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COMMUNITY DEVELOPMENT: BUILDING DEPARTMENT 011e DesCombes Dr • Elr,comfiield, CO 10020 • Office [PHONE REDACTED] • Fax 303..438.6207 • I I I I I I I I I I I SIGN PERMIT APPLICATION Date Received Permit Number Address of Proposed Construction Property Owner Owner Email Address (required) Owner Phone Number Owner’s Address (if different from above) City, State, Zip Contractor Contractor Phone Number Contractor License Number Contractor Address City, State, Zip Job Contact Name Job Contact Office Phone Number Job Contact Mobile Phone Number Job Contact Company Job Contact Email Address Project Valuation (Including total value of work, materials, labor, overhead and profit.) BMC §15-03-100 Trade Valuation Name of Subcontractor General: $ Electrical: $ Total: $ Ground Level Directional Freestanding Sign Wall Sign Monument Sign Number of signs: Number of signs: Number of signs: Number of signs: Illuminated Illuminated Illuminated Illuminated Sign Area: sf Sign Area: sf Sign Area: sf Sign Area: sf For ground level, freestanding, and monument signs, indicate actual distance to property lines below: Front Setback: Left Side Setback: Right Side Setback: Rear Setback: Tenant’s Leased Area: sf Total Sign Area: sf Number of Tenants in Building: Applicant hereby affirms all illuminated signs will comply with the Broomfield Municipal Code 17-44-080(D) and will not exceed 0.3 foot-candles of light detectable at the property line. Documentation may be requested at permit review. Attach a site plan showing sign location, distances to property line(s), street location, and frontage of tenant space on building. Provide a plan of the sign including dimensions of the sign, height above the ground, text, pictures and symbols, sign materials, type of lighting if applicable, and method of mounting. Free standing signs may require an engineered foundation. Description: Note: Planning Division approval is required. Signs shall comply with the approved site development plan and the sign code (BMC 17-44). It is the owner’s responsibility to obtain any Homeowners' Association and/or Architectural Control Committee approvals that may be applicable. I hereby state that the above is correct. I recognize that the approval of plans, issuance of a permit, or subsequent inspection approvals shall not be construed to allow violations of the code or other ordinances or laws enforced by the City and County of Broomfield. I consent to provide entry to inspectors as set forth in the building code and to request inspections as required. I consent to pay the use tax based upon the purchase price of all building and construction materials, as required by ordinance. I understand records are subject to audit and verification for 3 years following final inspection or C.O. Broomfield Municipal Code requires taxpayers to maintain building use tax records for 3 years. All materials, drawings or documents submitted for this permit become public record and may be released to the public. By signature below the signatory certifies and declares that he/she is either the Owner or the Authorized Agent of the owner of the property. Signature Print Name Date Office Use Only: Building Division Approval Date Planning Division Approval Date Building Division, Revised June 2024 ---PAGE BREAK--- Broomfield Building Division Fees Permit Fee Schedule· Permit fees for each trade (general, electrical, mechanical, plumbing) are calculated separately based upon the value of the work performed. Use Tax will also be collected· see below• Valuation I Permit Fee Valuation I Permit Fee $ 1 to $ 500 $ 23.50 $ 2,001 to $ 3,000 $ 83.25 501 to 600 26.55 3,001 to 4,000 97.25 601 to 700 29.60 4,001 to 5,000 111.25 701 to 800 32.65 5,001 to 6,000 125.25 801 to 900 35.70 6,001 to 7,000 139.25 901 to 1,000 38.75 7,001 to 8,000 153.25 1,001 to 1,100 41.80 8,001 to 9,000 167.25 1,101 to 1,200 44.85 9,001 to 10,000 181.25 1,201 to 1,300 47.90 10,001 to 11,000 195.25 1,301 to 1,400 50.95 11,001 to 12,000 209.25 1,401 to 1,500 54.00 12,001 to 13,000 223.25 1,501 to 1,600 57.05 13,001 to 14,000 237.25 1,601 to 1,700 60.10 14,001 to 15,000 251.25 1,701 to 1,800 63.15 15,001 to 16,000 265.25 1,801 to 1,900 66.20 16,001 to 17,000 279.25 1,901 to 2,000 69.25 17,000 to 18,000 293.25 For values greater than $18,000, fees shall be assessed in accordance with BMC 15-03-100, Table 1-A. Use Tax; The City and County of Broomfield collect use tax on building materials at the time of building permit issuance. For use tax purposes, 50% of the total project valuation is assumed to be materials in accordance with BMC 03-08-060. Homeowners performing all of their own work shall list the total materials cost on the permit application. Applicants showing the building permit payment receipt to the supplier or retail home center when purchasing materials for the project should not be charged any city sales tax since the Broomfield use tax has been paid with the permit. Payment of state and RTD sales taxes is still required on all materials. Questions regarding use tax can be answered by the Sales and Use Tax Division of the Broomfield Finance Department at [PHONE REDACTED]. EXAMPLES Use Tax = Total valuation x 50% (materials) x assessed rate. The assessed rate is currently 4.15% for the City and County of Broomfield. Contracted total project value: $20,000 Calculated materials cost: $20,000 x 50% = $10,000 Homeowner total materials cost: $10,000 Use tax due: $10.000 x 4.15% = $415.00 Use tax due: $10 000 x 4.15% = $415.00 lospectjons· Please call [PHONE REDACTED] to schedule inspections. Mobile Home or Construction Trailer Set-up Fees: Permit Fees for Mobile Home or Construction Trailer Set-Up - Flat Rate Fee of $100.00 (use tax is not charged). All construction and/or sales trailers are charged - Flat Rate Fee of $100.00 for each application submitted and each time they are moved. Graywater Permits· Permit Fee $200 plus Use Tax (see above) Building Division, Revised June 2024