HomeMy WebLinkAboutPermit Signage 1994-10-19SIGN PERMIT APPLICATION -
225 Fifth Street
Springlield, OR 97477
SPFINGFIELO JOB NIIMB
rnspection Line: 726-3769
Office: 726-3759
AX LOT:
SITE ADDRESS:
ASSESSORS MAP:
OWNER:PHONE:-q.6*z
ADDRESS:O(r r(Y--trrt+lryo C 2_
I
CITY:STATE:ZIP:
BUSINESS NAME, FlRttrl ETC.:l-2a3 >dez 2a u,l)e
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
N Wall _ Freestanding _ Proiecting
-_
Roof _ Marquee
\, Sinole Face----t---_ Double Face _ Billboard _ Other
Square Footage:<td Total Heig ht above Grade: lZ -5-
Vertical Dimension of sign or enclosure:>-'c,,Horizontal Width of sign or enclosure:r"
#Dimension from Grade
to bottom of Sign Enclosure : (Ol Electrical lnstallation: lc Yes _ No VALUE
(lf yes additional electrical permit is required) OF SIGN Steo
Material Sign is constructed of:@l-qy- &9LgL1e , ${? a }!
List ALL existing signage and attach a photograph of each sign:
(a) Type 4 V c<o ttc4- Ll- Sq. Ftg tbo
(c) Type Sq. Ftg.
(bl Type
(d) Type
Sq. Ftg.
Sq. Ftg.
CoNTRACTOR/TNSTALLER, 29 x -+ <> ! 4t t:t PHONE: 4t tr t- ' .t'J-Lt 4
ADDRESS: t Lr o O4{c-P -ya.q A al
CITY:€u Q6\t€-
CoNSTRUCTIoN CoNTRACTORS REGISTRATION NUMBER. Q T].9 }
srare: & 4 zre:1 )'*, \
EXPTRES: /?1 t-
EXPIRES:CITY BUSINESS LICENSE NUMBER:
OFFICE USE
Sign
Zoning:
Land Use:
N\\LL
(,
Code Section
Approved By:,TE:Sign Permit Fee:
REOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
J/ Attachment
#ter fasteners are
fnstatled/prior to cover
Electrical
prior to energizing
electrical installation
l-/rin"t
" pf.tion of sign
installation
Additional Comments and/or Conditions:
Ouad
\
By signatur.e, I stete and agr.ee, 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 cione in accordance with the Ordinances of the City of
Springfield, and the Laws of the State ol 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 pro.iect.
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 f ront of the property, and the approved set of plans will remain on the site at all times during the installation
Validation:
Receipt Number:
j V
of the sign(s)
Signature
"(,trll!Date
Date Paid:
Received
Amount Received:
2-o9 .)
rlD
SIGN PEBM]T 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 application 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 il you are the business owner who also owns the
building in which you are occupying, and you will be perforrning the electrical installation yourself, you may sign the
electrical application.
lf there are existing wall and/or freestanding signs, a photograph(s) 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 sign which exceeds 20
leet 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, if your sign(sl 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 electricaltonnection 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 7:00 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
1'l( Difrk S.-m.
Springlield, OR 974i17
'a
225 FTFTE STREET
SPRINGFIEID, OREGON
INSPECTION REOTIEST:
OFFICE: 726-3759
1. LOCATION OF INSTAL[.ATIG{ihr,rr:ocl
1.18 >ftd H--*4-L9 t
SPI{INGFIELED
The fcrllov/lng prolac es euLlmillod hes the lc
zoning, and cloes nol , " r-' ir,i * .,tr-.- lll.. tt"'.: g1gg1p1 CAL ,ERUIT App LI CATI 0N
97477 apl>r';val (u City Job Number726-3769
-14 -3. COI{PLBTE FEE SCHEDULE BELOS
k-24
JOB DESCRIPTION
lrt !} " t L/ Ur*( .- tr{ aa9 r )-6(
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:ftems Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _
601 amps to 1000 amps_
Over L000 amps/volts
Reconnect 0n1y
t-1rtasHo31tr)
A.
B
c
Sum
r{ zce L
Permits are
z7>a-5non-transferable and exPire
\ Si{n
if vork is not started vithin 180 days
of issuance or if v6rk is suspended for
1B0 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci ne
S
Supervi sor icense Number 5\
Exp iration Date
Constr Contr. Number
Expiration Date )"1
of Supervising Electrician
Ovners Name
Address
Ci ty Phone
OIJNER ALLATION
The installation i.s being made on
property I ovn vhi.ch is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panef
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2,O0
E. Miscellaneous (Service/feeder not included)
-Each ins tal-Iat ion
Pump or irrigation
Sign/Out1ine Lighti
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAL
200 amps or fess
201 amps to 400 amps
-0ver 40L to 600 amps _
Over 600 amps or 1000 volts
$ s0.00
s 60.00
s100. o0
$130. 00
$300.00
$ 40.00
$
$
$
s
$ 40.00
$ 40.00
$ 20.00
$ 36.00 v
40.00
55.00
80.00
ee I'Bn aEoie
5
/^l b
RECETVED
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