HomeMy WebLinkAboutPermit Signage 1989-2-6
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INFORMATION 726-3753'!
~
city of springfield
225 n 5th street
, -
SPRINGFIELD
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INSPECTIONS
726.3769 !
SIGN PERMIT APPLICATION
A LOCATION OF SIGN (ADDRCSS) 1717 Centennlal
LeCAL DESCRIPTION n /()~ --1fJ ';64
.
i
TAX LOT A 1~7j)O
o,rnE~ OR PROPERTY
Clark Roeder, D.D.S.
1717 Centenmal
PHONE
ADDRESS
ZIP
NAME OF BUSINCSS, FIRM, ETC
AMW
Northwest Speech & Hearlnq CllnlCs
PHONC
TYPC or BUSIt'CSS
OlINCR OF SIGN (IF OTI!CR THAN PROPERTY OWNCR)
ADDRESS
Same
8 TYPE OF WORK
~ERFCT ____ALTER
RELOCATE
OTlIJ:.R
c: STPUCTURAl TYPC OF SIGN
D USE AND CEARAC7CR OF SICd
HALL ..x-FREESTANDING
ROOF PROJECTING
--X- IDCHTITY
INCIDENTAL
X DOUBLf FACE
SINGLE FACC
~
HAR0UEC
____UNDER 11AR0UCE
____OTI'ER
1'1lLlI-FACE
RCADER BOARD
BILLBOARD
3
t.DD!U:SS
Clark Roeder
Same
C, 10 I \", vO
(\
/V
~
E VCNDORS, CONTRACTORS
SIGN CReCTOR
rIIONI:
746-9552
ZIr
CITY LICLNse NlJ'lBER
EXP DATC
j
l
l
SIGN 11ANUrACTUReR (IF OTHER TfutN EReCTOR)
Imaae (;rFlnh 1 r,c.::.
ADDPCSS
LlS7" \\1. 11 th
PFnNE
":>11?_llOa
F
DD1FNSIONS. 1I1STALLATION & CONSTRUCTIOII
G EXIST PIG SIGNS
TOTAL HEIGHT ABOVC GRADE
VCPTICAL DIHENSION OF SIGN
HORIZONTAL WIDTH OF SIGN
DUlCNSION rROl1 GRADC TO
BOTTO.1 OF SIGN
THICKNESS OR DEPTI!
3'
2'
6'
ARE TI!CRE ANY EXISTI'IG orGIS' X YrS rIO
l'UltBe" STH IN SO rTG
I'
ALL EXISTING SIGNS
FO~ BUSINrSS. CTC
Spnngheld
Profess. Ctr
1
40
8"
DOES SIGN PROJECT BEYOND
PROpCRTY LINC' _YCS '~NO
IF YCS, DUlCNSION BEYOND
PROpeRTY LINE
NOTe IF PROJFCTIOll IS flORE THAN 12"
OVfR PUBLIC PROPERTY TPE SIGN ERECTO"-
1ruST FILE WITH THE BUILDING DIVISION
COPIES OF HISII1FR LIABILITY AND PPOP-
ERTY DAHAGC INSUHANCE POLICICS
H 11ILL SIGN HAVE CLCCTPICAL IHRIHG'
IF YES. IJHICI' PPPL Y' CLeCTRICAL
_ILLlrlINATCD (INDIR"CfLY LIGPTED)
ELECTRICAL CONTRACTOr:
ADDRCSS
LISC NUHBER PI ONe
n~
SIGH
I.
DESCRIBE TYPE OR l'ATERIALS SIGN IS
CONSTRUCTED OF
MDO p!ywood ,
,
pressure treated'posts
J SITE INrnPllATIOI1 (LAND lIoF) -- CXISTING USF
or BUILDING OR LAND (nR LAST usr IF VAC~NT)
Ofhce
K VALUE OF SIGN
-#,190
-*INOOOP BUSINess OUrDOO" flCRCHAHOISING
PFOPOSCD USF or BVILOINC OR LAND
Gttlce
L .
. I HAve CARrFULLY EXAHJNED the completed appl~c'1t~on for nerm~t and dOl hereby cert~fy that all
~nformatlon is true and correct, and I further certlfy that all work uerformed shall be done 1n
accordance wlth the Sprlngfleld Slgn OrdInance the UnIform SIgn Code as ~doDted by the Clty of
Sorlngfleld and all other Ordlnan<...cs of r-he Cu"y of Sprlnr;fu.ld and the laws of the State of
Oregon oertainLng to t1e worL oescr4bed n~LeLn I :urt~er certLfy that MV ~_rn Co~tractor ~l-
cense WIth the Clty of Sprlnpfleld 15 1n full force and effect as redulred by Sprlnpfleld Codes
8-2-6(3) and 9-7-20(2) I WIll request all requIred SIgn 1nspect1ons 11sted on the approved
pernll.t
NAHE (PLEASE
PRINT) '-..... R. ,E. Hartbauer,
~rx&~/?J//PA
,"_ 1.4J, 2J ~m
Ph.D., NW Speecn & Hedrlnq CJlnlCS
DATE Januarv 19, 1989
SIGNATURE
L ,~."'..
