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Home My WebLink AboutPermit Signage 1993-5-5 ,. . JOB NUMBER . 1Pf'.J()~ SIGN PElllVllT AI'PLlCATION 225 Filth Street Sp.illgliel~. OH 97477 Inspection Line: 726.3769 Office: 726.3759 LOCATION OF PftOf'OSED WORK: <//DL 'fYIa:-, '\:l~"f, 8~3().. ASSESSORS MAP: ---'.J..Q,9 ~~ OWNER: .___.u~--C..-I1J" ,_ ADDHESS: 41o~ 7YL~ :;;-r. TAXlOT: ()I/cx) PHONE: 7'fC, - rrqltA CITY: _.__~J..J , BUSINESS NAME, F1HM ETC.:__JtlflMV STATE: (")~U ~,,;- 4,j~<:-< I~ ~ ZIP: (h~~ Wall _ Freestanding ___._ Projecting L Billboard Roof '" M.",." ~ DESCllIPTION OF PI10POSED SIGNIS): Iplease check all~ complete all appropriate information) Single F uee v' Double Face Other Square Footago: :z l?&' ~A .f)., ~) Total Height above Grade: / 30 VI~tliGJI Dimensioll of sign or ellclosure: /.;:1. Horizontal Width of sign or enclosure: .;1..4 Dimensioll from Grilde/'"' .j ') Electrical Installation: /yes No to bottom 01 Sign,;/ I rr / IIf yes ad~itional permit is required) VALUE: 13. Cln/\ MatoriaISigniScons(~d.or: A-5-rM- (,~J2... s..",,-.#'"X's<- -li'z.3 UAc-- list ALL existing siun~ge ami attach a photograph of oach sign: la) Type ..................._ Sq. FLg. Ib) Type Sq. Ftg. 1r:1 TYPl: ._....... Sq. FLg. ......_. _........_ (d) Type Sq. Fig. ADDI1E:;S: IIJClu ~'Yk.~f2 (J1u-: ~~Jff A~~ (j PHONE: t:.11'1-~9.iX" CONTflACTOR/lNST ALLER: CITY: F.t.<.'r~ . STATE: f1U'" ZIP: 9'7i4J~ CONSTHUCTIONCONmACTORSREGISTRATI,O~NUMBEfl: l~~ EXPIRES:~? 2{g~ CITY BUSINESS LICENSE NUMBER: q eX 0 f4{ () EXPIRES: .1.i2I ~ q~~ OFFICE USE Sign District _ ,~\~\1tm ArEt land Use: . ~I'C) Quad ~rea:l ~~'~;r ..JJO-,. Zoning: ( (\ ../ Code Section:. q - '7-/if)"CiY,~ y+ ) Sign Permit Fee:. \A ~C;U Approved By: \ ~ ~--Y~~~TE: - \.t:) . 5. GL~ REQUIRED INSPECTIONS: _.__ Sile \ () Footing Attachment / 0 Electrical (f) Final. 10 be made prior I;~ placement alter lasleners are '-1:r to energizing ~tion of sign to s,igll placemcllt of concrete installed/prior to CfX\' jnstallation C\ Addilio{'al CUffllllen\, ~nd/or C"n'Rtiuns{' ~ 0 0 r-ti\.1 r h \) \ N I ,t ~ N WO \ UJ\. a~ \..b"'~ -t\'\" Qlt(\h~d'd) n (f\Dtn\OI j \ By ~niJ1Ufe, I stahl anu agree, that 1 have carefully examined the completed application and do hereby certify that all information herein is Hue alld correct, and I lurther certify that any and all work performed shall be done in accordance with the Ordinances of the City 01 Springfif!ld, and t1H~ Laws 01 the State of Oregon pertaining to the work described herein. I further certify that only contractors and clIlploYI!es who are ill compliance with OAS 701.055 willlJe used on this project. Ilullhe. agree tu ensure Ihat all required inspections aro requested at the proper time, that project address is readable lrom tile streel, Ihal Ihe perrnil card is located at tho Iront of the property. and the approved set of plans will remain on the site at all times during the installation 01 the signls)' Signalure ~A..e..e....,...,/?&.f:?O". Date 3/17 h3 '-' Date Paid: ~ .,Q.1> . c::r~ Received By: ~\1\b.. -) Hecoipt Number: \ 'r-)S>.CU ~ (n4- ~ Vnlidation: Amount Received: r SIGN PERMIT APPLICATION I I' The applicalion 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 thai bolh 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 expiralion date of each. If the sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by either a supervising electrician, limited 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 arc existing wall and/or freestanding signs. 8 photographlsl of oach existing sign needs to bo uUnched to tho 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, tolal height, and a plot plan indicating where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20 lee I in total height, the footing detail needs to be prepared and stamped by a registered engineer. Aller Ihe plan review process is completed, and, if your sign(s) is approved. one set will be returned to you. The approved set 01 drnwings need to be at the site when an inspection is requested lor the inspectors reference. INSPECTIONS Depending on your sign(s'. you may be required to rcquest onc or all of the following inspections during 1he installation. of your sign: Site: To be requested after indicating on the lot where the proposed sign will be located bul prior 10 any work being performed lor the ins lallation 01 the sign. This inspection is required il there is a question on the location of the proposed sign. .......;, .\J Foaling: To be requested after excavation and the forms are installed. but prior to pouring concrete. II Ihere will be electrical conduit placed in the footing, it must also be in place prior to requesting this inSIH!clion. 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 complelc. The inspections that are required lor your specilic sign 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 requestin\!, and when you will be ready lor the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made Ille same working day, all inspections phoned in alter 7:00 a.m. will be made the following work day. If you have any questions regarding the application. required plans or inspections, please feellree to phone the Building Safety Division at 726.3759. City or Springlicld Building Surely Division 225 Fifth Slreel Spl'inglicld, OR 97477 .' ~ . '.. . ". ',:) . #' .' 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, th~trt.~ p~~ is~e~th~ construction of a billboard to be located at 4-\\) () \\\,\X \ "--"jJlqQ.)J can be erected once the City has~ceived a copy' ot te State permit of approval and, the billboard located at \ I l~ has been removed: Mr. Conklin agrees to~ontact the Building Satety Division within ten (10) days to request an inspection once the billboard has been removed. .4~~' Bernard Conklin 5 /2.{, /"1.3 Date