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Home My WebLink AboutPermit Signage 1992-12-17SPRINGFI€Lf,q&\le5eJOB NUMBERSIGN PERMIT APPLICATION 225 Fif th Street Springf ield, OR 97 477 2fr, lnspection Line: 726-3769 Office: 726-3759 SITE ADDRESS / ASSESSORS [/AP owNER: -9 t-O /" r il<a a ,O /.,, PHONE: 7 /a-7ot 3 TAX LOT ADDRESS CITY: a JPA //rtFra/r>SrArE: 7" a / ZIP:E7/7)-/ / BUSINESS NAME, FIRM ETC Vn FsY/qr- -/E A lu E As DESCRIPTION OF PROPOSED SIGN{Sl: (please check and complete all appropriate information) - Wall -[ fru"rtanding - Projecting - Boof - Marqueef+ - Single Face K DouUte Face - Billboard _ Other Square Footage:Total Height above Grade: Vertical Dimension of sign or enclosure:G/of sign or enclosure:g Dimension from Grade to bottom of Sign Enclosure: Electrical ln (lf yes additional Material Sign is constructed of:S v( ,'< '_ No VALUE it is uired) OF SIGN Aqo'2.s-oa,- List ALL existing signage and attach a photograph of each sign: (a) Type (c) Type Sq. Ftg. Sq. Ftg. (b) Type (d) Type Sq. Ftg Sq. Ftg CONTRACTOR/IN STALLER:2{t PHONE: ADDRESS: CITY .AAt/-o. b E u, 4,ertzE 6 SrArE: O />'E .zte, q 7/AL --7-,i CONSTBUCTION CONTRACTOR{ HTCISTNRTION NUMBER: CITY BUSINESS LICENSE NUMBER: EXPIRES EXPIRES OFFICE USE Sign District Zoning Sign Permit Fee REOUIRED INSPECTIONS: _ Site to be made prior to sign placement Footing prior to placement of concrete nd Use Code Sec Approved By Attachment after fasteners are installgd/prior to cover V Etectricat f,rt6r to energi.ins electrical installation Ve,n^r "Trnptution of sign installation d Area: DATE: Additional Comments andlor Conditio By signature,state and agree, that I have carefully examined the completed application and he certily that all inlorrnation herein is true and correct, and I further certily that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I Iurther certi{y that only contracrors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable Irom the street, that the permit card of the sign(s). is located at the front of the property, and the approved set of plans will remain on the site at all times during the installation Signature Date /^2 -4-?> Validation Amount Received Receipt Number: Date Paid ed By: -Atsc naad A^Ddb ct tADJ..,J@di ,/1/' 5/2-,t >4c SIGN PERMIT 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 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 clectrical 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 f reestanding sign which exceeds 20 feet 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(s) is approved, one set of plans will be returned to you. The approved sct of drawings need to be at the site when an inspection is requested for the inspectors reference. INSPECTIONS Depending on your sign(sl, 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: Attachment: Electrical: Final: To be requested after excavation and the f orms 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. To be requested when all fasteners are installed but prior to cover. To be requested alter the electrical connection to the sign is made, but prior to energizing. 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 oI 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:O0 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 7 26-3759. City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 5t.rilN(;l:rELl) I .i.. ?-25 FIFTII STRIIIiT S|RINGFIELD, OIII:GON 97477 INSPECTION REQUESTz 7?.6-3769 OFFICE: 7?-6-3759 0N or STALTJ\ DIlSCRIPTI JOB DE:;CRIrIION Pernrits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Electrical Contractor Add ress 20\Y$fr,rn^ I{ 7q?-t16oi CAL PERHIT APPLICATION n1RL City Job Number " I ) -) g'-q-f, r.COHPI.^BTE PEB SCIIEDULE BELOIT Signature S( A Nev Residential-Single or Multi-Family per dwelling unit. Service fncluded: I tems Cost 1000 sq.ft. or less Each additlonal 500 sq. ft or portion tlrereo f Each Manuf'd Home or Hodular Dvelling Service or Feeder $ Bs.oo s 1s.00 T/,LECTRI 2ft, Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps --401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts \\ote 1 Sum $ 40.00 B Ci ty Phone Supervisor License Nilmber Expiration Date Con:;tr Contr. Number Iixpiration Date Signature of Su rvising [.lectrician 0wners Name Add ress Ci ty 'Phone OSNER INSTALI.ATION The installation is being made on property I ovtl which is not intended for sa1e, Iease or rent. DATE: RIiCET *: Temporary Services or Feeders Installatlon, Alteration or Relocation $ $ $ $ $ $ 1 1 3 00 30 00 40 0050 60 40. 55 BO 00 00 00 00 00 00 00 00 L C 200 amps or }ess 201 amps to 400 amps _ Over 401 to 600 amps _0ver 600 amps or 1000 volt s see nBil a Sove s $ $ (-D. Branch Circui ts Nev, Alteratlon or Extension Per Panel one circuit S 35'oo Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not incltrded) -Each installation Pump or irrigation Sign/OutIine Lighting Limi ted Energy/Res Limi ted Energy/Comm STIBTOTAL OP ABOVE 5Z State Surcharge TOTAL OREGO'U RNCNIVED I} 5 T iii:ii W - s 2o.oo s 36.00 u n0!-uu+-$ffi Ll7 Owners Signatrrre: