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Home My WebLink AboutPermit Signage 1999-09-28SIGN PERMIT APPLICATIC 225 Fifth Street Springf ield, OR 97 477 SPrlINGFIELD 0JC -.UMB afr, tn'spection Line: 726-3769 Office: 726-3759 SITE ADDRESS. ASSESSORS MAP: OWNER \'n C,hBora S^jb O0<\^.-PHONE: ADDRESS: 22.LT r\- Cc DeE- CITY C\ pr.L,STATE: -Tl\J 3tlZIP: BUSINESS NAME, FIRI/ ETC DESCRIPTION OF PROPOSED StGN(S): (ptease check and complete all _ Projecting _ Billboard Total H ANY 1 Horizontal Width of sign or enclosure \rL' lation:Yes _ No f yes additional electrical permit is required)2,w,q9- Wall _ Freestanding Single Face _ Double Face Square Footage:s'{- Vertical Dimension of sign or enclosure 4' Dimension from Grade to bottom of Sign Enclosure: lVlaterial Sign is constructed of : st XS \3t List ALL existing signage and attach a photograph of each sign 51.(a) Type (c) Type Sq. Ftg. Sq. Ftg. (b) Type (d) Type Sq. Ftg. Sq. Ftg. CONTRACTOR/I NSTALLER: ADDRESS: CITY CONSTBUCTION PHONE: ZIP:Qtrlo aSTATE NTRACToRS REGISTRATION NUMBER' O01\tlqo oz Ior 0lEXPIRES: EXPIRES:CITY BUSINESS LICENSE NUTUBER OFFICE USE Sign District: U-r" r^;)"G*.u rC.r'.&-and Use:fl Ouad Area: A O-uu) Zoning w Code Section: Approved By:Sign Permit Fee DATE: lO - l3-qa REOUIRED INSPECTIONS: ' Site to be made prior to sign placement Footing prior to placement of concrete fir^chment after fasteners are installed/nrior to cover Electrical prior to energizing electrical installation l/ Finat cornptetion of sign installation . Additional Comments and/or Conditions bau*'r-/ By signature, I state ancj agree, that I have carefully examined the completed application and do hereby certify that all inforrnation herein is true and correct, and I further certify that any and all work performed shall be done irr accordance with the Ordinances of the City o{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 the permit card is ensure that all required inspections the front of are requested at the proper time, that project address is readable from the street, that , and the approved set of plans will remain on the site at all times during the installation Date Paid: of the Signatur Amount Received:Va lidation Receipt Number: f 3(03 t>Received By \FlHE WORK rsNo'r FORTHIS&qnt'nr \u0 \t fi%\- t 6,8&-z qno 41.*, D^-O--t€ 0 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(sl 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: City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 I 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 of the required inspections could result in sign removal in order to inspect the sign at the required intervals of work. Torequestaninspection,phoneT26-3769. Thisisa24hourrecording. Ontherecordingyouwill needtoleaveyourCity 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. The lollowing Proiect as subrnitted has the tollowing zoning and does not require sPecitic land use SPFIIr|GFIELO CAt PERUIT APPLICATIONK225 FIFTE STREET SPRTNGTIETD OREGON 974, apProval 77 6-37 Date Zoning 1. LOCATION \LDGq OP ^trNST16!\ INSPECTION REQT,BST Z 72 69 -q OFFICE: 726-3759 Authorrzed Signature A N ELECTRI --,---qa +o Jt/\tuld stHr $ ls. oo Each Manuf 'd Home:lfClION Modular Dvelling Service or Feeder $ 40.00 Job Number SCMDIILE BELOS Nev Residential-Sing1e or Multi-Family per dvelling unit. Service Included: 'corurd,wc odffffi9 cos t UOJKmNOg0,l\ffid $ 8s.00 st-ffid3 HTTW IJGAL DESCRTPTION JOB 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. CONTRACTOR INSTALLATION ONLY El-ectricaf Contraetor 4 Address Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401- amps to 600 amps _60L amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y Temporary Services or Feeders fnstallation, Alteration or Relocation A )HOM B C Sum Ci ty Supervisor Lice Expiration Date Pi,one G>tt-ZSD C nse Number ,oloo s s0.00 s 60.00 $ 100. 00 s130. 00 $300.00s 40.00 Constr Contr. Number ,D - f bDc.l-S Expiration Date Signat of Supervising or l-ess g 40.00 to 400 amps - S 55.00 _ amps or 1"000 volts see frBil above 200 amps 201- amps Over 401 Over 600 C]'EIN Ovners Name Ci ty Phone dffi-aLoD OIINER INSTALLATION The installation is being made on property f orun vhich is not intended for sa1e, lease or rent. Ovners Signature: DATB: D. Branch Circuits Nev, Alteration or Extension Per PaneL One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. I,liscellaneous (Serviee/feeder not included) -Each installation Pump or irrigation Sign/Outline Li gh t ing--\- Limited Energy/Res Limited Energy/Comm @ SUBTOTAL OF ABOVE 5% State Surcharge 32 Administrative Fee TOTAL $ $ $ $ 40.00 40.00 20.00 36.00 5 RECEIVED CITY OBEGO'U zql-61h rD\co Address }a,Q N) , Oe nce- +.