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Home My WebLink AboutPermit Signage 2000-1-10 '" 225 Fifth Street Springfield, OR 97477 aIL.. tit 4'1.Sc/ FrD-.-\..l~ ~ /7D 3 3<-1 '-I, .UMBER rro -tr7; 0 (p aJ- D i-- ~SIG}.J PERMIT APPLlCATle SPRINGFIELD OWNER: l(am.l;e!A -W~ u,-",PtJ",v '/;)58'(/ rrtJ,.,)C./;'" }5J",.d ( S j?n''''1 f;' ~ Jd STATE: ~tf'Z Inspection Line: 726-3769 Office:J~~61&5IDOO/l:15 PM/$ 1.20 ACCT#:100-OOOOO-426605 RCPT#:Ol-0000278/MARIN BRnTHF~q RTr,~R TAX lOT: /,'\lrf) ,TnRlI'nn-OOO~Q:2l PHONE: ?;) t - 7-.(:;;::; SITE ADDRESS: ASSESSORS MAP: ADDRESS: CITV: ZIP: 7 94~??- BUSINESS NAME, FIRM ETC.: C;A.md DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information) Wall X Freestanding _ Projecting Roof Marquee Single Face --Y Double Face Billboard Other Square Footage: "lgF Total Height above Grade: 15' Vertical Dimension of sign or enclosure: '1' -f)~1 Hari7nnt::ll Width of sign or enclosure: J 2.. I_f) II' Dimension from Grade I II ~ectrical Installation: --2{Ves _ ~ VALUE t:> 0 to bottom of Sign Enclosure: II -() \,(If yes additional electrical permit is reqUired~OF SIGN: '2 l' ~ /) tJ Material Sign is constructed of: A/u."",,;,;, "'--: r trbi...e+ -: c.J; fA. <;.J-e.e I C; .....Pl'u+ ;"f'-A.. List ALL existing signage and attach a photograph of each sign: (a) Type -fLk C't''' (cl Type Sq, Ftg. h4 .., J '" ,,'A_ (b) Type ~ /) -I .....-- Sq, Ftg, Sq, Ftg, (d) Type Sq. Ftg. CONTRACTOR/INSTAllER: /I1a y"..J-j" ADDRESS: :2 ()" :7<! 1'';:;'' rr (J rJ 0_, (. , S ,:.; h c..:zY> c. . , PHONE: -r ~ ::>-/7-,(''9 CITV: FIA.&:e.... r STATE: 6/L ZIP: 9 ~ 02- CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: EXPIRES: CITVBUSINESS LICENSE NUMBER: EXPIRES: OFFICE USE Zoning: Sign Permit Fee: ::iPse;. Code Section: <:::; 300 q d-../ ~ ('2.. ') .:. - '" cK"'{ - w~ Quad Area: I c...N ""J Sign District: (!. '" ~ .._:,~ c...e..... C,.,.... land Use: -- Approved By: DATE: REQUIRED INSPECTIONS: Site to be made prior to sign placement Footing prior to placement of concrete Attachment after fasteners are installed/prior to cover ~ctrical prior to energizing electrical installation ~Final completion of sign 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 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 only 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 sign(s), J<<:ignature ~jJ /?j}~ i-ate h/ 1/ f1 /6?J IJ ~-/. / Tf ~ Received By: J -/CL - o-D ~ il Receipt Number: $c;z. ;;; 7 1. Date Paid: Validation: Amount Received: .... . . ,./ '-.. .. l~' 1-' .. r ~lA"1 ~v6,~;~~'-UULO( I,-n.;:' n : ',tr. ,,, II" ,n"'HT[Joe ,~ '.1 ':":',G.\,-.'~"'\,r..I:'f,'I', ,','.', <.;~I,-' ~"2;:,,,~, n,'" -' .; :'r,_ OdOt)(Th~lap'p,!jsation 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 Lic~nse Number and the Registration Number from the State 01. O,egon Cpn'struction Contractors Board are listed, on the applicati'on, along with t~e exp,iration date of each, SIGN PERMIT APPLICATION If the sign you are proposing to install is illuminated. an electrical permit'application also needs to be completed and signed by either a.su'per~ising electrician, limited sign electrical contractor, or if you are the business owner,who a"lso owns the building in which you are occupying. and you will be performing the electrical installation yourself, you may sign the electrical application, \. ;" . ~ . J..:\.'