HomeMy WebLinkAboutPermit Signage 1999-4-12
,,,SiGN PERMi-r'APPLlCATI.
225 Fifth Street
.Spri~gfield, OR 97477
SITE,:ADDRESS: 346.)
ASSESSORS MAP: j -) 0 -:>., :+.::I.:::...
SPRINGFIELD
J.MBER qCj 0 ~ {I
Inspection Line: 726-3769
Office: 726.3759
TAX lOT:
Vxn<;
5\~B
OWNER: Ou t (3nck )' f-ef4ld{Ju~e
ADDRESS: ':? L S- 0 r:?/ <; f Aut" ) F
CITY: f?~ / If' Ut' ..
PHONE:
<; In!;. 11 5"20
STA:~r~.b;"EX~-M ,,,'" rp.OlJAII?5 vo~OO c..
A ..' -~. b e Oregon U\lhfy
BUSINESS NAME, FIRM ETC,: rhA f bn,..1-; (I,. f .~~dOPtl>. Y ......etf&Y.,g!(' L f"#2/
Notifica Ion",""'''', h AR952-001-
. _.~ 5-'" ^^~n+hl"nlln
In U/'\t1",,1- -' .~ '11~q,qF.!ies of the rUles uy
DESCRIPTION OF PROPOSED SIGN IS): (please check and complllOOBlI ~i\llI_P,tE!llr(l'Wtg~~he telephone
calling the cen er, Utility Notification
J Freestanding Projectif1\llmberfor the,IR~!lllOn-332.~),MarqUee
"\ Center IS 1-800
Double Face Billboard Other
Wall
Single Face
Square Footage: / q g 5
Dimension from Grade
to bottom of Sign Enclosure:
5""'6" /
/J /u Iv>
/~/
Total Height above Grade: 0.,J
Horizontal Width of sign or enclosure: -;) Ff"" t ;/
Electrical Installation: I Yes ~ VAlUEW
(If yes additional electrical permit is req~:r~vd) Of SIGN:? I 5' (JOo.
.('Kl6;',v"f Cl'JllAJAIf'L JJe,JI,/ L~fleJ'_~
7"
Vertical Dimension of sign or enclosure:
Material Sign is constructed of:
List ALL existing signage and attach a photograph of each sign:
/Ia) Type
Sq, Ftg.
Ib) Type
Sq, Ftg,
Sq, Ftg,
Icl Type
Sq, Ftg.
(d) Type
. ~,
CONTRACTOR/lNSTALLER: Jjt>a-/A "C"h1.'()lItJU t-J...C
ADDRESS: /0 L 12, tI i=' 111 f}R.x <:,1
CITY: p("JO fll4",d STATE:f'1)I2("
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: I ~ 7 j{7 0
PHONE: 503 ,<torr- fi'5/n
ZIP: Q1220
EXPIRES: 1-:1 q - 0"
CITY BUSINESS UCENSENUMBER:
EXPIRES:
OFFICE USE
Sign District:~T.-~ Ccw."....~J.J
Zoning: ~L
Sign Permit Fee: di I DD .
-
land Use: 53o-z> Quad Area:
Code Section: <l. .J..c, {.. ('S\
Approved By: ~cf - l.l)~
I (IJN u.)
DATE:
#-'t-qCj
REQUIRED INSPECTIONS:
/Site
to be made prior
to sign placement
/Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
V"Electrical
prior to energizing
electrical installation
V;;;:al
completion of sign
installation
Additional Comments and/or Conditions: 9l.J trJ ,.. ;J
~ hL~ ~ ~
~J;~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of
Springf;eld, and the Laws of the State of Oregon pertaining to the work described herein, I further certify that only contractors and
employees who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the permit card is located at \lIl!.f 0 e roperty, and the approved set of plans will remain on the site at all times during the installation
of the sign(s), _,
Signature ~ #'
Date
~-/.2-11
Validation:
Amount Received:
L-/t7 Io-'r
031'-f7o
Oate Paid:
.Receipt Number:
Received By:
1/11.../'7,. A
f/VJ
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