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HomeMy WebLinkAboutPermit Signage 1988-5-25 city of springfield 225 n. 5th street . SPRINGFIELD . INFOR,MATlON: 726'37531 INSPECTIONS. 726-3769 SIGN PERMIT APPLICATION - BUILDING SIGNAGE A. LOCATION OF SIGN (ADDRESS) 3375 GATEWAY STREET & KRUSE WAY LECAL DESCRIPTION SEE ATTACHED 'O~JNER OR PROPERTY CHEVRON U.S.A., ATTN: MR.',PRESCOTT ADDRESS P.-O. BOX 220. SEATTLE. WA OIiNER OF SIGN (IF OTHER THAN PROPERTY OWNER) ADDRES S TAX LOT-t PHONE (206) 628-5222 ZIP 981 I ] PHONE NAME OF BUSINESS, FIRM. ETC. TYPE OF .BUSIllESS B. TYPE OF WORK: _ERECT _ALTER _RELOCATE ~OTHER PAINTED ON FASCIA C;. STRUCTURAL TYPE 'OF SIGN: [). USE AND CPjL~CTER OF SIGN: _HALL _FREESTANDING _ROOF _PROJECTING _MARqUEE , , UNDER llARClUEE - . _IDENTITY ~INCIDENTAL _DOUBLE FACE ~SINGLE FACE ----''!llLTI-FACE _READER BOARD _BILLBOARD -LOTHER ~TFn ON FASCT~ ~ E. VENDORS, CONTRA,gORS: ,NO'!:, DE;:J;:E~INED AT THIS TIME ' SIGN ERECTOR /i'l1l/l.lIAllJbB ;),/hll/~ IN&< PIlONE 3~2- /7~ ~ .f.DD~.ESS ..:l.p4 ~,eP6.e-$IP.v 5/'. , bvhttPNe" ,t7.4eh-UI ZIP &1'7 <Io:z- CITY LICENSE II\P.1BER 27t?3tf,/ EXP, DATE ..7'...",,6, 198'8' - . . SIGN llANUFACTURER (IF OTHER THAN ERECTOR) ADDRESS , I PRONE i f, DIMEIISIONS, IIISTALLATION & CONSTRUCTIOIl , TOTAL HEIGHT ABOVE GRADE VERTICAL DIMENSION OF SIGN HORIZONTAL WIDTH OF SIGN DUIENSION FROM GRADE TO BOTIOM OF SIGN TIIIC~JESS OR DEPTH 9 '-3'11 9~" 8'-6" G. EXISTING SIGNS ARE THERE ANY EXIST!!1G ~IGNS? _YES .::x..}1O 'IlIJ!.1BEP, SIZE IN SO. FTG., ALL EXISTING SIGNS FOR BUSINESS, ETC. .; ! j R'-c;,klt ! .J:l...A ~ ~ DOES SIGN PROJECT BEYOND PROPERTY LINE? _YES I LNO IF YES, DIMENSION BEYOND PROPERTY LINE NOTE: IF PROJECTIOn IS llORE THAN 12" OVER PUBLIC PROPERTY THE SIGN ERECTOR ~roST FILE WITH THE BUILDING DIVISION COPIES OF HIS/HER LIABILITY AND PROP- ERTY DA}lAGE IIISUPJlNCE POLICIES. H. HI~L SIGN HAVE ELECTRICAL IfiRING? NO IF YES, WIIIC!! APPLY? ELECTRICAL SIGN __ILLUMINATED (INDIP~CTLY LIGHTED) ELECTRICAL COtlTRACTOR ADDRESS LISC. NUMBER PRONE I ~ . I. DESCRIBE TYPE OR MATERIALS SIGN IS CONSTRUCTED OF. ' DESCRIBE SIGNAGF J'SITE INFOPMATION (LM1D USE) -- EXISTING USE OF BUILDING OR LAND (OR LAST USE IF VACANT) VACANT LOT . , K. VALUE OF 'SIGN: $]50.00 _INDOOR BUSINESS ~OUTDOO~ MERCHANDISING PROPOSED USE OF BUILDING OR LAND: CHEVRON U.S.A., INC, AUTOMOBILE FUELING FACILITY AND CONVENIENCE STORE L'I HAVE CAREFULLY ~IINED 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 in 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 Springfield and the laws of the State of Ore~on peitaininR to t~e work described n~4~Ln. I further certif.y that my S~zn Co~tractor Li- cense with the City of Springfield 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 inspections listed on the approved permit, r NAME (PLEA~) e/1 .f?Gd~EN'?r~/?I SIGNATUREc.z d /f(/1,&/~/t/ DATE S/.?-5,/K"J" '..a...,...,..11 ...,..1Il1:'~ I.. ."'" ." ......... ....... . ..., . . . PLEASE READ . i . '.11 1) SeDarate Si2n ApDlication: A separate application iB required for each separate sign,as defined 1n the Sign Code. Electrical: Any permit issued under this application will Includ~ wiring in or on sign structure, the suppiy 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. Plans ReQuired: This application is to be submitted with two complete sets of plans showing di- mensions and height of sign; advertising message on sign; location of sign on property with di- mensions to property lin~s, structural 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 the 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 aB 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 froc overhead electrical lines which are energized at less than 750 volts. If a Bign is not installed within 60 days after the date of issue of this permit, the permit shall be void.. Insoections: 2) 3) 4) 5) 6) 7) 8) 9) a) Site Insoection - to be made before the sign is placed, Usually, the Footin2 Insoection (it, applicable) may be made at the same time..as the.. Site Inspection', \:\ "Ene l"ooting Inspec- tion is~to tie made after hole(s) is e;:,cavate'ci.," but prior"-to me placement'of concrete. " . ,. . Final Insoection,- to.be mad~ upon i:b;;;Plei:i~n of all work':'\ ,,~,,":' " ~lectrical - all el~ctrical ~ign~ must be insp~cted fo~ electrical ,hook up after the sign 18 erecte~ and before the sign is turned on. . b) '.'c) CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 FUR UFFIG~ US~ UNLY SIGN DISTRICT ZONE DISTRICT JOB 11 ?<:JO Ct l./?- TOTAL SQUARE FOOTAGE OF SIGN ~ REOUlRED INSPECTIONS: SIGN PERMIT FEE: JO~OO _SITE/LOCATION _ELECTRICAL OTHER _FOOTING OR METHOD OF ATTACHMENT FINAL ELECTRICAL PERMIT FEE: 0- 4% STATE SURCHARGE: -, e:,- TOTAL: DATE RECEIPT CLERK j SPECIAL CONDITIUNS TO BE SATISFIED BEFORE ERECTION OF SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: .. ,',' " ~.>.:~...:: :' APPROVED BY: . DATE , . " " SPRINGFIELD SIGN ORDINANCE , " , .~ SECTION: " . I :01lI..~ city of springfield SPRINGFIELD . INFO R.MATlON: 726-3753 225 n. 5th street ~ INSPECTIONS: 126-3769 SIGN PERMIT APPLICATION - CANOPY SIGNAGE A. LOCATION OF SIGN (ADDRESS) ,3375 GATEWAY STREET & KRUSE WAY LECAL DESCRll'TION SEE ATTACHED TAX LOT -f':' O~INER OR PROPERTY CHEVRON U.S.A.. ATTN: MR, PRESCOTT ADDRESS P,O. BOX 220. SEATTLE. WA. OIiNER OF SIGN (IF OTIlER THAll PROPERTY OWNER) ADDRESS PHONE (206) 628-5222 ZIP q8111 PHONE , NAME OF BUSINESS, FIRM. ETC. TYPE OF ,BUSIl:E5S B. TYPE OF WORK: _ERECT _ALTER _RELOCATE ...!-OTHER INSTALLED IN CONJUNCTION WITH ERECTTOIl OF CANO~Y C. STRUCTURAL TYPE 'OF SIGN:, _HALL _FREE5TANDlllG _ROOF _PROJECTING _MAR<lUEE , UNDER 11AROUEE - . [). USE AND CP~~CTER OF SIGN: X IDENTITY' (FASCIA LOGO) X rnCIDEllTAL (COLUMN DIRECT, - IONAL) _DOUBLE FACE " ...!-SINGLE FACE __'!ULTI-FACE _READER BOARD _BILLBOARD -1L- OTP.ER INSTAT.LED IN CON.JJJIlCTTON WTTH FRFr.TTON OF C~ E. VENDORS. CONTRACTORS: NOT.J)l'.TEjiliIW ,~TTHIS' TIME SIGN ERECTOR #A7thll/ f5J1e(t,5 ,5/~A/ /AlC/ .f.DDP.ESS :2t9t/ J.E,r:::r:~";::;5!: G/6~niS, CITY LICENSE llUMBER 570 ':?h I SIGN 11ANUFACTURER (IF OTHER THAN ERECTOR) ADDRESS PlIO!.'!: O..A2G" b';"./ ZIP t? 7 t,li/ 2- EXP, DATE PHONE F. I Dll1E!lSIONS. UlSTALLATIOII & ff~sffi9,}feot.umiJ TOTAL HEIGHT ABOVE GRADE 16 '-6" / I J '-8" VERTICAL Dll1ENSION OF SIGN 1'-9" / 2'-2" HORIZONTAL WIDTH OF SIGN 18' -0" / I' -I 0" DIMENSION FROM GRADE TO BOTTOM OF SIGN 14' -9" / 8 '-2" G. EXISTING SIGNS I". . ARE TIlERE ANY EXi:STHlG ~IGIIS? _YES 2JlO ll\J!.IBE~, SIZE IN SO. FTC " " " l ALL EXISTING SIGNS FOR BUSINESS, ETC, . ~ " ~ DOES SIGN PROJECT BEYOND PROPERTY LINE? _YES ~NO IF YES. DIMENSION BEYOND PROPERTY LINE NOTE: IF PROJECTIOn IS llORE THAN 12" OVER PUBLIC PROPERTY THE SIGN ERECTOR ~ruST FILE WITH THE BUILDING DIVISION COPIES OF HIS/HER LIABILITY AND PROP- ERTY D~1AGE IIISURANCE POLICIES, . H. Hl~L SIGN HAVE ELECTRICAL IHRING'7. YES IF YES. WHICH APPLY? JLELECTRICAL SIGIl( C9L.) ~ .,!ILLll!lINATED (INDIRECTLY' LIGHTED) (FASCIA .. ELECTRICAL COllTRACTOR ~ , ADDRESS LISC,NUMBER .! j ~ -, ~ TIIICKNESS OR DEPTH N.A. PEOIIE i - J. DESCRIBE TYPE OR I'ATERIALS SIGN IS CONSTRUCTED OF. . FORMED ACRYLIC SIGN FACE AND METAL FRAME J'SITE INFOPMATION (LAllD USE) -- EXISTING USE OF BUILDIIIG OR LAND (0R LAST USE IF VACANT) VACANT LOT , K. VALUE OF SIGN: $2640.00 _INDOOR BUSINESS X-OUTDOOR MERCHANDISIIIG PROPOSED USE OF BUILDING OR LAND: CHEVRON U.S.A" rllc ATlTOMOFTT,F FTT11T.T.NG FACILITY AND CONVENIENCE STORE . L'I HAVE CAREFULLY EXA}IINED 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 in 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 percaininR to t~e work described nCL~Ln. I further certify that my C~gn Co~tractor Li- cense with the City of SprinRfield is in full force and effect as required by Sprin~field Codes 8-2-6(3) and 9-7-20(2). I will request all required sign inspections listed on the approved permit. . NAME (PLEAS~NT) ,;-0 %~f'?GN'6)C~/N SIGNATURE ~ ~-t'./~~"'''M DATE S- 2..Y - J' 8 7,~.,. . II ... ~LlI:lil"I.I.' a... ... ...."".. I.... "_. .. h..', . PLEASE READ . ,-.. , 1) 2) Seoarate 5120 Aoolication: 1n the ~ign ~ode. 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. A separate application is required for each separate sign.as defined 3) Plans Reouired: This application is to be submitted with two complete sets of plans showing di- mensions and height of sign; advertising message on sign; location of sign on property with di- mensions to property lines, structural 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 the 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 from overhead electrical lines which are energized at lesB 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) 7) 8) 9) a) Site Insoection - to be made before the sign is placed. Usually, the Footing Insoection (it applicable) may be made at the same time as,the Site Inspection:,' :me.t'ooting Inspec- tion is to be made after hole(s) is excavated, but prior to the placement of concrete. . b) Final "Insoection," to'be.mad~ upon coj"plecion of' all work'; : ''l- c) ~lectrical - all electrical ~ign~ must be inspected fo~ electrical hook up after the sign is erectea and before the sign is turned on. CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 FOR OFFIG~ US~ ONLY SICN DISTRICT ZONE DISTRICT \-0..,-,,,,," TOTAL SQUARE FOOTAGE OF SIGN It.. REOUIRED INSPECTIONS: JOB f} <(;1)()Clt.f~ c...:;)h....'w'\l"\ '-I SIGN PERMIT FEE: '".. -37.00 _SITE/LOCATION _ELECTRICAL _OTHER _FOOTING OR METHOD OF ATTACHMENT _FINAL ELECTRICAL PERMIT FEE: 4'; STATE SURCHARGE: / TOTAL: ,DATE RECEIPT CLERK SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: APPROVED BY: l>ATE ,^ , , , SECTION: SPRINGFIELD SIGN ORDINANCE .' . ~.