HomeMy WebLinkAboutPermit Signage 1997-12-01SIGN PERMIT APPLTCATIOP*
225 Fifth Street
Springfield,0R 97477
SITE ADDRESS:
ASS ESSORS MAP:
SPRINGFIELO
JO JMBER
efr,
lnspection Line: 726.3769
0ffice: 726-3759
TAX LOT:
OWNER:
ADDRE
CITY:
PHONE 3
SS
STATE ZIP:
BUSINESS NAME, FIRt\J{ ETC
DESCRIPTION OF PROPOSED StGN(S): (ptease check and'complete ail appropriate inlormation)
_x_
_x Single Face _ Double Face Billboard
Wall
Square Footage:Total Height above Grade, I 2'
Vertical Dimension of sign or enclosure:t)'Horizontal Width of sign or enclosure R,
_ Freestanding _ projecting _ Roof _ Marquee
Dimension from Grade
to bottom of Sign Enclosure
Material Sign is constructed of
Electricat tnstailation:
'
X ,u,
-
No VALUE
(lf yes additional electrical permit is required) OF SIGN:S oo
List ALL existing signage and attach a photograph of each sign:N/A {o hp-fe{'nO.z u,nnf, uoJl /(a) Type
(c) Type
e'fte Ftg
Sq. Ftg
(b) Type
(dl Type
rn,Sq. Ftg.
Sq. Ftg.
t
ADDRESS:
PHoNE: -7q-I -3331
Oru n, ztP: q7q7 7U
CITY:
CONSTRUCTION CONTRACTOHS REGISTRATI N NUMBER:
CITY BUSINESS LICENSE NUMBER:
STA ,
EXPIRES:
EXPIRES:
OFFICE USE
Sign District:
Zoning:
Sign Permit Fee
REOUIRED INSPECTIONS
_ Site
to be made prior
to sign placement
the permit card is I
of the sign(s).
Signature
Land Use:
Code Section
Approved By:
Footing
prior to placement
ol concrete
./
/ arrr"n^"n
ffi-steners are
installed/prior to cover
Ouad Area:
Electrical
prior to energizing
electrical installation
Final
completion of sign
installation
DATE:
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined tne completed application and do hereby certify that all inlormation 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 further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
^y.ocattd at tl
APb
ed set of plans 'yyillCar/oi7 site a1 all times during the installation)??-ca7trhefrothe..an prov remarn o5
Date
Validation:
Receipt Number:
l*r?'l
tr\c
Received By:n fn L r.,k*rL(-
1 "u(,Date PaidAmount Rece
1
a .177
_ Other
g,
CONTRACTOR/IN STALLER:
SIGN PERMIT APPLICATION..
,TT"
The application on the reverse side needs to be co,mpleted entirely. ,r vor_u* ,ne sign contraator/inrtrttar, or if you arehiring a contractor, you need to make sure that uotn ine city of springfield Business r-icenie Number and the Registration
)j,T:itJj:[ the state or oreson construction contractois aor;' u* risted on the atttic;tion arons with rhe &piration
lf the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signedby either a supervising electrician, limited sign electricat contracior, or if you are the b.usiness owner who also owns thebuilding in which you are occupying, ano vou will be oertorming ihe electrical installation yourself, you rnay sign theelectrical application.
lf there are existing wa.ll and/or freestanding signs, .a photograph(s) of each existing sign needs to be attached to theapplication' The size of each existing sign a-lso needs to be lisred on the application.
To submit for a sign permit' you need to prepare two complete sets of drawings showing ail dimensions, totar height, anda plot plan indicating where the proposed sign will ue rocateJ. iirou uru instJrting a freisianoing sign which exceeds 20feet in total height' the footing detail needs-to be prepared ano siamped by a registered engineer or architect. After theplan review process is completed, and, if your signis) l, upprouuJ,- onu ..t of plans will be returned to you. The approvedset of drawirtgs need to be at the site when an inspection ir raqrurtuo for the inspectors reference.
PLANS
INSPECTIONS
3ii:yffin vour sign(sl' vou may be required to request one or ail of the foilowing ,inspections during the insrailation
Site; To be requested after indicating on the lot where the proposed sign will be located but prior to any workbeing performed for the installition of the rign.
- ini. inrpu.iion i, ,uor'Lo if there is a question on thelocation of the proposed sign.
Footing: To be requested after excavation and the forms are installed, but prior to pouring concrete. lf there will beelectrical conduit placed in the footing, it musi .r.o uu in place prio, to-rlqresting this inspection.
Atti.chment: To be requested when ail fasteners are instailed 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 instailation is comprere.
The inspections that are requirefl for your sign installation will be indicated on the application during the plan review|fiffi'f,1lx',:J:lfl::;: o*" or the required inspection. .orio-*rrtt in sisn ,u.no,u=r-il order to inspect the sisn at the
To request an inspection' phone 726'3769. This is a 24 hour recording. on the recording you will need to leave row c,,,Designated Job Number' location ot wneie ine sign is ueinglnsiaiel, tnu typ. .r r.p.rir",," you are requesring, and whenyou will be readv for the inspection' att inspections calle-d i;i; i;r recorder prior to 7:00 a.rn. wi, be rnade the sarneworking day, a[ inspections phoned in arter'z:oo..r. *ltiuu ruju the foilowing work day.
