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Home My WebLink AboutPermit Signage 1998-6-5 SIGN PERMIT APPLlCATI. SPRINGFIELD J.MBER 05s05~~ -- 225 Fifth Street Springfield, OR 97477 Inspection Line: 726.3769 Office: 726.3759 SITE ADDRESS: OWNER: TAX lOT: UU':)()() PHONE: 7 CJ~ ,- '2- "7? ~ ADDRESS: CITY: ZIP: Cf ?~75? t- E;J?? r C; rArr ftd .p DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information) Wall ~estanding ~uble Face _ Projecting Roof Marquee ~ V _ Single Face Billboard Other Vertical Dimension of sign or enclosure: &,<J 'LL or enclosure: 7 Electrical Installation: Ye ~o VALUE z.,./J ~ / /... (If yes additional electrical permi isre' d) OF SIGN: . ';6, / 8 Material Sign is constructed of: ~ VI. ~ .J- J '('" // J / -./- h /.,/ Y ~d. Ci? J?H~_ .y:-. M,;?<;-;;o ye r/-"f;~-PrI /rb<77?; a List All existing signage and attach a photograph of each sign: @ (al Type SQ. Ftg. (b) Type ~Y?i Square Footage: I '7~ Total Height above Grade: Dimension from Grade to bOllom of Sign Enclosure: SQ. Ftg. (cl Type SQ. Ftg. (d) Type SQ. Ftg. CONTRACTDR/INSTAllER: ,.-;;;; <:; < -P En. b-e.r,~<;; 8 A--- ADDRESS: L) 4r 0 g k d/' ~ '-:; I. CITY: 7;0;;' P/.d STATE: ~ CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: ~ L ~\t.Jof\.\<. "'O\\C_~,:,"_ ~.,Ll:1 \.. cYS)I.f\..~t._:"...\~ IS t-lOi CITY BUSINESS LICENSE NUMBER: "_ . "<,"1.. _ ,,_"'IV'" PHONE: 7<;/7-65">19 ZIP: C77 (L '7.5<: . . EXPIRES: EXPIRES: '\ 1"'''' . - .,C:I"I \ \\'lOt:.<' ,. DOt-lcO rU<' '\\'iI-\O\'l.I..~~~\'l Sign District: ~ \ a.~ land~V!NlE.Ny: ~~ Quad Area: ~(~J\)Q,... Zoning: ~ COd~~c~~~n: \', ;. ~ ."1- 4~ (~') ')) Sign Permit Fee: Art) .(;() Approved By: ~\ . \. . ,_ ).\~u - DATE: ~O .~ REQUIRED INSPECTIONS: I/Site to be made prior to sign placement (/ Footing prior to placement of concrete Attachment after fasteners are installed rior to cover Electrical ~nal prior to energizing completion of sign '~'"n~"t\-, t~l Ad~\~O;~;;x:~/or ~~i?::O _ -' -- -- - v By signature, I state and agree, that I have carefully examined the compieted 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 oniy 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 s~.gn(s), --;7 Signat~ ~A/ J4'~~,rt.<- Date ,6 --5~~{?, / I' /\;-,)\-,-\ ) Vali~n: \ Amount Received: ~,f-... ~I A Date Paid: ~ \0 . S 0( ~ Receipt Number: ~ J.. )\1:51 \ Received By: . l'l\ , V-V,-", (-. ._" ....." '\ ...... r', /..~,...,. .r". ,'. [, , 1 I, >. 'J-' , ,; -./ - '..~,,, ~ . \ . " SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, 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 from the State of Oregon Construction Contractors Board are listed 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 compieted and signed by either a supervising electrician, liniited sign electrical contractor, or if you are the business owner who also owns the building in which you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical application, If there are existing wall and/or freestanding signs, a photographls) of each existing sign needs to be attached 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 Is) 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 signlsl, you may be required to request one or all of the following inspections during the installation of your sign: 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 installation"of.the..sign, This inspection is required if there is a Question on the location of the proposed sign. ." '..'i I. l",;, Footing: To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be electrical conduit placed in the footing, it must also be in place prior to requesting this inspection. Attachment: To 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 inspection's called in to the recorder prior to 7:00 a,m. will be made the same working day, ~II irspe9tiofls,:phoned in after 7:00 a.m. w.iII"~e:ma'd.e the.following work d1\y,:' .. Cl.l '~/Y"lr'/' -, ',l'-'\... ,'" t J;_.'....... l-l" .... .:).r"/ I t .../:r~' 1,1 I If you have any questions reg~rding th~ "PPlic.af\dQ~.!e~~ir~: Plans:'o'r;irispe,c~ions, please f'eel free to phon~ t~~ ;suilding __Safely Division at 726.3759. '. ',.r .... \ j , ..l' '-'. I _' ..-' , _"" \.... I . ", r -"'\ ~.'-'" ,. "\..". r: t ...!,.,1I(......~ ," "~/i~~' .l".'ii, ,_..),!~ ,.'-..", '. \, . '1 l , !} '{' , . -' J , ' Jj<l ,) y~' --.....I\,....>.\,4~'..'__J _ 't.ll..'''''.1 ''-'oJ .- . : J; I . , ,) i. ',"., ! : t , \ \."/ 1. ....u,,~.1 " "';"''''1 r.... "I .." . . ~! J .. .' f,' L ~ . ~" '. __ \... \..' . i\-:..~ . . .. n)~,'-; ~ > 1\ '1 r 1,,\ '. )' 1'\/...., I ( .\1 ~) "I, ",...0.' . .,'l.._.... ".... o- f ,hL~: -.., ..,1'-- ..".... . ;./ t .' ,. \' J _ ' _.-~,t 1'. " J" '. )(;.1. ~::...: ' .. ,,' \, City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477