HomeMy WebLinkAboutPermit Signage 1998-3-19
2. CONTRACTOR INSTALLATION ONLY 4'0
Electrical Contractor ED tf~JJ~!" ~(\^
"'v -,v. ..~.
Address 37370 CA..",() (r, C'ti?,?,yn~<.<'-9~~. 200 amps or less
-1~~ '/{;>,('^ '0'1:; 201 amps to 400 amps
City 5f'-t\) Phone ~o:-'/f~ ~<'<, . 401 amps to. 600 amps
. . ~.D ~V e>~~A601 amps to 1000 amps
Supervisor Llcense' Number 35771~ 0-9{st ~~ ~r 1000 amps/volts
(>~ -1<2 i'{sl i~Oo~nec t Only
Expiration Date It:>-l - 98 VI) ~4 ~-9A.;Y~ .
, c'~O~~r~ Services or Feeders
Constr Contr. Numbernll'/~8) . ~~tiG!l;i~n, Alteration or Relocation
0-9 ''t>;-- .
5 - :S, rS &' 200 amps' 'OT less
.201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Zoninp ,((;;
Dat9~
. \l .I'I^
ll<."i25'~,)U\"'d . .
SPRINGFIELD, OREGON. 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOClj;l'ION OJ\;JliSTALLATW!L +
-0~~!> __1' V\ \ V\ ,,"--'Hn(1 . A.
I rri5~t~l~PTION (XX:lC()
~ :?f!l/NPhllp , POOL ~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Sign~~ o~~iSing Electrician
Owners Name- ~Jl ,rn~
Add~e ~':s~4Q. I ('{\n f.fU
I -
Cit /.' phonel4l,1z15
~ INSTALLATION .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----~~-l~~lf7~;:--------------
RECEIPT II: l-l/ c. )
RECEIVED BY: L..::"r./.d./
~
ELECTRICAL PERMIT APPLICN~NA
,Ci ty Job Number (\ 9-D 'LJT
3.
COMPLETE FEE SCHEDULE BELOY ~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. f t or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
.B.
Services or Feeders
Installation, Alterations
.or Relocation: .
$ 50.00
$ 60.00
$100;00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00 .
$ 80.00
see lIB" aboye
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder not included)
-Each installation
.Pump or irrigation $
Sign/Outline Lighting--L-- $
Limited Energy/Res $
Limited Energy/Comm $
4n.00
c--:J.OO
(./ZD
4.:i . de)
40.00
40.00
20.00
36.00
1iL
5.
SUBTOTAL OF ABOVE
5r. State Surcharge
jr. Administrative Fee
TOTAL
SITE ADDRESS:
ASSESSORS MAP:
OWNER: ~o-Y"\-e ~
ADDRESS: ~ 34'l
CITY: S~
97477 a... ,.,
2.'lt.f'2- Mt1J' n C;fropf .
,-ml. -<.. L/ 'I
.
Odo~V\
JO.MBER q ~Olsi/
SIGN PERMIT APPlICATIO.
SPRINGFIELD
225 Fifth Street
Springfield, OR
Inspection Line: 726-3769
Office: 726-3759
TAX lOT:
~nn
PHONE:
'7 iff ') d...4 ~
'YY\(].Z ""
~"L
STATE:
G.r
ZIP:
c; 7 L{. '( (f-
BUSINESS NAME, FIRM ETC.:
Vertical Dimension of sign or enclosure:
Cf
Width of sign or enclosure:
M.""" '*
~ () /' fV\~ HOqK(
I~./
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
Wall ~ Freestanding _ Projecting Roof
Single Face ~ Double Face Billboard Other
<x-3
Square Footage:
Total Height above Grade:
Dimension from Grade
to bottom of Sign Enclosure:
Electrical Installatio . '-X- es _ No
(If yes additional elec ical p mit is required)
A fJl'~.r'- I '>\
A ''>f.~_''C'.l\-
'VIJ <::- ..