~~......: " .... \. ~ city of springfield 225 n. 5th street . SPRINGFIELD ~ . INFO R.MATION: 726-3753 INSPECTIONS. 726-3769 ~....... \.\. ''''~ 0. :J~'^Q-"- A. LOCATION OF SIGN, (ADDRESS;;' 3 7 ~- ~Ufj' c;;}I. ,/ /~ PVtZtt LECAL DESCRIPTION ~...... /7~ TAX LOT-?! OI,1NER OR PROPERTY /L/fl~/ 1/';;,4 // Tr ~c;#'PHONE.2e>P -~~f - S-2.22- ADDRESS~(l. i1t7r/C ::J;!!O ~....dH IVh ZIP , , , OrINER OF SIGN (IF OTHER THAN PROPERTY OWNER) SIGN PERMIT APPLICATION ADDRESS NAME OF BUSINESS, FIRM, ETC, PHONE , TYPE OF ,BUSIllESS B. TYPE OF WORK: _ERECT _ALTER _RELOCATE , -LOTHER C'STRUCTURAL TYPE OF SIGN:, _HALL FREESTANDUlG _ROOF _PROJECTING _MARqUEE _UNDER I1ARqUEE -2C OTHER [). USE AND CP~~CTER OF SIGN: IDENTITY LrnCIDENTAL _DOUBLE FACE ~SINGLE FACE _MULTI-FACE _READER BOARD _BILLBOARD , E. VENDORS, CONTW:r~R~ r -4, ' ,()" , SIGN ERECTOR r~ ~ ~~ ,'fJlDRESS, ;( /Q 4 3o~ {:.J; CITY LICENSE !lUMBER f5 7~ =>;6 I SIGN I1ANUFACTURER (IF OT1lER THAN ERECTOR) , ADDRESS ~ ~6'Af"" ~ PIlClo.'I: 3'1~ - / 7fP f " ZIP ~ 7 $L"e> 2- ' EXP, DATE t..7a ~< It", <Jt g = .PEONE , F. DD1ENSIONS, IIISTALLATION & CONSTRUCTION TOT~L HEIGHT ABOVE GRADE f~ 3 VERTICAL DIMENSION OF SIGN ~..~ HORIZONTAL WIDTH OF SIGN ~'- b , DIlIENSION FROM GRADE TO BOTTOM OF SIGN TIlICKNESS OR DEPffi 0' ~J., .l) - 5 l- -11(.4 ,. G. EXISTING SIGNS ARE T1IERE ANY EXIST!!lG ~IGNS? _YES X-!1O '!1UHBE? SIZE IN SO. FTG. ALL EXISTING SIGNS FOR BUSINESS, ETC. , . DOES SIGN PROJECT BEYOND PROPERTY LINE? _YES ::L.NO IF YES, DlllENSION BEYOND PROPERTY LINE NOTE: IF PROJECTIOn IS llORE THAN 12" OVER PUBLIC PROPERTY T!!E SIGN ERECTOR I1UST FILE WITH THE BUILDING DIVISION COPIES OF HIS/HF.R LIABILITY AND PROP- ERTY DA}lAGE INSUPJlNCE POLICIES. H. HI~L SIGN HAVE ELECTRICAL lJIRING? #0 IF YES, \IIlIC!! APPLY? ELECTRICAL SIGN _ILLU!HNATED (INDIP-ECTrl LIGHTED) ELECTRICAL CONTRACTOR ADDRESS LISC.NUMBER PIlONS , ~ " " I. DESCRIBE TYPE OR I'ATERIALS SIGN IS CONSJI'UCTED 0[. ~'., ' /(yJl po "fV ~ ~..-, .; "' t:fl I' , f J'SITE INFOFMATIOIl (LAND USF.) n EXISTING USE , , OF BUILDING OR LAND (()R LAST USE IF VACANT) , K. VALUE OF SIGN: /SCJ.Cr7) _INDOOR BUSINESS .'1. OUIDOO:1. l'ERCHANDISING ~SED USE OF B,l1,I~~~.'<,..... . I/{/J ~ r.-<<"," /' /Zu/ ~.-.r___/+,-,,1f' L. 1 HAVE CAREFULLY EXAMINED 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 in 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 SprinRfield and the laws of the State of Oregon per'taining to t~1e work descrihed nt::...t:!.l.n. I further certify that I!IY :J:!.Z!". Co~tractor Li- cense with the City of Springfield is in full force and effect as required by Sprinp,field Codes 8-2-6(3) and 9-7-20(2). I will request all required sign inspections listed on the approved permic.' r Ef? .R&/f-z.-b-/Y 5~c;::-/~ ,fI~~",~. ' :., NAME (PLEASE ~ SIGNATURE DATE s - ::2- 6- -tf- t" , -, . PLEASE READ . 