HomeMy WebLinkAboutPermit Signage 1994-6-30
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SPFD DE\'. SER._
$PR'NOP'ELD JOB NUMBER ~p#,
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225 Fifth Street
Springfield, OR 97477
Inspection Line: 726-3769
Office: 726.3759
SITE ADDRESS:
ASSESSORS MAP:
TAXLOT:_n__O?~CXJ
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ADDRESS:
0~ (\1((0,-\'0\..,. J:s:Nc.. PHONE: ~I 'B -q07-3'100
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/C;-'2,O"?, U~4- EWD. Su I (C' /Qf)
'S-ffe:fZM.Ai-..l '1 rvW<..c; STATE: C4 _
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~USINESS NAME, FIRM nc.: I \Ih u..."1 UJ...., '" \) \.IJe::D
ZIP: _CfLl./os
OWNER:
'CITV:
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DESCRIPTION OF PROPOSED SIGNlSI: (please check and complete all appropriate informationl "
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~ Wall -I Freestanding _ Projecting Roof Marquee
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~ Single Face ! Double Face Billboard Other
7~ ~ (
Square Footage: 0 "lp Total Height above Grade: ICj
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Verrical Dimension of sign or enclosure; &. '3 or Z Horizontal Width of sign or enclosure: 12.../ 1" I
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Dimension from Grade 11.1 I Electrical Installation: ~ Ves _ No VALUE }II
to bottom oi Sign Enclosure: I., (If yes additional electrical permit is requitedl OF SIGN: '7, !J 00
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Material Sign is constructed of: i ~M\ZT)<\.)~ l>LA-S'TlC_
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co
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List ALL existing signage and ettach e photograph of each sIgn:
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(a) Type CH><nvAJe[....---!-Sq. Ftg.
(cl TY~/V.rt- I Sq. Ftg.
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CONTRACTOH/INST ALLER: ! ~ _~ 1=;>-,.. ) i,...,.. I II ~ ~
ADDRESS: 4"570 w.! If j<.., Avc2-
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fJ'fIvJ'=: 81'?Tt,J~
(bl Tvpe ~JlU:;P
(d) Tvpe.
Sq. Ftg.
Sq. Ftg.
PHONE:
?,tjtJ -G~C
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: G:::s-9JV (
i '7 (1'1"') r-c:...iCL n -
CITY BUSINESS LICENSE NUMBER: . - \:::i..,[.J;;2.L.c:::..,-;~ _;-,_ _'_
ST ATE:
Cf:--
ZIP:
'7 7/fo '2..
//Z2.-IC7S
&J.b.f) .qL\
CITY:
EXPIRES:
EXPIRES:
,
"
I OFFICE USE
Sign District:~m \_~(\_\tr }.- Land use:~?{Q), . Quad Area: ~Q..I\ 1\1")
Zoning: (\ (\ -' ! '\:} Code Section' q - '1 ,- 14- n ')
Sign Permit Fee: ~f) ~ -:k Af.ll{oved BV: ~ )L~ffi.o elDATE: Mfi ctfL
nrU:':Olh\~)( ,)\J -\ \ ; .
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I Footing V<ttachme'nt -/ Electrical -/' Final !
prior to placement after fasteners are prior to energizino completion of sign
of co~crete installed/prior to cover electrical installation installation
,
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Additional Comments and/or Conditions:
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By signature. I state and agree, that I have carefully. examined the completed application and do herebv cenifv that all information herein
is true and correct, and I further certifv that any and all work performed shall be done in accordance with the Ordinances of the City of
Springfield, and the Laws of thei State of Oregon pertaining to the work described herein. I further certlfv that only contractor~ and
employees who are in complianc~ with ORS 701.055 will be used on this projec,t. ' . i
I ,
I further agree to ensure that all r~quired inspections are requested at the proper time. that project address'is readable 110m the stree(that
the permit card is located at the front of the property, and the approved set of plans will ,emain on the site at all times during the install/lIion
of the sign(s). \.\ r I ir / / I .
Signature ~o/A j \4- " Date " 1(7 / Vi '-f i I
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\40 ~ ". ,,;" l ~c{4 . .
