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Home My WebLink AboutPermit Electrical 1997-10-02a OREGON The lol)ou zoning, ar approval. ing pro.igct es su td does not roqrr i ' iFtELE, A- Nev Residential-Single or 2fr, Zcning NOilCE: IHIS PEHMIT SPRING.FTE-IJ!r INSPECTION OFFICE: 726-3759 1 OF 7 MuI t i-Fa Service mily per dvelling unit Incl-uded: I gon DESCRIPTIoNVAnr\,1000 sq.ft. or less S 85.00 trach additional 500 sq. ft or portion thereof S 15.00TI?ermit-s are non-transferable and expire if vork is not started vithin 180 days Each Manuf'd Home- or of issuance or if vork is suspended for Hodular Dvelling Sertice or Feeder S 40.00180 days. S 2. CONTRACTOR INSTALLATf0N ONLY B. Services or Feeders Electrical Contractor n Phone 3qA- l)(g I tems Installation, Alterations or Relocation: ing-f- ci Supervisor License Number Expiration Date nqo Constr Contr. Number tp 4 Expiration Date Signat 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect 0n1y Address 0vners Name Add cit $ s0.00 s 60.00 $100.00 $130.00 s300.00s 40.00 C- -Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40 201 amps to 400 anps - $ Ss 0ver 401 to 600 amps $ B0 Over 600 amps or 1000 voTTs see 00 00 00 llrvlsc1:rn OSNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: B" a66G- D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL Phone b1.13 s 40.00 $ 40.00 $ 20.00 s 36.00 v P )-. RBCBTVED 5 -Each installation Pump or irrigation Sign/0ut1ine Light Limi ted Energy/Res T LOT IGN PERMIT APPLICATION SPFlINGFIELE' R ln Qtt+) 25 Fif th Street jpringfield, OR ,rorrNoTlCE:'lnt h, JOB NUMB ....pection Line: 7 26-37 69 Office: 7 26-3759 1 'Pi$rue, frb- aq{ - 5t t t trar frl-1qb - Gsl,ro S FEF]AIiT SHT\LL E tRF SITE ADDRESS: ASSESSORS NXAP OWNER: t rl -(> ADDBESS: 32o tCul Sec^al Arer,re 5.ri{<-6jp CITY P.,*|t.,^ A-STATE t3cn>ZtP: q n )ctl BUSINESS NAME, FIBII/ ETC.:Cornn tarci n L dl* OeSCnrefy'f,f OF PROPOSEU SIGN(S): (please check and complete all appropriate information) /.,/ watt Freestanding - Proiecting - Roof . :_ Marquee _ Single Face _ Double Face _ Billboard Other Square Footage: s7t it€Total Height above Grade tgi-(, " W V,.b* Vertical Dimension of sign or enclosure: Material Sign is constructed of Dimension {rom Grade . t .l to bottom ot Sign Enclosure: ]|LI 'O"required) OF SIGN: 55O, o> Electrical lnstall (lf yes additional of sign or e No nclosure: VALUE rl $i11 g - rn ", ngtr+tt I el e I c5 ctrical perm List ALL existing signage and attach a photograph of each sign: N lA(a) type (c) Type Sq. Ftg Sq. Ftg (b) Type (d) Type Sq. Ftg Sq. Ftg PHONE: Stil- 3U)-t70,1 ADDBESS: -;h..t k*{et*rn er CITY CONSTBUCTION CONTRACTORS REGISTRATION NUMBER: STATE:ztP: 9lYc'2 .{7 -1- c(8 CITY BUSINESS LICENSE NUMBER EXPIRES EXPIRES b- lc 3 OFFICE USE Sign District Zoning Land Use Code Section: Approved By: Area 55Sign Permit Fee REOUIRED INSPECTIONS: . Site to be made prior to sign placement Footing prior to placement of concrete ,// L/Attachment afH?i-steners are installed/prior to cover ,/(/ El""tir;rr froiE-energi.ing electrical installation / r,n", completion of sign installation DATE: Additional Comments and/or Conditions By signature, lstate and agree, that lhave carefully examined the completed application and do hereby certify that all information hereinis true arrd correct, and I further certify that any and all work performed shall be done in accordance with the ordinances of the city ofSpringfield, and the Laws of the State of oregon pertaining to the work described herein. lfurther certify that only contractors andemployees who are in compliance with oRS 70,l.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, thatthe permit card is located at the f ront of the property, and the approved set of plans will remain on the site at all times during the installationof the sign(s). Signature Date Q-at"-q7 Amount Beceived Date Paid:Validation Receipt Number Received By I CONTBACTOR/IN STALLER: t 6)7S SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. lf 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 apolication along with the expiration date of each. lf the sign you are proposing to install 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. lf there are existing wall and/or freestanding signs, a photograph(sl 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. lf you are installing a freestanding slgn 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,il 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 your sign(s), 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. Footing To be requested after excavation and the forms are installed, but prior to pouring concrete. lf 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 inspections called in to the recorder prior to 7:OO a.m. will be made the same working day, all inspections phoned in after 7:00 a.m. will be made the following work day. lf you have any questions regarding the application, required 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 \-/ \/