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Home My WebLink AboutPermit Signage 1993-07-02StGN PERMIT APPLICATIONI 225 Filth Street Spring{ield, OR 97 477 SITE ADDRESS ASSESSORS MAP: OWNER ADD CITY: BUSINESS IRM ETC. SPRINGFIELD JOB t'tt,lraaa - lnspection Line: 726-3769 Office: 726-3759 PHONE: N(S): (please check and complete all appropriate information) Freestanding -Proiecting -Roof -MarqueeDouble Face - Billboard -*- Other Total Height above Grade IA, Horizontal Width of sign or enclosure: No h, DESCRIPTION OF PBOPOSED SIG {i*n' V/ s norc race Square Footage Vertical Dimension of sign or enclosure: TAX LOT: L ()(flA ZIP:STATE: Dimension from Grade to bottom of Sign Enclosure Material Sign is constructed of: List ALL existino signage and sttach a photograph of each sign: (a) T Sq. Ftg VALUE I OF SIGN:4+Bois required) ) (c) Type t-Sq. Ftg (b) Type (d) TyPe Sq. Fts. Sq. Ftg. PHONE:CONTRACTOB/INSTALLER ADDRESS: ,TE:ZIP:CITY: CONSTRUCTION CONTRACTORS REGISTRATION CITY BUSINESS LICENSE NUMBER R EXPIRES: EXPIRES: Sign District: Zoning Sign Permit Fee REOUIRED INSPECTIONS .- Site to be made prior to sign placement Land Use Code Section: C{Approved By OFFICE USE Attachment after lasteners are installed/prior to cover kOuad Area: TE Footing prior to placement of concrete X Electrical prtT\t" energizing electrical installation V Finat completion of sign installation Additional Comments and/or Conditions: By signature, I state and agree, that I have care{uily 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 of the city of Springfield, and the Laws ol the state of oregon pertairring 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 prolect' ensure that all required inspections are requested at the proper time, that proiect address is readable from the street, that located at the f ront of the property, and the approved set of plans will remain on the site at all times during the installationI further agree to the permit card is of the sign(s). , Signature Amount Received Receipt Number: Date Date Paid: Received Validation: 2 fs /t Electrical (l{ yes 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 uotn ine city of Springf ield Business License Number and the Registration Number from the State of oregon Construction Contractors Board are listed on the applicatiorr 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-elecirician, 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 lor a sign permit, you need to prepare two Gomplete sets of drawings showing all dirnensions' total height' and a plot plan indicating *r,"ru ine propo."d sign wi[ be located. lf you are institling a freestanding 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 compleled, and, il 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 lor the inspectors ref erence' INSPECTION Depending on your sign(s), you may be required to request one or all of the following inspections during the installation Footing: Attachment: Electrical: Final: ol 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 {orms 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 lasteners are installed but prior to cover. To be requested alter 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 procers. 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. 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 yo, *itt 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 lollowing work day. lf you have any questions regarding the application, required plans or inspections, please feel free to phone the Building Salety Division at 7 26-3759 City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 CITY OF OREGO'I' INSPECTION RBQTIBST: OPPICB: 726-3759 726-3769/1-\ 225 PIfrE STREET SPRINGPIEIJ, ORBGON 97477 a 1 OP INSTALI,ATION -q? i,.jnatufe e A IJGAL DBSCRIPTIONv/26/a Permits are non-transferable and expire if vork is not started vithin 180 days of lssuance or if vork ls suspended for 180 days. 2. COIiITRACTOR INSTALI..ATION ONLY B. EIec t r i cal Con t rac r", 54en 4/O*-f;- Address ' " - '' 4 as submltted.has the lollc" ., ,,",?liJiie iPecitic land use (ir!' 3. SPF'I{GFIELED c. D. Branch Circuits 5. SIETOTAL OP ABOVB 5Z State Surcharge TOTAL ELBCTRICAL PERHIT APPLICATION City Job Number. SCEEDTILE BBLOV Nev Residential-Single or HuIti-FamiIy 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 Modular DvelIing Servlce or Feeder $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: Sum citv4q,ir, 8 vnone 7 / V^777A Supervis6i [i""*e Number < / 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amPs_ 0ver 1000 amps/volts Reconnect Only s s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 Expiration Date P/-Vj Temporary Services or Feeders Installation, Alteratlon or Relocation 200 amps or less $ 40.00 201 amirs to 400 amps - $ 55.00 over 4b1 to 600 amps - $ 8o.oo 0ver 600 amps or 1000 voT[s see ttgt' "ffi Slgna sing Blectrician 0wners Name Address ctW ft^,+..,f?. Phone 4t3/y'1# OSNBR INSTALI.ATION The installatlon is being made on property I own which is not intended for sale, lease or rent. Omers Slgnature: DATE: Nev, Alteration or Extension Per Panel 'One Circuit S 35.00 Each Addi tional Circuit or vith Service or Feeder Permit _ $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 sign/outline Light inr]_ S 40.00 4, Limited Energy/Res - $ 20.00 Limited Dner[y/Comm $ 36.00 L/U.Q E RBCEIVBD a-aP --*--Y>-@ Constr Contr , Nunber ZS //{ Explration Oate 2-/f,9 /