. y) \J::))
\. J\ ~ l\tuj\ oA. ~ \tV ffi l 0 ~ n f" h Yr'1) .., . ~I"\~~ 0 U () 11 (lY\. )
By SigllalUrl~ I state ,lIld auree. lh{1~ have carefully examined the completed application and do hereby certify that all information herein
is true ilnd correct, and I further certify lhal any and all work performed shall be done in accordance with the .Ordinances of the City uf
Springfield, and tin: LLlws of the State of Oregon pertaining to the work described herein. I further certify that only'contractors and
employ"es wl10 are in cOlllpliance with ORS 701.055 will be used on this project.
Ilwtl1e, agree tu ensure tllal all required inspeclions me requesled at Ihe proper time, tllat project address is readable Irolll the streel. that
the perrnit cmd is localed 01 the lront of the properly, and the approved set of plans will remain on the site at all times during tile installation
01 the signls).
Signature _&1.~ (7~/':"'-
Dale
?./J 7 1'13
...
Vnlidation:
^mount Received:
,.Qf\~~CU
q4ft\
Dale Paid: '1 ~ rJ ,q~
Received .By: H\ I fYl..)
neceipt Number:
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SIGN PERMIT APPLICATION
The application on Ihe reverse side needs to be completed entirely. If you are the sign conlractor/inslnller,. or if you are
hiring a 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 Conlractors Board are listed on Ihe application along with the expiration
date of each.
If Ihe sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by eilher
a supervising electrician, limited 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 the electrical installalion yourself, you may sign [he electrical
application.
If there arc existing wall and/or fr'e-cst~riding -gigAs, 8"pl~otog~pli(sl of ~e8ch oxisting sign noods to ho attached to tho
application. The size of each existing sign also needs to be listed 011 the application.
PLANS
To submit lor a sign permit, you need to prepare two complete sets 01 drawings showing all dimensions, Iotal height, and
. a plot plan indicating where the proposed sign will be located. If you are installing a freestanding sign whit:h exceeds 20
leet in total height, the footing delailneeds 10 be prepared and stamped by a registered engineer. Aller the plan review
process is completed, and. if your signlsl is approved, one set will be returned to you. The approved set 01 drowings need
to be at the site when an inspection is requested for Ihe inspeclors reference.
INSPECTIONS
Depending on your sign(sl. you may be required to request one or all of the following inspections during 1he inSlnUation
of your sign:
Site:
To be requested after indicating un the lot where the proposed sign will be located but prior lO any work
being pedormed for the installation of the sign. This inspection is required if there is a Question on the
location 01 the proposed sign.
Footing:
To be requested aller excavation and the forms are installed, but prior to pouring concrete. II there will he
electrical conduit placed in the looting, it must also be in place prior to requesting this inspection.
Allachment: To be requested when alllasteners are installed but prior 10 cuver.
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 specific sign will be indicated on the application during the plan reviow I)rocess.
Failure to request ANY of Ihe required inspections could result in sign removal in order to inspect the sign at the required
intervals 01 work.
To request an inspeclion, phone 726.3769. This is a 24 hour recording. On Ihe 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 rcQuestin{l. and when
you will be ready for the inspection. All inspeClions called in to Ihe recorder prior 10 7:00 a.m. will be made the same
working day, all inspeclions phoned in after 7:00 a.m. will be made the following work day.
l.f you have any questions regarding the application, required plans or inspections, please feci free to phone the Building
Safety ~ivision at 726.3759.
"an '1~ ~1 '(~
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Cily or Springfield
Building Surely Division
225 Firth Streel
Springfield, OR 97477
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SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
FAX (503) 726.3689
This is an agreement between the City of Springfield Building Safety Division
and Bernard Conklin, 3M National Advertising, thJ\t^t~~m~rl~eU}. ~e 1-
construction of a billboard to be located at . \-' \' \l ).\ ,_ 'l \l \ ~
can be erec ted once .the Ci ty ~~~*d r\h~PY ~e ;~je . permi t 0 approva
and, the billboard located at~( Y' ) \ I ij ! ~ 1 \~]---I has been
removed. Mr. Conklin agrees to contact tne BUl~ding Sa ety DIvision within ten
(10) days to request an inspection once the billboard has been removed.
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