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Home My WebLink AboutPermit Signage 1992-12-15SIGN PERMIT,\PPI.iCATI O[]I :iPTTINGFIi:LD JOB t'lllMUEll 225 f:rl tlt Street 'ilrringlrclr), Oll 97417 h,lnspection Line: 72-6'3769 Offir:e: 726-3759 ;I]'E ADDHESS ASSI:SSOIIS MAP: , cwNER: 6ag€d1-MJ PIIONI:?-r* f 4a 'l'AX LOT: ,__ b ol*f tl€ADDRESS: I '7 CI'tY E L<&u&ST AI I::UL ztP I]LJSINESS NAME, FIFiI'/I E]'C,:_BAr-LA-L-E ;l rb DEscRtpTloN oF pRopos;ED slcN(S): (please check and complete all appropriate information) y'_ Watt - _. Free:;tarrding ----.-- Proiecting ---- Roo{ =- IVlarquee lz'' Single Fact ---,.. Doulrle l:ace f-) Srlu;tre Footage: EA - -.\ Vr;rtical Dinrerlsiort of srgn rlr r)nclosule: -eA Horizontal Width of sign or enclosure: - Dirrrr:nsiott {rom Grade "' Elet:trical lllstallation: ---Yr"s {-*o VALUE ro bottorn of Sign Ettclt,surtl: -j -! - -- (lf ygs acldition;rl electrical permit iirequireOt OF SIGN ____- Billboard _ _ Other I Total lleight above Grade s Its (,1 M,rlt:ri;rl Srgrr is collstrrlcled 'rt: l,'1- _ Srt . Frg,_--- l-ist Al l- exrstirtg si1lrta,lr: arnri attact't a lrhotoqraph of oach sigrr: (l;) Type ._Sc1. l'tg.(a) -l-ype (r:) -l ylrt:lir;. l't1y (rl) 1 y Sq lx x-PI-IONE 5CONTRACI'OR/INSTAIl-EFt: { r S:y E 116; "4--=ur-{.At.)Dnt:SS :ITY g k6 #STA l-E:-- ---*- ZtP 7 14 tL :oNSTRUCTION CON rRACI ORS REGISTnATION lJUtVlBEtl: -.,-,- -b-A /{{EXPIRES 3 crrvBUSINESS LIcENSE NUrrrBEll: - 3-LO-? ?3 EXPIRES:6-? OFFICE USE Si0rr District: Zirning Siqlr Prrrrrit Fce Use Codr: Sr:ction Aptrroved IIY: Ortad Arer: i;lecl rit;al prior to urrer0izing electrical inslallation A"n: IIT OUIRED INSPECTIOI'IS: _. _, Sitc to bu rnade prior lo sigrr placernent l:oltittr i prior to Irla( eflr']l ][ oF concrct(. ,,- Allil(;l In()l11 :rf I er Ii],( te(lr)rs are irrstalled/prior lo c()ver Frrrrrl plctiort of sign sta lla I ion Arltiitional Cornrnertts :rttd/or Corrditions By signatrrre, lstate ar,rl alJroe, that lhave carerully examincd thc cornplete'J appliuatiorr arrd cio lrercoy certify that all infrrrntatiorl herein is rrue arrd correct, artrl lfurtlrer certify that any antl all work performed shall be dorre in acr;ordance with tlre Ordinances of the City of Springfielcl, and the Lirws of the Statc oI Oregon ;rertainirrg to ttte work described herein. I further certil.y that only contractors an(l rrtrpl6yees who are in conrpliance wittr OftS 701.0Ii5 will lre trsed on this proiect. tlrr-'pr:rmit carrl is lociitilrl at tlte Iront ol the propr:rly, and tlre approvert sel of pl;rns will remairt on the site at alltimes during the installation .rt the sign(sl. Si1;na ture Amount Ret:eiverl: - 4Q, --.Date )2--15-:AZ-- Datr: Pairl: ---- 12:4-EaD Valida tron: Receipt Nurnbcr: --7/-"3 - Receiverl By: 2_ " I i-,drD &., 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 ihe 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 illuminatcd, an electrical permit application also needs to be completed and signed by either a supervising eleclrician, limited sign electrical contractor, or if you are the business owr)er who also owns tlre building in which you are occupying, and you will be performing the electrical inslallation yourself, you may sign the electrical aPPlication. lf there are existing wall and/or freestanding signs, a plrotograph(s) of each existing sign necds to bo attschod to tlto 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 wnere ine proporrd,qign will be located. lf you are installing a [reestanding sigrr which exceeds 20 leet in total height, tnu ioolins ietait npeu" to be prepared and stamped by a registered engineer or arcttitect' After the plan review process is compteieo , and, il your signisl is approved, one set of plans will be returned to