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HomeMy WebLinkAboutPermit Signage 1996-03-22zoning, and does not require sper SPfIINGFTELr) @ 225 FI.Ytg, STREET SPRINGFIELD, OREGON 97477 ,- INSPECTION REQUESTz 726-37 permits are non-transferable and expire if-"ott is not started vithin 180 days ;i i;;;."ce or lf vork is susPended for 180 days. 2. CONTtsACT0R INSTALI^ATpN ONLYVss { Electrical Contractot .?o - 31'L Cc X orrtcr: '726-3759 TION1.OP LPfAL DESCRTPTION 6D DESCRIPTION Address 1.1> Phone 3 /t/- Zr 3 crt Supervisor Licen-se Number /?oQ Ktf Expiration Dat e a'?L Constr Contr. Number //z>3 6 Expiration Dat e ? -t{-qa Slgna ture of SuPervlsing Electrician rrners Name Address /?q lWrmw tL clt o vttonffifu1'J!!!$ CC ELECTRICAL PERHIT APPLICATION City Job Number ?0 03fz SCtrEDIILE BELOV Nev Residentlal-Single or HuIti-FamilY Per dvelling unit' Service Included: Items Cos t $ Bs.oo1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Servlc-e or Feeder $ 1s.00 s 40.00 Services or Feeders fnstallation, Alterations or Relocation: z2- A Sum B 200 amps or less iOr u.b. to 400 amPs -__- 401 amps to 600 amps - 601 amps to 1000 amPS- Over 1000 amPs/volts -.-Reconnect 0nIY s 50.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00 c D TemporarY Services or Feeders insta[aiion, Alteration or Relocation 200 amps or less $ 40'99 iOr u*i," to 400 amPs - q ::'99 over abr to 600 amPs - - $ 80'00 0ver 600 u*p. o.'.i6oo *Ttt see rrB" aMG- Branch Circuits Nev, Alteration or Extension Per Panel i OVNER INSTALI,ATIOI'I The installatioir is being made on ptop.tty I ovn vhich is not intended for sale, lease or rent' E One Circui t n""t Addi tional Circuit or vith Service or Feeder Permi t s 3s.00 s 2.00 Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting--_-- Limited EnergY/Res - Limited EnergY/Comm I SUBTOTAL OF ABOVE 5Z State-Surcharge TOTAL $ $ $ 40 40.00 20 00 5 DATE:o ure: o 6D 00 D7) u), City 2'=.^ - . a AI-ARH.SYSTTX PERHIT _ S4O FEE CITY OF SPRINGFIELD DEVELOPMENT SERVICES 225 FIFTH STREET SPRINGFTELD OR 91411 DATE: 3- E2 _{L IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS LOCATION? RESIDENTIAL BUSINESS If a residentially installed system, please-couplete questions i-tnt".gt-O- ff-ihe systen is- being-i13t"ff3a,3t " business iocatioi, please complete questions 7 through rJ' 2. Address: r.i f rr. State:zi p: Is the system being installed by the homeovner? Yes- No- Ifno,thenindicatethecompanythatvillbeinstallin8thealarm sys tem: 6. Date of installation: 5 oFr- -l o c-)rnmm z7 'o c/1m --{ m c-)rn z. z.CC rn@@ommFF (^) \ N N l\ N --l oMCz- -]J -]J-73n rrloc)<rnrrl Ho<m = rnt-m(-) --{7 H C ).' r -o rnF -{ zo *R p LB 7 Business name (only if system vas installed in business): s' B. Ovner Name:(s, 10. Business address:{ City:.a ^State; 6zt Zipz ?zy ^- 11. Phone Number 7 /a - 2y/3 12. Company that instaLled alarm system z-V'at { - {'-' -t'r" 13. Date of install-ation:2- ELECTRIGAL PERMIT REQUIRED ,z-,t g. ovner date of birfit+ ' ,?P ' 74 *?- CITY OF SPR OFEGO'V SPRIiIGFIELE' SPRTNGFTELD, oREGoN 97 477 INSPECTION PSQUEST2 726-3769 OPFICE:726-3759r't 225 FIFTE STREET 1.OF BI,ECTRICAL PBRI{IT ial-Single or Hulti-Family per dvelling unit. Service Included: I tems Cos t $ 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or lessior "*i," to 4oo amps -Over 401 to 600 amPs 0ver 600 amps or 1OOOErfs Branch Circuits Nev, Alteration or Extension Per Panel L City Job Nunber _*-3 3. COT{PLSTB FEE SCEEDTII,E BEIOS L': tii Sum brscntptrou Permi ts non-transferable and exPire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACIIOR