HomeMy WebLinkAboutPermit Signage 1982-2-17
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I I~FORHATIO~:
CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
726~37S3
I~SPECTIO~ REQUESTS: 726-3769
CITY OF SPRI~GFIELD
SIG~ CONSTRUCTI0~ ~'D ELECTRICAL [~STALLATIO~
CmlBINATION APPLICAT-ION/PEIL'IIT--' .-_.
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LOCATIO~ OF SIGN(ADDRESS) / //{ -f e,a<; -r ..f-~':;(::2 J::, Ueu 'h. -<:..f-')" .
XLEGAL DESCRIPTIO~ 1"7 ~ 3 ? S 3 ~-' ----__ "TAX LOT .S,;ztJO
O"~ER OF PROPERTY P,"C'ITb~:F-"..bJJ PHONE fLn 3~qq
ADDRESS _....V5~1 ~1\'r.:+:11O.t...O ZIP "tl4ii.
OI"~ER OF SIG~(IF 01llER 1lJ(\-' PROPERTY OIr.iER)J......UI'.:"-, ~Lf'~ AtJl'>. (')~;:'..iI0....Re..rr~A.~8B_ .
ADDRESS~~_."'30 A~T ~wt,.F\t;t.C ___ PHONE f4bl.'6.Yl:;' __
NAHE OF BUSI~ESS, FIIL'I, ETC. __. _____. TYPE OF BUSlNESS~~L_
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TYPE or WORK:
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RELOCATE
ALTER
01llER
~YPE OF SIGN: ,I SIGN CHARAcrER (CHECK APPLICABLE ~ fTt~lS) : ..
"ALL 'I FREESTANDING X IDENTITY NON- IDE~ITY
-- ROOF PROJECTING PROJEcrlNG SECONDARY
MARQUEE READER BOARD INCIDENTAL ~ SINGLE FACE
O1lIER BILLBOARD DOUBLE FACE MULTI-FACE
VENDORS. CONT~\CTORS:
----..
SIG~ EREcrOR ~~
ADDRESS__ t.".., ~ fl. ",>, ~wrt~E.1.c\
;(elTY L1CE~SE Nlr.-lBER '11/ / """
SIGN ~IANUFACTURE~ (IF 01ll(R TIIA' ERECTOR] ~~.,l6 Ul\lU rnl1l:D
ADDRESS
T"ELEcrRICAL CONTRACTOR
ADDRESS
PHONE 1t.ib:;~'" <)'
EXP. DATE_
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PHONE ~ 76"71'\
PHONE
LICENSE NtJ:.IBER
DnlE~SIDNS. INSTALLATION ,\ND CONSTRuctION INFORMATIO~:
TOTAL HEIGl-IT ABOVE GRADE____\3.FT _VERTICAL DHlENSION OF SIGN_s'B ._HORlZONTAL WIDllI OF SIGN. _~_
DHlENSION FRO" GRADE TO BOTTml OF SIGN q 1=1- 1lI1CKNESS OR DEP1lI OF SIGN ~/IJ-n.I( Jl. ~ "~
DOES SIG~ PROJEcr BEYOND PROPERTY LINE __ YES 2( NO IF YES, DI~lENSION BEYOND PROPERTY LINE
KOTE: IF PROJECTIOK IS :.IORE TIlAI< IZ" OVER PUBLIC PROPERTY TIlE SIGN EREcrOR mST FILE "1111 TIlE BUILDING DIVISION COPIES OF
HIS PUBLIC LIABILITY ~'O PROPERTY D~IAGE INSURANCE POLICIES.
WiLL SIGN HAVE ELEcrRICAL "IRI~G? _YES '}LNo IF YES, WHICH APPLY? __ELECTRICAL SIGN __ILLU"INATED (INDlREcrLY LIGHTED]
DESCRIBE TYPE OF !-l_"-TE!tIALS SIG~! IS CO~!ST~.TJCTED OF' . ~ ,"":I( -A. t:t-V~
XPROVIDE UL NU~1BER IF APPLICABLE /VALUEOF SIG~ .~ I SCl ' C/, '&:'
SITE INFOIL'IATION (LAND USE)--EXISTING USE OF BUILDING OR LAND (OR"LAST USE-IF-YACMIT):l*, Ro-m-.l\L A.,(\ ~1~
$n::t-/ -'-- ... - --
PROPOSED USE OF BUILDING OR LAND: ~ QOhl-'T'AL .A>.Jt'\ ~I ~<;
CHECK ONE IF APPLICABLE: INDOOR BUSINESS ~UTDOORMERCH~'DISING
ARE WERE EXISTING SIGNS? YES X,NO IF YES, DESCRIBE ALL ,EXISTINGSIGNS"FOR BUSINESS,
EXISTING SIGNS (SiGN CODE):
, FIR/ol, ETC.:
ALL EXISTING SIGNS ON PRE~lISES(S~IE TAX LDT):
I HAVE CAREFULLY EXAMINED the completed application for permit and do hereby certify that all information hereon is true and
correct, and I further certify that all work performed shall be done in accordance with the Springfield Sign Ordinance. the
Uniform Sign Code as adopted by the City of Springfield and all other Ordina~ces of the City of Springfield and the laws of
the State of Oregon pertaining to the work described herein. I further certify that my Sign Contractors License with the
. City of Springfield is in full force and effect as required by Springfield City Codes 8-2.6(3) and 9-7-20(21. I will request
all required sign inspections listed on the approved permit. ~ ~
N~tE(P..EASE PRINT) ~\Id)5. Ru\"Z_ . SIGNATURE '--- '),1 ' "':DATE'C:h-st7.
. FOR OFFICE USE ONLY , .
SIGN DISTRlcr l1FD. /-J UTtJ. ZONE DISTRICT (7- 3 TOTAL SQUARE FOOTAGE OF SIGN
INSPEcrIONS REQUIRED: _SITE/LOCATION _FOOTING OR ~lETHOD OF ATTACH>lENT __ELEcrRICAL
.3 ~ r::n
)(FINAi.
01llER
FEES:
SIGN PERIlIT: "$"5': 00
CHARGES:
ELEcrRICAL PE~IIT:
CIIARGES:
STATE SURCHARGE:
-6--
--6
TOTAL FEE FOR PEIL'lIT:
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PLEASE KEAD
1) Separate Sign ApDlication: A separate application is required for each
separate sign as defined in the Sign Code.
2) Electrical: Any permit issued under this. application will include wir-
ing 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}&(S) and
9-7-18 of the ?pringfield Sign Ordinance.
3) Plans Required: This application is to be submitted with two complete
sets of plans drawn to scale, showing dimensions and height of sign; ad-
vertising message on sign; location of sign on property with dimensions
to property lines, ~tructual details of support framing, bracing and
footings; materials of construction for sign and sign structu~e; elec-
trical equipment and lighting; siz~ and location of existing signs on
property for the same business. all as required to determine compliance
with the. Springfield Sign Ordinance (Article 7 of the Springfield City
Code). Also. show the following information on the plot plan (plan
showing property lines and location of signs):
a) Show the location of all existing sign(s) as well ~s proposed sign(s).
b) Show the length of the street frontage taken up by the business or
building.
c) Show the location of entrances vpen to the public and driveways.
4) When required. because of design, size, etc.. engineered drawings and
calculations must be prepared by a licensed engineer or shall conform
to design standards on file at the Building Division Office.
5) Plans of insuffic~.ent clarity or -detail will be returned to. the ap-
plicant with no permit being issued.
6) Signs must meet corner vision clearance requirements as described in
Fig. 9 of the Springfield Comprehensive Zoning Code.
7)
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 from overhead electrical
lines which are energized at less than 750 volts.
8)
If a si;n is not installed within 60 days after the date of issue of
this permit. the permit shall be void.
~) !n~pp.~t~ons:
-----
a)
Site Inspection - to be made before the sign is placed. Usually,
the Footin~ Inspection (if applicable) may be made at the same
time as the Site Inspection. The Footing Inspection is to be
made after hole(s) is excavated, but prior to the placement of
concrete.
b)
Final I~spection - to be made upon completi~n of all work.
c) Electrical - All electrical signs must be inspected for electri-
cal hook up after the sign is erected and before the sign is
turned on.
CALL FOR TIlE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT ,
726-3769.
SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFORMATIDN NEEDED BEFORE PERMIT MAY BE ISSUED:
PLANS REVIEWED BY:
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PERMIT \'ALIDATIO~
CLERK
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I tSFOR.\tATlOS: i26-37S3
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CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
IXSPECTIOX REQUESTS: 726-3~69
CITY OF SPRIXGFIELD
SIGX COXSTRUCTIOX ~'D ELECTRICAL IXSTALLATIO~
CO"BIXATIOX APPLICATIOX/PER.'IIT
LOCATIO' OF SIGX(ADDRESSl / fro t e.. <;".,... <.f- --2.2 t=:; UCu f1. .-::: ..f- .