you' The approved set of drawings need to be at the si36 when an inspection is requested lor the inspectors referenr;e' INSPECTIONS Depending on your sign(s), you may be required to request one or all oI the following inspections durinu the installation of your sign: Site: Footing: Attachment Electrical: Final: To be requested after indicating on the lot where the proposed sign will be located but prior to any work being performed for the install;tion of the sign. This inspection is required if there is a question on the location of the ProPosed sign. To be requested after excavation aiid tne forms are installed, but prior to pouring Goncrete. electrical conduit placed in the footing, it must also be in place prior to reguesting this ins To be requested when all fasteners are installed but prior to cover. To be requested after the electrical connection to the sign is made, but prior to enr:rgizinl; After all required inspections are conducted and approved and the sign installation is complete lf there will be pection ,l The inspections that are required for your sign installation will be indicated on the application during the plan review process. Failure to request eruy of the requirei inspections could result in sign removal in order to inspect the sign at the required intervals of work. To request an inspection, phono 726-3769..This is a 24 hour reCording' on the recording you will need to leave your city Designated Job NumOer,'ro""tion of where tnu iign is being installed, ttu typu of inspection you are requesting' and when you will be ready for the inspection. All inspections called in to the recorder prior to 7:oo a'm' will be made the same working day, all inrpultiont phoned in after 7:00 a.m. willbe.;-nade the lollowing work day' lf you have any questions regarding the application, required plans or inspections' please feel f ree to phone the Building Safety Division at 726-3759. City of Sprirryfield Building SafetY Division 225 Fifth Street Springfield, OR 97477 !ii;l ah,/ 225 FIFTB STREET SPRINGFIEI.D, OREGON 97477 INSPBGTION REQTIEST: 726_31 BLECTRICAL APPLICATION City Job Number q S53. COHPI,BTE FBE SCTTEDULE BELOU Nev Residential-Single or Hulti-FamiIy per dvelling unit. Service Included: I tems Cos t s\Rr II69\x a)oFPICE: 726-3759 Aulhorized Sig 1 DES(RIPTION Permi ts re non-transferable and expireif vork i s not started within 180 daysof issua nce or if vork is suspended for 180 days. 2. CO}ITRACTOR INSTALI.ATION ONLY Electrical Contract Addres fn Ci ty Phone Supervisor License Number 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manufrd Home or -Modular DweIIing Service or Feeder Services or Feedersfnstallation, Alterations or Reloca t ion: A B c s 8s.00 $ 1s.00 s 40.00 Sum a56ve Expiration Date ro lqs 200 amps or less 201 amps to 400 amps -401 amps to 600 arps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0nly 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -Over 600 amps or 1000 voTT Constr Contr. Number b Expiration Date Signature of Supervi Electrician Owners Name Temporary Services or FeedersInstallatlon, Alteration or Relocation $ s0.00 $ 60.00 $100.00 s130. 00 s300.00 $ 40.00 $ 40.00 $ ss.00 $ 80.00 see ilBil Address Ci ty Phone OIINER ALI.ATION The installatlon is being made onproperty I ovn which is not intendedfor sale, Iease or rent. Ovners Signature: DATE:. RECEIPT D. Branch Circuits Nev, Alteration or Extension Per Pane} One Circuit S 35.00 Each Addi t ional Ci rcui t or vi th Servi ce or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Prrmp or irrigation Sign/0utline Lightin Limi ted Energy/Res Limi ted Energy/Comm l $ 40.00 $ 40.00 s 20.00 $ 36.00 5 SUBTOTAL OF ABOVE 5f State Surcharge TOTAL tI RECEIVED B ET @ 4ir m ,o