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Home My WebLink AboutPermit Signage 1995-09-28a_ SIGN PERMIT APPLICATIO'SPRIII.GFIELD JOT MBER 225 Fifth Street Springf ield, OR 97 477 SITE ADDRESS: ASSESSORS MAP: OWNER: Zfr, lnspection Line: 726-3769 Office: 726-3759 Bnn,rui< 3pudo- TAX LOT PHONE: Ti/4ADDRESS CITY BUSINESS NAME, FIRIITI ETC.: STATE: fi,n ZIP: DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all approprrate information) _r- lL Wall _ Freestanding Single Face _ Double Face _ Roof _ Marquee _ Other Totar Height above Grade , JH t, of sign or enclosure -O" _ Projecting _ Billboard Square Footage: Vertical Dimension of sign or enclosure:3D,, Dimension from Grade to bottom of Sign Enclosure:4!7"Electrical lnstall (lf yes additional ele o'lrt'ttr, D nogNo required) l\/aterial Sign is constructed of: (a) Type ex asig Sq. Ftg (bl Type (d) Type Sq. Ftg Sq. Ftg(c) Type CONTRACTOR/IN STALLER: ADDRESS CITY puoNe,l4Lle51 STATE:ZIP: CONSTRUCTION CONTRACTORS REGISTRATION NUM CITY BUSINESS LICENSE NUMBER EXPIRES: EXPIRES: Sign Di Zoning: Sign Permit Fee REOUIRED INSPECTIONS: _ Site to be made prior to sign placement Footing prior to placement of concrete OFFICE USE Land Use Code Section: Approved By: Attachment after fasteners are installed/prior to cover Ouad Area: W"ti"a prior to energizing electrical installation l--"'- _ Final completion of sign installation ,TE: 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 oI 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 proiect. I further 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). Signature Date Amount Received Receipt Number: Date Paid:Validation: Received By ? *.k 7or* 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 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 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. 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. 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 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 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 Safety Division at 726-3759 City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 OREGO'UCITY OF SPF,,VGFIELD, SPRT'\lGFIELr, zonint:, and does not requ appioval. Zorrinc, 0C/ Autrrorizrxi Signat urs SD !rr spccific lariui use 225 ETfrg SItsBEf, SPRTIIGPTBLD, OREG0N 97477 INSPECTION REOTIBST: OFFICE: 726-3759 1 IJGAL DESCRIPTION BI,BCTRTCAL PBRHIT APPLICATION -q> city Job mnaer ??fu? COHPI..ETE T'tsE SCffiDTII.E BELOS- \3. A. B Sum 180 days. 2. COIII?ACTOR INSTALI,ATION ONLY Electrical Contractor l-,| Address New Residential-Single or Hulti-Family Per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular DveIIing Service or Feeder $ Bs.oo $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less ZOf .*i" to 400 amPs -401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0nIY SUBTOTAL OF ABOVE 5Z State Surcharge r$r**r ?o/o Peruits arelf vork is of issuance non-transferab not started wit r or if vork is Ie and expire hln 180 daYs suspended for Ctty tAt4.0 Phone Supervisor License Number Expiration Date, Constr Contr. Number q ,R Explration Date 1 " /./ -q (- ture of SuPervising Electrician Owners Name Address ci Phone OSNER INSTALI.ATION The installation is being made on piop"tty I ovn vhich is not intended for sa1e, Iease or rent' Ovners Signature: DATE: One Circuit $ 35'00 Each Additiona] Circuit or vith Service or Feeder Permit - $ 2'00 E. Hiscellaneous (Service/feeder not included) TemporarY Services or Feeders Insial}aiion, Alteration or Relocation 200 amps or less $ 40'00 over 4b1 to 600 amps ] $ 8o.oo 6ver 600 amps or rbOo v6TIs see uB' aEffi Branch Circuits New, Alteration or Extension Per Panel -Each installation Pump or irrigation SignZOutline Lightlne--f Limited EnergY/Res Limited EnergY/Comm 'q/L-/e5q 5 VLs)rb c D.a $ $ $ $ 00 00 00 00 20 36 40. 40. 5 RBCEIVBD 3 OD E $ 1s.00 $ s0.00 $ 60.00 $100.00 $13o.oo $300.00 $ 40.00