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Home My WebLink AboutPermit Signage 1996-2-26 (2) SIGN PERMIT APPLlCATIOtlt 225 Fifth Street Springfield, OR 97477 ~ JeeUMBER . q~D~ LOCATION OF PROPOSED WaR, K: 1<. PD :anRA~CF. ,LLJ \ ASSESSORS MAP:_._,_ _ \l~ OWNER: KPD .:Il..JSutZAlJ(.t' ADDRESS: ~n I (;ATfLVAj L.OoP ~(I~R~\r:I BUSiNESS NAME, FIRM ETC,:--1-<' P D Inspection Line: 726,3769 Office: 726,3759 <0AIE./..JA~ ril( 90-injf;'C\~ OI2.-1T/~7/ TAX LOT: lri1:'A ' PHONE 7 LfJ - 0 r:;SO " CiTY: STATE: nr<. .::tNSU(2AkJCE, .J..tJC. , ZIP: Cj'7<.J77 , DESCRIPTION OF PROPOSED SIGNISI: (please check and compiete all appropriate informationl Wall ~ Freestanding 1./- -Y.- ~ Face tj' Projecting f100i MarQUC(~ Single Face Billboard '_ Other ,', Vertical Dimension of sign or enclosure: ,QI / _, n /I Total Height above'Grade: VI d. , ontal Width of sign 0' enclosure: t.-/ I Square Footage: Dimension f,om Grade I ") \ I Electrical Installatio to bottom of Sign: 3 do (If yes additionai Material Sign is constructed of: a IU(Y\i nUri\ No ~ VALUE: ."'),SOO , Constrvc\-(C(\ wit"" pd~:f.c..l'h:,nQk.- .{;,.L{"o::, List ALL existing signage and attach a photograph of eech sign:N9 Ej.,\ S> 1'1 N~} iJE: w Loc.A 11 'D J lal Type Sq, Ftg, Ib) Type Sq, Ftg, Icl Type Sq, Ftg, Idl Type Sq, Ftg, CONTRACTORliNST ALLER:r~ t A .:t /<-/r , r R6 PHONE: l./&--s'';l!(' ADDRESS: J210 OAK.PATO-I CITY: El{3en<. CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: CITY BUSiNESS liCENSE NUMBER: C)Sn'?->97 -, -. ~,,-_.. ZIP Cf7yo2... EXPIRES: :J - :J. - '17 EXPIRES: C. 3() - 9G STATE: 0(2... II J Z5c. I-~ ('oouy\ / Sign District: Land Use: Zoning: ~~ J Code Section: Sign Pe,mit Fee: ~~ Approved By: OFFICE USE ~ Quad Area: ~-~ - \ (2.) ~ \l~ DATE: ~~C!\~ REQUIRED INSPECTIONS: Site to be made prior to sign placement V Footing prior to placel"flent of concrete Attachment after fasteners are instal!edlprier to cover V' Electrical prior to energizing c/ Fin<ll completion of sin!) installation Additional Comments and/or Conditions: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein is true and COllect, and I further'Certify that any and all work performed shall be done in acco'dance with the Oldinances 01 the City oi Sp,ingfield, and the Laws of the State of Oregon pertaining to the work described herein, I further certify that only COl\tracto's 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 p(oper time, that project address is readnblc from tlH") 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 Instaliation of the sign'lsl. ~o.rr,L. ){ ao-cLc v Validation: Amount Received: Date db} jq~ . Date Paid . &~\n<..t\tJ - - " Received By: ~~ Signature Receipt Number: . . SIGN PERMIT APPLICATION The applicJlion on the reverse side needs lO be completed entirely. If you are the sign contractor/installer, or if you are Iliring " cOlltracto" you need to make sure that both the City of Springfield Business license Number and the Registration Number Irum the State of Oregon CunslruClion Contractors Board a'e listed on the application along with the expiration UJle 01 CJctl. . \ II tlie sign you a,e proposing is iiiuminDted, an electlical permit application also needs to be completed and signed by eithe' a supervising electlician, limited sign electrical contractor, or if you are the business owner who also owns the building in wllicl1 you a'e occupying, and you wi Ii be performing the electrical installation yourself, you may sign the electrical application, ~ II tliere D'e existing waii and/or j,eeStDndlf1g signs, a photographlsl of each existing sign needs to be attached to the application. The size 9f each existing sign also needs to be listed on the application. PLANS Tll sulJlllit lor a sign permit, you neud to Pll!P~HC two complete sets of drawings showinO all dimensions, total height, and J plOl I1lall inuicating where the proposl:u sign will be located. If you are installing a freestanding sign which exceeds 20 icot in tolDl height. the footing detail needs to be p'epa,ed and stamped by a ,egistered engineer, After the plan review prucess is completed, and, if your signlsl is approved, one set wiii be returned to you, The approved set of d'awings need to be at the site when an inspection is requested for the inspectors reference, INSPECTIONS [)cI","di"U un your signlsl. you may be required to request one or all of the following inspections during the installation 01 your siUrl: Site: To ue requested after indicating on the lot where the proposed sign will be located but prior to any work being perfo,med fOl the installation of the sign, This inspection is required if there is a question on the location of the proposeu sign. FOOIlIlO: To be requested alter excavJtion and the forms are installed, but prior to pouring concrete. If there will be electrical conduit placed ill ltlC footing, it must also be in place prior to requesting this inspection. ;:\tt~CI1l1'l:lll: To be requested when all [usteners are installed but prior to cover. E!,::ctrical: 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, Tile inspcctio,,ns that are required for your specific sign will be indicated on the application during the plan review process. Fuilure to request ANY of the ,equi,ed inspections could result in sign removal in order to inspect the sign at the requi'ed illlCrvols of work. Tu requesl an inspection, phone 726,3769, This is a 24 hou, ,eco,ding, On the recording you wiil need to leave you, City Designaled Job Number, location of where the sign is being installed, the type of insp,ection you are requesting, and when yuu will be ready for the inspection, All inspections called in to the recorder prior to 7:00 a.m, will be made the same wurking day, aii inspections phoned in aite' 7:00 a,m, will be made the following work day. II you Ilave any questions regarding tl1e application, required plans or inspections, please feel f,ee to phone the Building SalelY Division at 726,3759. " , . . Cit)' ur Spril\~ricld lSllildillg Surety Divjsioll 225 Fifth S~'eet Springfield, OR 97477 , . ,- ~ :