HomeMy WebLinkAboutPermit Signage 1982-3-18 (2)
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city of springfield
225 n. 5th street
SPRINGFlELD
I N FORMATION: 726-3753
INSPECTIONS' 126-3769
SIGN PERMIT APPLICATION
A. LOCAtION OF SIGN (ADDRESS) /'1, J I ~' B
LECAL DESCRlrtION 1"'1 t1 ~ '=5:s-
OWNER OR PROPERTY
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TAX LOT'!.' / Z CJ tJ CL./60( !
PHONE
ADDRESS ZIP
OUNER,OF SIGN qF 01'llJ::R, 'J1IAN PROPERTY oimER)::rLa~ . r6:r-h Pro~S>gNJt ' CCnkr
, ADDRESS PHONE
NAME OF BUSINESS, FIRM, ETC,1Z.c<<v! A.rl-c fioffes, """( L"A~rTYPE OF ,BUSWESS 0 n:cc f6..rt..
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B. tYPE OF 1I0RK:
_ERECT X ALTER
_RELOCATE
, _OTHER
C. STRUCTURAL TYPE OF SIGN:
_HALL K..FREESTANDII1G
____ROOF ____PROJECTING
~RqUEE
____UNDER liARqUEE
____ Otl'.ER
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[), USE AND C~~CTER OF SIGN:
2(.IDENtITY '
_INCIDEtITAL
_DOUBLE FACE
X.SINGLE FACE
_MULtI-FACE
_P.EADER BOARD
_BILLBOARD
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E. VENDORS, CONTRACTORS: ' t
' SIGN ERECTOR~I.. ~ <; \J,...J.C/l:o.f...::
f.DD?.ESS fi/,5()/ I.nf:Jd.n ~ /:J..." 7 ~n'"
CIty LICENSE IIU'1BER !;//) f{-Ij I
SIGN liANUFACTURER (IF OtHER TFAN ERECTOR)
ADDRESS
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PIlONI: ~LI <, - 7..a!:i...'1
ZIP '17'10S
EXP, DATE ';:2 -6 6 -.~ C)
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DIMENSIONS, IlISTALLAtION [. CONSTRUCTION
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TOTAL HEIGHT ABOVE GRADE
VERTICAL DIMENSION OF SIGN
HORIZONtAL IIIDTII OF SIGN
OIHENS ION FROM GRADE TO
BOttOM OF SIGN
TIIICKllESS OR DEPTH
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G, ~IStING SIGNS
ARE TIlERE AI'lY EXIStI!IG ~IGNM 1LYES NO
rTIn1BE? SIZE IN SO,FTG,
ALL EXIStING SIGNS I -1 I 3 A <. .L'..l.-
FOR BUSINESS, ETC, ~ LI -, I I
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DOES SIGN PROJEct BEYOND
PROPERTY LINE? _YES ~NO
IF YES, DUIENSION BEYOND
PROPI:RTY LINE
NOTE: IF PROJECtIOl1 IS llORE THAN 12"
OVER PUBLIC PROPERTY TEE SIGN ERECTOR
!lliST FILE IIITH THE BUILDING DIVISION
COPIES OF HIS/!WR LIABILITY AND PROp.
ERTY DA}1AGE INSUPJWCE POLICIES,
H. HI~L SIGN HAVE ELECTRICAL WIRWG? 1'10
IF YES, WHICH APPLY? ELECTRICAL SIGN
__ILLUMINATED (INDIP~CTLY LIGHTED)
ELECtRICAL CotITRACTOR
ADDRESS
LISC ,NUMBER PECNt:
PROPOSED USE OF BUILDING
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I. DESCRIBE tYPE OR l"ATERIALS SIGN IS
CONS:Z;~CT~ OF, I I n \
_I ., x(., 'Lam, t'<>.rlcdo ",dWdOd
J. SITE INFOPMATIOIl (LAND U~n - - EXIStING USE
OF BUILDING OR LAND (OR LAST USE IF VACANT)
Ol">ctor.<:; r.f-f.ce.. PetrI..
K 0(:)
. VALUE OF SIGN:6b7_-=---
XINDOOR BUSINESS OUTDOO? f./ERCHAllDISING
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L'I HAVE CAREFULLY ~X&~INED 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 1n
accordance with the Springfield Sign Ordinance. the Uniform Sign Code as adopted by the City of
Soringfield and all other Ordinances of the City of Sprin~field and the laws of the State of
Oregon ?eitainin~ to tje work described nc.~~n. I further certify that my ~~r,n Co~tractor Li-
cense with the City of Sprin~field is in full force and effect as required by Springfield Codes
8-2-6(3) and 9-7-20(2), I will request all required sign insaections listed on the approved
permit, 1/ L ~.Jr-~(\j
NAME (PLEASE P . _ -:lPrr v ;::, f, "'"
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DATE
3/10/ ;:;:2-
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SIGNATURE
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PLEASE READ
1) Separate Si~n A~olication: A separate application is required for each separate sign.as defined
1n the ~ign Code.
2) Electrical: Any permit issued under this application will includ! wiring in or on sign structure,
the 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 (4) [. (5) and 9-7-18 of the Springfield Sign Or-
dinance.
3)
Plans Reauired: This application is to be submitted with ewo complete sets of plans showing di-
mens~ons and height of sign; advertising message on sign; location of sign on property with di-
mensions to property lines, struceural details of support framing, bracing and footings; materials
of construction for sign and sign structure; electrical equipment and lighting; size and location
of existing signs on property for the same busienss. all as required to determin~ com~liance 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 signs):
a) Show the location of all existing sign(s) as well as proposed sign(s),
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 t~e 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
Comprehensive-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 froe 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.,
Insoections:
4)
5)
6)
7l
8)
9)
a) Site Inspection - to be made before the sign is placed. Usually. the Footing Insoection
(~f appl~caole) may be made at the same time as the Site Inspection. The Footlng Inspec-
tion is to be made after hole(s) is e~avateci, but prior to the placement of concrete.
b) Final Insoection:- to be made upon completion of all work.
c) ~lectrical - all electrical signs must be inspected for electrical hook up after the sign
1s erectea and before the sign is turned on.
CALL FOR tHE REQUIRED INSPECTIONS ON tHE 24 HOUR INSPECtION LINE AT 726-3769
SIGN
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DIStRIC- ::-=''' - - " ZONE DIStRICT Co - 4
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ONLY
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totAL SQUARE FOOTAGE OF SIGN
SIGN PERMIT FEE: f/ 7. (j!J
REOUlRED INSPECTIONS:
___SItE/LOCATION
___ELECtRICAL
___OtHER
___FOOtING OR MEtHOD OF ATTACHMENt
.2{FINAL
ELECTRICAL PE~~IT FEE:
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41: STAtE SURCHAR~:
toTAL:
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DAtE
d -.;2 (3.-fJ. RECEIPT
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5<f..3.C/-l
CLERK
SPECIAL CONDITIONS to BE SATISFIED BEFORE ERECtTON OF SIGN:
ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED:
APPROVED BY:
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SECTION:
SPRINGFIELD SIGN ORDINANCE
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AF':'Jfl{')VE';O EW THE: l?UiLO:N.'; ()~'ri(::I\L.
CITY OF SPRa'.~GFI C~_D, ()HCGOI'.l
ApPOOVEO BY
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Res, Phone 726.0620
JOHN ARNOLD
State Licensed Plumber
Cenified Backflow Tesler
~ll<GJHl1r-WAY
Plumbing 81. Backllow Service
(503) 484-3787 ~')
Po. Box 70526
Eugene, OR 97401
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SPRINGFIELD UTILITY BOARD
250 North "A" SI,
Springfield, Oregon 97477
BACKFlOW DEVICE TEST REPORT
FIRM N',ME:I.,/r'Mld ~<tv!c t:&dti9lr/c..5
ADDRESS 15:.C;- vJe. sf- ,IJ
SIZE /'1,/ II MOOEL-8;SY {;?,P, SERIAL# i5-JtJ.,f?3'
LOCATION OF OEVICE: ' '& l( by
REDUCED PRESSURE DEVICES
DOUBLE CHECK VALVES
Pressure
Drop Across
Check
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Closed
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Valve
Openec at
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leaked
leaked
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NewPar(s
end/of
Repairs
Made
It Needed
Final Test
Aflel
- Repairs
c~elk c~eik Relief
Closed Closed Valve
Tight Tight Opened at
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PASSED: 3-8'8'(,
FAILED:
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CERTIFICATION
# 11-3Y6
OATE: 3-8--8-c;,
TESTE R #
NAME:
_lb~,1 DATE:
I CERTIFY THE ABovE TEST HAS BEEN PERFORMED.
BY: D. /!;i!dIL!J.f\f)/u.n
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(COMPANY OFFICER}