HomeMy WebLinkAboutPermit Signage 1984-7-10
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city of springfield _
225 n. 5th street
SPRINGFIELD
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INFO RMATION: 726-3753
INSPEC'T10NS: 726-3769
SIGN PERMIT APPLICATION
A. LOCA~ION OF SIGN (ADDRESS) Z;::/-/ <../ 1-1 ~ (' J....()U.)
LECAL DESCRIPTION / ? " "'3 .. ~ 2 -""
Cl1NER OR PROPERTY ([JnY1 ma'i , ,I, \ ., ~r)'f\,.oj)
ADDRESS fJ..."7 nn -\5H:'~JvJph,^" \?-.. \. ir\l '
CliNER OF SIGN (IF OTUER TllAN PROPERTY OWNER) S c/v\ .::r3,
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TAY. LOT-I!
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PHONE
ZIP q '7 '10:)"
ADDRESS
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PHONE 1.-1 y S -I ~ I L,
TYPE OF BUSI!:ESS CltJo r?CU__~_
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NAME OF BUSINESS, FIRM,
B. TYPE OF WORK:
1ERECT _ALTER
_RELOCATE
_OTIlER
C. STRUCTURAL TYPE 'OF SIGN:,
,X-t'ilILL, _FREESTANDING
_ROOF _PROJECTING
_MARqUEE
_UNDER 11ARqUEE
_OTIlER
D. USE AND CP,ARACTER OF SIGN:
XIDENTITY
_INCIDWTAL
_DOUBLE FACE
~SINGLE FACE
__"!ULTI-FACE
_READER BOARD
_BILLBOARD
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CITY LICENSE II\P.1BER
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l-Io""e.... 7LI!r 7</7 7
PilON!: 99'iS-~7/1
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E. VENDORS, w""""~:i.~:,:"" '
SIGN ERECTOR . -*-...l! \"'~'~J J\ ~ 0 '-.,
tJlDl'.r:SS L I [C) 9 l \ \~~\ tJsu
EXP. DATE
SIGN I1ANUFACTURER (IF OTIlER THAN ERECTOR)
ADDRESS
PHONE
F.
DIHENSIONS,
TOTAL HEIGHT ABOVE GRADE
VERTICAL DIMENSION OF SIGN
HORIZONTAL WIDnt OF SIGN
DUlENSION FROH GRADE TO
BOnOM OF SIGN
IllSTALLATION (, CONSTR[l~"Tr"T
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G. EXISTING SIGNS
ARE TIlERE ANY EXi:ST!!IG ~IGN~? _YES Ano
l~tBE? SIZE IN SO. FTG,
ALL ~XISTING SIGNS
FOR EUSINESS, ETC,
TIIICKlIESS OR DEPTH
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DOES SIGN PROJECT BEYOND
PROPERTY LINE? _YES ~NO
,IF YES. DUIENSION BEYOND
PROPERTY LINE
NOTE: IF PROJECTIOn IS /lORE TllAN 12"
OVER PUBLIC PROPERTY T~ SIGN ERECTOR
IruST FILE WITH THE BUILDING DIVISION
COPIES OF HIS/UER LIABILITY AND PROP-
ERTY DA/1AGE INSURANCE POLICIES,
H. HI~L SIGN HAVE ELECTRICAL IHRItlG? i..}..JJJ
IF YES, lIIlIC!! APPLY? ELECTRICAL S~G!l
~ILLlJ/IINATED (INDIRECII;? LIGHTED)
ELECTRICAL COIlTRACtfrt l::vu.o),'l..,., ~,'
ADDRESS 4lOq o.j lL.('u ,:u.\ -:0.. ".'