.: " .,' . If there are existing wall and/or freestanding signs, a photograph(s) of each axisting 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 indicati~ where the proposed sign will be located, If you are installing a freestandi.ng 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 c'ompleted. and, if your sign(s) 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 you', sign(s). you may be required to request one or all of the following inspections during the installation of yay' 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, . . 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: ". '. r To be requested after the electrical connection to the 'sig'n is made: but prior 'to 'energizing. Final: After all required inspections are conducted and approved and the sign'install1ltion 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 inspections called in to the recorder prior to 7:00 a,m. will be made the same working day, all inspections phoned in after 7:00 a.m. will be ~ade the following work day,. If you have any questions regarding the application, require~ plans or inspections. please feel free to phone the Building Safety Division at 726-3759. City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 4,'.-" ;'\.~~ :."': . The following project as submitted h~s ttle tOl!o~ing zoning. and does n",t reqUire Spf:!CITit: lane \H>~ approval {],C!..- Zoning ZZ5 FIFTH STREET Date 1- {~\ SPRINGFIELD, OREGON 97477 . ~ INSPECTION REQUEST: 12'II'2g~ignature OFFICE: 726-3759 1. LOCATION OF INSTALLATION -&.~rr"'-=.}AlAI'~ ~(C1t:.T\" ' A. '1:l. <;;'i! F.....J<:';, fJl tI~ r"'PNLJ rh. "'?-'to:!. LEGAL DESCRIPTION ' tl0:, ~L\ 4{ OI~U() JOB DESCRIPTION ~~~...--.e. Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. Z. CONTRACTOR INSTALLATION ONLY Signature of_Su~ng_Eler.trician ,,/_ ~;ft-l/h/:J . ovl!ers Name (,.-e()~t;f' K~""b-tk0 I Address lj;l. 5~ 1==~... ~I..... ill...,J Ci ty C "'11.., ~ tJ (\. Phone -;; 2. (,. -1-b:2.5 o~ ~tT~LATION The installation is being made on property I ovn vhi~h is not intended for sale, lease or rent. Owners Signature: --~-~~~~~-~-------------------- DATE: j-r<t-CTV RECEIPT If: RECEIVED BY: ~ AMTRECD:2 $ 99.00 CHANGE: CASHIER: 032 'ELECTRICAL PERMIT APPLICATION , ' City Job Number Q1) - ll1Jl) 100 -0 I 3. COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Sum Items Cost 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home, or Modular Dwelling Service or Feeder $ 40.00 D. Branch Circuits B. Services or Feeders Installation, Alterations Electrical Contractor ?'>1a....ti" BrDJ, S;:,nJ ,or Relocation: Address 20'l.T.e.t:.kASD"'- !tv<I('.(). l3t>x 2D&'l 200 amps or less .:- 201 amps to 400 amps City { .., (' '" e Phone 31/:2-/1-' 'j 401 amps to 600 amps 171'- 1't4P'Z-, 601 amps to 1000 amps Supervisor License Number ~~~lr~'" Over 1000 amps/volts I I ' ~ Reconnec t Only Expiration Date~1?1 { I ~ If- C. Temporary Services or Feeders Constr ContI:. Number ('4h18" Installation, Alteration or Relocation Expiration Date '3 -/2- 2 t901 200 amps"oT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above '$ 50.00 $ 60.00 $100.00 $l30.00 $300.00 $ 40.00 " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting I Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 37. Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 ~' $ 20.00 $ 36.00 4>40,- ,;;,'f;1'j I. ),0 ---.t1> ~t -