HomeMy WebLinkAboutPermit Signage 1995-07-31i i r-lilvll I' Ar r.LlUr-\ I lOlV
,ltlr Stree t
rlield, Ol-t 97'177
\TION OF PROPOSID WONK
;ESSON!;\-1 L
YNEN
DL)
JITY:
t}US;INESS t'JAME, I:ETC
q 5\L5a-
U,\C
JOIJ t\,Ulvlul-r{
nspection Linc: 726-3769
OIlice: 726-3759
htuu.i't^7t-
TAXLOT:
PI-IONE:
ZIP:ATE:
l.L-
t)l.scnlpTloN oF t,noposED slGN(sl: (trkrase r:lrccl< arrrj r-'orrrlrlctt: all allpropriate irrforrnationl
fuV;rll .---- Frt:estarrdirtg ------ I)roiectirrg
-
Rool
Sirrgltr Far;e Dguble Facc Rillboard __ Other
Sit;u;rrc footaUe 1t),LV Total llciglrt above Grade:(l'4"
Vt;r tir;irl Dirttcnsiorr of sigrr or cttr;losttr(r b 'L'/L"l-lorizontal Width of sign or errclosure 3'tc
--.- Marquec ''ffi,*^
l)irrrcrrsion frorrt G
to brrttorn of Sigrt:
rirrl: A'lnt/ Elot;trical lnstallatiorr: ' Yes-No
V t V (lf yes additiorral perrnit is required) VALUE:JCIO
M;rtt;rirrl Srgrr is corlstructed of - [/hd-cJ L--_-
List ALL existirrg sigrrage and attaclr a l)hotograplt of eaclt sigrr
(a) T,ype
(cl Typt:0
Sq
I
CONI IIACI-O
ADDt'ift;!i:
CI'I Y
iTALLIR:
25
PHONE:
ZIP:STATE:
?q ?lo(l( )llS'l lltJC;l-lOt{ C(}N'ff tn CTOnS nl:GlSTnn TION NtJMt}l:tt:
CII'YI](,SINI:SSLICI:NSENUMBER: ?,-.{- TZ5
PIRES:
EXPIRES
OFFICE USE
Sigrr District:
Zortirtg
Sigrr Pernrit Fce:
BEOUINED INSPECI'IONS
___ Site
lo lJe rnade prior
to sigr.r placet]lent
Footing
prior to placement
ol concrete
Land Use
Code Section:
Approvcd By
_ 4r,ttucftment
after fasteners are
installed/prior to cover
Ouad Area
Electrical
prior to energizing
r-'/
--
Final
completion of sign
installation
qD
Arlditiorral Cornnrerrts arrd/or Conditiorrs
rs lltru alld correct, arttJ llurlller ccrtify tltat arty artd all work perlorrnerj shall be clone in accorrjarrce with the Orc.lilances crf tlte City,lSlrrirrgfit-'ld, and the Ltrws of ttre State of Oregon pertainirtg to the work described herein. lfurtlrer certify that only coittractors artdr-'rrrJrloyr:es wtro are irr cornpliance with oRS 701.055 will be used on this project.
I f urtlrer aoree to ensurc ttrat all requirecl inspections are requested at the proper time, that project address is readable from the street, thattlre penni
ol tlre sig
Sigrrature
t r;ard is ted at the lront of the property, and the approved set of plans will remain on the site at all times during the installation
rt(s )
Z q{Date
Date Paid:Anrour.tt Received:Validatiorr:
Reccipt Nurnber Beceived By
SIGN PENMIT APPLICATION
-llr* ap,lir:atio. orr the rcverse side rrecrls to lle cornl:letcd er)tircly. ll you are the siOrl corltractor/irrstall(rr. <lr if you arc
triring a corrr,ctor, you lreed to rnake surc ttrat botlr tlrc city of Springfield Business Licerrse Nunrlrer and the Registration
trlurnber lr.rr tlre State of Or.egon Constructiorr Contractors Board are listed on the application along with the expiration
rlalc of cttt:lt.
lt rlr0 sig. y0u are proposinq ls illuminated, an olectrlcal perrnit spplicotlon also needs t0 bo comploted and si0ned by either
a supe rvisirrg clectrician, tiriiteO sign electrical co,'ltractor, or if you are the business owner who also owns the building in
wlric:lr you are occupying. and you will be pcrforming the electrical installation yourself, you may sign tlte electrical
application.
ll tlrcre ar(: cxisran0 wall arrd/or freestarr<Jing sigrrs, a photograptr(sl of each oxisting sign noeds to bo attaclled to tlte
applicatiorr. The size of each existin0 sigrl also rreeds to be listed on the application'
PLANS
To subrnit lor a sign permit, you need to prspare two complete sets of drawings showing all dimensions' total height' and
,a plot plarl i116icating wlrere ihu propor"j sign will be located. lf you are instittirrg a freestanding sign which exceeds 20
ieet in total height, the footing detail needs to be prepared and stamped by a registered engineer' Atter the plan review
process is cornpleted, and, if your sign(s) is approved,'one set will be ittutnlO to you' The approved set ol drawings need
toDeatthesitewhenaninspectionisrequestedlortheinspectorsreference.
INSPECTIONS
Dependir.rg on your si0n(sL you may tre requirecr to request one or all oI the lollowing inspections during the installation
o{ your sigrt:
sire: To be requested af ter irrcticating orr trle lot where the proposed sign will .be located but prior to any work
being performed lor rhe insta[ition ot the sign. Tnis'inspection is required if there is a question on the
" location o{ the ProPosed sigtr'
[,orltirrly: 1-o 5e requested alter excav;rtiorr arrd tlre lorrns are installed, but prior to pourir]g concrete' ll there will tre
eter:trical conrjuit placetl in thc lootin0, it rnust also be in place prior to requestin0 this inspection'
l\tta(:llrncrrt: 'l-tl tte retlucst(}r.l when all lasterrers are irrstalled but prior tO COver'
*ectrical: To llc requester! after the electrical conrrectiorr to the sign is made' but prior to energizing'
Firial: After all required inspections are conducted and approved ancl the sign installation is complete'
Tlrc irrsper:tions that are required lor your specific sign will be indicated on the application during the plan review process'
Fail.rt: to re(luesr ANy of the required irrspections ciuld result in rGn removal in'order to inspect the sion at the required
irltcrvals of work.
1.o request ;r.r irrspection, phone 726-3169. This is a 24 hour recording. on the recording you wit need to leave your city
Desigrrated Job Number, rocation or where tne sign is being instatted. inu typu of inspection you are requesting, and when
you wi, be ready ror-ir,. inspection. Rlt inspections caile-d in to the r""oidut prior to 7:00 a'm' will be made the sarne
workirrg tlay, all inrpe"tion' phoned in after 7:00 a'm' will be made the lollowing work day'
rf you hav. any questions regarcring the appricatiorr, require.r pra.s or inspections, prease recr f ree to phone the Building
SaferY Divisiorr at 726-3759'
City ol' s^Pringl'icltl
lirriltlirrg Srrl'cty l)ivisirtn
215 lril'th Strcet
Sprirrgl'it'ttl, Oll 97 477
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2- COmB,AgroR INSTAIJ.ATION omY
Electrica] Contractor
Addr lb
ci
Supervisor Lieense Number
Exp iration Dare
Constr Contr. Number u50qa c-
Expiration Date
ture of Supervising Electrician
Ovners Name
Address
siFfrrer-:IELE,
PEH}IIT
City Job l{uuber.Z
HEE SCEEDTII,E BELOS
Ser'.rice Included:ftens
One Circuit
Each Addi tional
Circuit or' uith Serviceor Feeder Permit
10011 sq.ft- or ]ess
gach additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home- or
t{oduLar 'Dve11ing
Service or Feeder
Services or Feeders
InstalLation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amps
--601 amfs to 1000 amps-
Over 1000 amps/voIts -R"*otn""r oniy
Temporary Services or Feeders
tnstallation, Alteration or Relocatj,on
ert,I
FIITIE S:rAEET
uNGgIEtD, oREGoN 97477
siisrrbu nsouEst' 726'3
ircs, ?26-3759
792,. -a41L
The tollowing Proiecl
zoning, and does not
apr-rroval.
Zoni
.Aul:,orized Sig
S
3t^Neu Residential-Sing]g. or
ilulti-fro,i1Y Per dvelling unlE'
Cost
$ 8s.00
$ 15.00
$ 40.00
s50
s60
$100
$130
$300
s40
$ 3s.00
$ 2.o0
Sum
Permits are non-transferable and expire
;;-;;;k is not siarted r,rithin 180 daYs
of issuance or :'f vork is suspended for
180 daYs-
8$'gr$
Bu
L
00
00
00
00
00
00
aEEilE
40.00
55.00
80.00
e flBil
200 arrrps''m less $
201 amps to 400 €rps
-
S
over 4b1 to 600 amps
-
$
Over 600 amps or 1000Tol-ts se
Branch Circuits
{t'Neu, Alteration or Extension Per Panel
Ci ry Phone
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-- --r--r--
OIIHER TNSTALI.ATTON
?he installation is being made on
property f ovn uhich is not intended
lor saIe, lease or Eenr.
Osners Signature;
Hiscel.laneous (Service/feeder not included)
-Each installation
Pump or irrigation
$ign/OutL ine Ligh ting--[-
Limited Energy/Res
ilr\--
SIIBTOTAL OF ABOI/E
5Z State Surcharge
3fl Administrative Fee
TOTAI,
$ 40.00
$ 40.00
s 20.00
s 36-00
DATE;
iL-
BECETVBD
DD
tollowing
userequire
EI^ECTRICAL
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q,5\irrrrltlllr lcl lt Joll NUMUI-|1
i'i-lilVtlI' At r'ultzi+ I lON
(hy rspection Line: 726-37
Oflice:726'3759 K{0Ith Street
f rr;ld, 0R 97 'trl7
rTtO N OF PROI)OSED WORK
,ESSORS MAP:
]DNESS
JITY
BUSINESS NAME, FIRM ETC
TAXLOT:
PHONE:
ZlPt
STATE
Proiectittg Rool
Billboard Other
Total lleiglrt above Grade
U
r(
l-lorizontal Width of sign or etrclosure
Eloctrical lnstallatiorr
,/,ae No
(lf yes additional P errnit is required)VALUE:
(please checl< anrl cotnplete all appropriate inlormation)
/ ur.scntt'TtoN oF PRoPosED slGN(s):
X *,'',
-
Free
Marquee
starld irlg
Double Face tla lt
Sirrgle Face
Stltrirre Forltallc;
Vtrtical Dirrtensiorr of sigrr or enclosure
gc'q
l0 00-
[)irrti:ttsitltl f rorn Grtrdt:E)'to boLtorrr ol Sigtl
M;rtr:rial Sigrl is corrstrtlcted of
List ALL existirri; sigtrage and attach a PhotograPlt of each sign
(a) T.yPe
(c) Typt:
to
CONI ItACl OR/INSTALLER:
ADDNTSS
CITY:
(lotJ:i I lt(J(-ll lOl'l C()N ftln CTOIlS ItEG lsTnnTloN NllMlI[lt:
CITY I]TJSINI:SS LICENSE NUMBEH >q- t>s
pe Sq
Ftg.
Ftg.