INSTALI,ATION ONLY Electrical Co n t rac tor frnl address ZOY -Jdhn( Ci ty Phone 3\7- 17 [,0t 115 t Expiration Date Cons tr Contr. Number Expiration Date Signature of ing Electrician 0vners Name Addres Ci ty Phone Supervisor License Number OVNER 200 amps or less $ 50.00 401 amps to 600 amPs - 9199'99 601 amps to 1000 amPs- $11q.99 i over 1b0o amps/vortl - $300.00 Temporary Services or Feeders Installation, Alteration or Relocation B c D. above $ 40.00 s ss.00 $ 80.00 seg ttBlt +one Circuit $ 35'00 Each Additional Circuit or vith Service or Feeder Permit $ 2'00 E. Miscellaneous (Service/feeder not included)The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: -Each installation Pump or irrigation - Sign/Out1ine Lighting iLimited EnergY/Res Limited nnergY/Comm {tft-J4- $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TO1AIRBCEIVED -.< uflL-%- I L!- lnU 7 t'tt -----1-)-- JoBNUMB; qamKb SIGN PERMIT APPLICATION 225 Fif th Street Sprinolield. OR 97 477 SITE ADDRESS: ASSESSORS MAP: SPNIhlGFIELO Zfr, lnspection Line: 726-3769 Oflice: 726-3759 TAX OWNER: ADDRESS CITY: (P}IONE: 2J E,nfiy',ru tnt Z STATE:CK ZIP: 't-tr'v BUSINESS NAME, FIRi/l ETC. DESCBIPTION OF.PROPOSED SIGN(Sl: (please check and complete all appropriate inlormationl .\ ,/_)C W"tt _ Freestanding _ Projecting _ Rool Marquee(\ Squarc Footage Total Height above Grade: t," t Vertical Dimension of sign Dimension {rom Grade to bottom of Sign Enclosure; or enclosure:3 It"l (ll yes additional Material Sign is constructed of: List ALL existing signage and attach a photograph of each (al Type Sq. Fts j lcl Type Sq. Fts. CONTRACTOAIIV STALUEN: ADDRESS: Z [1 Electrical I ol sign or enclosure: No VALUE is requiredl OF SIGN: Sq. Ftg. Sq. Ftg. hc/)'! lbl Type (dl Type NE:.?42- t >bal CITY: CONSTRUCTION CONTRACTORS ClTYBUSINESS NUMBER: ZlP: NUM EXPIRES OFFICE USE Sign Zoning: Sign Permit Fee: BEoUln;D INSPECTIoNS: Land Use: Code Section: Approved By: Area: 6ricat prior to energizing electrical installation DATE: . Sited-' to be made prior to.slgn placement Footing prior to placement of concrete u/t rrrchment alter lasteners are installed/prior to cover y'rh"t completion of sign installation IAddltional Comments andlor Conditions: t By .signature, I state and agree, that t have carefully examined : t:"p-:ig corect. and I turrher certify that any and alt workbprrngrietd, €nd the Laws of the State ol Oregon pertaining employecs who are in compliance with OnS 7O1.OS5 will be tlre. completed application and do trercby certily that a[ inlormation hereinperlormed sha, be done in accordance iritn tne ordinances of ine citv o(to the work described herein. r rurther certiry.rtrat onty contrrciors anoused on this project. to ensure that all required inspections I is located at the front of the property, are requested at the pro-per time, that project address is readabre from the street, thatand the approved set ol plans will remain on the site at all times during ft e installation I ful'ther agree the p.ermit card ol the siOn(sl. Signe turo Date Z Date Paid: / -zAmount Received: Receipt Number: Validatido: 2?a/g/Received By: .tr'i i f[" l"q b r( I S'"IlNGFIELO zoning, and 225 FIFTB STREET APPTOVAI. SPRINGFIBLD, OREGON 97477 ZON proleci as submited hre the following does not roquire specllic land usg CV BLB TRICAL PER}IIT APPLICATION INSPECTION RBQTIEST: OFFICE: 726-3759 Authorized LOCATION OF INSTALLATION I +1 q r'? oPrAu€ Jo&DmI{oN - ,\ Permits are iron-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contractor A?"