HomeMy WebLinkAboutPermit Signage 2000-1-27
Jan-1B-OO 03:27P ESA
SIGN PERMIT APPLlCATIO. &P~'NO"'''LD
225 Fifth Street ~
Springfield," OR 97477 ~ ~
SITE ADDRESS:/oofbHAiX"WW JeoAb -- - .
ASSESSORS MAP: I -, D~ 7 7 IC-<)
Li~I'-k{~;u, l ~ .. ~.".
ADDRESS: :'>~.J':'.J Ghd '?PS-i-ui~; j.'5\Q-VV~ \'<.c.l
CITY: t-:.V(:C8}.jC-
P.03
JOS.BER
ft1l - C1rD gel - 0 I
TAX LOT:
n^.~<..
i/31- L.j <;;3'if
Inspection Line: 726-3769
Office: 7.Mi'oP~'192000/2:46 PM/$ 1.20
ACCT#:100-00000-426605
1<1:1-" n ~ I!} :r1.!:l!1n.'IJ~A
(5'-/ ~8#:00-00084-0i
BUSINESS NAME. FIRM ETC,:
L\ \;':> Ci? + L-J
STATE:
13/\.1'-1 ;,::-
PHONE:
~. 20(5
c."Y.P ;'::'0.0/"':
ZIP:
~ILj'10
OWNER:
DESCRIPTION OF PROPOSED SIGNCS.: (please check and complete all appropriate Information)
LWaU
Fr!"Bstanding
Projecting
Roof
Marquee
Single Face
Double Face
Billboard
Other
Vertical DimensIon of sign or enclosure:
':')'
:Total Height above Grade:
. I
I ~;> -
10 "
.:;J.. L( I
-.,.,
l 7) C.o''--
Square Footage:
CI 2..17.>
Horizontal Width of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
, .'
\ '1, Iu
'Electrical Installation: )I.', Yes No
(If yes additional electrical permit 1$'iiCiUlred)
VALUE
OF StGN:
Material Sign Is constructed of:
List ALL existing slgnage and attach.. photograph of each .Ign:
. \ ( ..1\-,('\ ""', rf..
101 Typ. I.vAU , t;;... ) Sq. Ftg: I ..~.,
Ibl Type
l~kU. CSO) Sq. Ftg.
Sq, Ftg,
'-l-Z. c;i
"
(c) Type
Sq. Ftg.
(d) Type
CONTRACTOR/INSTALLER: t:::;...~3-r'_.\ -:1" ~c..
ADDRESS: r~lo (:lt~F'..\'''IL..i''\ i2D,
CITY: 8Ul..-1::.:l-.j 8
PHONE:
A'2:: E? t.E,4. L
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:'
CITV8USINESS LICENSE NUMBER: (..1 we' " (j'2.-'
STATE:
III 't. '(',...
ne+:r~ ZIP: C11 '-j(:;'2:-
EXPIRES: . t- -2..' C (
EXPIRES:
t..,- '36 .- c>L.'
OFFICE USE
Code Section:
<5 ?, 017
(t."~l? II)
<KL<j- LUu..".
Quad Area:
2.. e 10/AJ
S. D' . Ii '... Il~ .
IQn Istrlct:! nw...M1LO..! UA ('.I'IVR...vV\.
Zoning:. e......o....- (j
Lend Use:
Sign Permit Fee:
.ItJG, ~
Ap'proved By:
DATE:
I - ZI-/Y1)
REQUIRED INSPECTIONS:
Site'
to be made prior
to' sign placement
Footing
prior ,to placement
of concrete
/ Attachment
after fasteners are
Installed/prior to clJver
~ h. l>l-vi c..ll...-l
. / Ele~trlc~1
prior to energizing
electrical Installation
Additional Comments an~/or Conditions:
~
. ht.u'Jt.LGt ~~ 6
/' Flnai
completion of sign
installation
~ -; k..t..La.....(,'n\.
BV signature, I state and agree. that I have car~ful,ly eXBmined the completed application ,and do hereby certify that all information herein
is true and correct. a0d I further certIfy that any and all work performed shall be done in accordance 'W"lth the Ordinances of the City of
Sprln..Q:fleld, and the '~aw8 of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
em'pl?yeeS 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 stroet, that
the permit card is located at the?Jz;t of the property, and the approved set of plans will remaIn on the site at all times during the installation
of the slgnlsl. ( 7 I . .
Signatu,e ~- C--::-~7d _--' Dot. { - I e, - CO
l '\ r"
'~
Validation:
Amount Raaalnd:
Oata Paldi
Receipt Number:
Received By: