HomeMy WebLinkAboutPermit Signage 1997-9-10
SIGN PERMIT APPLlCATI_
225 F;fth Street
Spdngf;eld, OR 97477
OWNER: ',\\.O
ADDRESS: 34cs0>
<SA-~
CITY:
JWUMBER q 1/3>),1-
Inspection Line: 726-3769
Office: 726-3759
EllS\'
"3,9 /2..: (\~ .f\'€.td.., nR., 9 1 '17 7
TAX LOT: Ll nlu'r,Y)
-
PHONE: &::7)3, -3(., l/ - -Y.;J,;J (
cr,
STATE:
(") k ,
Cf13o(
BUSINESS NAME. FIRM EOC.:...
Pro Nt:>,ILS
ZIP:
DESCRIPT~ OF PROPOSED SIGN IS): Iplease check and complete all appropriate information)
...L Wall _ Freestanding _ Projecting Roof
_ Single Face
Double Face
~
Square Footage:
Vertical Dimension of sign or enclosure:
Dimension from Grade I 1\
to bottom of Sign Enclosure: 11..., -'-I
Material Sign ;s constructed of: ffiD ""^
Marquee
Billboard
Other
19:,1_ t II
Total Height above Grade:
'"'DIl ~
,-.; Hor ontal Width of sign or enclosure:
Electr;callnstallatio : -LYt _ No VALUE tt
(If yes additional ele tric:.al pe it is required) OF SIGN: ;:) I 100 . "D
'1 UALVY\J.:",,,,b.J ('''''',,^M.c9 l~..\:;U..v ,'I'\~A -(-7) QY()~{t.
10'-oll
f1t'.~L)"''..lo!
II'
lal Type
List ALL exist;ng signage and attach a photograph of Bach sign:
~/A
Sq. Ftg.
(cl Type
Sq. Ftg.
CONTRACTOR/INSTALLER: YY'I t"u\-i'L:.n
ADDRESS: .:Ja'-l
'Sz::.,f.(p (Socr>
(b) Type
Sq. Ftg.
ld) Type
Sq. Ftg.
p.., ^i\-b. S ~ "(/",,1:>
?T , (? 0 . 6",~ ,;;)010<1
PHONE: 5<11- 3'/01-11101
CITY: y', ultt'lL
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER:
Sign District:
~~l'(\QJ NmL
0~ /
~ 4i\ 9U
Zoning:
Sign Permit Fee:
w{o41?'
STATE: {'YR. ZIP: 1i'l.0;<,
loll wi ~ EXPIRES: ~-<;-qR
EXPIRES: (e ~-qS
OFFICE USE
Land Use: IT~U Quad Area:
Code section:~C\ -- 'l-J 1- (\ ') -
- (jif [\0 12 ~
Approved By: _ _\j ~\~_
\ ~ fUll )
U.lrJ.L('1
. DATE:
REQUIRED INSPECTIONS:
Site Footing ~ttachment V Electrical ~al
to be made prior prior to placement after fasteners are prior to energizing completion of sign
to sign placement of concrete ,,()^ '" i.n sta~ed/prioytio cover electrical installation in~tallation di
Additional ComO',ents and/or Conditions~ 'ID.i.Cn \) ~~M 1 tLLtlQ9 Q llJ 0 y ~I
By s;gnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
;s 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
Springf;eld, 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 card is 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 signls).
S;gnature
\)Vi{\
p. 6l1oo
Validation:
Amount Received:
Rece;pt Number:
Date q-')\- 97
-UJ
qu.
~i)~s <l
- ~J
Date Paid:
().\f) q~
~ "M:'^- )
Received By:
.
.
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. 11 you are the sign contractorflnstaller, or ;f 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 s;gned
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 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. 11 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.
Q
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 quest;on on the
location of the proposed sign.
Foot;ng:
To be requested after excavation and the forms 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 b~ 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 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 inspect;ons 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.
If you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safely Division
225 Fifth Street
Springfield, OR !J7477
OWNER: 11-1 0 \--\ ui f\ h
ADDRESS: '"3Li SU C'-~,~+S ('T.
CITY: "SALD"~
,; SIGN PERMIT APPLlCATlO~
225 Fifth Strect
Springfield, DR 97d77
BUSINESS NAME, FIRM nc.:
Pro
SPRINGFIELD
ql/31rt
JOB .BER
Inspection Line: 726.3769
Office: 726.3759
PHONE:
5D~- 2, ~t.f~l(.?,;) tf
STATE:
tJR. ,
ZIP: Of 1~1
N !1-( LoS
DESCRIPTION OF PROPOSED' SIGNISI: (please check and complete all appropriate information)
..L Wall Freestanding _ Projecting Roof
Single Face Double Face
Square Footage: ~
Vertical Dimension of sign or enclosure:
D;mension Irom Grade
.to bottom of Sign Enclosure:
llo'-'-{II
Material Sign is constructed of: Jl\.Dr'\i\
Marquee
Billboard
Other
Total Height above Grade:
19-'- ( 1\
ID'-O"
VALUE~
OF SIGN: ,,/. 100. 00
,
l.UIIIW\,-"'dr.J. c...,^r~
.,,~~ 0 v prro.JJ.tL
(t-tl1'."
