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Home My WebLink AboutPermit Signage 1995-03-28SIGN PERMIT APPLICATION -SPFlINGFIELO 225 Fif th Street Springf ield, OR 97 477 JOB I BER 15o v91 lnspection Line: 726-3769 Office:726-3759?fr, TAX LOT: SITE ADDRESS: ASSESSORS MAP: OWNER ADDRESS: CITY: BUSINESS NAME,tr/ ETC.: STATE:Or- PHONE:7 ?zv> zZIP: DESCRIPTION OF PROPOSED SIGN(Sl: (please check and complete all appropriate information) _ Wall _ Single Face Dimension {rom Grade to bottom of Sign Enclosure: > _1 Freestanding Double Face 4Jy _ Projecting _ Billboard _ Roof _ Other Total Height above Grade:/il' _ Marquee Square Footage: Vertical Dimension of sign or sure .#r /o4 Electrical lnsta (lf yes additiona sign or enclosure: No VALUE I electrical permit is required)tor stctt:# Material Sign is constructed of List ALL existing signage and attach a photograph of each sign ao4. (a) Type (c) Type Sq. Ftg. Sq. Ftg. (b) Type (d) Type Sq. Ftg. Sq. Ftg. CONTRACTOR/I N STALLER:PHoNE: 2 26"&'R A ADDRESS CITY: CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: ITY BUSINESS LICENSE NUMBER: ZIP:97yzz EXPIRES: PIRES: OFFICE USE Sign Zoning Land Use:d Area Sign Permit Fee m.o Code Section: Approved By: Hf-_ DATE: REoUIR;D INSPECTIONS: Site to be made prior to .sign. placement I Footrng prror t" placement of concrete Attachment after fasteners are installed/prior L' Electrical prior to energizing electrical installation Final completion of sign installation 1..' to cover iAddltional Comments and/or Conditions: r f By signpture, lstate and agree, that lhave carelully examined the completed application and do.hereby certify that all information herein is true ind 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 of the State oI Oregon pertaining to the work described herein. I f urther certify'that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. t tuftner agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain on the site at all times during the installation of the Signature Date 3: A,f:L Amount Received:Date Paid:Vali Receipt Number:\\o1\a5 Received By: q irEfEfF 2a o. #. I +- \-, I 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 Springlield 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 Uy eitnei 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 elebtrical 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. . f eet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. Aiter the plan review proc"ss is completed, and, if your sign(sl 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 relerence. 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. Footing: To be requested alter 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 ol 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 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 7 26-37 59. City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 I OFEGO'VCITY OF JOB DESCRIPTION9t Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATTON ONLY ,a7, /-, Actt ''o , a- EIect rical con t rac to r .czvz;-rzP /z' >L;r Address 7Bo Hn/.tl sr.t D z cityF/6A--7'/A- Supervisor License Number r' 6zt 5 Expiration Date /a-/- ?o Constr Contr. Number 2 Expiration Date Owners Dau5 7-ft4t+rA5 Address zzz- tJ, L& P{ Ci ty f/zr,^t I tr/a2-r) Phone 2 tlJ- ?556 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: SPtL--"GFIELO Ci ty Job Nurnber SCEEDTII,E BELOII A. Nev Residential-Single or Multi-PamiIY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 C. D E n8+ $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over L000 amps/volts - Reconnect OnIY Temporary Services or Feeders Insta1lation, Alteration or Relocation 200 amps"or less $ 40.00 over 4b1 to 600 amps - S 80.00 0ver 600 amps or rbOOETts see uBu abffi Branch Circui ts ; .- Nev, Alteration or Extension Per Pane1 One Circuit S 35.00 Each Additional Cir.uit or vith Service or Feeder Permit - $ 2.00 'l Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighti Limited Energy/Res Limited EnergY/Comm 4o,o?- 9747 72 app,rwtt Adhorized Thc follonitre pr,cjPa{ e qubr.nttQd hqE thB zcnlng &''!d derq frot {qtr#f,,?, *Sltt q0P LD R-ELECTRICAL PBRI{IT APPLICATION225 FITTB SIts,EEf, SPRTNGFTEIJ, oREGON INSPEGTION REQTIEST: OPPICE: 726-3759 t 1. LOCATION OPL1-'L- N, INSTALLATION2-g rv sr I.EGAL DESCRIPTION Sum B s s0.00 s 60.00 $100.00 $130.00 s300.00s 40.00 $ 40.00 $ 40.00 s 20.00 $ 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL aa DATE: BRECETVED b/V pnon" )q 4 -86 €1 Signature of Supervising Electrician -) UA ---' --