1) Seoarate S12n Apo1ication: A separate application is required for each separate sign ,as defined 1n the Sign Code. Electrical: Any permit issued under this application will include 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 adnid externa~ly:),' must.~onf,9rm, to' Se~'t~ons 9,-,7~"" (4).\& ,(5) and' 9-7:18 of the Springfield Sign Or- nance. . . .. . 2) 3) . . ,. '.. ."~. ) .:.. Plans Re9~ired: This application is to be submitted ~ith two comp1et~ sets of plans showing di- -mens ions' aI)d he;ght. of sign;. advertising ~9sag~,on s~gn; locatio!!.; of,;.sign on property with di- mensions to property lines; structural details of support framing,.bracing and footings: materials of construction for sign and sign structure;. electrical,,,_equipmenc 'and lighting; 'sl"ze 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 Bigns, 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 the Building Divi- sion Office, ' " Plans of insufficient clarity or detail will be returned to the applicant with no permit being issued. v Signs must meet corner vision clearance requirements as described in Figure 9 of the Springfield Comprehensive'Z~ning 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 fron 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" Inspections: 4) 5) 6) 7) 8) 9) a) Site Inspection - to be made before the Bign is placed. Usually, the' Footin2 Insoection ,(it applicabl.e) may be made at the s.ame -time a~_ the Site 'Inspection: '.rn~e !'oot1ng Inspec- tion is to be made after hole(s) is e~avateci, but prior to' the placement of concrete. Final: Insoection,- to be made upon c~mplei:i~n of, 'all work." . \', . . . ..... '.' -. '. .... ~lectrica1 - all electrical signs must be inspected for electrical hook up after the sign 1.S' erecteCl and before the sign iB turned on. ' -, ' , , . CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 b) " c) . ~ FOR OFFI~E USE UNLY SIGN DISTRICT JOB IJ SIGN' PERMIT FEE: .:....'~ ZONE DISTRICT TOTAL SQUARE FOOTAGE OF SIGN REOUlRED INSPECTIONS: ___SITE/LOCATION ___ELECTRICAL ___OTHER FOOTING OR METHOD OF ATTACHMENT ELECTRICAL PERMIT FEE: ~~ . ( ___FINAL .\~~. '..' U STATE SURCHARGE: , , TOTAL: ,DATE RECEIPT 'J CLERK SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN: .~. . \ ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: ">-". '. " " ' ". ....." ~ ...-.... , \, , '., '.)-!.'" .. ~. 1 . ~. .' . . .;'. , ... ~ " APPROVED BY: DATE " SECTION: SPRINGFIELD SIGN,ORDINANCE .. n i . . . . , : . . . . : . . . . < , i".... city of springfield . 225 n, 5th street ' SPRINGFIELD IN FOR,MATION: 726-3753 . , - INSP ECTlONS: 726-3769 SIGN PERMIT APPLICATION - IDENTIFICATION AND PRICE SI, A, LOCATIOH OF SIGH (ADDRESS) 3375 GATEWAY STREET [, KRUSE WAY LECAL DESCRIPTION SEE ATTACHED TAX LOT -I!' 'O~INER OR PROPERTY CHEVRON U. S. A., ATTN: MR. PRESCOTT ADORESS P:O. BOX 220. SEATTLE. WA OIINER OF SIGN (IF OTIlER THAN PROPERTY OWNER) ADDRESS NAME OF BUSINESS, FIRM. ETC, PHONE (206) 628-5222 ,ZIP qR 111 PHONE TYPE OF .BUSUlESS .8. TYPE OF WORK: ~ERECT ALTER _RELOCATE , _OTltER C'STRUCTUHAL TYPE 'OF SIGN:. _\TALL ~FREESTANDUlG _ROOF _PROJECTING _MARqUEE [). USE AND CPJlRACTER OF SIGN: ~IDENTITY' (LOGO) ..!