HomeMy WebLinkAboutPermit Signage 1999-06-09SIGN PERMIT APPLICATION
225 Fif th Street
Springf ield, OR 97 477
SrrE ADDRESS: L669 1g th
SPRINGFIELO JO^ NUMBER QQo b'7b
Inspection Line: 726-3769
Office: 726-3759
Street, Sprin field
ASSESSORS I\4AP:
OWNER: Check Into Cash
TAX LOT:
PHONE:42 47 -2
224 N. Ocoee StADDRESS
CITY:C1 eveland STATE: TN ZIP: 37 3 1
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
xX wall
-
Freestanding
-
projecting
-
Roof _ Marquee
XX Sihgle Face _ Double Face _ Billboard Other
Square Footage 56 Total Height above Grade:L7'
Vertical Dimension of sign or enclosure: 4 t Horizontal Width of sign or enclosure L4'
Dimension from Grade
to bottom of Sign Enclosure 13'
Material Sign is constructed 61; Sheet metal
Electrical lnstallation: XX Yes No
(lf yes additional electrical
VALUE
OF SIGN:s2.00 0.00
o ass, p astic
sign:Ir ,:tii,rlT SHALL EXPIRE tFList ALL
(a) T 1-0010 th AUTHORI NDER TIIIS PERMIT IS NOT
rhQAR e52-oo1-
s of the ruIEsEy-(b) Type
e
(c) rypf!!!n9 the center.ttmdelephone (d) rvpe ------- ,AllY.+8o BAYPEBI0D-regon Notification
CONTRACTOR/INSTALLER:
ADDRESS: 101 N. Seneca
il
CITY
CONSTRUCTION CONTRACTORS REGTSTRATTON NUMBER OOlL4gO
STATE: OR ztpt gl4gz
EXPIRES:
EXPIRES:
2 /'l /oo
CITY BUSINESS LICENSE NUMBER
OFFICE USE
Sign District: Qpt ,,*E\ C:n-^^-Land Use: 6
"o-b
Zoning Cc Code Section:
Approved By:Sign Permit Fee: 5
Ouad Area l,()
',A
+( (r)
DATE: 5* )q-q q
REOUIBED INSPECTIONS:
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
llattachment
after fasteners are
installed/prior to cover
,l*"r,,"r,
prior to energizing
electrical installation
t/ rinat
completion of sign
installation
Additional Comments and/or Conditions
Bv signature, I state and agree, that I have carefullv examined the comoleted application and do herebv certify that all information herein
is true arrd 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 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
Validation
Receipt Number:Received By:
the site at all times during the installationthe permit car
of the sign(s)
S ignature
rd is located at the front of the
Amount Received:5T - Datepaid:
perty. and the approved set of plans will remain
Date b
(i
3{7
BUSINESS NAME, FIRII/ ETC.: Check f nto Cash
Ray-O-T,i te Si gns, Tne - pHONE: 6gB-2 5OO
A (1.
t/
?7
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 Springf ield 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 f reestanding sign which exceeds 20
feet 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.
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.
Footing
The inspections that are required for your sign installation will be indicated on the application during the plan reviewprocess' Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at therequired intervals of work.
Torequestaninspection,phoneT26-3769. Thisisa24hourrecording. Ontherecordingyouwill needtoleaveyourCity
Designated Job Number, location of where the sign is being installed, the type of inspectLn you are requesting, and whenyou will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the sameworking 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 BuildingSafety Division at 726-3759.
City of Springfield
tsuilding Safety Division
225 Fifth Street
Springfield, OR 97477
Attachment
Electrical:
Final:
a
:{aP}lr},t;-rf 'fl}
ILSCIBTC},L PBNMTT A.PPLICAfiOX
City Job l{rnbtr
2X5 .Etf:tf srRBEr
SPBIIKEIEID| OBEcotI 97477
IXSPEcfffl{ tBQltESt: 72e-t169oFEtnB: 726^3759
t, IrcAIloa or
C
!;EGA"L DBS(nrPrTONllo)6 3r o 1-to
COIIPLETE Tf,E SCUMULE BB|,()C
Nev Hesldential-$ingle orHulti-Family per dtrelling unir,service Jncrudedi
rt"r" cost
sa
.,
,t.DA.
"{)
t1
o"
E
Sun
Phone fsy t-* I&t":ys:(t Ll
Supervisor Liceuse ilumber Jf ZZ,J.1.,.!__
Explratlon Date
1OOO sq.ft. or less
Each additlonaL 50o -...-
sq. ft or portion
thereof
Each l{anuf ,d S+ne cr _--*
Hodular DtrelLing
Service or Feeder
Services or Feeders
Ins tallation, AI terationsor Rqlsssllsn.
