The URL can be used to link to this page

Home My WebLink AboutPermit 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 eF, 5 nb -ls Q, , r, t^ao Q r ror^,