{ I & Atutttt'tt< Address LI Ci ty gu1bl4- phone +6q -q5+t o Ovners Name Address Ci ty Phone OVNER ALLATION The installation is being made on property I orrn which is not intended for sa1e, lease or rent. 0vners Signature: DATE: + Ci ty Job Number SCHEDULE BELOIT A. Nev Residential-Single or MuIti-Family per dvelling unit. Serviee Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.oo $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: tz6dil52t9jji_n?%/slt 1 Sum B Supervisor License Number Oe. q 15 5f Expiration Date /o- I Constr Contr. Number 6 Taol Expiration Date 2-'7o " Signature of Supervising Electrician D. Branch Circuits New, Alteration or Extension Per Panel $ 3s.00 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see rrBrr above One Circui t Each Additional Circuit or vith Service or Feeder Permi t SUBTOTAL OF ABOVB 5Z State Sureharge TOTAL c $ 2.00 E Miscellaneous (Service/feeder not included) -Each installation P I tion rgy Limited Energy/Comm a:$ 40.00 s 40.00 $ 20.00 $ 36.00 40 eo 2-Oo /0utI ine RECEIVED BY: 5 42. a C'TY 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps _ $100.00 601 amps to 1000 amps_ $130.00 Over 1000 amps/volts _ $300.00 Reconnect 0nly $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 5 rr lI lN (; l: l.:: 1- ll x\J$ I 0 Lt i'i:ntull'r /\l'[''Ll cAl-l' 24',J l:rllttl Str(ret Sprirrglir:ld, Ot1 97477 LOCAIION OT PROI)OSED WORI( .IUMB[:II lnspcctiorr Lirrc: 726-3769 Office: 726-3759 q l^) TAXLOTA:IS[SSONS N4AP:- OWNE|I: D t-{ t s vAu a #kN PrloNE: 7+ l- bZ33 ADDNESS I r1o ffALuE CITY: _.----.*-.*-ar (a.STATE ev ZIP:a 1+11 IIU:ilNtrliS NAM[, flFtM ETC DISCR[)-ilONl OF ptlopOSED SIGN(S]: (plcase c;hccl< and r;ornl.rlctc all appropriate inforrnation) Wall [)irrrr:rtsiort fri:rtt G ltr l)oLtorrl of Siilrr: ___ Freestartdingx ____ Sir,rglc Face _- Double Face -=-- Proiectirtg Uillboard Elcr;rrical lrrstallation: ,X V", -. No (lf yes additiortal pernrit is required) -- Roof - Marquee Total l-lci0ht above Grade I L|-o" l-lorizontal Width of sign or cnclosure jo/ -at' Sirluzrrc Foota0e l5o Vrrrtir:irl Dirncr-tsiclrt <lf sigri or enclosure:1t -o" rirdc llr_rr,VALUE: A BOO .@ Matr:rial Sigrr is cotlstlUCtcd of LUl-r I L,P t.ist Al-L cxistirtly silpr;rgc allcl attacll a pllotograplr of eaclt sign (r) -l-ypc lep6 S11. Ftg (r;) -['ypt:Sq. Ftg (tr) Typc (d) ]-ype , Sq. Ft9. Sq. Ftg. Qzt'195-55+u C ON'I ItN CTOI I/I N S]'ALLER: ADDT][SS Lto €STATE o ZIP:?-71a> EXPIRES:t>- )p *a3CITY: -_ COhJ.Sl IttJC-f IOl.lC0I'J f RACTOnS REGISTRATION NUMIlER:Z o Cll-Y UUSINI:SS LlCl:NSE NUMBER a 2a4q6 EXPIRES: 6-7o-.f OFFICE USE Land Use: Code Sectio Alrprovcd By al Ouad ArcaSigrr District Zonirtg Sirlrr Pr:rrttit Fttc: Rt-OUItt[D INSPEC]'IONS Sitc r,i rriii,ia,te prior t() sr0r).1)lacclT]ent Footing piior to placer-nettt of concrete A t tac llrncrl t fastcn0rs are llecl/prior to covir \ pnor Electrical energizirrg DATE ins tallation inaI ion oI sign ArliJitiorral Cotnrntltlts arrd/or Corrditions: SprirrgfielrJ, arrd tlre L;rws ol Ihe state of orcgorr lrertairring to tlle work described hereirt. Ilurther ccrtify that orlly contractors arld ,:,,tttloyc,es wlro arc irr conrpliance wittr oRS 701.055 will be usetj orr tlris proiect' tlrr.- pcrrrrit r;ar<.1 is located at ttlc Irort of tlrc propcrty, arrd the approvcci set of plans will rcmairt on the site at all tirnes durirrg the installation oI tlrc sigrt(s) Sigriature g- Antount Rcceived Rcceipt Number: Date 4'-7n -q9 Date Paid:Vllidtrtiorr: OD L Received By PI-IONE: SIGN PENMIT APPLICATION 'l lrc il1l1rlir;irtiorr on tlir: rcvorsL: sidc rrcctls Io rlc corrtl;leted r:rrlircly. lf you are tlre sign contractor/irlstallcr, or if You are lririrrg a contrilctor, you need to rrral<e sure tllat botll the City of SpringliekJ Business License Nurnber and the Registration Nur.r,rber frorrr tlre Stat0 ol Oregon Coilstructiotr Contractors Board are listed on tlre applicatiorr along with ttre expiration date ol eat:lr, lf thc sigr.l you are proposing is lllurnirrated, an electrical perrnit application also needs to be completed and signed by either a supcrviging uloc[rician, limitcc, sign alcctricol cor]tr0ctor, or il you oro the buslnoss own0r who also owns tho bulldlng ltl which you are occupying, and you will be performing the electrical installation yourself. you may sign the electrical applica tion. lf thcre arc existing wall and/or freestarrding signs, a photograph(sl of each oxisting sign needs to bo attached to tlto applicatiorr. Thr: size of each existing sign also needs to be listed on the application' PLANS 'l'o subrnit {crr a sign permit, you need to prepare two cornplete sets of drawings showing all dimensions, total height, and a,lot piarr iritiii;atirrg where il-re proposed sign will bc locaied. li you arc installing a frccstonding sign l.rhich cxceeds 20 tcct irr total ircight, the footing detail rrecds to be prepared and stamped by a rcgistered engineer' AIter the plan review l)ro(ioss is r;orrrltlctcd, ar.rrl, if your sign(s) is approved, onc sct will bc returned to you. The approved set of drawings nccd to lrc at tlrc site wlrerr an irrspection is rcqur:sted for tllc irtspectors rcIerence' INSPECTION Dcpc.<lirrg ()n your si01(s), you rnay bc rcquirr:rJ to rcquLst orre or all of the {ollowing inspections during thc irrstallation oI your sigrt: 5ttc: F oo I irrg: At taclrrnent Elec trical: Final: -l'o be rcquested after irrtjir;atirrg ort the l<.rt wl.rere the proposed sign will be located but prior to any work beirrg pcrforrnerj for the irtsrallation o{ the iign, This inspection is required,if there is a question on the Itrcirtrtlrr o{ the ltroposud sigrt. 1-o ltc requestec.l a{ter exci)vlfior) arril tl.re forrns are installecj, but prior to pouring concrete, lf there will be elc<:trical conduit placed in thc tootir.rg, it rnust also be'in place prior to requesting this inspection. To be rcque sted whetl all Iasterrers are installed but prior to cover' To trc requested after the electrical connection to the sign is made, but prior to energizing' Aftcr all required inspections are conducted and approved and the sign installation is complete. 'l'tre inspections that are requirecl {or your spccilic sign will be indicated on the application during the plan review process' Failure to rc(lucst ANy of the required insltectiorrs couki result in sign remo.val in orcler to inspect the sign at the required ir'ltcrvals of worl<. Tcr rcilucst arr irrspcctiolr, phorre 726-3769, Ttris is a 24 lrour recording; On the recording you will need to leave your City Dcsignlttccl Job Nurrrber, location of whcre tlrc sign is beirrg installed, the type of inspection you are requesting, and when yo, *ltt bc rcady 1or ttre inspcction. All irtspcctions called in to the recorder prior to 7:00 a.m. will be made the same worl<irrg riay, 1ll i1s1:ections phoned irr aftcr 7:00 a.m. will be madc the lollowing worl< day. lf you havc any qucstions rcgarrlirrg the applicatiorr, rcquircd plans or inspections, please feel free to plrone the Building Safcty Divi>^irln ot 7?0-3759 Ci11' ol' Springl'icltl Iluilrlirrg Stl'e(y l)ivision 225 I,'il'lh Strcet s^lrrirrgl'icltl, Oll 97 tl77