/I tlCP,,~'
lal Type
Sq. Ftg.
List ALL ex;sting s;gnage and attach a photograph of each sign:
~/A
Ib) Type
Sq. Ftg.
Ie} Typc
Sq. Ftg.
CONTRACTOR/lNSTALLER: m~
ADDRESS: ::JoLI .\f.(~n;c.-v
Id} Type
Sq. Ftg.
P.-.~, "'= 'jjJh>b
CST p. D. 8c" ..J"l.,<;
PHONE: 5<./' - "'-,1;;)-/7 t."
CITY: erA ''ltt\.L
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
OFFICE USE
Land Use: 5~l Quad Area: \ lN~
Code Sectio,\ I J.-fI - \ 4- (\"')
Approved By: ~ m,\\,~ DATE:
',:mUIRED INSPECTIONS:./ /..
. Site Foot;ng ./" Attachment ~ectrical ."' Final
to be ma'de prior prior to placement after fasteners are prior to energizing completion of sign
to sign placement of concrete . n in~e<llprior to tyver electricaHnstallation in$tallat;on LI
Addit;onal Comments andlor Condit;ons: \.no r J All' -'1 V l ~l 't l ^ 0 '1 ! 1 J fl.O~
CITY BUSINESS LICENSE NUMBER:
Sign District: \~U\ (~
Zoning: ~
4;)J\1J
Sign Permit Fee:
STATE: n"R, ZIP: Cf7<{0.2
lol.! wI ~ EXPIRES: 3- 9 - "l '8'
(y- ~O- <J8
CJ~oL{I'3
EXPIRES:
Q,/nQ1
/
By signature, I state and agree, that I have carefully 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 of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
employees who are ;n compl;ance with ORS 701.055 wHI be used on th;s project.
I further agree to ensure that all requ;red ;nspections are requested at the proper t;me, that project address is readable from the street, that
the perm;t card is 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 signlsl.
Signature "\) QA<I'i r. 6 J\C<-'R-D()
Validation:
Amount Received:
Receipt Number:
Date
q- 'i - q 7
4U~
(~Fl:~c:p)
~
Date Paid: ,Ul. . t ( ) .Gf" ~
Rece;ved By: tI\{ 00 _ /
.
.
1
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. If you are the sign contractor/installer, or jf 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 expirat;on
date of each.
If the s;gn you are proposing to install is illuminated, an electr;cal 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
electr;cal application.
If there are existing wall and/or freestanding signs, 8 photographlsl of each exist;ng 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 draw;ngs show;ng all dimens;ons, total he;ght, 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 reg;stered engineer or architect. After the
plan review process .is completed, and, if your signlsl 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 p,;or 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 s;gn.
Footing:
To be requested after excavation and the forms 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 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.
F;nal:
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 ;n s;gn removal in order to ;nspect the s;gn at the
required intervals of work.
To request an inspection, phone 726-3769, This is a 24 hour record;ng. On the record;ng you wm need to leave your C;ty
Designated Job Number. location of where the sign is be;ng installed, the type of ;nspection 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.
If you have any questions regard;ng the appl;cation, requ;red plans or ;nspect;ons. please feel free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
r
.
Th" follow;ng projoct as Gubmittcd "'". tho follow,
zO..ing, and does not roqulre spaci;ic k:.nd l.l~
'pproval.
Zon;ng LQ...;.
225 FIFTH STREET note t). I()-Gfl
SPRINGFIELD, OREGON 97477 - \-- . .
INSPECTION REQUEST: 726A~769:oo Signature (\ (Y\
OFFICE: 726-3759
1. M!Cf\~ON. <{F)INSTALLATI
! 'i\ I J \.... ,l(1l.!:\0 y' l
~~ 9f1~~ON ()IQOO
11 Jot bESCRIPTION
'01 )'\/~5 . .
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 . .B.
Elect~ical Contractorrn~i1n ~~
Address 004 J"e-a:e.v XVV1 S-r
City ru~ ) . Phone 34d--Il.eoq
Supervisor License Number :5~~ ~~
;qq13 V
Cons tr Con tr. Number I o4-t 0 t ~.
(o.3() .Q8"
Expiration Date
ELECTRICAL PERMIT APPLICATION
City Job Number Qf)j()~'7'
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular'Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
40'1 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnec t Only .
Items Cos t
Sum
$ 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
Expiration Date
Signat~v~
I ~
Ov~ers Name~Q ~t~h
Addrest\?Afu 0 \r\ LdJ1.r\ C't'"
City 0\ \.oro Phone btb ~dt
4;u4
OVNER INSTALLATION
The installation is being maae on
property I Qvn vhlch -is not intended
for sale, lease or rent.
Ovners Signature:
. ~
--------------,,- ---------------
DATE: V\'_
RECEIPT 1I: 9f \~,l\ \. ~J
RECEIVED BY: , ' \j'~J\1-J
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 a~ps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
above
Nev, Alteration or Extension Per Panel
"
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/Outline Lighting~ $
Limited Energy/Res $
Limi ted Energy/Comm . $
M,oD
~&~
r'iiJ .~U
. One Ci rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
E.
.5.
SUBTOTAL 'OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
40.0'0
40.00
20.00
36.00
~.o6