HomeMy WebLinkAboutPermit Signage 1992-4-16
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ELECTRICAL PERMIT APPLICATION
97477 the toi' , , f71f\A.A fJo..
726-37ii9ling::~~prOJocte9s~bml!tedhastIiJRl. ~ob Number "10'( rt/C' ~
approval. oos(f\t reqUIre 9paclffc land useow 119
, Zon' ~f!l3. COMPLETE FEE SCHEDULE BELOII 4t
1. LOCA;q:Op., ~ I~~LI.ATI9.~C'I "3l9-rr-,'..:.J
"t=) , L.:..J 6lLl( J J D ~ " 1v)'C(. ev Residential-Single or ,
AU1hcri~edSlgnature Multi-Family per dwelling unit. .
,..!;EGALRES~ION '-::> f'V"'\ . e Included: "
-LLn'rl.,3L)q..J.....030LL.J Items Cost " Sum
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~CRIPTION
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Permits are non-transferable and: expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2., CONTRACTOR INSTALLATION ONLY
Al-~fu~..
Electrical Contr
- - . - ... - ___h
Addres~4
Ci ty ~.c njLJ11L..
o
Supervisor License Number c./?"7
oY&"JY\.
ne~4tL- 'llfj
--
5J-
Expiration Date //)/1//9 "?
Constr Contr. Number-.l..P4-l 0 \ f)
Expiration Date ,~~~
Signature of Supervising Electrician
:=?~e-<e-vY'\,~~~~'k- - J
o~'" ,,,.'\'J(' fu?'i\Q ~ \?ill; nol
Address l?\<f., \ \ \'fV'\ ~ fJ \,..::t-- ~ U
City s~\n Phonelf2.[o~lo2J)8
OVNER INSTALLATION
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~~---~-1-~-~~~~~-------------
(;.~ .~_, .A
RECEIPT II': " ' //(' _ 'tt. ~;, "if"
RECEIVED BY( '7\ /ll...-l..... ./
- ,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B.
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 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
..;
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40.00 ~
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
4[)cO
,.!.JOD
4~LX')
""~~""~1.,,:,,.~....
"'~<'"'.c~,"''''''''''''';'"
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r~.:~~~.~.;<,r.;Jro_..._.,:.
city' of springfield
225 n. 5th street
INFORMATION: 726-3753
.
.
INSPEC'T10NS: 726-3769
SIGN PERMIT APPLICATION
A. LOCATION OF SIGN (ADDRESS) '~11 ~ M~,k'" '%>~\\
LECAL DESCRIPTION \tJAu... ~\G'" 11(')cl.--\, I
'O~JNER OR PROPERTY l='~Clc:... l'A'RR\>JGToN \\.l.VE<:;;n"EI-l,c.
ADDRESS '7.a,l'h'l. \ '7Z f> ~uRe'KA Oil..
,
~...
Ol-JNER OF SIGN (IF OTHER THA~l PROPERTY OWNER),nlu.lNG,<, (',U \..l\C.
ADDRESS S1'3" ~AlN ~TR.ji;~1 ~W\N(;t'\E.L\)
-
TAY. LOn' n~~ '( )
PHONE ('0'1) 4'\5 -q!cOt
ZIP q 5'5"02
o~ CH\~"'PI~.r,Q\c... ,l::R,STEPIl~"t1W1l
PHONE '1Z~..; Go ~"T5
B. TYPE OF WORK:
~ERF.CT _ALTER
_RELOCATE
, _OTHER
I C. STRUCTURAL TYPE OF SIGN:,
$-UALL FREESTANDU1G
_ROOF PROJECTING
_MARqUEE
_UNDER HARqUEE
_OTHER
TYPE OF ,BUSIllESS c.\\I~,:Tlc... CuNIL
[). USE AND CPARACTER OF SIGN:
XIDENTITY '
_INCIDENTAL
NAME OF BUSINESS, FIRM, ETC.