List ALL existing signage and attach a photograph of ~st~ '9~?-
~)- ~~ ~~ <5'~
~.o_ ltt(}, (61) O:,v,pl1t/
"a -() 'IV<\: <'~
'1)- /\ &$):.!p~)., ~-9(" Sq. Ftg,
..~/... -1~. .'.{S>~ ~\
I \ 1'U "'17I ~~ '~JI)._
(J(.9,. <, K(~&o \VL;0\ j' ~""'~~~,~~'Sw\ PHONE: '14'1-'19-,+"')
.c::rJ , '<-0,0 1-'0)-
STATE: 6r
Material Sign is constructed of:
Cf~
Q\lcl~c
VALUE
OF SIGN:
~
...-/
CJC:i..;
(a) Type
Sq. Ftg.
Sq, Ftg,
(c) Type
Sq. Ftg.
CONTRACTOR/INSTAllER:
ADDRESS: ~ <64:J
CITY: ~rfR
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
VYI 0..""-
::J /4'/ q
ZIP: Q'iL-f/?r
1I/7/f
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District: lDlV\mer~ia.U- land Use: f)?f:JO Quad Area: :;r,(\Jr)
Zoning: (\(', riJ Code section1 . ;::: '" u- '7 - (~ (2.) '\
Sign Permit F:e:- 'In. Approved By: ~, r~ ~R~ V
DATE: !J-c1t.C[g-
REQUIRED INSPECTIONS:
1/'/ V/
Site Footing Attachment
to be made prior prior to placement after fasteners are prior to energizing '" completion of sign
::::':~~:ii\lL';iiF~~&:~fM~'~!:~rLllO&~~
~trical
~al
By signature, I state an~ agree, that I have carefully examined the completed apPlica;on 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 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
the permit ca~s located at the front of the property, and the approved set of plans will remain on the site at all times during the installation
of. the sign{s).'
~~-r(" ~../,.,r-- 11;,)~ Date L -17 -!Lf
/ \ iJ -- '\
V~idation: (/ Amount Received: d'\ ~l~. '\
Receipt Number: 'r+.. ~ ~'C\:.. )
Date Paid: A..~ \ L\ 't
~~~
Received By:
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If 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.
If 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. .
If there are existing wall and/or freestanding signs, a photograph(s) of aach axlsting sign naeds 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. If you are installing 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 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. ,.' . , "
. "4.~\:
"
Footing: To be requested after excavation and the fo'rms are installed, but prior to pouring concrete. If 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 al~ fasteners' are install~d but prior to cover.
. ..
Electrical: To be requested after'the el~'ctrica1' 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.
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 inspection5'~boned in after 7:00 a.m. will be'made4the following work da,y. j't, -,(\:n/i'/'" ,',
. I' r' i .. ( , t . '\ ' II "
. ... " \. ,I' ~ . _""..' v \. ~~'),-,,'. '4 '. .
If you have any questions regar~ing\the applicatiofi)re~uired plans or inspections, please-fe-eJ free to phone the;~uj!ding
Safety Division at 726-3759. \":,' . ,: ~ . .
- -- v' i'r',
._,~~.....~'.:\ ,-).....". ....-.. '..j: I
. ." '. ,V" ~ ....... ." '. ....~. I J l. , , "'.\.) .
", J ..... ~
,
. .
\
~
.- .,....
I \,
~l
,
"
"
-~/~ I .
,: ,.;.
~.. ... '..: I
r .. a-... _ ~"''':'.':
......... " 'j
/ "..iJ.:. i. \
"
"
r
, . . (. " I
t ) ..:..~".. \~
---1- ~ ,,-"
"': .,1"",' ':') \ t,i.!
. '_.. f ~ { "-...'. ',. j' : 1"~ _ "
\ " .'. :.> :.-:~ ~z., '; I .~)YL~.
. -'
"r.. '."
.~'.J;' ,/".., ......;
..
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
~