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
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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