[J:irTffrilu1HH!;;!:ardins the application, required prans or inspecrions, prease reer rree to phone the Buirdins
City ot'springfietd
Building Saf'ety Division
225 Fifth Street
Springlield, OR 97477
CITY OF OREGO'V
SPRII{GTIELD
D EV E LOP M E NT S E RVI C ES DE PARTM E NT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-37s3
FAX (541) 726-368e
Sum
s
fis
225 FIfrfl STREET
SPRTNGFIELD, OREGoN 97477
INSPECTTON REQITESTz 726-3769
OFFICE: 726-3759
1. LOCATTON OF TNSTALI,ATION
l-t ELBCTRICAL PERHIT
City Job Nunber
COHPLETE TEE SCEEDTILE BBLOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
$ 8s.00
s 1s.00
$ 40.00
3
A
I.EGAL DESCRTPTTON
u o (nnr\a EtearenjihR.t
JOB DESCRTPTTON
Ot ilbo h,t- S'rct D
uilo
/1
Permits are non-transferable and expireif vork is not started vith
of issuance or if vork is s
180 days. -'.
2. CONTRACTOR INSTALI-ATION
in L80 days Manuf'd Eome or
uspended for An'*ice or Feeder
r Dvelling
ces or Feeders
tallation, Alterations
Reloca t i on:
ou
t(t ps
tl0 WI
?^
ONLY
Electrical Contractor
Address fl:i fyli I( >t-
ci S / U,"elAO Phone ),t 't -Cr25rv
Supervisor License Number I Dl3P>
Expiration oate IO- \- QB
Constr Contr. Number
Expiration Date
Signa ure of sing Electrician
Services or Feeders
on, Alteration or Relocation
I
200 anps or less $ 40.00
20L amps to 400 amps
-
$ 55.00
0ver 401 to 600 amps
-
S 80.00
0ver 600 amps or 1000-voTTs see '8" a6ilf
-Each installation
Pump or irrigation
Sign/0utline Lightine /Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
or less
to 400 amps
-to 600 ampsto 1000 amps-
amps/voIts
t
S so.
$ oo.
$100.
$130.
00
00
00
00
00
00
s300
40
c
Address 5LS rni\ I Si.
Ci ty Phone ?qrl- 3331
OIINER INSTALLATION
The installation is being made on
property f ovn vhich is not intended
for sale, Iease or rent.
Orrner Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Miscell-aneous (Service/feeder not included)
S \q
s 40.00
$ 40.00
$ 20.00
$ 36.00
RECETVED
5
I
oo
- nl.^ --
SPRIilGFIELc,
COMMERCIAI,/ INDUSTRIAL PERMIT APPIJICATION
CITY OF SPRINGFIEI,D
COMMI'NITY SERVTCES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 97L535
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Vilork: 2350 YOLAI.IDA AVE
Assessors ttap #: L7032441
Office:
Inspection Line:
Tax Lot #: 03002
726-3159
726-3769
SMINGFIEII',
Owner: SPFLD SCHOOL DIST
Address: 525 MILL STREET
DescripEion Of Work: REPLACE WINDOWS
Phone #: 744-6375
city/state/zip: SPRTNGFTELD, oREGON 97457
REMODEL ValuE:0.00
Contractor
Const.
Contractor #Expires Phone
General-:OWNER
QUAD AREA: 2CNW
Item
WINDOWS
-- OFFICE USE
LAND USE 6800
tx
a?y
$/Square Feet Val-ue
3, 000.00
3,000.00TOTAL VAI,UE OF PRO.'ECT
BUILDING
Surcharge/admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/aamin
PLAN REVIEW FEE
SIIBTOTAL PERMITS
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
38.50
3.09
0
0
0
0
25
00
00
00
00
03
55.52
66 .62
--- REQUIRED INSPECTIONS
It. is the responsibility of the permit holder to see that all inspecEions are
made at the proper time. To request an inspection, caLL 726-3759
(recorder), state your City designated job number, job address, Lype of
i-nspection reguested and when you will be ready for inspection. Requests
received before ?:00 a.m. will be made the same working day, requesLs made after
7:00 a.m will be made the folLowing work day.
Special Inspections: In accordance with Section 305 of the State Specialty Code
a special inspecEor shall be employed by Ehe Owner/Contractor during
construction of any following 't*" work. A copy of the special testing reporLs
sha11 be furnished to Building Safety.
In addition Eo the inspections specified, the Building Official may make or
require other inspect,ions of any construction work to ensure compliance with
the Building, City or Development Code.
3PF!NGFIELO
Job Number: 971535
SPilNGFIEA,
Page 2
FRAIIING - Prior to cover.
FINAL BUILDING - When all reguired inspectsions have been approved and
the building i-s complete.
--- ADDITIONAI, COMMENTS
Plans Reviewed By: LORNE PLEGER
Buildj-ng Site Reviewed By: LISA HOPPER
Date: LL/22/97
By signature, I state and agree, that I have carefulJ-y examined the completed
application and do hereby certify that all information hereon is true and
correct, and I further cert.ify that any and all work performed shall be done
in accordance with the Ordinances of t,he City of Springfield, and the Laws
of the State of Oregon pertaining to the work described herein, and that
NO OCCUPANCY will be made of any strucLure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with oRS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that project address is readabl-e 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 construction.
\\-as -q1
ture Date
,\\D"-'"'roN
---
Receipt Number:
Date Paid:
Amount Received:
Received By:
?-