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Home My WebLink AboutPermit 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 cc