~,~ :--13htflecelved BV: .~ . I
Validation:
AmoJnt Received:
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Receipt Number:
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1.11):17: U~,.
1.19:11)
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SPFD DE\'.
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JOB NUMBER ~P=lt
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g~\\?51 !
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SIGN PERMIT APPLICATION
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SITE ADDRESS:
ASSESSORS MAP:
Inspection Line: 726,3769
Office: 726,3759
225 Fifth Street
Springfield, OR 97477
TAX LOT: __01:.~c:o_
OWNER: (~"H?)ZPd.... a~ fV\.(cyl'-\,\'''J-::s::Nc... PHONE: <6-1,0 -qa, ~'Yloo '
ADDRESS: / C;-'SO"? (J ~A Ew D, So I r ~ /QD r:: I, j
'CITY: ~-AiI.) ': rlPr-KC; STATE: C4 _ ZIP: _9Ll./os
! I. \ ,,~,. ,~__\~ 1 "\:......cr-r-.
BUSINESS NAME. FIRM EtC,: \~ <-L..-'~, ~, " V'-'''-LJ
!
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
i
~ Wall -I Freestanding
~ Single Face I Double Face
Square Footage: 7g ~
"
;.
_ Projecting
Roof
Marquee
Billboard
_Other
Vertical Dimension of sign or enclosure:
I
Dimension from Grade i I
to bottom oi Sign Enclosure: 114
I
Material Sign is constructed of: i
I
,
Total Height above Grade: (e;
I I' I /
&. ? 't Z Horizontal Width of sign or en~losure:
Electrical Installation: ~ Yes _ No VALUE
(If yes additional electrical permit is required I OF SIGN:
~ 'M~) 1'T>IASTLL
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ADDRESS:
,
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List ALL existing signage and uttech a photograph of uuch sign: f1fq.Jf=
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la) iype ('1M1v1li~. Ftg.
(cl TV~.rt- I Sq. Ftg.
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CONTRACiOHilNSTALLER: ! ~ _~ ~U i M-I II ~ ~
cf.."57o W .iff j<.., Avee-
-
bJ'G~~
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81"'Tlrl~
IbJ Tvpe ,/1.&iI-'
ld) Tvpe.
Sq. Ftg.
SQ. Ftg.
PHONE: ':?Lir./ -G%C
EXPIRES:
ZIP: '77 t{.O"2-
/12.2-/<7$
EXPIRES: I n I ~O .q.q.
CITY:
!
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: G~9Jv (
CITY BUSINESS LICENSE NUMBEJ: 7 q'?{~~'9i~
STATE:
t:i?-
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,
Sign District:\.~ t'\\\, ~ Land Use: ~~rx) ~. Quad r;C{': ' U,\ t\) \Q ) , -
Zoning: (\C'./ ' - I Z\ Code Section: . q - fJ -) !
Sign Permit Fee: 11f)()::'~;"-L 1.~edBY: I J.JV)~. ~~TE:~9~q.Gt
OFFICE USE
REQUIRED INSPECTIONS:
Site
to be mpde prior
to sign placement
Footing
prior to placement
of co~crete
!./Attachment
after fasteners are
installed/prior to Cover
~Iectrical
prior to energizing
electrical installation
~inal
completion of sign
installation
Additional Comments and/or Conditions:
i
I
, ,
By signatu/e, I state and agree, that I have carefullv. examined the completed application and do hereby certifv that all information herein
is true and correct, and I further certifv that anv and all work performed shall be done in accordance with the Ordinances of the Citv of
Springfield. and the Laws of thej State of Oregon pertaining to the work described herein. I further certify that onlv contractor~ and
empiovees who pre in compliance with ORS 701.055 will be used on this projeC,t. ' , :
I further agree to ensure that all r~QU;red inspections are requested at the Proper time. that project address'is readable from the street! tha
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). \.\ II 1/ I / I !
Signature No! A j 1+ ~. Date "Ill Vj Lf I
.. ....
Validation:
AmoJnt Received:
, '
I
Receirt Number:
~ ~ .\-'~"e)flf),au Date Paid: ~O ... -2.@.q 4
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\ ::;' - -..... ~Received Bv:f;7W~