-INCIDElITAL (PRICE) ~DOUBLE FACE _UNDER l1ARQUEE _SINGLE FACE _OTP.ER ~'!ULTI-FACE \ . _READER BOARD r~'VJ -) _BILLBOARD E . VENDORS, CONTl\t\gORS: }IOT AllTERMINED~" ~:S_ TIME SIGH ERECTOR / j//L(n17.hU ~ rP"'" .J.DDPJ::SScZ~;; -~~ ~ CITY LICENSE' llU!liiiR v1 g 7.0 6' ,G / v , SIGN 11ANUFACTURER (IF OTHER TJI.AN ERECTOR) ADDRESS rllm!!: 8cf.2. - / '7 ~ 'I . ZIP c? 7 <.LO 2- EXP, DATE . PHONE F. DD1ElISIONS, WSTALLATIOII & CONSTRUCTIOn " '1/0 . ~ l'21'l(J , G. EXISTING SIGNS TOTAL HEIGHT ABOVE GRADE 35' -0" ,/' VERTICAL DD1ENSION OF SIGNI.D.-7 '-8"/PRICE-! '-0" HORIZONTAL WIDTIl OF SIGN 6' -8" . DIMENSION FROM GRADE TO BOTIOH OF SIGN J 8 ''-4'' ARE TIlERE ANY EXi:ST!!lG ~IGIIS? _YES ~NO lTIR{BE~ SIZE IN SO.FTG. ALL EXISTING SIGNS FOR BUSINESS, ETC. TIlICKNESS OR DEPTH 1'-2" DOES SIGN PROJECT BEYOND PROPERTY LINE? _YES ~NO IF YES, DIMENSION BEYOND PROPERTY LINE NOTE: IF PROJECTIOn IS llORE THAN 12" OVER PUBLIC PROPERTY TEE SIGN ERECTOR ~ruST FILE WITH THE BUILDING DIVISION COPIES OF HIS/HER LIABILITY AND PROP- ERTY D~~GE INSURANCE POLICIES, H. UI~L SIGN HAVE ELECTRICAL \lIRWG? YES IF YES, WHICH APPLY? X ELECTRICAL SIGN _ILLlJ!lINATED (INDIRECTLY LIGHTED) ELECTRICAL COllTP.ACTOIt , ADDRESS LISC.NUMBER P~CIIE I. DESCRIBE TYPE OR l'ATERIALS SIGN IS CONSTRUCT,D OF, ' FORMED ACRYLIC SIGN FACE METAL FRAME AND SUPPORT AND CONCRETE FOOTING J. SITE INFOPl~TION (LAND USE) -- EXISTING USE OF BUILDING OR LAND (OR LAST USE IF VACANT) VACANT LOT 1 K'VALUE OF SIGN: _IHDOOR BUSINESS ~CUTDOOl MERCHANDISING PROPOSED USE OF BUILDIHG OR LAND: CHEVRON U.S.A.. INC. AUTOMOBILR R1JF.LTNG FACILITY AND CONVENIENCE STORE $3,400.00- L'I HAVE CAREFULLY EXA}IINED 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 SDrin~field.and all other Ordinances of the City of SprinRfield and the laws of the State of Ore~on pertaining to t~e work described nc.~~n. I further certify that my S~zn Co~tractor Li- cense with the City of Springfield is in full force and effect as required by Sprinp.field Codes 8-2-6(3) and 9-7-20(2), I will request all required sign inspections listed on the approved permit. NAME (PLEAS~) ~ I? /2G:- / 1-"2--G7V5t" &-/Ii SIGNATURE ~ Itl:i;-'~-'JA'M;' DATE S - ::2- s--y F o I III 0.. ".'Ill'~ '"' .,.., ... ..... ..... '...... " n. . 3) Plans Reouired: This application is to be submitted with two complete sets of plans showing di- mensions and height of sign; advertising message on sign; location of sign on property with di- mensions to property lines, structural details of support framing. bracing and foacioEs; 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. Wh~n 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- Bion 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 froc 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, . '- .' PLEASE READ . . 1) 2) Seoarate 512n Aoolication: in the S~gn ~ode. 