av
3
i)
PHONE:
2 ZIP 03
EXPIRES Z@
EXPIRES:/o 4{
STATE:
2q
OFFICE USE
Sigrr District
Torrirrg
Sign Permit Fce:
REOUIRED INSPEC'I'IONS
Site
ro uf inarte Prior
to sron placement
Larrd Use:
Code Sectiort
Approverl BY
Area:
Electrical
prior to energizing
TE:
Footing
prior to Placelnent
oi concrete
Lt'-'
Attachment
afG lasteners are
instaliediPrior to covcr
'l---1,.,u,
cornptetion o{ sign
installation
Arlr.litiorral Cotnments arlcl/or Conditiorls:
By sillrrrrture, lstaro ilr.l(l agree, that lhave carefully exarninerl tl.re completed application anrl do hereby certify tllat all inforrnatiori l.rereirt
rs rru(: ard oorrect, arrtr r rurtrrer ccrtify trrat arry antr ai work perlorrnetl shall be done in aocordance with the ordinarrces of the city ol
sprirrglit.rll, and tlre Laws of ttre state of oregon pertaining to the work clescribed herein. l{urther certifY that only contractors and
,-.nr1,triy.es who are irr cornpliance with ORS 701.055 will be used on this proiect'
hat all required inspections are requested at the proper time, that proiect address is readable f rom the street' that
at the f rorrt of the property, and the approved sei of plans will remain on the site at all times during the installatiotr
Valida tir.rrt
ensure t
Feceipt Nurnber Received By
{
I lurther agr(]e to
tlre perrrtit card is
ol tlre sigrr(s)
Sigrratur e
-1
Date t
Anrourrt Received Date Paid:
-r
/NER:
emM^
)
ll
-+e
SIGN PERMIT APPLICATION
-Itrt: applir;atiorr orr tho rcverse side rreccls to lle cornpleted entirely. l1 you are the sigrt contractor/irlstallor, or if you are
triri.g a corlrr,cror, you rreetJ to rnake sure that uoth ine city of springfield Business License Nunrber and the Registratiotl
Nurn[.)er Irrrrrr rtre Srare of Or.egon Corrstructior.r Contractors Board are listed on the application alorrg with the expiration
riatc oI car:lr.
il rtlu si0n y0u ar0 proposin(] is illuminated, an electrical pcrrnit spplication als0 Reeds t0 be oomploted and sioned by eithe r
a srrpe rvising r:lectrician, limitecl sign electrical contractor, or if you are the business owner who also owns the building irt
wlrit;lr yor-r are occupyir-rg, and you will be performing tlre electrical installation yourself, you rnay sign tlre electrical
application.
lf tlrure are existing wall artd/or freestartding signs, a photograph(sl of each existing sign needs to bo attacherl to tlre
application. Tlte size of each existing sign also needs to be listed on the application.
PLANS
To sullrnit for a sigrt permit, you need to prepare two comlllete sets of drawings showing all rJimensions, total height, and
a picit plari irt<jicaiirrg wlrere the proposeti sigrr wili be lucated. lf yoi.J are instaiiing a freestanding sign whicti exceeds 20
iect in total height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is cornpleted, arrd, if your sign(s) is approved, one set 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 requirerJ to request one or all of the following inspections during the installationol your sigrt:
'Site: To be requested after incJicating on the lot where the proposed sign will be located but prior to any workbeing perforrned lor the installation of the sign. This inspection is required if there is a question on the" location of the proposed sigrr.
Forltirtg: To be requestcd after excavatior) artcj the Iorrns are installed, but prior to pouring concrete. lf there will beelet:trical conduit placed in the Iooting, it must also be in place prior to requesting this inspection.
Altat:ltrttertt: '[o be rerluestecl when all fasterrcrs are installe<J but prior to cover.
Electrical: To be requested after the electrical conrrectiorr to the sign is made, but prior to energizing.
Firlal: After all required inspections are conciucted and approved and the sign installation is complete.
1-lre inspections that are required lor your specif ic sign will be indicated on the application during the plan review process.Failure to request ANY of the required inspectiorts coul<J result in sign removar in order to inspect the sign at the requiredirltervals of work.
To request an irrspection, phone 726'3769' This is a24hour recording. on the recording you will need to leave your cityDesignated Job Nunrber, location of where the sign is being installed, the type of inspecti-on you are requesting, and whenyou will tle ready for the inspection. All Inspections called in to the recorder prior to 7:00 a.m. wi1 be made the sameworking day, all irrspections phoned in after 7:00 a.m. will be made the following work day.
[rl:[";l:ril)l jiT::::; resarrlins the application, required prans or inspections, prease reer rree to phone the Buirdins
C' i I y ol' s^pr.i rrgli el rl
lluiltlirrg Slrt'cty Division
225 I"il'th Street
rr^prirrgl'ielrl, Oll g7 477