HomeMy WebLinkAboutPermit Signage 1996-06-28SIGN PERM,T APPLICAT'ON
ASSESSORS MAP:
OWNER
ADDRESS
CITY:
BUSINESS NAM E, FIRIVI r-
225 Fif rh Street
Springf ield, OR 97 477
SITE ADDRESS:
SPRI|YGFIELO
JO^ \
PHONE:
STATE:e
check and complete all appropriate information)
.- projecting
-
Billboard
Total Height above Grade:
8;?;j:''i:ine;u726-376e
-t
ZtP:
_ Roof .* Marquee
\ o,n.,.
DESCR|PTION OF PROPOSED StGN(S); (please
A Wail -- Freestanding
...--.-- Single Face .- Double Face
Square Footage: I F-IJ
Vertical Dimension of sign or enclosure 1q"
TAX LOT:
Dimension from Grade
to bottom of Sign Enclosure
Material Sign is constructed of:
List ALL existing signage and attach a photograph of each
(a) Type
(c) Type
CONTRACTOR/INSTALLER
ADDRESS V r)
gn or enclosure 3 1"
-
No VALUE #is required) OF StGN:
Sq. Ftg
Sq. Ftg
PHONE:
ZIP:f)
)o-l -q(
ID,lo"Electrical lnstall
(lf yes additional
Ho
(d) Type
dth of si
oo
5q. htg.
Sq. Ftg.
STATE:
ffi'"u'lulqffi*-1 e,-EXPIRES
EXPIRES
nonx/
OFFICE USE
Sign Di
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS
-.
Site
to be made prior
to sign placement
Land Use
Code Section:
Approved By:
Ouad Area:
@
DATE:
Footing
prior to placement
of concrete
-"'l'/ Attachment
after fasteners are
installed/prior to cover
,./ Electrical
prior to energizing
electrical installation
-..vFin^t
coffition of sign
installation
Additional Comments and/or Conditions
By signature, I state and agree, that I have carefuily examinedis true and correct, and I further certify that any and all workSpringfield, and the Laws of the State of Oregon pertaining
employees who are in compliance with ORS 70,l.055 will be
the completed apprication and do hereby certify that ail information hereinperformed shall be done in accordance with the ordinances of the city ofto the work described herein. r further certify that onry contractors andused on this project.
I furth
the pe
of the
er agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, thatrmit card is loc at the front of the property,and the approved set of plans will
Va lidatio n
(s)
Receipt Number Received By
the site at all times during the installation
,TO rematn on,//
Sig //4-/d4n Date
Amount Received:Date Paid:
I 2lo-t)TI
n
CITY:
CITYBUSIN ESS
SIGN PERMIT APPLICATION
The apprication on the reverse side needs to be compreted entirery. lf you are the sign contractor/installer" or if you are
hiring a contractor, v", "r"o io .rt u ,ur. ,n., u.in in. city of springiil[-ersiness License Number and thi: Registration
Number from the state of oregon construction-ioniru.,ori goaro ale listed on tne application along with the expiration
date of each'
rf the sign you are proposing to insta, is illuminated, an erectricar permit apprication arso needs to be completed and signed
by either a supervising-.i.&rlor", limited.sign electrical contractor,';;;;;;;te the business owner who also owns the
building in which vou'ui. o..rpying, and yo, *itt be perf orming th. .ru.;icar instatation yourserf , you may sign the
electrical aPPlication.
lf there are existing wall and/or freestanding signs, a photog.raph(s) of each existing sign needs to be attached to the
application. The size oi eacn existing sign aiso
-needs to be listed on the application'
PLANS
To submit for a sign permit, you need to prepare two comprete sets of drawings showing a, dimensions, total height' and
a plot plan indicating *f,ur. if'. propored ,ign *ill be tocated' .lf you are instittlng 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 compleied, and, if your slgn(s) is approved, one set oi plans will be returned to You' The approved
set of drawings need to be at the site when aninspection 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:
Footing:
To be requested after indicating on the lot where the proposed sign will be located but prior to any work
being pertormed for the installation of the sign. This inspection is required if there is a question on the
location of the ProPosed sign.
To be requested after excavation and the forms are installed, but prior to pouring concrete. lf there will be
electrical conduit placed in the {ooting, it must also be in place prior to r,equesting this inspection,
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical: To be requested after the electrical connection 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
Sa{ety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
a
Ferel .lqLl
225 FTFTB STREET
SPRINGFIELD, OREGON 97Affl'rruad
fNSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1 ON OF
as eubmitted has the following
1ec;uire spocific land use
,%
n
ELECTRICAL PERUIT APPLICATION
Ouo(t (p
The lollowing project
zonirg, end does not
appr-rval.
SPFlITVGFIEL:)
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strative Fee
s.rrnAT
d
I-
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1B0 days.
2. CONIRACTOR INSTALLATION ONLY
Job Number
3. COHPI,ETE FEE SCMDULE BELOV
A Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Incl-uded: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
s 8s.00
$ 1s.00
s 40.00
B. Services or Feeders
s 40.00
s 5s.00
s 80.00's see ItBtt
Sum
above
a
Electri
Address
Ci ty Phone
Supervisor License Number S
Expiration Date
Constr Contr. Number fi-
Expiration Date
gna of s Electric
,- l -2. Installation, Alterations
t lLCpr Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amPs
--601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect 0n1Y
Temporary Services or Feeders
Installation, Afteration or Relocation
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amPs
Over 600 amps or 1000-76fi
cal Contractor
\s s0.00
s 60.00
s100.00
s130. 00
s300.00s 40.00
c
\*
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circult $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permlt
-
$ 2'00
MisceLlaneous (Service/feeder not included)
rs Name
Add S
Ci ty Phone
OVNER STALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
-Each installation
Pump or irrigation $
Sign/Out1ine Lighting-T-- S
l,iili ted Energy/Res
-
$
E
40.00
40.00
20.00
36.00
=DATE:
5 @