201) arrps or legs
20L augs to 4O0 amps *-]_*
401 anps to 600 a*ps
0()1 anps ro 1000 amps-Over 1000 anps/volti
Reconnect 0nly
JOB
A L-A (- ,')$ 8s.oo
$ 15.00
$ 40.00
Perrdts are non-transferable and expir.elf work is nor sre.rr*d r*ithirr 1BO daysof lssuance or if vork is suspende,l ior
180 days.
2- CoRTBrCrffi rxstAl.r-ffiI0N O!{LY tt
Blectrical Contractor .t
Addr
Ci ty
es8
UL
,51 5€
_c
$ 50.00
$ 60.00
$100.00
$130. 00
$300.00
$ 40.00
Constr Conrr. l{unber .).)"\'7 cce
Explretlon Drte /r .rq
SlgEaturc of Supervteing Electriclan
Orrnerg Nagre
Addresr
Temporary Servlces or peedrrsIustallation, Alr*rratlon or Reloc*tlon
2U0 anps or less $ +g,00201 arnps ro 400 a$ps
-
$ :i.OOover 401 ro 600 arps ]- $ S0.00Over 600 amp or loOo-idT[s ur*-iii a66F
Braneh Cirsuigg
tle*, Alleraiion or Extension per pane)
0ne_ Circult $ 35,00Each Additlonal
Clrcui t or with liervicenr feeder pernlt S Z.OO
Hi,scelleneous (Ser:vir:e./feeder: not lncluded).-Each installation
Pump or irrigatlon
Slgn/ou rline Lighr:inE-Lilrited Energy/ile^ u----
Limited Energy/Coru T
r.lJ
(+L{ -g
cl ft Phone
OTI|EX, ITS-IA.LI,AflOH
The installation is beirrg urade onproper-ty f ovn vhich is not intendedfor sa).e, Lease or rent.
OTIIGTE Slglrature:
$40
$40$ 7.0
$36
00oo *:-*
oo ----oo 3.Jn
IIATE:'i" suBTUf,lL Or aBovEff-State fureharge
Z'7" A D,'rrnl a.a -
.3L, . DCI---.frr{ktu
- J ,.5e.-3.8. 5d. _
| ,D3
trBCEIVBD
6--9
'3t1,(,'(?
(0*,
I
C'TY OF SPRINGFIELD, OREGO'U
zoning and does nol reguire speciJic land use
225 FTTTI STREBT
SPRTNGFTELD, oREGoN 9
INSPECTTON REQTIBST:
0FFICE: 726-3759
approval
Zoning
Authorized Signature
1 LOCATION OF INSTAII,ATTON
L669'4. lBth Stre
LEGAT DESCRIPTION
JOB DESCRIYTION
Hook to existi cir
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. COMRACTOR INSTALI,A:TON ONLY
SPRITIGFIELE'
PSRUIT APPLICATION
ty Job Nr.rmber
3. COT{PLETE FEE SCEEDTIIJ BELOS
Ie or
11ing unit.
Items Cost Sum
s 8s.00
s 1s.00
Each Manuf'd Home or
Modular Dvelling
Servi'ee or Feeder s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
40. 00
55.00
80.00
ee rfB" aE6lE
Electrica] Contractor Ray-O-Lite Slgns
Address 101 N. Seneca NOTI CE:200 amps or less
Ci ty Eug enc, 0R Phone 688-
201 amos to
sF46[LExFuner
400 amps
Supervisor License Number 291-SIOOMMFNCED
iration Date 10 /99 ANY 180 DAYPERIOD.
Expirat ion Date L0 I 99
Signa of
D. Branch Circuits
s s0.00
s 60.00
s 100. 00
s130.00
s300.00
$ 40.00
Exp
Constr Contr. Number 20-L60CLS
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 4oO amps
-Over 401 to 600 amps
Over 600 amps or 1000EFs
$
s
s
S
tri
0vners
Address
Check Into Cash
224 Ocoee St.
City . Clerrelrtrd Phone (,trZz)Uq-l4gg
OIJNER INSTAII,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orners Signature:
DATE:
Nev, Alteration or Extension Per Panel
One Circuit S 35-00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine LightingT
Limited Energy/Res
Limited EnergY/Comn
E
zoT-0s 40.00
$ 40.00
$ 20.00
s 36.00
STIBTOTAL OF ABOVE
5Z State Surcharge
32 A<iministrative Fee
TOTAL
ff'h<._
RECEIVED
5
a
bless
500