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. A separate application is required for each separate sign,as defined 4) 5) 6) 7) 8) 9) Insoections: a) Site Insoection - to be made before the sign is placed. Usually, the Footing Inspection (it applicable) may be made at the same time as the Site Inspection. .rne .1"ooting Inspec- tion is to be made after hole(s) 1s e~av~tecit but prior to the placement of concrete. b) Final Insoection,- to be made upon completion of' all work. c) ~lectrical - all electrical ~ign~ must be inspected fo; electrical h~ok up after the sign ~s erected and before the sign is turned on. CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 FOR OFFIG~ US~ ONLX :l'-S SIGN DISTRICT ~" ~ '!5f'JUlfLjd-. cc JOB 11 ZONE DISTRICT TOTAL SQUARE FOOTAGE OF SIGN Ie') /f.,....... /--/' 7 SIGN PERMIT FEE: / ;' ,~' ,) u.",' .:....".". . .L,;-. . ..'(/ REOUIRED INSPECTIONS: /SITE/LOCATIOll ~OOTING OR METHOD OF ATTACHMENT .l.::::ELECTRICAL , .-'Fiiw. _OTHER ELECTRICAL PERMIT FEE: 'c::. :)) '-,. }l9;TATE SURCHARGE: _ ~ I:.J -2.>-Y TOTAL: , L_~ J(Y). S-/ bl1 /73<0 RECEIPT J 1S9 '7 ~ ~~...=- ' DATE CLERK SPECIAL CONDITIONS TO BE SATISFI~D BEFORE ERECTION OF SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: APPROVED BY:~c~_ \...__ .~ SECTION:..1H n '70>(<<:' Jill:! ~ ,'-. \ ~_ ~ DATE 1)] c'Y '3lJu.,,,,I.~,,,,-<-\.,-u~,,, SPRINGFIELD S~kDINANCE .:>~ 19M ) '- "I .; .' .~. ,." .", ~'.~ ._--~ ~~ , . . - . . i i , . ~ . i ! ~ . . c 1\ _~ city of springfield 225 n. 5th street . INSPECTIONS. 726-3769 SPRINGFIELD . INFORMATION: 726-3753 SIGN PERMIT APPLICATION - FREEHAY SIGll A. LOCATION OF SIGN (ADDRESS) 3375 GATEHAY S7R:::lr:: & KRUSE \vAY LECAL DESCRIPTION SEE AT7ACHED O~INER OR PROPERTY CIEVROll U. S.A.. A7TIl: HR. PRESCO:':': ADDRESS P.O. BO;: 220. SZA7TLZ. HA Ol1NER OF SIGN (IF OTHER TIIAN PROPERTY OWNER) ADDRESS NAME OF BUSINESS, FIRM, ETC, TAX LOT of! PHONE (20G) 628-5222 ZIP g n ] 1 1 PHONE TYPE OF ,BUSI!!ESS B. TYPE OF \lORK: L,ERF.CT ALTER _RELOCATE , _OTHER C. STRUCTURAL TYPE OF SIGN:, _HALL ~FREESTANDUlG _ROOF _PROJECTING _MAR(lUEE _UNDER 11AR(lUEE _OTHER [). USE AND CP~~CTER OF SIGN: X IDENTITY mCIDENTAL :: DOUBLE FACE __SINGLE FACE --,'1ULTI-FACE ';"-LREADER BOARD 4~BILLBOARD E. VENDORS, CONTRACTORS' ilO:':, DET~INED AT , SIGN ERECTOR ~,:?~ .f.DDP.ESS ~ ttltl 9-iI.l'--~ -~.)?~ CITY LICENSE !IUMBER' I.)f 70 '3 b ( U PIlONE 342 -/7;;' f' ' ZIP 9' 7,/02-- EXp. DATE SIGN 11ANUFACTURER (IF OTHER THAN ERECTOR) ADDRESS ,PHONE ,:; In. .:::-71.1")("1 F. DD1ENSIONS. lllSTALLATION & CONSTRUCTION G. EXISTING SIGNS ARE TllERE ANY EXIST!!lG ~IGN~? YES:: 110 'llUUBE? SIZE IN SO. FTG. ALL EXISTING SIGNS FOR BUSINESS, ETC, TOTAL HEIGHT ABOVE GRADE VERTICAL DIMENSION OF SICN HORIZONTAL \lIDTll OF SIGN DIHENSION FROM GRADE TO BOTTOM OF SIGN T1lICKllESS OR DEpm not_on 20'-0" 17'-1+," 40'-0" 1'-n" DOES SIGN PROJECT BEYOND PROPERTY LINE? _YES ,...E..NO IF YES, DIHENSION BEYOND PROpI:RTY LINE NOTE: IF PROJECTIOn IS IIORE TllAN 12" OVER PUBLIC PROPERTY TEE SIGN ERECTOR IruST FILE \lITII TIlE BUILDING DIVISION COPIES OF HIS/IlF.R LIABILITY AND PROP- ERTY DA}IAGE INSURANCE POLICIES, H. m~L SIGN HAVE ELECTRICAL WIRING? Y:S IF YES, WHICH APPLY? ~ELECTRICAL SIGN __ILLUMINATED (INDIpJ.