HomeMy WebLinkAboutPermit Signage 1995-01-26a.
StGN
.PERMIT
APPLTCATIOTV
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS:
ASSESSORS MAP:
SPRTNGFIELO JOB r,q TMBER 500
h,lnspection Line: 726-3769
Office: 726-3759
"l1l- Jig(
L
OWNER:Tr; S+wt PHONE:
TAX LOT:
ADD
CITY:
BUSINESS NAME, FIRTVI EIC
(
STATE:01 ZIP:q 1L(11
DESCRIPTION OF PROPOSED SIGN(S): (please chec k and complete all appropriate information)
_ Projecting _ RooI _ Marquee
Billboard K otnet
Total Height above Grade
{*',,
{ t'nn'" tttu
_ Freestanding
Double Face
^s.5
d lf(Square Footage:
Vertical Dimension of sign or enclosure:3 T'.-b''
Dimension from Grade
to bottom of Sign Enclosure:
,.1
lL{,
Electrical lnstattation: X Yes No VALUE
(lf yes additional electrical permit is requiredl OF SIGN:iltlnu
Material Sign is constructed of:
List ALL existing signage and attach a photograph of each sign:
(a) Type
(c) Type
CONTRACTOR/IN STALLER:
Sq. Ftg..
Sq. Ftg.
(b) Type
(dl Type
h
Sq. Fts
Sq. Ftg
PHONE:I'tz- (1b01
ADDRESS:
CITY:
CONSTRUCTION CONTRACTORS BEGISTRATION NUMBERT
STATE:OK ZIP..41\nL+rEXPIRES
CITY BUSINESS LICENSE NUMBER:RES:
OFFICE USE
Land Use:5,3CO Ouad Area:Sign Dir
Zoning:tIKe-Q,-1-Code Section:
Approved By:DATE:Sign Permit Fee:
REOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
,/
VAttachment
fiiffisteners are
installed/prior to cover
)7 Electrical
prio, to energizing
electrical installation
_ Final
completion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, 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 done in accordance with the Ordinances of the City ol
Springlield, and the Laws of the State of 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 prolect.
I further agree to ensure that all required inspections are requested at the proper time, that proiect address is readable from the street, that
the 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 installation
of the sign(s).
Signature Date
Date PaidAmount Received:Validation:
Receipt Number:Received By
Horizontal Width of sign or enclosure:
\-/
SIGN PERM]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.
i
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(s) of each existing sign needs to bo 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
Ieet 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 lorms 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 alter 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 lor 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
225 Fifth Street
Springfield, OR 97477
,.
The lollowing
zoning, and does
approval.
not requir€
cu
?,-
as
SPRIirGFIELO
EI,ECTRICAL PERI{IT APPIJCATION225 FTFIE STREEf,
SPRINGFTELD, oRDGoN 974
INSPECTION REQITEST z 72'
OFPICE: 726-3759 Authcrized Signatu
LEGAI
JOB DESCKTPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONISACTOR INSTALI,ATION OT{LY
EIect rical Contracto r th/t.vh,n t. lrn
Address Z0q \1t{tr(,rtx ({.
Ci ty Phone ftt2- t llqr1
Supervisor License Number Lt<
Exp iration Date
Constr Contr. Number
Exp iration Date
Signature of Supervising Electrician
Ovners Name
Address
Ci ty PhonJ
OVNER ALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
0vners Signature:
DATE:
City Job Number
SCEEDTII,E BELOV
A. Nev Residential-Single or
Mu1ti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
$ 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
speclfic land use
200 amps or less
201 amps to 400 amps
-401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect Oniy
c
q5 oln
B
Sum
$ s0.00
s 60.00
s100.00
$130. 00
$300.00
$ 40.00
s see uBu aE6E
00
00
00
00
$ 40.00
$ ss.00
$ 80.00
J-
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amps
Over 600 amps or 1000-voTt
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)
-Each installation
Pump or irrigation
Sign/Outline Lightlng-f
Limited Energy/Res
Limited Energy/Comm
s
$
$
s
40.
40.
20.
36.
=
5 SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
CITY OF OREGO'V
RECEIVED
o
1. LOCATION OP INSTALT,ATION ,I" """ iil"il"'
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