HomeMy WebLinkAboutPermit Signage 1999-06-30SIGN PERMIT APPLICATIC\I SPRINGFIELD JO^ NUMBER qq0z +l
225 Fifth Street
Springf ield, OR 97 477
SITE ADDRESS: 587
lnspection Line: 726-3769
Office: 726-3759
st.
ASSESSORS MAP: T:TAX LOT:
OWNER:McKay Land Developnent Co.(T-CCM sicrn cnnrer)PHONE:541-687-t O5t
ADDRESS: 2350 Oaknr:nt Way Suite 204 Euqene, OR 97401= (T-CCn4: 345 lvti t t St. Euqene, OR 97401)
CITY Euqene STATE: Oregon ZtP: 97401
DESCRIPTION OF PROPOSED SIGN(Sl: $lease check and complete all appropriate informationl
_ Wall x Freestanding
-
Projecting
-
Roof
-
Marquee
-
Single Face X Doubte Face X Bitlboard
-
Other
Square Footage:576 .f Total Height above Grade:57r overall
Vertical Dimension of sign or enclosure:12'Ho of sign or enclosure:48'
Dimension from Grade
to bottom of Sign Enclosure:
Electrical lnstallation: X Yes
-
No $23,000 .0045'yes additional electrical permit is required)
VALUE
OF SIGN:
Material Sign is constructed of: Steel and Wood
Was told not applicable for billboard.
List ALL existing signage and attach a photograph of each sign: WiII provide if requested.
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
(bl rype
(d) Type
Sq. Ftg
Sq. Ftg
CONTRACTOR/NSTALLER: Obie Construction, Inc. PH oNE. 541-343-2436
ADDRESS: 3976 West 13th Ave.
CITY:Eugene STATE:ZtP: 97 402
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:090966 EXPIRES:5/2r/03
CITY BUSINESSLICENSENUMBEB: 970 EXPIBES: Issued 10 '^7 ' 7
OFFICE USE
ilarvzi- Dt Land Use:Ouad Area:I t trjtr.)Sign
Zoning:L Code Section:.tbo 2 q
Approved By:
(q
DATE:Sign Permit Fee:
REOUIRED INSPECTIONS:
./l/ Site
to bffiade prior
to sign placement
r/rooting
prior to placement
of concrete
V/enuchment
after fasteners ero
installed/prior to cover
4enicat
prior to energizing
electrical installation
4^n
completion of sign
installation
Additional 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.
I {urther 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
of the sign(s).
Validation
Received
-/O -??
()
Signature Date O
Date PaiAmount
Receipt Number:
Ii
BUSTNESS NAME, ftnU eTC.: MciKay Land Developnent Co. / T-CC[4 Outdoor Advertisinq
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 ahd 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 coihpleted 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 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 the 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. After the
plan review process is co;npleted, 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: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 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.
Footing:
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 a24hour 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
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97(17
)
CITY OF OREGO'V
Permits are non-transferable and expire
if vork is not started vithin 180 days
oi i""u"nce or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.ATION ONLY
The following proiect as submitted has
zonrng and does not require specific225 FTWE STREET
SPRINGFIELD,OREGON 97477 approval
INSPECTION REQUEST : 726-376 9 Zoning
OFPICE: 726-3759 L)ate
1.(-
JOB DESCRIPTION
Electrical Contractor
Address 19 5 Modiscy^t
Ci ty Phone 48,5.O9 ZL
Supervisor Lice nse Numbe, L97O'3
Expiration Dat e /D -/-ol
Constr Contr Number 4L
Expiration Date 1'l -trc -o0
Signa ture of SuPervisi Electrician
0vners Name fn* qJZ 0 On^ nnuvr ,
'Ccr
fr On
Address 3 45M ill s t
4
SCEEDUI,E BELOV
A. Nev Residential-Single or
MuIti-FamilY Per dvelling unit'
Service Included:Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
t hereo f
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterationsg lnC or Relocation:
2OO amps or less I
401
601
Over
t 600 amps
00 amps_-lts
$ s0.00
s 60.00
s100. 00
$130.00
s300.00
$ 40.00
fu_-m
-
Ci ty Phone
OVNER INSTALLATION
The installation is being ma
property I ovn vhich is not
for sale, Iease or rent'
0'*ners Signature:
DATE:
Reconn
C. TemporarY S
Ins taIla t ion ,
200 amps''or Iess
201 amps to 400 amPs
Over 401 to 600 amPs
Over 600 amPs or 1
D. Branch Circuits
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
Nev, Alteration or Extension Per Pane1
One Circuit $ 35'00
Each Additional
Circuit or vith Servicq
or Feeder Permi."=,-2 g 2.oo bD
Miscellaneous (Service/feeder not included)
s
ocation
" a56vE-
7
ednd
on
e
deint
E
-Each installation
Pump or irrigation
Sign/OutIine Light ing_-
Limited EnergY/Res
--Limited EnergY/Comm
$40
$40
$20
s36
00
00
00
00
5
I (
RECEIVED
c