HomeMy WebLinkAboutPermit Signage 1992-10-16SIGN PERMIT APPLICATION
225 Fifth Srreer
Sprrrrgfield, OR 97477
SPRINGFIELE,JOB NUIV]BER
lnspection Line: 7 26-37 69
Office: 726-3759
SITE ADDRESS
ASSESSORS MAP:
OWNER:Mike Thompson
st.
PHONE:
ADDRESS: 597 Shellev St.ie1d, Ore 97477
TAX LOT
CITY STATE:ZIP:
BUSINESS NAME, FIRM ETC.:Shelley St.Storaqe
DESCRIPTION OF PROPOSED SIGN(S): (please check and comptete ail appropriate information)
_ Wall * Freestanding _ Prolecting Roof _ Marquee
_ Sirrgle Face x Double Face x Billboard _ Other
Square F Total Height above Grade 36'
Vcrtical Dirnension of gnore SUTE:.0'Horizontal Width of sign or enclosure: 30'
Dimerrsion from Grade
to bottom of Sign Enclosure 261
$ 5 ,000
Material Sign is constructed of : Ste"l ,t d lrjood
Electrical lnstallation: X Yes _ No VALUE
(lf yes additional electrical permit is required) OF SIGN
List ALL existing sigrrage and attach a photograph of each sign: Not Appl_icable
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
(bl rype
(d) Type
Sq. Ftg
Sq. Ftg
o .-*priof.re, 4ffiR/INSTALLER:
t{c\e tv1
,the
in the application is the change frorn
single pole build to a ffi3rl-#g*build. See 4g,v engineering specs.
Zi?:CITY
CONSTRUCT TORS
CITY BUSINESS LICENSE NUMBER
attached. I
REGISTRATION NUMBER:EXPTRES: l-il-q3
EXPIRES:W
OFFICE USE
Sign District
Zoning
Sien Perrnit Fee
Land Use
Code Section:
Approved By:
Ouad Area
DATE:
REOUIRED INSPECTIONS
,{ si,"
to be made prior
to sign placement
\,
Xrootirg
prior to placement
of concrete
Attachment
alter lasteners are
Electrical
prior to energizing
{ r,nu,
completion of sign
installationinstalled/prior to electrical installation(
Additional Comments nd/or Conditions:
By ature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Inf ormation herein
is truc and correct, and I lurther certify that any and all work performed shall be done in accordance with the Ordinances of the City of
Springlield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
crnployees who are in compliance with ORS 701.055 will be used on this proiect.
I f urther agree to ensure that all required inspections are requested at the proper time, th3t project address is readable f rom tlre street, that
thc perrnit is located at the f ront of perty, and the approved set of plans will remain on the site at all times during the installation
of the s
I Date '/r,^/6 -72^Signature
Amount Received
Receipt Number:
Date Paid
Received By:
(qtcqo,)
Validation
5\'l 3tq C6fiti
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
hlrlng a conttactor, you need to make sure that both tho Clty ol Sprlnglleld Business Llcense 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 perlorming 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 excee<Js 20
leet 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 need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign(sl, you may be required to request one or all o, the following inspections during the installation
ol your sign:
Site:To be requested arter 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 thelocation of the proposed sign.
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.
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.
Footing
The inspections that are required for your sign installation will be indicated on the application during the plan reviewprocess. Failure to tequest'ANY of the required inspections could result in sign removal in order to inspect the sign at therequired intervals of worf.. .-
To request an inspection, phone 726-3769. This is a24hour recording. On the recording you will need to leave your CityDesignated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and wher]you will be ready for the inspection. All inspections called i'r to the recorder prior to 7:OO a.m. will be made the sameworking day, all inspections phoned irr a{ter 7:OO 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 BuildingSafety Division at 726-3759.
City of Springlield
,, Building Safety Division
r 225 Fifth Street
Springfield, OR 974i17
Attachment:
Electrical:
Final:
ctfY oF
SI'TIINGFII:Lr,--
Ate
225 FTTTB STREET
SPRINGFTELD, ORBGoN 97477
INSPECTI0N RE0UESTz 726-3769
OFFICE: 726-3759
1. TOCATION OF TNSTALLATTON
I,EGAL DESCRIPTIONll OZ)-r I O?S,ar,;
SLECTRICAL PERHIT APPLICATION
City Job Number q>t)ot
COHPI-ETB FBB SCMDULE BELOV
New Residential-Single or
MuIti-FamiIy per dvelling unit.
Service fncluded:Items Cost
L000 sq.ft. or less
Eaeh additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DweILing
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
3
A
Sum
JOB DESGRIPTTONI Cnc, tL
Pernits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for
180 days.
2. CONTRACf,OR INSTALI.ATION ONIY
Electrical Contrac rc, Eifa1. Fcq
Address
Ci ty Phone Lf t | -Oec) t
Supervisor License Ndmber 2,./gSS
Expiration Date tO I t IAZ
Constr Contr. Number 3VL{Q?
Exp iration Date
ture of Eleetrician
s
Address
Ci ty Pho t}:] IDQ
OIINER INSTALI..ATION
The installation is being made on
property I own vhich is not intended
for sa1e, Iease or rent.
0vners Signature:
DATE:
B. Services or Feeders
Installation, Alterations or
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 Only
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,+j
C. Temporary Services or Feeders
InstalLation, Alteration or Reloeation
D. Branch Circuits
c'nS
Nev, Alteratlon or Extension Per Pane1
200 amps or less $ 40.00
201 amps to 400 amps
-
g 55.00
Over 600 amps or 1000 volts see rtBrr above
one circuit l_ $ 35.00 35 OA
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E. l'liscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lightins-
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
STIBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
3 oa
RECEIVED BY:
It
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