;><LEGAL DESCRIPTIOX / I tJ 3 :) S '3 ~ TAX LOT' S,;z tJ t)
OI<XER OF PROPERTY P-l<<'i\b~l'J'../'),J PHO~E llj,. 33.'1Q
ADDRESS 7-v=:. 1l'iA,,,J -::::'~ld_~IIO.UJ ZIP '1l4"11
OI,"XER OF SIG.'(IF O11IER n",",", PROPERTY O""XERlJ...I\Uf'. ~ A'ITO ~l.F<' AUt-. ORt:-~~ReJJl'~A. ~t,B_
ADDRESS 'z.",,,, "'3t> /-l... ~T ~\..\r~'F\~.d~ '. ___ PHO~E l4k-7'i..Lj~
~A.'IE OF BUSIXESS, FIR.'I, ETC. ____ TYPE OF BUSI~ESSJ-iIITI"AII~JJt\_Jtr;:}vIAL
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TYPE OF h~ORK:
"1, ERECT
RELOCATE
ALTER
O11IER
TYPE OF SIG;-.J: SIGN CHARACTER [CHECK APPLICABLE [THIS):
liALL "f. FREESTANDING )( IDENTITY NON- IDE~TITY
ROOF PROJECTING PROJECTING SECONDARY
-
ffARQUEE READER BOARD INCIDENTAL ~ SI~GLE FACE
OTHER BILLBOARD DOUBLE FACE MULTI-FACE
....
,!".;,.:'.I,
.:~;,
It. _
~~:~/ VENDORS. CO~'TRACTORS:
'-.I.'
':"'~i,':.SIG~ ERECTOR ~(:.
;:1~;~. ADDRESS t".., <Si"LA C,T
'~r;X-CITY LI~;-XlDIBER "11/ /rJ
,ji.h . L
,';if:.' SIGN f!A.WFACTURE~ (IF 0111ER TIIA.' ERECTOR]
"'r',
r. ';' ADDRESS
j ....
. . r(ELECTRICAL CO~"'RACTOR
;' 'ADDRESS
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c::q~\\'l:."0E.i x'\
PHO~E 14 f., 7~" <;'
EXP. DATE
Coj~.,.k6 UlJUrnf1B::l
"-'/rr
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PHONE (,9;9.,b 1(1,
PHONE
LICE:>lSE NlD1BER
ODIE~SIO~S. I~ST'\LL\TlO:-; A'-':O CO~STRUCTION INFOR.H.\TlO~:
.. TOTAL HEIGHT ABOVE GRADE_ g \ 3.PT VERTICAL DIMENSIO~ OF SIGN--5~ ._HORIZO~TAL W!DTII OF SIG~. '" FT
DIIIE~SIO~ FRO" GRAOr. TO BOl"'O~1 OF SIG~ q t=t- TIlICKNESS OR DEPTI! OF SIGN "3hl""""nk~,<- P-.11'.5
DOES SIG~ PROJECT BEYOXD PROPERTY LI~E YES:i. NO IF YES, DIfIENSION BEYOND PROPERTY LINE
KOTE: IF PROJECTIOX IS :.IORE TIlAN 12" OVER PUBLIC PROPERTY nlE SIGN ERECTOR l.lUST FILE 1~1T1I TilE BUILDI~G DIVISION COPIES OF
HIS PUBLIC LIABILITY ~'D PROPERTY DAf~GE I~SU~,CE POLICIES..
WILL SIGN HAVE ELECTRICAL IHRING? _YES XJlo IF Y~S, WHICH APPLY? _ElECTRICAL SIGN _ILLlDIINATED (INDIRECTLY LIGHTEU)
DESC!HBE TYPE OF !-l.'\TF.!UALS SIG~! IS CO~!ST?-'JCTF.D OP' ~4 'TAl/A CL'fW!:t"J1'\
XPROVIOE UL NUMBER IF APPLICABLE .--VALUE'OF SIGN Y'. '..:t I ';./! . " (.... c'
SITE INFOR.'fATION (L~'D USE)--EXISTING USE OF BUILDING OR LAND (OR"'!:ASTUSEIF'VAC;;:N:f) :...Q.:.c. Qo""JlI, A, JI\~l~
. IGG7/-l-/ ~ ...
