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Home My WebLink AboutPermit Signage 1997-03-27SIGN PERMIT APPLICATIOI.I 225 Fifth Street Springf ield, OR 97 477 SPRINGFTELD JT IUMBER h, \ lnspection Line: 726-3769 O{fice:726-3759 t(!5b g+,SITE ADDRESS: ASSESSORS MAP: o**.o, 5 P'/ ADDRESS CITY: BUSINESS NAME,Rtr/l ETC.: STATE: PHONE:541 --7 44 -aasu ZtP: TAX LOT: Vertical Dimension of sign or Dimension from Grade to bottom of Sign Enclosure: DESCRIPTION OF PROPOSED StGN(S): (ptease chec _ Wall X Freestanding - Single Face X OouOte Face Square Footage fr ff rk and complete all appropriate information) _ Projecting _ Roof _ Marquee Billboard _ Other Total Height above Grade Horiz width of sign or enclosure Electrical lnsta is required) OF StGN: No VALUE s 5OO(lf yes additional srgn: Sq. Ftg. Sq. Ftg. enclosure List ALL existing signa and attach a oo PHONE: - a :- ZIP:7 -1ar 7--E? Ftg (b) Type (dl Type CONTRACTOR/INSTALLER: ADDRESS CITY:STATE CONSTRUCTTON coNTRAcToRS REGrsrRATtoN NUMBER: o o go4 z "_ (a) (c) EXPIRES: EXPIBES: -O/r X CITY BUSINESS LICENSE NUMBER: OFFICE USE Sign Di Zoning: _ Site to be made prior to sign placement (t! M Footino tffir-t" ptacemint of concrete Land Use: Code Section Approved By: Ouad Area: I N Sign Permit Fee:09 BEOUIRED INSPECTIONS Attachment after fasteners are installed/prior to cover -{_ Electricat pnor to energizing electrical installation DATE: X rinat completion of sign installation By signature' I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereinis true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinances of the city ofSpringfield' and the Laws of the state of oregon pertaining to the work described herein. I further certify that only contractors andemployees who are in compliance with oRS 7o1.o5s wiil be used on this project. L'rs' Lsrtrrv rrra I f urther agree to ensure that all required in spections are requested at the proper time, that project address is readable from the street, thatthe permit ca at the front of the property, and the approved set of plans will remain on the site at all times during the installationof the sig Signature Date 3-tl-97 Amount Received: Receipt Number: ($Date Paid:Validation: Received By: 7-l ) , Material Sign is constructed of: A'\v 47 Additional Comments and/or Conditions: --- SIGN PEBMIT APPLICATION The application on the reverse side needs to be completed entirely. lI 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 oI 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 eithei 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 lreestanding 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 ihe proposed sign will be located. lf you are installing a freestanding sign which exceeds 20 Ieet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect' After the pian reriew proiu"" is compleied, and, il your sign(s) is approved, one set of plans will be returned to you' The approved set of driwings 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: Attachment: Electrical: Final: Footing: To be requested after indicating on the lot where the proposed sign will be located but prior to any work being periormed lor the install;tion of the sign. This inspection is required if there is a question on the location of the ProPosed sign. 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. 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. The inspections that are required for your sign installation will be indicated on the application during the plan review process. Failure to request Auy of the require-d 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 ol 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 tr'ifth Street Springfield, OR 97477 OREGO'VC'TY OF 1 LOCATION OF INSTALI"ATION JOB DESCRIPTION Permi ts are non-trans ferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTATI.ATION ONLY Electrical Contrac loc <t ^-?: Silc Address 225 FIYTfl STREBT SPRTNGPTBLD, OREGoN 97477 INSPECf,ION RE0UEST: 726-3769 OPPICE: 726-3759 ciry,4Ef rr Phone 7*6 -/ /./ 7 Supervisor Licen.se Number 43 5 - S I G Expiration Date Constr Contr . Nunber On F,o H 27 Expi ra t ion Date 7 -/L - 9',7 Signa ture of SuPervising Electrician SPRIN(. .LO ELECTRTCAL PERHIT APPLTCATTON City Job Number, 3. COHPLETE FBE SCEEDTTLE BELOV A. Nev Residential-Single or Multi-FamiIy Per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion s 1s.00the reo f Eaeh Manuf'd Home or -Hodular DwelIing Servlce or Feeder $ 40.00 B. Services or Feeders InstaIlation, 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 0n1y c D Sum s s0.00 s 60.00 s100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Inslallation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 4b1 to 6oo ambs - $ 8o.oo 0ver 600 amps or lbOO voTEs see rrBrr aE6iE- Branch Circui ts Nev, Alteration or Extension Per PanelOvners l Address Ci ty DATB: INSTALI"ATION vnone 7t1'27{J- one circuit $ 35'00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 E. I'liscellaneous (Service/feeder not included) -Each ins tal-Iat ion Pump or irrigation Sign/Out1ine Lighting / Limited Energy/Res Limited Energy/Comm -5. SIIBTOTAL OF ABOVE fi+,,J The installation is being made on property I own vhich is not intended for sale, lease or rent. Ocners Signature: $40 s40 $20 S36 00 00 00 00 g' w +?uRECBIVED r'a 7a /)ryr4 /n *t- 99