'T"
'. "
"
J
PLEASE R-:A\J
1)
Separate S~gn ADP1~catLon A separate applLcation is required for each separate sign as defined
in the SLgn Code
ElectrLcal Any permit ~ssued under this applLcatLon wLll include wiring 1n or on sign structure,
the supply Wlres for connectlon must be covered on an electrlcal perrolt Electrlcal connection
must be made only by a State Llcensed Electrical Contractor Illuminated signs (both lnternally
and externally) must conform to Sect>ons 9-7-4 (4) & (5) and 9-7-18 of the Spr>ngf>eld S>gn Or-
dl.nance
2)
3)
Plans ReQUlred This appllcatlon is to be subrnQtted with two complete sets of plans showlng di-
menSlons and height of 51gn, advertlsing message on sign, location of sign on property with di-
menSl.ons to property ll.nes, structural details of supoort fram~ng. bracing and fooc~nls, materials
of construct~on for s~gn and s~gn structure, electrical equ~pment and l~ghting, S1ze and locatlon
of eXlst~ng s~gns on property for the same bus1enss. all as requ1red to determ~ne comnliance wlth
the Springfield S1gn Ordlnance (Art1cle 7 of the Springf1eld C1ty Code) Also, show the follow-
1ng informac10n on the plot plan (plan show1ng property I1nes and location of S1gnS)
a) Show the locat>on of all ex>sL>ng sign(s) as well as proposed sign(s)
b) Show the lengtn of the street frontage taken up by the bus1ness or build1ng For wall
s1gns, show the length of the bU1ld~ng frontage !
I
c) Show the 10cat10n of entrances open to the public and dr1veways
When requ1red, because of des1gn, S1ze, etc , engineered draw1ngs and calculat10ns must he pre-
pared by a l1censed eng1neer or shall conform to design standards on file at t~e BU1ld1ng D1V1-
Slon Off1ce
Plans of insuff1c1ent clarlty or de tall wlll be returned to the appl1cant wlth no perm~t helng
issued
Slgns must meet corner V1Slon clearance requ1rements as described 10 F1gure 9 of the Sprlngfleld
Comprehens1ve lon1ng Code
NOTe No s1gn rn3Y be erected which 1S less than 12 feet horlzontally or vertlcally from overhead
electrical conductors ln excess of 750 volts, or less than 5 feet 1n any direct10n fron overhead
electrlcal Ilnes which are energ1zed at less than 750 volts
If a s~gn 1S not 1nstalled w1th1n 60 days after the date of issue of this per~t, tne perIDlt shall
be v01d
Inspectlons
4)
5)
6)
7)
8)
9)
a) S~te Inspect10n - to he made before the slgn ~s placed Usually, the Foot1ng InSDect~on
(~t appllcable) may be made at the same t~me' as the S1te Inspect10n The .foot1ng Inspec-
tlon lS to be made after hole(s) is eACavateu, out pr10r to toe placement of concrete
b) F1nal Insoect1on - to be made upon complet~on of all work
c) clectr1cal - all electr~cal signs must be inspected for electrical hook up after the sign
is erected and before the s~gn ~s turned on
CALL FOR THE REQUIRED INSPECTIONS ON TIlE 24 HOUR INSPECTION LINE AT 726-3769
fJIII/! 11----- FOR
SIGN DISTRICC/rmmiJl('iOJik DISTil!t
TOTAL SQUARE FOOTAGE OF SIGN /7_
REOUlRED INSPECTIONS
\/SITE/LOCATION \/'FOOTING OR METIIOD
OfFICE USE ONLY
trnl!./
JOB If
gq (')() ~--3
SIGN PERMIT
FEE 0
/6 a:=-
l
OF ATTACHMENT
ELECTRICAL PERMIT FEE
ELECTRICAL
OTHER
FINAL
4% STATE SURCHARGE
II,}'J
/6~
710ItlRECEIPT/3/13
..5 M (U-vc
TOTAL
DATE
CLERK
, SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN
ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED
APPROVED BY
%t OM th Iff~' C,
1f?~Lltj[) r : SPRINGFIELD
SIGN ORDINANCE
DATE
'J"/(J / ~ 1
SECTION