PROPOSED USE OF BUILDING OR lAND: ~ QO.M"'l'AL. .p.,.,1'. 9-A1 P.<;
CHECK ONE IF APPLICABLE: _INDOOR BUSINESS ~UTDOOR ~IERCH'_'DISIXG
ARE TIlERE EXISTING SIGNS? _YES ~O IF YES, DESCRIBE ~.EXISTING SI~NSFOR ~USIXESS,
. EXISTING SIGNS (SiGN CODE):
,
'. FIRM, ETC.:
ALL EXISTING SIGNS ON PREMISES(SAl>fE TAX LOT):
I HAVE CAREFULLY EX~IINEO the completed application for permit and do hereby certify that all information hereon is true and
correct, and I further certify that all work performed shall be done in accordance with the Springfield Sign Ordinance. the
Uniform Sign Code as adopted by the City of Springfield and all other Ordinances of the City of Springfield and the laws of
the State of Oregon pertaining to the work described herein. I further certify that my Sign Contractors License w~th the
',City of Springfield is in full force and effect as required by Springfield City Codes 8-2-6(~1 and 9_1_20(2}. I wll1 reques~
. all required sign inspectionS.listed on the approved permit. ...".,. ~. ..
NAflE(PLEASE PRINT) ~(;;J)b. RIH?_ . SIGNATURE '-- '\1 ,L I "DATE ",11-9.7.
FOR OFFICE USE ONLY .....
SIGN DISTRICT PFiJ. A UTa. ZONE DISTRICT (7-":3 TOTAL SQUARE FOOTAGE OF SIGN
INSPECTIONS REQUIRED: _SITE/LOCATION _FOOTI~G OR 'IETfIOD OF 'ATIAC>>IENT _ELECTRICAL
3 (') t:/I
XFI}lAi.
_OTIIER
FEES:
SIGN PERl-lIT:
QiARGES :
'I. .
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'~::.;'o; ~~' V'
ELECTRICAL PERMIT:
CHARGES:
STATE SURCHARGE:
-&-
-&
TOTAL FEE FOR PER.~IT:
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PLEASE ""AD
1) Separate Si~n Application: A separate application is rl
separate sign as defined in the Sign Code.
2) Electrical: ~y permit issued under this. application W.
ing in or on Slgn structure, the supply wires for connel
cover~d on an electrical permit. Electrical connection
only by a State Licensed Electrical Contractor. Illumil
internally and externally) must conform to Sections 9-7.
9.7-18 of the Springfield Sign Ordinance.
3) Plans Re~uired: This application is to be submitted wi.
sets of plans drawn to scale, showing dimensions and he
vertising message on sign; location of sign on property
to property lines. ~tructual details of support framing
footings; materials of construction for sign and sign S'
trical equipment and lighting; size and location of exi.
property for the same business, all as required to dete'
with the Springfield Sign Ordinance (Article 7 of the S:
Code). Also. show the following information on the plo'
'showing property lines and location of signs):
a) Show the location of all existing sign{s) as well a
b) Show the length of the street frontage taken up by .
building.
c) Show the location of entrances open to the public al
4) When required. because of design, size, etc., engineere,
calculations must be prepared by a licensed engineer or
to design standards on file at the Building Division Of
S)
Pbns of insuffic~.ent clarity or'detail will be returne.
plicant with no permit being issued.
6)
Signs must meet corner vision clearance requirements as
Fig. 9 of the Springfield Comprehensive Zoning Code.
7)
NOTE: No sign cay be erected which is less than.12 fee
or-vertically from overhead electrical conductors in ex
volts. or less than 5 feet in any direction from overhe.
lines which are energized at less than 750 volts.
B)
If 3 si;n is not installed within 60 days
this permit, the permit shall be void.
9) . Insnp.c.'.tions;
. .' ,- ~--_.
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Date
CITY
"'.
SPRINGF"fELD
F
City Hall
Springfield, Oregan
Department af Public Works
. OFFICIAL RECEIPT
.
S8148f'
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No. B
19 0)~
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Address .2;2 7"" 5. '/-1 "::> T -
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Amount Received
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Site Inspection - to be made before the sign is placed. Usually,
'the Footin~ Inspection (if applicable) may be made at the same
time as the Site Inspection. The Footing Inspection is to be
made after hole{s) is excavated, but prior to the placement of
concret e.
a)
b)
Fin~l I~spection - to be made upon completi~n of all work.
c) Electrical - All electrical signs must be inspected for electri-
cal hook up after the sign is erected and before the sign is
turned on.
CALL FOR TIlE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT
726-3769.
SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFD~tATION NEEDED BEFORE PERMIT ~tAY BE ISSUED:
PlANS REVIEWED BY:
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