HomeMy WebLinkAboutPermit Signage 1998-3-19
SIGN PERMIT APPLlCA TION'~
SPRINGFIELD
JOB f'luMBER q <:g 0 I 7 ~
'.
. ';"::T
OWNER:
ST ATE: f) /p_
,\ bb' +G
N () 1'f"'S _ . ([J'f{P 5
ZIP: q-;Lf77
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
i Wall Freestanding Projecting Roof
.--1.- Single Face Double Face Billboard Other
Square Footage::SG 1:/1
Marquee
151
I'll -:;>1
Vertical Dimension of sign or enclosure: rY Horizontal Width of sign or enclosure: ..)
Dimension from Grade \ ,\l Electrical Installation: t Yes No VALUE-$ 1~\/\dQ.
to bottom of Sign Enclosure: Cl (If yes additional electrical permit is required) OF SIGN: ()l..-.JUU
Material Sign is constructed of:. (l j U 0\\ 1\ U IYl 0 Le '1-. V I 1\ lA
. 1 I 1 ' j
!
Total Height above Grade:
list ALL existing signage and attach a photograph of each sign:
Sq, Ftg',
(a) Type
. Sq. Ftg.
(b) Type
(c) Type
Sq, Ftg,
(d) Type
Sq, Ftg,
CONTRACTOR/lNST ALLER: F j <LA =tf\<!.,
ADDRESS: )). I 0 0 6J~-OO\JL^ ed ~
, ,
CITY: ELJ DLJLi.-
o
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER: -350 3c( 1
PHONE: 4-~5- 5 S't/t,
EXPIRES:
ZIP: ~ 7(jO;;
)-d-9c;
G~3Q-q'6'
STATE:
J I I J 3",.0
(!J!e
__EXPIRES:
Sign Permit Fee:
OFFICE USE
~.a:l- Land Use: (JoW . Quad Area:
Code Sectio?: ~. a ~ ( \ ']
5~fV Approved BY: ~}J/'bpplV
{ e. /lUt.U
Sign District:."l: - ~
~~,
Zoning:
DATE: 3. ({) -q r;r
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
L---Attachment
after fasteners are
installed/prior to cover
b-EleCtric~'i
prior to energizing
electrical installation
~/
Final
completion of sign
installation
REOUIRED .INSPECTIONS:
Additional Comments and/or Conditions:
. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aii information rlC:'c
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 I
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contr'lctors ar
employees who arein 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. tr
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 installatil
of the sign(S)'!1 L
Sign'Me (/I 1M tAU Y;(Jt;d//J'L- Date 3 - / / - <j y
. I
l\<6.W
Receipt Number: D;}.--71 Lf3
Validation:
Amount Received:
Date Paid: 3./' j 9 ....1 ;{
. - I
. Received By:n . IY1 a l!M.do
(." r J
Zon i ng \...../
Date Sf Zl0 \~ ~O~'t-.-
225 FIFTH STREET Authorized Signature (J n1 .~A-J.~IT APPLICATION
SPRINGFIELD, OREGON 97477 C~ 'i:.1-.~\1 ~~\\ \0"
INSPECTION REQUEST: 726-3769 ~O\~ ~~\"\CO\\r>-\..~~"\~Pt?i ~e&~ber 780/77'
OFFICE: 726-3759 \\\CO?~ 'U~\) o.~~\)O
"\ 0.\\O~\l'C:\) p"'rE FEE SCHEDULE BELOY
1. ~OCATIO~..:::pF INSTALLATION r>-\J ~rJ..\) \o\).
rs 12 I",} /5.LTC./Afc (()~~€A. t\~1Q~Kesidential-Single or
t..\'( ,?:lJ \)1 Multi-Family per di:1elling uni t.
LEGA)." DE~ay:PTION If 0 ~\~ Service Included:
I 70 < / \ {JOO kYO Items Cost Sum
JOB DESCRIPTION
TeN/);uj .:..t-t$1~r<oUf-;YVlE~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days..
1000 sq.ft. or less
Each additional 500
sq. ft or portion
there.of
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
Installation, Alterations
Electrical Contractor-::C'}JFt/Vrrr Ec.cc.-;.fl<'" or Relocation:
Addres~33;;2~ /vC.~SUIV ~.o...
Ci tyB~ustf ~(Fltf.. Phone 563-- ;;;269 t)SJ3
iA/fI . .
Supervisor License Number :2 &JY?...~
Expiration Date / 6/9 $>
Constr Contr. Number5'/-0(Pr...-c.
Expiration Date /tJ 1/ / f??
/ /
Signature of Supervising Electrician
. dac/-;ft/J ---
ow" Name Su (1 Ii/y\ fJ-.. rOc,() ,
Address 3 (j n 11 &M (1- Y; e;)
CitY~PhoneUJi-f& -(/L/L{<.j
OWER n~r~LATION
The installation is being made on
property I own. which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----:vt~jf~--~----------------~
REC.EIPT #:; /}.L1 r~'" (I). (
RECEIVED BY: - LA ( rv I VI...-- .
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
. Reconnec t Only
/
5 D c)0
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alt~tation or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,-
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
I ;)0
$ 2.00 0 --
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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