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Home My WebLink AboutPermit Signage 1993-5-5 ,- 225 1:"i'ilh'Strcet Springlield. Oil 97477 JOB NUMBER ct'?'!O~ .. Inspection Line: 726-3769 Office: 726.3759 SIGN PElllVlIT APPLICATION ... LOCATION Or- PflOPOSEO WORK: / q fA E '117/0 .:..,. 5.J.. i703 30 __ 2/ o. j 1()() vY\r,~^^) TAX LOT: 71>r."XJ ASSESSORS MAP: OWN[I1: ..___Gr.fl..c<<1.(~h...--.ltJr.. ADDRESS: _-'.5./0') 4";0. tf'q tV' ; ~.Lu PHONE: ~~~1(:.3l: /5'i7.( ~ g.) / CITY: _.._.J:.I<<f~"''''-''''--'- BUSINESS NAME. f'IIlM ETC.: STATE: (')~~ ZIP: q 7-Yo z.. ~ I... . r. A/.- ~ or / R-N.. a".d S. .II v " DESCIIIP'IION Or- PHOPOSED SIGN(SI: (please check "nd cOlllplete all applopriate informationl W"II __ Freestanding ...._... Projecting Roof Marquee Single r-"ce ~ Double Face Square Footage: ~ 9fF> VcrtiGJI Oimensioll of sign or ellclosure: I;J..., (, ~Billboard Other TOlal Height above Grade: .~" Horizontal Width of sign or enclosure: ~<J Dimension from Gra~ to bOllOIll of Sign: L:JJ MnteriLlI Siun is constructed of: '!;EtF Electrical Installation: ./ Yes No (If yes additional permit is required I VALUE: 823 :PI2Awl.v~ #' ~ fi' -.J:II:;IF URr_ to? ...s:u-> , J List ALL existing sjun~ge anti attach a photograph of onch sign: 1,,1 Type ._..... n""_' Sq. Ftg. Ibl Type Sq. FIg. 1':1 Typ" ............ .....___..__.__ Sq. Ftg. ___..__.___.__._ Idl Type Sq. Ftg.. 3M -n.~4"'vu.J""c""1 ADDHC,S: __...LJlIla.__..obi-- ~rv~::r CITY: ____. Fh9'-tV-" STA~:~~ ZIP: t:}7i!IJl..- CONSTRUCTION CONHIACTORS REGISTRATION NUMBER: l rf?J D~ EXPIRES: --J..! 1-12, &.cs CITY BUSINESS LICENSE NUMBER: q 9 r1 \4. r 0 - ~ EXPIRES: --1IlL -::sf) /9..'1 .: PHONE: t.r/3 - iJ 1??{< CONHIACTon/lNST ALLER: " Sign Districl.~~ \:1lJJ'(\ ./1 r\ \ Zoning: \...:....-'~ _ \~~.Cf-J OFFICE USE Land Use: ~\ y") Code SeCliO'\: . ~";. 'I - Approved By:.illU Quad Area: rO(l .JLW ()(Ql'~~4) . DATE: ~.M .C4...~ \ Sign Permit Fee: REQUtRED INSPECTIONS: Site (/) FOOling Attachment ({J Electrical cJ Final t~t;ematJe prior prifto placement alter fasteners are pr10r to energizing completion of sign to sign plaGemcnt of concrete installed/prior to cover .. -installation \ ^;:;~or;l~'ril'"' ~-rrt~~oi ~~ /~ ?i'~~) QPn-A1iR / By s;gn"tu)". I stat" ami aU":e. .~at I have carefully examined the completed application and do hereby certify that all inforn::n herein is tlue and correct, and I lurther certify that ally and all work performed shall be done in accordance with the Ordinances of the City ul Springfield, and III{; Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors ami ClllploYI!CS who arc ill clJlnpliance with ons 701.055 will be used on this project. Ilurthcr agree tu ensure that all required inspections arc requested at the proper time. that project address is readable from the streol. thai the peflnit cmd is locuted at (he front of the property, and the approved set of plans will remain on the site at all times during the installatioll of the signlsl. Signalure vhJ~J e,...J..;..:) Dale J h~ A.3 Date Paid: \. ~ .;.Qb' L.(0 Received B('JJ ( [)() ) / neceipt Number: /€;;~~ Validation: ^Illount Received: ~ .. : .. ." ~ SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. H 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 wilh the expiration dale of each. If the sign you are proposing is illuminated, an electrical permit application also needs 10 be completed and signed by either a supervising electrician, limited sign electrical contractor, or if you are Ihe business owner who also owns the building in which you are occupying, and you will be performing Ihe electrical installation yourself, you may sign the electrical application. If there are existing wall and/or 'freeSlandingNSig'~~:'a ph~'tographisi'of-oach'axlstirili slgn,needs to he allnched to the application. The size of each existing sign also needs to be listed on the application. PLANS To submit lor 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 yoo are installing a Ireestanding sign which exceeds 20 feet in total height, the footing detail needs 10 be prepared and stamped by a registered engineer. Aller the plan review process is completed, and, if your sign(sl is approved, one set will be returned to you. The approve~ set 01 drawings need 10 be at the sile when an inspection is reqoested for the inspectors reference. . INSPECTIONS Depending on your signlsl. you may be required to request olle or flll of the followinO inspections during tile installalioll of your sign: ' ,~ Site: To be requested after indicating on the lot where the proposed sign will be located bul prior lU any work being perlormed for the installation of the sign. This inspection is required if there is a queslion on the location of the proposed sign. Footing: To be requested after excaviltion and the forms arc installed, but prior to pouring concrete. II there will be electrical conduit placed in the footing, it must also be in place prior to requesting this inspection. Allachment: To be requested when all lasteners are installed but prior to covel. Electrical: To be requested after the electrical connection to the sign is made, but prior to energizing. Final: Aller all required inspections are conducted and approved and the sign installation is compleln. The inspections that are required for your specific sign will be indicated on Ihe application during Ihe plan review process. . Failure',to ieq'uest ANY ollhe required inspections. could result in sign removal in order to.inspect the sign althe requi",d intcrv,als of wprk. . . To reqJes: ~n insjJection, phone 726-3769. This is a 24 hou:ie~or~ing. '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 requeslin\l. and when you ",!ill be ready for the inspeclion. All inspeclions called in to the recorder prior 10 7:00 a.m. will be mado the same working clay... all inspectiors phoned in 'after 7:0~.a.m, 'will.be made the following work day" . \. .- . ,,' .-' .,. .~(" , If yoo have ,any ques\io~s' regarding' the' applicalio~, required plans 'or inspections, please feel free 10 phone the Building Salety Division at 726-3759.' ,..... < " - .. ", .".., City of Springfield Iluilding Sufely Division 225 Fifth St.-cel Springfield, OR 97477 " ,... '- .. .. SPRINGFIELD DEVELOPMENT SERVICES DEPARTMENT 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, tpp.t.. t.h.~ per"tf.~ .ASSU~d tho construction of a billboard to be located at ----0::1. '+1'l i- nP J.r. ' can be erected once the City ha~~eFJt~ed~^;~~Yfiof Jh~~Sta~, permlt 0 approva and, the billboard located at /7j'1'1 ~)~~r7\, J1~Q:4<:"'" has been removed. Mr. Conklin agrees to contact the BUllding Satety DiVision within ten (10) days to request an inspection once the billboard has been removed. . 4~..R (7..A-k_,4K'-_' Bernard ConKlin .5 k /9.3' Date