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Home My WebLink AboutPermit Signage 2011-03-24Electrical Permit A cation tPf,ttt{lFtIlS 225 Fifth Street.springfield, oR 97477.pH(541)726-3753.FAX(541)726-3689 This permit is issued under OAR 9f 8-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. cmY oF SPRTNGFTELD, OREGON DEPARTMENT USE ONLY Permitno.:S//-oo16Z Date:5 Z1 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? fl yes E No CATEGORY OF CONSTRUCTION E Residential E Government fl'Commercial JOB SITE INFORMATION AND LOCATION Job site address: a7 2p ilr/l I State: V1,r ZlPQl yr72 Referen6e:Taxlot. DESCRIPTION OF WORK PROPERTY OWNER Name: T.*T 6,trufz(OOf., lN L Address: /7nO 7-- poct> llru L4- City: yEfLN 6 ztY:8SZL7 Phone:Fax E-mail This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.s40(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION &c 4 tnaua Address: )Bef L T<1yi-l City: /-Qo.64,1-1t State: Qr4-ZrP:t77 t/{/ Phone:Jql-qvZ_ -tof?Fax: E-mail: CCB license no.:?l-bAX BCD licBnse no.: JJ6 fJ[ Signing supervisor's license no.: 4-O - f, Print name of Signature ofsigning supervisor: -* / 4 t ATTENTION: Oregon law requir.es you to lollow rules adopted by the Oregori Utititv Notification Centdr. Those rutes a7e set forih ln OAR 952-001-0010 through OAH gs2-001- 0090.. You may obtain copies of the rutes by calling the center. (Note: the t-^ler:hone ' number for the Oregon Utiiity Nctilication Center is 1 -800-332 -2344).W FEE SCHEDULE Number of inspections per item ( )Qty Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4)$134.00 $ Each additional 500 sq. ft. or portion thereof s 2s.00 $ Limited energy (2)$ 32.00 $ Each manufactured home or modular dwelling service or fteder (2)$ 6s.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2)$ 81.00 $ 201 to 400 amps (2)$ 95.00 $ 401 to 600 amps (2)$1 58.00 $ 601 to 1,000 amps (2)$20s.00 $ Over I ,000 amps or volts (2)$469.00 $ Reconnect only (2)$ 63.00 $ Temporary services or feeders: installation, alteration, re location 200 amps or less (2)$ 63.00 $ 201 to 400 amps (2)$ 87.00 $ 401 to 600 amps (2)$126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new alterution, extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2)$ s5.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: sen,ice orfeeder not included Each pump or irrigation circle (2)$ 63.00 $ Each sign or outline lighting (2)I $L: Signal circuit or a limited-energy panel, alteration, or extension (2)$ 63.00 $ Each additional inspection: (1)$58.00 $ APPLICANT USE (A) Enter sublotal ofabove fees (Minimum p.g+[*q pi9.90)-,,_ ,. r- 1g rI r ,nrnlnx63 (B) Enter I rq F,mT7t6 (c)AA fiR $ slf through C):TOT $ -z'? 440-2584-J (9/08iCOM) State: /, Business name: I $ 63.00 r'1 F,t AV 'Fltrd IU 0 'F.lFt 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX:(541)726-3689 Citv Job Number.>PtLZntl- OO t'l8L Plan Review Fee of $42 per sign is due with application. Site Address: Assessors Map -70322O6 Tax Lot:z5o Owner:Phone Address: State oR Business Name, Firm, etc Description of Proposed Sign(s): (Please check and complete all appropriate information) - Wall Freestanding Projecting Roof -Marquee -> Single Face Double Face Billboard Other Square Footage:Total Height above Grade:/o'/" Vertical Dimension of Sign or Enclosure: J 5 ' ' Horizontal Width of Sign or Enclosure:70" 7 Dimension from Grade to Bottom of Sign Enclosure Material Sign is Constructed of: v'Electrical Installation:/Yes -No(lf yes additional electrical permit required)/il{il value of Sign, rt P,6;ct A l,,il ( tJ rFl F F lrl l.{ 0 A!i List ALL existing signage and attach a photograph of each sign r- L/'(a) Type (c) Type Sq. Ftg. Sq. Ftg. (b) Type (d) Type Sq Sq Contractor/lnstal Address: City: Construction Contractors Registration Number: Phone'9? /- 46r- qo<- ? State:o<Zip:ffi Expires: e ? z 6ar rtH Sign District: 'd m OFFICE USE CC_Zoning:CC- By signature, I state and agree, that I have carefully examined the completed application and do hereby certifl that all information herein is true ind correct, and I further certifo 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 further certifo that only cont acio.r-und 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 from the street, thaithe permit card is located at the front of the property, and the approved set of plans will remain on the site at all the installation ofthe sign(s). Date L times during cNrc l4 x - ssY .7 t7?Shared F)rive(T l/Rrrildinp Forms/Sim Permit Annlicationl -0) doc I SIGN PERMIT APPLICATION ... \- i. -' I ) J.r'arr. The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or if you are hiring a confractor, you need to make sure that their Registration Number from the State of Oregon Construction Contractors Boards are listed on the application along with the expiration date of each. r;, , i If 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. Ifthere are existing wall and/or freestanding signs, a photograph(s) ofexisting sign needs to be attached to the application. The size ofeach 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. If you are installing a freestanding 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 set of drawings needs 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 ofthe proposed sign. Footing: Attachment: Electrical: Final: To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be electrical conduit placed in the footing, it must also be in place prior to requesting inspection. 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 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 your permit. 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 a24hour recording. On the recording you will need to leave your City Designated Job Number, location of where 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 7:00a.m. will be made the same working day, all inspections phoned in after 7;00a.m. wilt be made the following *ork duy. I Ifyou have any questions regarding the application, required plans or inspections, please feel free to phone the Building Safety Division at726-3759. Cify of Springfield Building Safety Division 225 Fifth Street Springfield, OR97477 s'.."{ q' . ra? \}t ':- :'itr': www.ci.springfield or us TRANSACTION RECEIPT 811-SPR2011-00482 2728 PHEASANT BLVD CITY OF SPRINGFIELD 22s Fifth st Springfield,OR 97477 541-726-3753 permitcenter@ca. springf ield, or. us RECEIPT NO: 2011000601 RECORD NO: 81 1 -SPR2011-00482 DArE: 0410112011 Admin fee (1Ooh of applicable fees)224-00000-426605 8.00 Sign or outline lighting 224-00000-426102 63.00 Signs: 0 - 35 Square Feet 224-00000-425602 80.00 State of Oregon Surcharge (12% o't applicable fees)821 -00000-21 5004 7.56 Technology fee (5% of permit total) 100-00000-425605 7.15 TOTAL DUE: 165.71 Check 6628 eri graphics inc 16s.71 TOTAL PAID:16s.71 COMMENTS AMOUNT PAID www.ci. springf ield. or.us TRANSACTION RECEIPT 811-SPR201 1-00482 2728 PHEASANT BLVD CITY OF SPRINGFIELD 225 Fifth Sr Springfield,OR 97477 541-726-3753 permitcenter@ci.springf ield.or. us RECEIPT NO: 2011Q00542 RECORD NO: 81 1 -SPR20'11 -00482 DATE: 0312412Q11 Plan Review TOTAL DUE: 42.00 42.00 Check 6622 ERIGRAPHICS,INC 42.00 TOTAL PAID:42.00 OilSSSr"l