LISC, NUMBER ;)/) ,:)O.~ - 1'1:0111:..9 q<~>~J.1)
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J. DESCRIBE TYPE OR I'ATERIALS SIGN IS
'CON~RlJ.CTED or, '\\
":::L.'n 0 It '), }fY\ 0.1 ,,--v
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J. SITE INFOP11ATIOll (LAND USE) -- EXISTING USE
OF BUILDING OR LAND (nR LAST USE IF ,VACANT)
K'VALUE OF s~l.t n()n 0<1'
_INDOOR BUSINESS OUTDOO~ l,fERCHAtlDISING
PROPOSED USE OF BUILDING OR LAND:
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L. I HAVE CAREFULLY EXAlIINED 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 ~pringfield Sign Ordinance. the Uniform Sign Code as adopted by the City of
Soringfield and all ocher Ordinances of the City of Sprin~field and the laws of the State of
~regon pertainin~ to t~le work described. hl:;:..~l.n. I further certifv that.: r.w !:~Z!'\. Co"'\tractor Li-
cense with the City of Sprin~field is in full force and effece as' required by Sprinp,field Codes
8-2-6(3) and 9-7-20(~_ I will request all required sign insoeccions listed on the approved
permit, ('t<:- ---....:. '\ po_
NAME (PLEASE PRINT) ~~ ..;:,JlJ!\rv..Q
SIGNATURE E l N\ ~V' 1<. ~ e.. ~~ .~
,DATE
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PLEASE READ
1)
Seoarate 512n Aoolicacion: A separate applic;
in the Sign ~ode.
Electrical: Any permit issued under this app:
tne supply wir~s for connection must be coverl
musc'be made only by a State Licensed Electri.
and externally) must conform. to Sections 9-7--
dinance,
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fall V'I/ AUTHC....~:;:;~~ATUR ~
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I", .tuQGa PIIlINTl:lIla/UTHOGItAPHa".. aUOeNl:. O"l:lIO" .
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2)
3)
Plans ReQuired: This application 1s to be au
mens ions and height of sign; advertising mess
mansions to property lines, structural detail
of construction for sign and sign structure;
of existing signs on property for the same bu
the Springfield Sign Ordinance (Article 7 of
lng information on the plot plan (plan showln
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CI"F SP"RINGFIELD
CllyHall
Sprlngflald, Oregon
Department 01 Public Works
OFFICIAL RECEIPT
No. B 63210
Date It..<..~ 1.21' 19 9 Y ,;
Rec'd From f3/=1/~I":' _ ::> $~~ '.
Address ~"'9 ~ P~.s,... s;.... _ '
4)
a) Show the location of all existing sign(s)
b) Show the length of the street frontage ta
signs, show the length of the building fI
c) Show the location of entrances open to tt
When required, because of design, size, etc.,
pared by a licensed engineer or shall cDnfort
sian Office.
Plans of insufficient clarity or detail will
issued. .
Signs must meet corner vision clearance req~
Comprehensive Zoning Code.
NOTE: No sign may be erected which is less
electrical conductors in excess of 750 volts
electrical lines which are energized at less
If a sign is not installed within 60 days af
be void, '
Inspections:
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5)
6)
7)
8)
9)
a) Site Insoection - to be made before the
(it appiicable) may be made at the same
tion is to be made after hole (s) is e;:<ca
b) Final Insoection:- to be made upon compl
c) ~lectrical - all electrical signs must b
18 erected and before the sign is turnec
Received For. ~/~# 8 'V C><I'~ ,....
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CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LiNE 'AT 726-3769
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FOR UFFIC~ U~~ UNLY
SIGN DISTRIC~AI""~.#' ZONE DISTRICT _ c: C
/1('1 1/1
TOTAL SQUARE FOOTAGE OF SIGN
REOUIRED INSPECTIONS:
_SITE/LOCATION
-l-ELECTRICAL
_OTHER
L. ww. ...w woo METHOD OF ATTACHMENT
LFlNAL
JOB lJ-B-cro~9~
SIGN PERMIT FEE:
6!f' '2 8.06
ELECTRICAL PERMIT FEE:
/l7. -~
47. STATE SURCHARGE:
.11'0
~O~ . 'c( c...> J)<o -it .;J:Jj <-
TOTAL: (!$ ~S. GO
DATE
? -/-;;>-8'1 RECEIPT $~ 3 'a,;/c.::>
/Ztr:
CLERK
SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
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ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED:
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9~ 7~? t'<) . SPRINGFIELD
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APPROVED BY:
SECTION:
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DATE
7- / :('-8' 5'
SIGN ORDINANCE
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Active Discount Auto
544 Harlow Road
2-13-35
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