~lLY LIGHTED) ELECTRICAL CONTRACTOR , ADDRESS LISC. NUMBER PEC!re I. DESCRIBE TYPE OR !'ATERIALS SIGN IS ~ONSTP.UCTED OF. . . FORI-em ACRYLIC SIGn :<'ACZ, IETAL FRANZ A1lD SUPPORT AND CONCRETE FOOT!NG J. SITE INFOPMATIOll (LAND USF.) -- EXISTING USE OF BUILDING OR LAND (nR LAST USE IF VACANT) ,ACAli" Tm , -l , j j , . . . ~ , . ~ K. VALUE OF SIGN: $19.000.00 ___INDOOR BUSINESS ~OUTDooa ~ERCHANDISING PROPOSED USE OF BUILDING OR LAND: ~EZVRon U.S....A.. 7nr.~ ATTTOMORTT7 FTT;7T,-'-NG FACILITY AllD CON'JEIIIENCE STORE j t " 1 i . . p L'I HAVE CAREFULLY E~IINED the completed application for permit and do hereby certify that all. informacion is true and correct, and I further certify that all work performed shall be done ~n accordance with the Springfield Sign Ordinance, the Uniform Sign Code as adopted by the City of Sorin~field and all other Ordinances of the City of SprinRfield and the laws of the State of Oregon pertaining to t~e worl~ described n~4~~n. I further certify that my ~~~n Co~tractor Li- cense with the City of Sprin~field is in full force and effect as required by Sprin~field Codes 8-2-6(3) and 9-7-20(2). I will request all required sign inspections listed on the approved permit. NAME (pLEA~WT/;f~/iJL~e=-/i/ 6r?= /~I SIGNATURE ( L.-. ~ ff2" W-, DATE I r - :2 () -cf y ._-~.....~_..~, .........., ..~.,. ., '., I --- -,~ . PLEASE READ . 1) Separate Sien Application: A separate application is required for each separate sign.as defined in the Sign ~ode. 2) Electrical: Any permit issued under this application will include 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. 4) 3) Plans Reouired: This application is to be submitted with two complete sets of plans showing di- mensions and height of signj advertising message on sign; location of sign on property with di- mensions to property lines, structural 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~ compliance with the Springfield Sign Ordinance (Article 7 of the Springfield City Code). Also,. show the follow- i 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 the Building Divi- Bion 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, . 5) 6) 7) 8) 9) Inspections: a) Site Ins~ection - to be made before the sign is placed. Usually, the Footine Insoection '(it: applicable) may be made at the . same time as the Site Inspection. . The 1'00t1.ng Inspec.. tion is to be made after hol~(s) is ~xcav~t~cit but prior to the placement of concrete. b) Final Inspection,- to be made upon completion of all work. c) ~lectrical - all electrical signs must be inspected for electrical hook up after the sign ~s ereccea and before the sign is turned on. CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 FOR OFF1G~ U5E ONLX SIGN DISTRICT!...:) ;1". ">'1 .B ZONE DISTRICT / ,- . -- 'f/- CL. JOB II !(. '! 0 q (/2- TOTAL SQUARE FOOTAGE OF SIGN ~ . ".:, /--- /~ i SIGN PERMIT FEE: REOUIRED INSPECTIONS: ,~SITE/LOCATION ~OOT~NG /" /" ~~LECTRICAL ~FINAL _OTHER /) .' ;?L/ ::{O I . ~ OR METHOD OF ATTACHMENT ELECTRICAL PERMIT FEE: 1." 'i I .- ,. " lr ':"', ....~ "..-' I) I/'B \ 11 WJ 5:?, .4t 'STATE SURCHARGE: -<::' I... TOTAL: 11 IS (), ~ ,DATE -5/~7/AA ~~~ RECEIPT lie::, 97 \, CLERK .' SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: APPROVED BY: ~",~ ~ SECTION: 19..n9r'\~) I DATE 11 Jr,,{/ .:]" I C; 9\>>, __ i i ~ " ,A c.".!", SPRINGFIELD SIll ~lIlANCE .'