.
_DOUBLE FACE
XSINGLE FACE
-,'!\JLTI-FACE
_READER BOARD
_BILLBOARD
~
E. VENDORS, CONTRACTORS:
SIGN ERECTOR l"IA'2n!<.l ~R.oS, SIG.WS \t-lC PIIONE ?'4z- \'7Go"\
,f.DDP.ESS Z04 -\iliER.<:'014 s'-L"l>D,'t:qll zaoq , f\y;.~I?-' oR ' :m Cl'l'"l(\'L
CITY LICENSE tl\J!olBER Q\(),;O'2- /10416\~?'-~!~IC\~EXP. DATE b-3Q-9"2...
SIGN l1ANUFACTURER (IF OTHER THAN ERECTOR) "SAME.; ,
ADDRESS ~?_ PHONE
f: ,DIM~NSIONS, UlSTALUTION & CONS~,
TOTAL HEICHT ABOVE GRADE r1I (0 I ./
VERTICAL DIMENSION OF SIGN ';. ~ 3'-8"
HORIZONTAL WIDTII OF SIGN Z ....'
DI!lENSION FROM GRADE TO
BorrOH OF SIGN \ 2, ,
G. EXISTING SIGNS ~
ARE THERE ANY EXISTI!lG ~IGNM _YE,S"<;:i,NO )
'tlUUBER SIZE IN SO, FTG,
.
ALL EXISTING SIGNS
FOR BUSINESS, ETC,
TIIICKNESS OR DEPTH
\ ')'''
/.Y"'~
H. HI~L SIGN HAVE ELECTRICAL InR~t? '1E'7 J)
, IF YES, WHIC!! APPLY? "ELEC ICAL SI~
ILLUMINATED (INDIPJ,CttY LIGH ;
ELECTRICAL COllTRACTOIt tMV\N "BU><" S,GIIle;
ADDRESS z04 Je:.l'~d'CoN
LISC.NUMBER4.,,>, '5T PI:ONE ~tj'Z-IIG,"
DOES SIGN PROJECT BEYOND
PROPERTY LINE? _YES
IF YES, DIMENSION BEYOND
PROPERTY LINE
NOTE: IF PROJECTIOn IS IIORE THAN 12"
OVER PUBLIC PROPERTY TPY. SIGN ERECTOR
fruST FILE WITIl THE BUILDING DIVISION
COPIES OF HIS/HRR LIABILITY AND PROP-
ERTY DAMAGE INSURANCE POLICIES,
..KNO
'NIt>. '
I. DESCRIBE TYPE OR t'ATERIALS SIGN IS
CONSTRUCTED OF. '
'SHe::e..-r, IME-TAI ,"Pl..EJ<1 GLA,O;
Ni!014
J. SITE INFORMATIOll (LAND IlSR) -- EXISTING USE
OF BUILDING OR LAND (nR LAST USE IF VACANT)
SHtil>t"NG; CEM7ii:R
K. VALUE OF SIGN:'1f.I..J, ~ ~
~INDOOR BUSINESS __OUTDOO~ MERCHANDISING
PROPOSED USE OF BUILDING OR LAND:
CI-l\~7\2.bc.T\C. CU>lIC-
"
L'I HAVE CAREFULLY EXA}llNED the completed application for permit and do hereby certify that all
information is true and correct, and I further certify that all work performed shall be done in
accordance with the Springfield Sign Ordinance, the Uniform Sign ,Code as adopted by the City of
Sprin~field,and all other Ordinances of the City of Springfield and the laws of the State of
Ore~on per'taining to t!:le work described nt::Io.~.1.n" I further certify that my S:!.g!'\ Co!'\tractor 1...1-
cense with the City of Springfield is in full force and effect as required by Sprinr-field Codes
8-2-6(3) and 9-7-20(2). 1 will request all required sign inspections listed on the approved
permit.
