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Home My WebLink AboutPermit Signage 1995-01-24a. SIGN .PERMIT APPLICATIOT\' 225 Fifth Street Springf ield, OR 97 477 JoB r\rrrr4BE* 95c'' 0WSPRI'{GFIELO Zfr, lnspection Line: 726-3769 Office: 726-3759 SrrE ADDRESS: l04O ASSESSORS MAP: owNER: Ugtha 3 pHoNE: 4+E "-4lt( TAX LOT: ADDRESS: q@ crrY: e)?fuiJO STATE:A^L ZIP.. BUSINESS NAME,FrRrr/ Erc.: Btt, A l\no de<* DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information) '! Watt - Freestanding - Projecting - Roof - Marquee _ Single Face Double Face Billboard _ Other Square Footage:426 Total Height above Grade:6' Vertical Dimension of sign or enclosure:A,Horizontal Width of sign or enclosure: oiC) Dimension from Grade to bottom of Sign Enclosure: Electrical lnstallation: K Ves _ Ns VALUE (lf yes additional electrical permit is requireC) OF SIGN: a[5', Material Sign is constructed of: List ALL existing signage and attach a photograph of each slgn: (al Type Sq. Ftg. (c) Type Sq. Ftg. (b) Type (d) Type Sq. Ftg Sq. Ftg CONTRACTOR/I N STALLER:$S"^r.PHONE: ADDRESS: M CITY: CONSTRUCTION CONTRACTORS REG rsrRATroN NUMBER: Wtot I CITY BUSINESS LICENSE NUMBER:7zo's'1 g OFFICE USE EXPIRES: EXPIRES:b sisn District,-\nN, t ,-i[ in I Land Use: Zoning:\rn\Code Sign Permit Fee:4D.AD Approved By: Ouad Area:u-) _.1 DATE: REOUIRED INSPECTIONS: _ Site to be made prior to sign placement Footing prior to placement of concrete .,' Attachment after fasteners are installed/prior to cover Electrical pnor to energrzrng electrical installation l/ Finat cornpt"tion 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 f urther agree to ensure that all required inspections are requested at the proper time, that pro,iect address is readable from the street, that the permit card is tocated at the f ront of the property, and the approved set of plans will remain on the site at all times during the installation Validation: Receipt Number:lalo LO Received By: 1* of the sign(s). Date I Amount Received:Date Paid: 4laor .m ( 6rV*'Lle- srArE: &(- ztP,L 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 Begistration 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 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 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. lNSPECTIONS 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. Footing 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. Attachment: To be requested when all fasteners are installed but prior to cover. Electrical: To be requested after the electricaltonnection 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 ol 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 free to phone the Building Salety Division at 726-3759 City cf Springtield Building Safety Division 225 Fifth Street Springfield, OR 97477 ,. SPFlINGFI' 1 I.OCATION T-O JOB DESCRTPTION Perml ts are non-transf'and e lf vo rk ls not started'thld 180 s of ls suaice or 1f vork 1s suspended for 180 daYs ? , ENTTT,P.A.CfOR TTISTAI,I-ATTON O}{LY Electrical Contrac ", l.il, /trhtltS t/aT Address Ci ty Phone 7 47 -o{ ll Supervisor Llcen,se Number Expiration Date ?5 Nev Resldentlal-Single or HuItl-FamlIY Per dvelling Service Included: I tems 1000 so.ft. or less rach additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder 225 .FIFTB STREEI srnrNcFIeLD, oREGON 97477 :a,rsPeCTrON RSOUEST z 726-3769 0FFfCE: 726-3759 ELECTRICAL PERHIT APPLICATION City Job Nuober 3. COHPLETE FEE SCBEDU^E BELOV m SUBTOTAL OT ABOVE 5Z State Surcharge IorAt +3ob Rdtn\n Fe-< ON A.unit. Cos t $ 8s.00 s 1s.00 s 40.00 Sum Constr Contr . Number ? Explration Date 6 -{. ?"E: Slgna tu of Su ervising Electrieian I / ,' 0trners Address 0 Services or Feeders , rr-.:,'r:,:r.t..j,^It- trrj torrc!1!'lr, or Relocation: 200 amps or less 201 amPs to 400 amPs 401 amPs to 600 amPs - 601 amPs to 1000 amPs- Over 1000 amPs/vo1ts --Reconnect OnlY TemporarY Services or'Feeders -i;[;ir;iion, ett"ration or Re]ocation 200 amPs or less $ 19'99;oi ;;; io qoo amPs - $ ll'99 ;;;1161 io 600 amPs T - $ 8o'oo over 600 amPs o,'i560 *ft'' iu" uBn a5i6 Branch Circuits rr PaneINev, Alteratlon oi Extension PeI q<CO one circul q' ' I S 35 ' oo \2:J' Each Additional '-cii"utt or vith ser.vice';;:;;;;eiq"i.i. ' $ 2'oo Hiscellaneous (Servlce/feeder not included) B. C. D. I, $ s0.00 s 60.00 $100.00 si30.00 $300.00 s 4o.00 -t 5 0PhoneCl tY OVNER INSTALI.ATION The. installatloh is belrig made-on nrooertY I ovn tfi"t' ls iot intended 'ior'ialL, l"ase or rent' -Each lnstallation Puinb or. lrrigation iigi'lotrttiqi t'ightine I t lrnited EnetgY/Res - 00 00 00 00 $40 $40 ,$ 20 $roOnners Signature: DATE: *_9 611,I 12"21- RECEIVBD 5 /r,a SPB"VGFIELD, OREGONCITY OF The following project as submitted has thezoning, and doegnot require specilic 225 FTrrH STREET approval. SPRINGFTEID, OREGoN 97477 INSPECf,ION REQIESTz 726-3769 OFFICE: 726-3759 Dare 1 OF rNSTALLATrdtlth': rhed DI JOB DESCRIPTION &o r0 APTO HJ res Address 20\ T /lt^. Ci ty Phone 7z-ttt,t Supervisor License Number lsg s Expiration Date r Constr Contr. Number Exp iration Date J- Signa ture of SuPervising Electrician D. Ovners Name Address PERHTT APPIJCATION City Job Number q ,7 3. COHPI,ETE FEE SCEEDT'I,E BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:ftems Cost 1-000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amPs - 40L amps to 600 amps - 601 amps to 1000 amPs- 0ver 1000 amPs/vo1ts - Reconnect OnlY Temoorarv Services or Feeders in"t.fftiio", Alteration or Relocation 200 amps or less $ 19'99,oi ffi; to 4oo amPs - t ::'99o;;r-4bi to 6oo ambs I $ 8o'oo over 600 "*p" ot-i6oOEft" see rrBrr a566 Branch Circui ts ; .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit -E Miscellaneous (Service/feeder not included) The installation is being made on piop".ty I ovn vhich is not intended ior sa1e, lease or rent' Osners Signature: SPIIINGFIELD SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL -Each ins tallat i-on Pumo or irrigation - Sign/Outline Lighting I Limited EnergY/Res - Limited EnergY/Comm A Sum s s0.00 $ 60.00 $100.00 $130.00 $300.00s 40.00 $ 3s.00 c Ci ty ,n"""{8S'41[l $ 2.00 OVNER ALLATION -r-sd)(tt ,. $ 40.00 $ 40.00 $ 20.00 s 36.00 5 DATE:oOl r:r RECEIVED ED Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CO}IItsACTOR INSTALIATION ONLY Electrical Contrac to, Wrh^ 4rN' 5@'{