HomeMy WebLinkAboutPermit Signage 1995-06-13SIGN PERMIT APPLICATIOI
225 Fi{th Street
Springlield, OR 97 477
SPrlINGFIELD JO'
'MBER
7 ,1
lnspection Line: 726-3769
Of iice: 726-3759Zfr,
lt 7qSITE ADDRESS:
ASSESSOBS MAP:
OWNER PHoNE: aqt'l'/r18
TAX LOT:
ADDRESS
CITY
BUSINESS NAN4E, FIRIVI ETC
I
srArE: ().g-7Y7 n
DESCRtpTtON OF PROPOSED SIGN(Slr (please check and complete all appropriate information)
t wutt
-
Freestanding
-
Projecting
-
Roof
-
Marquee
S Singte Face
-
Double Face Billboard _ Other
Total Height aboveScluare Footage Grade:
Vertical Dimension of sign or enclosure q '74!/ I rt
Dimension {rom Grade
to bottom of Sign Enclosure illL
ore sure:
/9,ooe
Material Sign is constructed oi A\r,0..,'-., ^ *PLtl,v fr^e-€- "
ONL Y
(b) Type
(d) Type
IH€ 6terp HAee oP F rriYOU
Sq. Ftg
Sq. Ftg
List ALL existing signage and attach a photograph of each sign:
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
?PHONE: '7,1t -t ,/ ? y
ZIP:9zvt7
CONTRACTOR/I N STALLER:
ADDRESS
CITY: 9rlt,^, $,<Ll-----T----T
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBEB:
STATE:
EXPIRES:
EXPIRES:
OFFICE USE
Sign Dist'rict
Zoning
Sign Permit Fee
REOUIRED INSPECTIONS
_ Site
to be made prior
to sign, placement
Land Use
Code Section
Approved By:
Ouad Area:
V Electricat
prior to energizing
DATE
Footing
prior to placement
of concrete
Attachment
after lasteners are
installed/prior to cover
Final
completion of sign
electric al installation installati
Addlti nal Comments and/or Conditi
s
of the sign(s)
Sig nat ure Date 6-/j q-f-7
Amount Received
Receipt Number:
/ 5-/ .*Date Paid: 7-9'2,Validatioo
/s7 Received By:
9nr,*..8.<-Ll ZIP:
Electrical _ No VALUE
is required) OF SIGN:(lf yes additional
(,c
By signature, lstate aniagree, that lhave care{ully examined the completed application and do hereby certify that all information herein
is true'and correct, and I lurther certify 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 certify.that only contractors and
employees who are in compliance with ORS 701.055 will be used on this project.
t iuilf,er agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the permit card 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
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 Springlield 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
electrical application.
lf there are existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to b6 attached to the
appllcation. The size of each existing sign also needs to be listed on the application.
PLANS
To submit f or a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total he ight, and
a plot plan indicating where the proposed sign will be located. ll 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. Af ter tl-1e
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 ref erence.
INSPECTIONS
Depending on your sign(s), you may be required to request one or all of the Iollowing 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 oI the proposed sign.
Footing:To be requested alter excavation and the forms 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
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 f ree to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
Electrical: To be requested after the electrical connection to the sign is made, but prior to energizing.
S' \GFTELG,
The f''!!'n'rini proli{c o "y?It!.*J har tha f.llicr..virrgl.t' ,i;, trnd dc.3s not reqt-trr) rrpe(--rl;c ;r)n!i usoflppiJr/al.225 T'IFTE STREET
SPRINGFTELD, oREcoN 97477,",",. *L{vvT
INSPECTION REQIIEST:
OFFTCE: 726-3759
1.
A ' i. ' ;. :ri i .l;rrr..,rt! "i,
INSTALLATTON
. CONTRACTOR INST ALI,ATION ONLY
E1 ec ical Contractor
Address
Ci ty
Supervisor License
ELECTRICAL PERHTT
City Job Number
^/M 3. COT{PI,ETE FEE SCEEDTILE BELOS
t
ON OP *.fu.!4
A
B
c.
D
E.
Nev Residential-Single orMulti-Family per dvelling unit.Service fncluded:
JOB DESCRIPTION
A^.,1.\*J 5.?n
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for180 days.
L000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manufrd Home. or
Modular Dvelling
Service or Feeder
I tems Cos t
$ 8s.00
.$ 1s.00
s 40.00
$ s0.00
s 60.00
s100.00
$130.00
$300.00s 40.00
Sum
00
00
00
B" aEG-
200 amps or less
20L amps to 400 amps
-
40L amps to 600 amps
-
601 amps to 1000 amps-over 1000 amps/volts
-
Reconnect OnIyExpiration Date
Constr Contr
Expi ra t i
Signa
Ovners Name
Address
Services or FeedersInstallation, Alterationsor Relocation:
Circuit or vith Serviceor Feeder permit
r
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ aO.201 amps to 400 amps
-
S SS.over 401 to 600 amps
-
S gO.
Over 60O amps or 1000 rioITs see (
Branch Circuits
Phone ')Lt l-l ,l ,l,g
Nev, Alteration or Extension per panel
One Circuit '-/ S 35.00 A5Each Additional
OVNER INSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Ou tline Ligh t ing--7Limited Energy/Res --
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Ns 40.00
s 40.00
$ 20.00
s 36.00
$ 2.00
5 {)
DATE:
CITY OF
Phone
of Supervising Electri
te
c
RECEIVED 1-6
ci ty Sr+U.
-
Ovners ture:
AlA
SIGN PERMIT APPLICATIOT'
225 Fi{th Street
Springfield, OR 97477
SPRII{GFIELO JOP ''
Zfr,
lnspection Line: 726-3769
Office: 726-3759
TAX LOT:
I
SITE ADDRESS:
ASSESSORS MAP
OWNER:PHONE:I t+,74
ADDRESS
CITY:STATE:ZIP:
BUSINESS NAME, FIRIV1 ETC
DESCR|pTIoN oF pRoposED SIGN(S): (please check and complete all appropriate information)
-r1*uu
Single Face -
Roof
-
MarqueeFreestanding
Double Face
_ Proiecting
_ Billboard
Square Footage:
Vertical Dimension of sign or enclosure:$t
Total Height above Grade
Horizontal Width of sign or enclosure:25,/ 6"
Electrical lnstallation:
-
Yes
-/*o
VALUE
(lf yes additional electrical permit is required) OF SIGN I
oo
t5 /I
Dimension {rom Grade
to bottom of Sign Enclosure t1 '
Material Sign is constructed of:Yzt'
List ALL existing signage and attach a photograph of each sion: \fG; UO \l)\utti ^"1s\$. (a) Type
j (c) Type
Sq. Ftg
Sq. Ftg
(b) Type
(d) Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/I N STALLER:PHONE:74t-t +7e
ADDRESS:
STATE: ZI?:CITY:
CONSTBUCTION CONTRACTORS REGISTRATION NUMBER:EXPIRES:
EXPIRES:CITY BUSINESS LICENSE NUMBER:
OFFICE USE
Sign Dist'rict:\
Sign Permit Fee
REOUIR;D INSPECTIONS:
_ Site
to be made prior
to .sign. placement
Footing
prior to placement
of concrete
Code Section:
Approved By:
Attachment
after fasteners are
installed/prior to cover
Ouad Area:
I
Electrical
prior to energizing
electrical installation
X ,,nu,
dompletion of sign
installation
Land Use:
Zoning
@ DATE:
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefuily 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 of
Springfield, .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 proiect'
I fuither agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the permit card 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
Receipt Number Received By:
?
of the sign(s)
Signature
Validatioo
I
Amount Received:
Date l/'5-9
Date Paid:
9 I
\
SIGN PERMIT APPLICATION '.1
The application on the reverse side needs to be completed entirely. lf you are the slgn contractor/installer, or if you are
hiring a contractor, you need to make sure that both the city of Springlield Business License Number and the Registratibn
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 eleclrician, limlted 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 be attached to the
"ppri"ution.