NAME (PLEASE PRINT) GAR,-lIURVE14
W\"'~T\~ '&~., <;;JGHC,
SIGNATURE
e;r----~
,
DATE ~-"2...( -")"""--
.: .
,
PLEAS E
REA'
.
.;.
1)
Seoarate Sien Apolication: A separate application is required for each separate sign as defined
in the Sign ~ode,
Electrical: Any permit issued under this application will include wiring in Dr on sign structure,
tne supply wires for connection must be covered on an electrical permit. Electrical connection
must be made only by a State Licensed Electrical Contractor, Illuminated signs (both internally
and externally) must conform to Sections ,9~7-~ (4) &,~5) and 9-7-18 of the Springfield Sign Or-
dinance.
!.
. ",'
2)
Plans ReQuired: This application is to be submitted with ~o complete sets of plans showing di~
mens ions and.~eight~of sign: adverti~ing mess~ge on sign: lo~ation of sign on property with di-
mensions to property'lines, structural details of support framing, bracing and footings; materials
of co~struction for sign and sign structure; ,electrical equipme~t and lighting; size and location
of existing signs on property for the same busienss, all as required to determin~ compliance with
'the Springfield Sign Ordinance (Article 7 of,the Springfield City Code), Also,. show the follow-
ing'information on the plot plan (plan showing property lines and location of sign~):
a) Show the location of all existing sign(~) as 'well as proposed sign(sj:
'..' b) Show ,the'length of the street frontage taken up by the business or building. For wall
signs, show the length of the building frontage. ,
c) Show the location of entrances open to the public and driveways,
When required. because of design, size, etc., engineered drawings and calculations must be pre-
pared by a licensed engineer or shall conform to design standards on file at the Building Divi-
sion Office,
Plans of insufficient clarity or detail will be returned to the applicant with no permit being
issued.
Signs must meet corner vision clearance requirements as described in Figure 9 of the Springfield
Comprehensiv~,Zoning,Code.
NOTE: No sign may be erected which is less than 12 feet horizontally or vertically from'overhead
electrical conductors in excess of 750 volts, or less than 5 feet in any direction from overhead
electrical lines which are energized at less than 750 volts.
If a sign is not installed within 60 days after the date of issue of this permit, the permit shall
be void.,
Inspections:
3)
"
i
<I
'I
4)
5)
6)
7)
8)
9)
a) Site Inspection - to be made before the sign is placed. Usually, the FootinR Inspection
(it applicable) may be made at the same time as the Site Inspection, Xne ~oot1ng inspec-
tion is to be made after hole(s) is excavateu; out prior to the placement 'of concrete.
b) Final Inspection. - to be made upon completion of all work., .'
c) ~lectrical, all electrical ~i~~ must ,be insp~cted f~~ electrical hook up after the sign
Is'erected and before the sign is turned on. '
CALL FOR THE REQUIRED INSPECTIONS ON TIlE 24 HOUR INSPECTION LINE AT 726-3769
"\
SICN DISTRICT ~OO O'l,ZONE
TOTAL SQUARE FOOTAGE OF SIGN
REOUIRED INSPECTIONS:
FOR OFn~E USE
DISTRICT Q..0 ~
R I Q 15-
S~G,N~~~IT ~[) 3()
- ~~~U.A~U~o\~htAL
".,-- -~ -
ONLY
=-
JOB fJ
Q/-)():4J")C)
___SITE/LOCATION
, ~CTRICAL
( ~OTHER
___FOOTING OR METHOD OF ATTACHMENT'
~NAL
,-,. 5:\ STATE SUR6II1\RGE:
I!!
<
,
"
TOTAL: . . a[') ,tQ(),
DATE 4, (0(J-~IPT 4, '1 J1 '
, CLERK H1 LDZA ./ -, .-
,I
SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED:
APPROVED BY:
\ ~ ri\J~
l~tRh
DATE
4.lo ,q2-
SECTION:
SPRINGFIELD SIGN ORDINANCE
.