HomeMy WebLinkAboutPermit Signage 1984-7-13
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city of springfield
225 n. 5th street
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SPRINGFIELD
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INFO RMATION: 726'3753
SIGN PERMIT APPLICATION
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A. LOCA~lON OF SIGN '(ADDRESS) '/V W. ~A'_ ~c:!!"Cl'~.2 Y ~ ~fN,'f'< Q.......
LECAL DESCRIPTION TAX LOT-if
mINER OR PROPERTY l<teu,.;I...,";,+J. [\~lJ(!,/fllAj')oJ
t<l!'~'\',>\..oO (l'A.
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OrmER OF SIGN (IF OTHER THAN PROPERTY OWNER)
PHONE
ADDRESS
ZIP
ADDRESS
NAME OF BUSINESS. FIRM. ETC. "vol ~,'I
PHONE
TYPE OF ,BUSItlE5S
B. TYPE OF WORK;
vfuCT _ALTER
_RELOCATE
_OTHER
I C. STRUCTURAL TYPE .OF SIGN,.
_HALL VFREE5TANDIllG
_ROOF _PROJECTING
_MAR~UEE
~ UNDER 11AR~UEE
_OTHER
[). USE AND CP~RACTER OF SIGN,
_IDENTITY
INCIDENTAL
_DOUBLE FACE
_SINGLE FACE
--!'!ULTI-FACE
_READER BOARD
_BILLBOARD
E. VENDORS. CONTRACTORS, ;
SIGN ERECTOR _ J~r"'l .'Jl I \7<,
,J.DDP'::::SS ;Ju IVC iTa 10 e.-&u (;).... ~
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(VbN,,1
qq K-~;,t..s3
,ZIP 97 ~~~
, .EXP, DATE
,PilON!:
CITY LICENSE 11lP.1BER
SIGN I1ANUFACTURER (IF OTHER W.AN ERECTOR)
ADDRESS
=
PP.ONE
F.
DIMENSIONS, l1ISTALLATION & CONSTRUCTION
&'
8'
8'
TOTAL HEIGHT ABOVE GRADE
VERTICAL 'DIMENSION OF SIGN
HORIZONTAL WIDTII OF SIGN
DlNENSION FROM GRADE TO
BOTIOM OF SIGN
G. EXISTING SIGNS
ARE THERE ANY EXIST!!lG ~IGN~? _YES ~
Inn~BE~ SIZE IN SO,FTG,
.
ALL EXISTING SIGNS
FOR EUSINESS, ETC,
TIIICKNESS OR DEPTH
DOES SIGN PROJECT BEYOND ~
PROPERTY LINE? _YES ~NO
IF YES, DIMENSION BEYOND
PROP!:RTY LINE
NOTE; IF PROJECTIOn IS tlORE THAN 12"
OVER PUBLIC PROPERTY TPE SIGN ERECTOR
truST FILE WITH THE BUILDING DIVISION
COPIES OF HIS/HER LIABILITY AND PROP-
ERTY DAl'LAGE INSURANCE POLICIES,
H. HI~i. SIGN HAVE ELECTRICAL IHRIIIG? It) h
IF YES, WInCp. APPLY? ELECTRICAL SIGll
__ILLUMINATED (INDIP~CTrY LIGP.TED)
ELECTRICAL COllTRACTorr
ADDRESS
LISC, NUMBER PI:om:
I. DESCRIBE TYPE OR I'ATERIALS SIGN IS
. CONSTRUCTED OF, // " ' /J/ I
"-/' X:F5' X:2 '. /.//,/ woo a
J'SITE INFOPlLATIOll (LAND USE) -- EXISTING USE
OF BUILDING OR LAND (OR LAST USE IF VACANT)
~l ~ U -C:A-v I1v
K. VALUE OF SIGN:
s-~. ere.
_INDOOR BUSINESS OUTDOO:!. l'ERCHAllDISING
PROPOSED USE OF BUILDING OR LAND:
L. I HAVE CAREFULLY EXAHINED the completed application for permit and do hereby certify that all,
informacion is true and correct, and I further certify that all work ~erformed shall be done 1n
accordance with the Springfield Sign Ordinance, the Uniform Sign Code as adopted by the City of
Sorin~fie1d and all other Ordinances of the City of Springfield and the laws of the State of
Oregon per.tainin~ to t~le work describec.1 th:~j.t:.Ln. r further certify that my S!.Z~ Co~tractor Li-
cense with the City of Sprin~field is in full force and effect as required by Sprinp,fie1d Codes
3-2-6(3) and 9-7-20(2), I will request all required sign insoections listed on the approved
permit.
J~1..V4f . J/I....s
Y'rM-J
NAME (PL
~.../...
,DATE:
7-1) - ry
I
PLEASE READ
1)
Seoarate Si2n Apolication, A separate appl
In;the ~ign Code.
Electrical: Any permit issued under this a
the supply wires for connection must be cov
musc"be made only. by a State Licensed Elect
and externally) must conform to Sections 9-
dinance. '
2)
3)
P1sns Reouired, This application is to be
mens ions and height of sign; advertising me
mensions to property lines, structural deta
of construction for sign and sign structure
of existing signs on property for the same'
the Springfield Sign Ordinance (Article 7 0
ing information on the plot plan (plan show,
a) Show the location of all existing sign(,
b) Show the length of the street frontage
signs. show the length of the building
c) Show the location of entrances open to
When required, because of design, size, etc
pared by a licensed engineer or shall confo:
sion Office,
Plans of insufficient clarity or detail wil:
issued.
Signs must meet corner vision clearance reql
Comprehensive Zoning Code.
NOTE, No sign may be erected which is less
electrical conductors in excess of 750 volt~
electrical lines whieh are energized at les!
If a sign is not installed within 60 days al
be void"
Inspections:
,..:,.
4)
5)
6)
7)
8)
9)
a)
Site Insoection - to be made before the
lit applicable) may be made at the same
tion is to be made after hole (s) is exe"
Final lnsoection:- to b~ mad~ upon comp]
~lectrica1 - all electrical signs must t
is erected and before the sign is turned
b)
c)
CITVM SPRINGFIElD
. City Hall
Springfield. Oregon
Department 01 Public Works
OFFICIAL RECEIPT
No. B 63215
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Date Jo(...,. t3f 19 $ 9
;" I Rec'd From f')~~',~ \L..L~ c-..-.v ~
Address fS7c c-~~ :;;,... -
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Received For.
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Amount Received
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~~~epl V:~N~e~~(ec-~
f~ .',....1.. .11100. P'IIINTC"./LlTHOGIIAP'HCII8, CUGCNC, OIlIGON ~.
,,\:, -- r.. . ......._____ ...-1.__.. -r ------ -__ '--0..-'
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CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769
SIGN DISTRIC~__ -
F<iROFnCJ;; USJ;; UNLY
JOB II Z!!i ~t:> O/~ '7
ZONE DISTRICT c::::: c:::::..
:2 X e::: t.I ",
TOTAL SQUARE FOOTAGE OF SIGN
REQUIRED INSPECTIONS:
___SITE/LOCATION
___ELECTRICAL
OTHER
SIGN PERMIT FEE:
10. ...
___FOOTING OR METHOD OF ATTACHMENT
..!....FINAL
ELECTRICAL PERMIT FEE:
#..4- .
4~ STATE SURCHARGE,
TOTAL,
/0_-'
DATE ?~t?-1ft yo RECEIPT
CLERK ~/2. pr ~u ;!8, Y:?
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SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED:
APPROVED
BY, 4- ;:.
1'-?~1~~) .
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SECTION:
DATE
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SIGN ORDINANCE
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