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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