The size of each existing sign also needs to be listed on the application'
PLANS :
To submit {or a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height' and
'
, p[i pi"i r"otuting *nur. ih" propored sign wiil be rocated. lf you are installing a freestanding sign which exceeds 2o-
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect' After the
;l;;;.;il ;#;;, is compteied, and, if your sign(sl is approved, one set of plans will be returned to vou. The approved
set of drawings need to be at the site when an inspection is requested for the inspectors reference'
lNSPEcrloN
rtt nr thp {nttnwinn insr tarrationDepending on your sign(s), you may be required to request one or all of the lollowing inspections during the ins
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 oI 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 {orms are installed. but prior to pouring concrete. lf there will be
electrical conduit placed in the Iooting, it must also be in place prior to requesting this inspection.
Toberequestedwhenallfastenersareinstalledbutpriortocover.
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 the application during the plan review
process. Failure to request Aruv of the require-d 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, llcation 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:OO a.m. will be made the lollowing 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
SIGN PERMIT APPLICATIO'I'
225 Filth Street
Springlield, OR 97 477
SPRTNGF!ELr,JOP "UM
h,lnspection Line: 726-3769
TAX LOTSITE ADDRESS D
ASSESSORS N4AP:
OWNER:
s
PHONE:l- l,+7 P
ADDRESS:o
6a{e-STATE:ZIP:q7 4al
CITY:
BUSINESS NAME, FIRTU ETC
DESCRtpTIoN oF pRoposED slcN(S): (please check and complete all appropriate information)
,/
_y(*uu _Freestanding _Projecting
-Roof -Marquee
Square Footage Total Height above Grade:
Vertical Dimension of sign or enclosure:b'Horizontal Width of sign or enclosure:It ' /.r,
c
./
Electrical lnstallation:
-
Yes y't'lo VALUE
(lf yes additional electrical permit is required) OF SIGNDimension {rom Grade
to bottom of Sign Enclosure:
Material Sign is constructed of
ft q_
lt
D
List ALL existins sisnase and attach a photosraph of each sion: fiF-- \-f\O ,"D(tDLLnq
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
(b) Type
(d) Type
Sq. Ftg
Sq. Ftg
CONTRACTOR/IN STALLER:
ADDRESS
CITY
CONSTRUCTION
CITY BUSINESS LICENSE NUMBER:
ISTRATION NUMBER:
STA
PHONE:
ztP;
S
EXPIRES:d
OFFICE USE
Sign Distiict
Zoning
Sign Permit Fee
Land Use:
Code Section:
Approved By:
Ouad Area:
DATE:\\ B a3
REOUIRED INSPECTIONS
Site
to--bE-rad" Ptiot
to sign. placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
V Final
e6dptetion of sign
installation
:
Addiiional 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 of
Springfield, ,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 project'
t ruither agree to ensure that all required inspections are requested at the proper time, that project 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
Amount Beceived:
Date
Date Paid:Validatioo
Receipt Number:Received By
t5b /2/
]+t - 'uz P
I
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 eleJtrician, 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 yoursell, you may sign the
etectrical application.
lf there are existing wa[ and/or freestanding signs, a photograph(sl 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 ihe proposed sign will be located. lf 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' A1ter 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 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:
Footing:
Attachment:
Electrical:
Final:
To be requested alter indicating on the lot where the proposed sign will be located but prior to any work
being performed for the installation ol 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 footing, it must also be in place prior to requesting this inspection.
To be requested when all lasteners 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 the application during the plan review
process. Failure to reguest Aruy 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
yo, *itt be ready for the inspection. All inspections called in to the recorder prior to 7:0O a.m. will be made the same
working day, all inspections phoned in after 7:00 a.m. will be made the lollowing work day.
lf you have any questions regarding the application, required plans or inspections, please feel Iree to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
I